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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20046B1481993-07-30030 July 1993 LER 93-012-00:on 930702,reactor Core Isolation Cooling Sys Declared Inoperable Due to Associated Bus Voltage Dropping Below TS Limits.Sent Operator to Cycle Timer Which Caused Affected Contact to reclose.W/930730 Ltr ML20045D9331993-07-0202 July 1993 LER 93-004-00:on 930604,unexpected CRD Low Charging Water Header Scram Received Followed by Charging Water Header A2/B2 Alarm.Caused by Crud or Foreign Matl Passing Through Suction Filter.Filters Cleaned & reused.W/930702 ML20045D7501993-06-23023 June 1993 LER 93-003-00:on 930524,Div 1 ECCS Initiation Signal Received & LPCS Pump,Lpci Pump 2A & EDG Unit 0 Automatically Started.Caused by Personnel Error.Pumps Secured & Event Documented in Personnel file.W/930623 Ltr ML20044E4161993-05-28028 May 1993 LER 92-009-01:on 920923,spurious Auto Start of CR Ventilation Emergency make-up Train Occurred Due to High Radiation Spike.Radiation Monitor Circuit modified.W/930528 Ltr ML20044E4191993-05-21021 May 1993 LER 93-011-00:on 930423,manual Scram Initiated.Caused by Disconnected Linkage on Valve Positioner on Heater Drain Valve Due to Loose Jam Nut.Tailgate Session Will Be Held W/ Instrument Maint Dept Re Jam nuts.W/930521 Ltr ML20044D5161993-05-15015 May 1993 LER 92-007-01:on 920613,high Radiation Spike Received from CR Ventilation Process Radiation Monitor,Initiating Emergency Makeup Train B.Caused by Normal Variations in Radiation Readings.Spike modified.W/930515 Ltr ML20044D5571993-05-14014 May 1993 LER 93-010-00:on 930414,DG Cooling Water Pump Automatically Tripped on Magnetic Overload.Caused by Inexperienced Trainee in Operation of Control Lever.Lesson Plans & Training Programs for Operators to Be reviewed.W/930514 Ltr ML20044C9801993-05-0707 May 1993 LER 91-010-01:on 910719 & 0805,CR a Ventilation Emergency Makeup Fan auto-started on Spurious Trip of CR Air Intake Process Radiation Monitor.Caused by Normal Variations in Background Radiation.Supply Board replaced.W/930507 Ltr ML20044B6161993-02-25025 February 1993 LER 93-002-00:on 930126,Unit 1 Manual Scram Due to a SRV Being Stuck Open Due to Duct Tape Being Over Actuators Air Valve Manifold Exhaust Port.Maint Procedures That Involve Cleanliness reviewed.W/930225 Ltr ML20024G9771991-05-10010 May 1991 LER 91-005-00:on 910410,determined That Tech Spec Required Surveillance of Suppression Chamber Oxygen Sampling Missed. Caused by Inadequate Review of Tech Spec Change.Drywell & Suppression Chamber Checked for oxygen.W/910510 Ltr ML20044A3851990-06-25025 June 1990 LER 90-008-00:on 900525,Tech Spec Hourly Fire Watch Missed Due to Miscommunications Between Security Personnel & Radiation Protection Personnel.Fire Watch re-established & Memo issued.W/900625 Ltr ML20043F1721990-06-0505 June 1990 LER 90-009-00:on 900510,RWCU Outboard Suction Isolation Valve 2G33-F004 Auto Closed Which Tripped RWCU Pump B. Caused by Procedure Deficiency.Procedure LTS-500-209 Will Be revised.W/900605 Ltr ML20043F1281990-06-0101 June 1990 LER 90-009-00:on 900511,apparent Ruptured Diaphragm Found on Pressure Differential Switch in RCIC Steam Line.Caused by Torn Diaphragm Inside Switch.Replacement Switch Installed, Calibr & Functionally Tested satisfactorily.W/900608 Ltr ML20043B5681990-05-23023 May 1990 LER 89-027-01:on 891113,primary Containment Isolation Sys Group 1 Isolation Occurred During Surveillance Testing. Caused by Burnt Out Window Light Bulbs on Alarm Window. Light Bulbs Replaced & Jumpers installed.W/900523 Ltr ML20043A7721990-05-18018 May 1990 LER 90-007-00:on 900421,reactor Protection Sys Bus a Transfer & Reactor Recirculation Hydraulic Power Unit a Inboard Isolation Valves Closed,Causing Partial Group II isolation.Out-of-svc Procedure revised.W/900518 Ltr ML20043D0591990-05-18018 May 1990 LER 90-008-00:on 900502,ESF Actuation of Control Room B Emergency Ctk Ventilation Makeup Fan Occurred.Caused by Procedure deficiency.LTS-800-205 & Similar Procedures Will Be revised.W/900601 Ltr ML20042H0211990-05-10010 May 1990 LER 90-006-00:on 900412,loop a Primary Containment Chilled Water Sys Inboard Isolation Valves & Reactor Bldg Closed Cooling Water Sys Inboard Isolation Valve Went Closed.Caused by Inadequate Procedure.Procedures revised.W/900510 Ltr ML20042F9001990-05-0404 May 1990 LER 90-005-00:on 900411,experienced Loss of Dc Power to Portion of Div I Primary Containment Isolation Sys Logic Which Resulted in Isolation Signal & Actuation.Caused by Failure to Update Drawings & procedures.W/900504 Ltr ML20042F1941990-04-30030 April 1990 LER 89-025-01:on 891101,sys Auxiliary Transformer Feed to Bus 142Y Tripped Open When Door Containing Undervoltage Relays Closed.Caused by Misalignment of Door.Door Repaired. W/900430 Ltr ML20012D5341990-03-16016 March 1990 LER 90-003-01:on 900201,RCIC Isolation Signal Occurred During Warmup.Caused by Spurious High Steam Flow Signal.Rcic Sys Piping Integrity Verified & Isolation Logic Reset.W/ 900316 Ltr ML20012D5371990-03-16016 March 1990 LER 90-002-01:on 900129,oil in Diesel Generator Governor 1A Found to Be Low & Could Not Be Seen in Sight Glass.Caused by Slow Leak from Compensation Needle Valve Plug.Proper Amount of Oil Added & Operability Test performed.W/900316 Ltr ML20012C4931990-03-15015 March 1990 LER 90-004-00:on 900213,control Room B HVAC Intake Radiation Monitor Lost Power Causing auto-start of Emergency make-up Train B.Caused by Blown Fuses.Fuses Replaced.Logic Revs for Radiation Monitors Will Be installed.W/900315 Ltr ML20012B6501990-03-0909 March 1990 LER 90-002-00:on 900209,Operating Surveillance LOS-TG-W1 Determined to Have Exceeded Required Testing Interval,Per Tech Spec 3/4.7.10.Caused by Personnel Error.Personnel Counseled & Ref Procedures Will Be revised.W/900309 Ltr ML20012B5521990-03-0808 March 1990 LER 90-001-00:on 900206,full Reactor Scram Occurred During Instrument Surveillance Testing.Caused by Actuation of APRM E Trip Circuitry.Shutdown Margin Revised & Caution Card Placed on Control Room Bench board.W/900308 Ltr ML20011F8251990-03-0202 March 1990 LER 90-003-00:on 900201,RCIC Received Div 2 Isolation on RCIC High Steam Line Flow.Caused by Spurious High Steam Flow Signal Generated When Steam/Water Mixture Admitted to RCIC Steam Line.Isolation Logic reset.W/900302 Ltr ML20011F5551990-02-28028 February 1990 LER 90-002-00:on 900129,after Filling Diesel Generator 1A Governor W/Oil,Generator Started & Declared Inoperable. Caused by Slow Leak Coming from Compensation Needle Valve Plug.Oil Added & Plug Washer replaced.W/900228 Ltr ML20006F5951990-02-21021 February 1990 LER 90-001-00:on 900122,RWCU Sys Received Div 1 Leakage Detection Ambient Temp High Isolation Signal,Causing Trips of RWCU Pumps a & C.Caused by Broken Thermocouple Input Lead.Lead Wire Reconnected & Isolation reset.W/900221 Ltr ML20011F4921990-02-16016 February 1990 LER 89-013-01:on 890907,Group I Isolation Received During Performance of Instrument Surveillance LIS-MS-401.Caused by Depressurization of Main Steam Line Low Pressure Switch. Surveillance Revised to Split Into Two parts.W/900216 Ltr ML20006E4501990-02-15015 February 1990 LER 89-010-01:on 890715 & 17,voltage Oscillations Noted on Div II Battery Charger,Resulting in Inoperability of HPCS Sys.Caused by Failure of Charger in High Voltage Shutdown Relay.Charger Energized & Relay replaced.W/900215 Ltr ML20006E4451990-02-14014 February 1990 LER 89-009-01:on 890619,diaphragm Leak Discovered in RCIC Steam Line High Flow Isolation Switch.Caused by 1 & 1/2-inch Tear in Diaphragm.Pressure Differential Switch Replaced & Calibr.Reported Per NRC Bulletin 86-002.W/900214 Ltr ML20006E3981990-02-14014 February 1990 LER 89-008-01:on 890228,reactor Vessel Low Water Level 2 Switch Found W/Setpoint in Excess of Reject Limit.Caused by Setpoint Drift.Channel Placed in Tripped Condition & All Static-O-Ring Pressure Switches to Be replaced.W/900214 Ltr ML20006E3951990-02-14014 February 1990 LER 89-010-01:on 890303,automatic Depressurization Sys Permissive Switch Found W/Setpoint in Excess of Reject Limit.Caused by Setpoint Drift.All Static-O-Ring Reactor Vessel Level Switches Will Be replaced.W/900214 Ltr ML19354D8361990-01-15015 January 1990 LER 89-018-00:on 891216,plant 250-volt Battery & RCIC Sys Declared Inoperable Due to Low Battery Electrolyte Temps. Caused by Failure of Div I Switchgear Heat Removal Sys Damper Actuators.Air Intake Dampers closed.W/900115 Ltr ML20042D3921990-01-0404 January 1990 LER 89-011-01:on 890826,spurious Reactor Protection Sys Actuation Occurred.Definite Cause of Trip Not Determined. Brief Disturbance in Reactor Protection Sys Allowed Some Contactors to Trip.Procedure revised.W/900104 Ltr ML20005E2741989-12-22022 December 1989 LER 89-028-00:on 891204,RHR Shutdown Cooling Suction Header Outboard Isolation Valve Automatically Isolated.Caused by Miscommunication Between Technician & Station Operator.Task Force Developed to Review event.W/891222 Ltr ML19351A6301989-12-15015 December 1989 LER 89-006-01:on 890214,reactor Vessel Low Water Level 3 Switch Setpoint Found Out of Tolerance.Caused by Setpoint Drift.Level Switch to Be Replaced by Analog Trip Sys During First Quarter 1990.W/891215 Ltr ML20011D1341989-12-14014 December 1989 LER 89-017-00:on 891117,flow Switch FS-2E22-N006 Found W/ Setpoint Out of Tolerance Above Reject Limit.Caused by Setpoint Drift.Work Request Written to Replace Flow Switch. W/891214 Ltr ML19351A6751989-12-12012 December 1989 LER 89-027-00:on 891113,primary Containment Isolation Sys Group I Isolation Occurred While Performing Instrument Surveillance.Caused by Loss of Power to Leak Detection Sys Logic.Isolation reset.W/891213 Ltr ML19332F0081989-12-0808 December 1989 LER 89-016-00:on 891109,RWCU Isolation Occurred While Instrument Surveillance on Ventilation Differential Temp Isolation Functional Test in Progress.Caused by Faulty Thermocouple.Thermocouple repaired.W/891208 Ltr ML20005D6621989-12-0606 December 1989 LER 89-026-00:on 891106,inadvertent Primary Containment Isolation Actuation Occurred While Clearing out-of-svc. Caused by Inadequate Logic Setup During Mod Installation. Trip Status & Output Switches repositioned.W/891206 Ltr ML19332F2431989-12-0101 December 1989 LER 89-025-00:on 891101,sys Auxiliary Transformer Feed to Bus 142Y Tripped Open When Equipment Operator Closed Door Containing Relays.Caused by Misalignment of Door.Isolations Reset,Bus Energized & Circuit Logic tested.W/891201 Ltr ML19332E6581989-11-29029 November 1989 LER 89-015-00:on 891030,shift Control Room Engineer Noted That Quarterly Standby Liquid Control Operating Surveillance LOS-SC-Q1 Was Past Critical Date.Caused by Clerical Data Entry Error.Missed Surveillance performed.W/891129 Ltr ML19332D5181989-11-22022 November 1989 LER 89-018-01:on 890515,RCIC Received Div I & Div II Isolation on RCIC High Steam Line Flow.Caused by Spurious High Steam Flow Signal When Steam Added to RCIC Steam Line. Special Test Initiated.Isolation Logic reset.W/891122 Ltr ML19327C2601989-11-17017 November 1989 LER 89-014-00:on 891020,primary Containment Isolation Sys Group 4 Isolation Occurred Causing Isolation Dampers to Close.Caused by Opening of Div 2 125-volt Dc Breaker.Power Supply replaced.W/891117 Ltr ML19325F3411989-11-13013 November 1989 LER 89-024-00:on 891013 & 30,unsealed Openings in Main Control Room Floor & Main Control Room West Wall Discovered. Caused by Wide Gap Between Structural Beam & Cable Tray. Openings Sealed & Fire Watch established.W/891113 Ltr ML19324C1751989-11-0808 November 1989 LER 89-012-01:on 890309,diaphragm Leak Found in Pressure Differential Switch 1E31-N013BB.Caused by Tear Found in Diaphragm.Replacement Switch Installed,Calibr & Functionally Tested satisfactorily.W/891108 Ltr ML20024E9121983-08-26026 August 1983 LER 83-093/03L-0:on 830801,discovered full-in Indication on Core Display for Control Rod 34-47 Inoperable.Caused by Failed Switching Transistor on Data Memory Board 19.Data Memory Board replaced.W/830826 Ltr ML20024B8381983-07-0505 July 1983 LER 83-060/03L-0:on 830606,following Turbine Trip & Scram Due to High Vibration on Main Turbine,Reactor Recirculation Breaker 4B Closed.Cause Undetermined.Auxiliary Contacts cleaned.W/830705 Ltr ML20024B0721983-06-16016 June 1983 Updated LER 83-012/03X-1:on 830210,w/reactor in Cold Shutdown,Setpoints for Switches 1E31-N612A/B Found Above Tech Spec Limits.Cause Unknown.Switches calibr.W/830616 Ltr ML20024A6961983-06-14014 June 1983 LER 83-051/03L-0:on 830516,reactor Protection Sys Trip Channel H2 Limit Switch Failed to Operate Properly.Cause Unknown.Limit Switch readjusted.W/830614 Ltr 1993-07-30
[Table view] Category:RO)
MONTHYEARML20046B1481993-07-30030 July 1993 LER 93-012-00:on 930702,reactor Core Isolation Cooling Sys Declared Inoperable Due to Associated Bus Voltage Dropping Below TS Limits.Sent Operator to Cycle Timer Which Caused Affected Contact to reclose.W/930730 Ltr ML20045D9331993-07-0202 July 1993 LER 93-004-00:on 930604,unexpected CRD Low Charging Water Header Scram Received Followed by Charging Water Header A2/B2 Alarm.Caused by Crud or Foreign Matl Passing Through Suction Filter.Filters Cleaned & reused.W/930702 ML20045D7501993-06-23023 June 1993 LER 93-003-00:on 930524,Div 1 ECCS Initiation Signal Received & LPCS Pump,Lpci Pump 2A & EDG Unit 0 Automatically Started.Caused by Personnel Error.Pumps Secured & Event Documented in Personnel file.W/930623 Ltr ML20044E4161993-05-28028 May 1993 LER 92-009-01:on 920923,spurious Auto Start of CR Ventilation Emergency make-up Train Occurred Due to High Radiation Spike.Radiation Monitor Circuit modified.W/930528 Ltr ML20044E4191993-05-21021 May 1993 LER 93-011-00:on 930423,manual Scram Initiated.Caused by Disconnected Linkage on Valve Positioner on Heater Drain Valve Due to Loose Jam Nut.Tailgate Session Will Be Held W/ Instrument Maint Dept Re Jam nuts.W/930521 Ltr ML20044D5161993-05-15015 May 1993 LER 92-007-01:on 920613,high Radiation Spike Received from CR Ventilation Process Radiation Monitor,Initiating Emergency Makeup Train B.Caused by Normal Variations in Radiation Readings.Spike modified.W/930515 Ltr ML20044D5571993-05-14014 May 1993 LER 93-010-00:on 930414,DG Cooling Water Pump Automatically Tripped on Magnetic Overload.Caused by Inexperienced Trainee in Operation of Control Lever.Lesson Plans & Training Programs for Operators to Be reviewed.W/930514 Ltr ML20044C9801993-05-0707 May 1993 LER 91-010-01:on 910719 & 0805,CR a Ventilation Emergency Makeup Fan auto-started on Spurious Trip of CR Air Intake Process Radiation Monitor.Caused by Normal Variations in Background Radiation.Supply Board replaced.W/930507 Ltr ML20044B6161993-02-25025 February 1993 LER 93-002-00:on 930126,Unit 1 Manual Scram Due to a SRV Being Stuck Open Due to Duct Tape Being Over Actuators Air Valve Manifold Exhaust Port.Maint Procedures That Involve Cleanliness reviewed.W/930225 Ltr ML20024G9771991-05-10010 May 1991 LER 91-005-00:on 910410,determined That Tech Spec Required Surveillance of Suppression Chamber Oxygen Sampling Missed. Caused by Inadequate Review of Tech Spec Change.Drywell & Suppression Chamber Checked for oxygen.W/910510 Ltr ML20044A3851990-06-25025 June 1990 LER 90-008-00:on 900525,Tech Spec Hourly Fire Watch Missed Due to Miscommunications Between Security Personnel & Radiation Protection Personnel.Fire Watch re-established & Memo issued.W/900625 Ltr ML20043F1721990-06-0505 June 1990 LER 90-009-00:on 900510,RWCU Outboard Suction Isolation Valve 2G33-F004 Auto Closed Which Tripped RWCU Pump B. Caused by Procedure Deficiency.Procedure LTS-500-209 Will Be revised.W/900605 Ltr ML20043F1281990-06-0101 June 1990 LER 90-009-00:on 900511,apparent Ruptured Diaphragm Found on Pressure Differential Switch in RCIC Steam Line.Caused by Torn Diaphragm Inside Switch.Replacement Switch Installed, Calibr & Functionally Tested satisfactorily.W/900608 Ltr ML20043B5681990-05-23023 May 1990 LER 89-027-01:on 891113,primary Containment Isolation Sys Group 1 Isolation Occurred During Surveillance Testing. Caused by Burnt Out Window Light Bulbs on Alarm Window. Light Bulbs Replaced & Jumpers installed.W/900523 Ltr ML20043A7721990-05-18018 May 1990 LER 90-007-00:on 900421,reactor Protection Sys Bus a Transfer & Reactor Recirculation Hydraulic Power Unit a Inboard Isolation Valves Closed,Causing Partial Group II isolation.Out-of-svc Procedure revised.W/900518 Ltr ML20043D0591990-05-18018 May 1990 LER 90-008-00:on 900502,ESF Actuation of Control Room B Emergency Ctk Ventilation Makeup Fan Occurred.Caused by Procedure deficiency.LTS-800-205 & Similar Procedures Will Be revised.W/900601 Ltr ML20042H0211990-05-10010 May 1990 LER 90-006-00:on 900412,loop a Primary Containment Chilled Water Sys Inboard Isolation Valves & Reactor Bldg Closed Cooling Water Sys Inboard Isolation Valve Went Closed.Caused by Inadequate Procedure.Procedures revised.W/900510 Ltr ML20042F9001990-05-0404 May 1990 LER 90-005-00:on 900411,experienced Loss of Dc Power to Portion of Div I Primary Containment Isolation Sys Logic Which Resulted in Isolation Signal & Actuation.Caused by Failure to Update Drawings & procedures.W/900504 Ltr ML20042F1941990-04-30030 April 1990 LER 89-025-01:on 891101,sys Auxiliary Transformer Feed to Bus 142Y Tripped Open When Door Containing Undervoltage Relays Closed.Caused by Misalignment of Door.Door Repaired. W/900430 Ltr ML20012D5341990-03-16016 March 1990 LER 90-003-01:on 900201,RCIC Isolation Signal Occurred During Warmup.Caused by Spurious High Steam Flow Signal.Rcic Sys Piping Integrity Verified & Isolation Logic Reset.W/ 900316 Ltr ML20012D5371990-03-16016 March 1990 LER 90-002-01:on 900129,oil in Diesel Generator Governor 1A Found to Be Low & Could Not Be Seen in Sight Glass.Caused by Slow Leak from Compensation Needle Valve Plug.Proper Amount of Oil Added & Operability Test performed.W/900316 Ltr ML20012C4931990-03-15015 March 1990 LER 90-004-00:on 900213,control Room B HVAC Intake Radiation Monitor Lost Power Causing auto-start of Emergency make-up Train B.Caused by Blown Fuses.Fuses Replaced.Logic Revs for Radiation Monitors Will Be installed.W/900315 Ltr ML20012B6501990-03-0909 March 1990 LER 90-002-00:on 900209,Operating Surveillance LOS-TG-W1 Determined to Have Exceeded Required Testing Interval,Per Tech Spec 3/4.7.10.Caused by Personnel Error.Personnel Counseled & Ref Procedures Will Be revised.W/900309 Ltr ML20012B5521990-03-0808 March 1990 LER 90-001-00:on 900206,full Reactor Scram Occurred During Instrument Surveillance Testing.Caused by Actuation of APRM E Trip Circuitry.Shutdown Margin Revised & Caution Card Placed on Control Room Bench board.W/900308 Ltr ML20011F8251990-03-0202 March 1990 LER 90-003-00:on 900201,RCIC Received Div 2 Isolation on RCIC High Steam Line Flow.Caused by Spurious High Steam Flow Signal Generated When Steam/Water Mixture Admitted to RCIC Steam Line.Isolation Logic reset.W/900302 Ltr ML20011F5551990-02-28028 February 1990 LER 90-002-00:on 900129,after Filling Diesel Generator 1A Governor W/Oil,Generator Started & Declared Inoperable. Caused by Slow Leak Coming from Compensation Needle Valve Plug.Oil Added & Plug Washer replaced.W/900228 Ltr ML20006F5951990-02-21021 February 1990 LER 90-001-00:on 900122,RWCU Sys Received Div 1 Leakage Detection Ambient Temp High Isolation Signal,Causing Trips of RWCU Pumps a & C.Caused by Broken Thermocouple Input Lead.Lead Wire Reconnected & Isolation reset.W/900221 Ltr ML20011F4921990-02-16016 February 1990 LER 89-013-01:on 890907,Group I Isolation Received During Performance of Instrument Surveillance LIS-MS-401.Caused by Depressurization of Main Steam Line Low Pressure Switch. Surveillance Revised to Split Into Two parts.W/900216 Ltr ML20006E4501990-02-15015 February 1990 LER 89-010-01:on 890715 & 17,voltage Oscillations Noted on Div II Battery Charger,Resulting in Inoperability of HPCS Sys.Caused by Failure of Charger in High Voltage Shutdown Relay.Charger Energized & Relay replaced.W/900215 Ltr ML20006E4451990-02-14014 February 1990 LER 89-009-01:on 890619,diaphragm Leak Discovered in RCIC Steam Line High Flow Isolation Switch.Caused by 1 & 1/2-inch Tear in Diaphragm.Pressure Differential Switch Replaced & Calibr.Reported Per NRC Bulletin 86-002.W/900214 Ltr ML20006E3981990-02-14014 February 1990 LER 89-008-01:on 890228,reactor Vessel Low Water Level 2 Switch Found W/Setpoint in Excess of Reject Limit.Caused by Setpoint Drift.Channel Placed in Tripped Condition & All Static-O-Ring Pressure Switches to Be replaced.W/900214 Ltr ML20006E3951990-02-14014 February 1990 LER 89-010-01:on 890303,automatic Depressurization Sys Permissive Switch Found W/Setpoint in Excess of Reject Limit.Caused by Setpoint Drift.All Static-O-Ring Reactor Vessel Level Switches Will Be replaced.W/900214 Ltr ML19354D8361990-01-15015 January 1990 LER 89-018-00:on 891216,plant 250-volt Battery & RCIC Sys Declared Inoperable Due to Low Battery Electrolyte Temps. Caused by Failure of Div I Switchgear Heat Removal Sys Damper Actuators.Air Intake Dampers closed.W/900115 Ltr ML20042D3921990-01-0404 January 1990 LER 89-011-01:on 890826,spurious Reactor Protection Sys Actuation Occurred.Definite Cause of Trip Not Determined. Brief Disturbance in Reactor Protection Sys Allowed Some Contactors to Trip.Procedure revised.W/900104 Ltr ML20005E2741989-12-22022 December 1989 LER 89-028-00:on 891204,RHR Shutdown Cooling Suction Header Outboard Isolation Valve Automatically Isolated.Caused by Miscommunication Between Technician & Station Operator.Task Force Developed to Review event.W/891222 Ltr ML19351A6301989-12-15015 December 1989 LER 89-006-01:on 890214,reactor Vessel Low Water Level 3 Switch Setpoint Found Out of Tolerance.Caused by Setpoint Drift.Level Switch to Be Replaced by Analog Trip Sys During First Quarter 1990.W/891215 Ltr ML20011D1341989-12-14014 December 1989 LER 89-017-00:on 891117,flow Switch FS-2E22-N006 Found W/ Setpoint Out of Tolerance Above Reject Limit.Caused by Setpoint Drift.Work Request Written to Replace Flow Switch. W/891214 Ltr ML19351A6751989-12-12012 December 1989 LER 89-027-00:on 891113,primary Containment Isolation Sys Group I Isolation Occurred While Performing Instrument Surveillance.Caused by Loss of Power to Leak Detection Sys Logic.Isolation reset.W/891213 Ltr ML19332F0081989-12-0808 December 1989 LER 89-016-00:on 891109,RWCU Isolation Occurred While Instrument Surveillance on Ventilation Differential Temp Isolation Functional Test in Progress.Caused by Faulty Thermocouple.Thermocouple repaired.W/891208 Ltr ML20005D6621989-12-0606 December 1989 LER 89-026-00:on 891106,inadvertent Primary Containment Isolation Actuation Occurred While Clearing out-of-svc. Caused by Inadequate Logic Setup During Mod Installation. Trip Status & Output Switches repositioned.W/891206 Ltr ML19332F2431989-12-0101 December 1989 LER 89-025-00:on 891101,sys Auxiliary Transformer Feed to Bus 142Y Tripped Open When Equipment Operator Closed Door Containing Relays.Caused by Misalignment of Door.Isolations Reset,Bus Energized & Circuit Logic tested.W/891201 Ltr ML19332E6581989-11-29029 November 1989 LER 89-015-00:on 891030,shift Control Room Engineer Noted That Quarterly Standby Liquid Control Operating Surveillance LOS-SC-Q1 Was Past Critical Date.Caused by Clerical Data Entry Error.Missed Surveillance performed.W/891129 Ltr ML19332D5181989-11-22022 November 1989 LER 89-018-01:on 890515,RCIC Received Div I & Div II Isolation on RCIC High Steam Line Flow.Caused by Spurious High Steam Flow Signal When Steam Added to RCIC Steam Line. Special Test Initiated.Isolation Logic reset.W/891122 Ltr ML19327C2601989-11-17017 November 1989 LER 89-014-00:on 891020,primary Containment Isolation Sys Group 4 Isolation Occurred Causing Isolation Dampers to Close.Caused by Opening of Div 2 125-volt Dc Breaker.Power Supply replaced.W/891117 Ltr ML19325F3411989-11-13013 November 1989 LER 89-024-00:on 891013 & 30,unsealed Openings in Main Control Room Floor & Main Control Room West Wall Discovered. Caused by Wide Gap Between Structural Beam & Cable Tray. Openings Sealed & Fire Watch established.W/891113 Ltr ML19324C1751989-11-0808 November 1989 LER 89-012-01:on 890309,diaphragm Leak Found in Pressure Differential Switch 1E31-N013BB.Caused by Tear Found in Diaphragm.Replacement Switch Installed,Calibr & Functionally Tested satisfactorily.W/891108 Ltr ML20024E9121983-08-26026 August 1983 LER 83-093/03L-0:on 830801,discovered full-in Indication on Core Display for Control Rod 34-47 Inoperable.Caused by Failed Switching Transistor on Data Memory Board 19.Data Memory Board replaced.W/830826 Ltr ML20024B8381983-07-0505 July 1983 LER 83-060/03L-0:on 830606,following Turbine Trip & Scram Due to High Vibration on Main Turbine,Reactor Recirculation Breaker 4B Closed.Cause Undetermined.Auxiliary Contacts cleaned.W/830705 Ltr ML20024B0721983-06-16016 June 1983 Updated LER 83-012/03X-1:on 830210,w/reactor in Cold Shutdown,Setpoints for Switches 1E31-N612A/B Found Above Tech Spec Limits.Cause Unknown.Switches calibr.W/830616 Ltr ML20024A6961983-06-14014 June 1983 LER 83-051/03L-0:on 830516,reactor Protection Sys Trip Channel H2 Limit Switch Failed to Operate Properly.Cause Unknown.Limit Switch readjusted.W/830614 Ltr 1993-07-30
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217C9121999-10-12012 October 1999 SER Input Authorizing Licensee Proposed Request to Modify Definition of Core Alteration in Section 1.0 of TS & Update Sections 3/4.1,3.4.3 & 3/4.9 to Reflect Proposed Definition Change ML20217F9091999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for LaSalle County Stations,Units 1 & 2.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 ML20212C4501999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for LaSalle County Station,Units 1 & 2.With ML20210R0671999-07-31031 July 1999 Monthly Operating Repts for July 1999 for LaSalle County Station,Units 1 & 2.With ML20210C1681999-07-0909 July 1999 Seventh Refueling Outage ASME Section XI Summary Rept ML20209H1501999-06-30030 June 1999 Monthly Operating Repts for June 1999 for LaSalle County Station,Units 1 & 2.With ML20195J7871999-05-31031 May 1999 Monthly Operating Repts for May 1999 for LaSalle County Station,Units 1 & 2.With ML20209E1431999-05-31031 May 1999 Cycle 8 COLR, for May 1999 ML20195B2591999-05-19019 May 1999 Rev 66a to CE-1-A,consisting of Proposed Changes to QAP for Dnps,Qcs,Znps,Lcs,Byron & Braidwood Stations ML20206N2071999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for LaSalle County Station,Units 1 & 2.With ML20205L8421999-03-31031 March 1999 Rev 2 to EMF-96-125, LaSalle Unit 2 Cycle 8 Reload Analysis ML20205L8301999-03-31031 March 1999 Administrative Technical Requirements App B (Amend 26) LaSalle Unit 2 Cycle 8 COLR & Reload Transient Analysis Results, for Mar 1999 ML20205R2721999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for LaSalle County Station,Units 1 & 2.With ML20205L8391999-03-22022 March 1999 Rev 2 to 960103, Neutronics Licensing Rept for LaSalle Unit 2,Cycle 8 ML20204C8141999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for LaSalle County Station,Units 1 & 2.With ML20199E4601998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for LaSalle County Station,Units 1 & 2.With ML20207C7371998-12-31031 December 1998 Annual Rept for LaSalle County Station for Jan 1998 Through Dec 1998 ML20205M7061998-12-31031 December 1998 Unicom Corp 1998 Summary Annual Rept. with ML20198B3801998-12-14014 December 1998 SER Accepting one-time Request for Relief from Certain Provisions of Section XI of ASME Boiler & Pressure Vessel Code,Per 10CFR50.55a for Certain Plant Safety/Relief Valves ML20206N2261998-12-0909 December 1998 LER 98-S03-00:on 981116,protected Area Was Entered Without Current Authorization for Unescorted Access Due to Programmatic Deficiency Error.Changed Badge Control Process ML20197K0981998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for LaSalle County Station,Unts 1 & 2.With ML20196B1441998-11-23023 November 1998 Safety Evaluation Accepting Licensee Response to GL 95-07, Pressure Locking & Thermal Bindings of Safety-Related Power-Operated Gate Valves ML20196A4191998-11-19019 November 1998 Safety Evaluation Accepting QA TR CE-1-A,Rev 66 Re Changes in Independent & Onsite Review Organization by Creating NSRB ML20195D3191998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for LaSalle County Station.With ML20154H6781998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for LaSalle County Nuclear Power Station,Units 1 & 2 ML20153D0191998-09-18018 September 1998 Part 21 Rept Re Defect in Gap Conductance Analyses for co- Resident BWR Fuel.Initially Reported on 980917.Corrective Analyses Performed Demonstrating That Current Operating Limits Bounding from BOC to Cycle Exposure of 8 Gwd/Mtu ML20153C7621998-09-18018 September 1998 Safety Evaluation Acceping NRC Bulletin 95-002, Unexpected Clogging of RHR Pump Strainer While Operating in Suppression Pool Cooling Mode ML20153C6771998-09-17017 September 1998 Part 21 Rept Re Defect Relative to MCPR Operating Limits as Impacted by Gap Conductance of co-resident BWR Fuel at Facilities.Operating Limit for LaSalle Unit 2 & Quad Cities Unit 2 Will Be Revised as Listed ML20151W0241998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for LaSalle County Station.With ML20237E2921998-08-21021 August 1998 Special Rept:On 980811,channel 5 of Lpms Became Inoperable. Caused by Channel Failed pre-amplifier Located Inside Primary Containment at Inboard Side of Electrical Penetration E-19.Initiated Repairs of Channel ML20237E2331998-08-21021 August 1998 Revised Pages of Section 20 of Rev 66 to CE-1-A, QA Topical Rept ML20237B4861998-07-31031 July 1998 Monthly Operating Repts for July 1998 for LaSalle County Nuclear Power Station Units 1 & 2 ML20236V7701998-07-31031 July 1998 Revised LaSalle Unit 1 Cycle 8 COLR & Reload Transient Analysis Results ML20236P8231998-07-14014 July 1998 Special Rept:From 980614-17,various Fire Rated Assemblies Were Inoperable for Period Greater than Seven Days.Caused by Test Equipment Being Routed Through Fire Doors.Established Fire Watches & on 980619 Assemblies Were Declared Operable 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 ML20236L8041998-07-0606 July 1998 Safety Evaluation Granting Licensee 980304 Request for Second 10-yr Interval Pump & Valve IST Program Plan,Rev 2, Including Changes to 2 ASME Boiler & Pressure Vessel Code Relief Requests Previously Submitted in Rev 1 ML20236P3611998-06-30030 June 1998 Monthly Operating Repts for June 1998 for LaSalle County Nuclear Power Station,Units 1 & 2 ML20249C4891998-06-22022 June 1998 Special Rept:On 980522,Fire Detection Zone 1-31 Was Noted out-of-service for More than 14 Days.Detection Sys Was Taken out-of-service on 980508 to Prevent False Alarms During Hot Work Activities.Sys Was Returned to Operable Status 980528 ML20248M3101998-05-31031 May 1998 Monthly Operating Repts for May 1998 for LaSalle County Nuclear Power Station,Units 1 & 2 ML20236V7771998-05-31031 May 1998 Rev 1 to 24A5180, Supplemental Reload Licensing Rept for LaSalle County Station Unit 1 Reload 7 Cycle 8 ML20217Q7041998-05-0404 May 1998 Safety Evaluation Accepting Util Request to Leave Leak Chase Channels Plugged During Performance of Containment ILRT ML20247M4491998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for LaSalle County Station ML20216F4941998-03-31031 March 1998 Monthly Operating Repts for Mar 1998 for LaSalle County Station,Units 1 & 2 ML20217N6581998-03-30030 March 1998 Special Rept on Fire Detection,Deluge Sys & Fire Rated Assemblies During Period of 980303-25.Established Fire Watches Until Affected Equipment Is Returned to Operable Status ML20216D9511998-02-28028 February 1998 Monthly Operating Repts for Feb 1998 for LaSalle County Station,Units 1 & 2 ML20247M4631998-02-28028 February 1998 Rev Monthly Operating Rept for Feb 1998 for LaSalle County Station ML20203D7241998-02-20020 February 1998 Special Rept:On 980118,Fire Detection Zones 1-18 & 2-18 Taken out-of-svc to Prevent False Alarms During Hot Work Activities on Auxiliary Electric Equipment Room Ventilation Sys.Fire Watches Will Remain in Place ML20202G9851998-01-31031 January 1998 Monthly Operating Repts for Jan 1998 for LaSalle County Station,Units 1 & 2 ML20199K1651998-01-23023 January 1998 Rev 65h to Topical Rept CE-1-A, Comm Ed QA Tr 1999-09-30
[Table view] |
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Dear sirU
- Licensee Event' Report #89-011-01,- Docket #050-374 is being..
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LICENSEE EVENT REPORT (LER) Fo m Rev 2,0 Docket Neber (2) Pane Cl)
Facility Name (1). '
- 11e County Station Unit'2 015101010131714 1 of _1 0 Title (4)
- sourious Reactor Mection System Actuation Due to unknown Cause LER thaber (6) annart Date (7) Other Facilities Involved (8)
_. Event Date (5) Facility Names Year Docket ihmber(s)
Month Day Year Year. Sequential
/// lkaber "f// /// ekaber Revision Month Day U '/f/
01 51 01 01 01 I I el 9 s1 9 01111 01 1 011 01 4 91 0 01 51 01 01 01 1 I l -
Ol' e 21 6
" THIS REPORT IS SUBMITTED PURSUANT TO 1HE REQUIREMENTS OF 10CFR OPERATING (Check one or ,i re of the followine) (11) g g,) 20.405(c) 50.73(a)(2)(iv) 73.71(b)-
1 20.402(b) ,,_, .X_ _
20.405(a)(1)(l) 50.36(c)(1) 50.73(a)(2)(v) , 73.71(c)
PONER' ,,_ __,
50.36(c)(2) 50.73(a)(2)(vil) Other (Specify LEVEL' i i 20.405(a)(1)(ll) _ .,_ _
20.405(a)(1)(ill) 50.73(a)(2)(1) 50.73(a)(2)(vill)(A) in Abstract (10) 01 11 0 _,,, ,,,_ _
50.73(a)(2)f,li) 50.73(a)(2)(viii)(B) below and in
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50.73(a)(2)(lit) 50.73(a)(2)(x) Text)
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LICENSEE CONTACT FOR THIS LER (12)
TELEPHONE NUpWER-
- Name AREA CODE W C. K1lka. Assistant Technical Staff Suoervisor, extension 2S33 8 l 1 15 315171-l6171611 C0WLETE ONE LlWE FOR EACH COWOWENT FAILURE DESCRIBED IN THIS REPORT (13)
CAUSE SYSTEM COMPOWENT MANUFAC- REPORTABLE CAUSE SYSTEM COMPOWENT MANUFAC- REPORTABLE TO NPRDS TURER TO NPRDS TURER X 3 l' C Rl Li Yl Gl01812 Y l l l l l l l l l l l l l l l l l l l l I 1 SUPPLE 14 ENTAL REPORT EXPECTED (14)
Expected Month l Day l Year Submission
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lyes (if wes. -:-s-lete EXPECTED SLBMISSION DATE) YlNO l l ll ABSTRACT (Limit to 1400 spaces, i.e, approximately fifteen single-space typewritten lines) (16)
On August 26,:1989, a controlled shutdown was in progress on Unit 2 . While conducting LOS-TG-SA2, " Turbine Valve Leak Tightness Surveillance," a Reactor Protection System (RPS) actuation occurred at 0414 hours0.00479 days <br />0.115 hours <br />6.845238e-4 weeks <br />1.57527e-4 months <br />. When the actuation signal was received, two of the four scram group lights of the RPS Bus A remained energized.
This prevented same of the rods from receiving the nomal automatic scram actuation. Rod motion appears to
- have initiated for these rods due to the Channel A backup scram actuation which occurred at tne same t me i as the initial event. The Control Room Operator manually initiated a nomal scram signal a few seconds later using the A2 and B2 scram pushbuttons. At this time all the remaining scram valves deenergized, indicating that the scram had occurred.
Before the turbine valve test was started, the Hathaway Sequence of Events alam typer was turned off due to its constant printing caused by alarm relay chattering. As a . result, the main source of infomation to be used in analyzing the reactor trip was not available. At the time of the trip, no plant parameters exceed 6d their trip setpoints.
As a result of the missing inforination, several scenarios were developed using available information in an attempt to deterinine the cause of the reactor trip. At this time a definite cause for the trip has not been detemined. The investigations have concluded that a very brief (less than 15 milliseconds) disturbance in the RPS system allowed same of the scram contactors to trip, but was not present long enough to ensure all the contactors tripped. The source of this spurious signal is unknown.
This event is reportable in accordance with 10CFR50.73(a)(2)(lv) due to the actuation of an Engineered Safety '
Feature System.
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- LMr ECT REPORT (LER)LTElti CONilNUAT10N' Fo m Rev 2.0 ;
00CKET IRpWER (2) LER IH OLA (6) , Pane G)
- FACILITY IWWE (1), i
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. Year t /,/,/ Sequential ,/,//,
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T/'/ timuber ' /T/ lisiber ,;
- NilecountyStationunit2 0 1 5 1 0 1 0 1 0 I al il 4 e19 - 01 11'I - 0 1: 1 ~01 2 0F 11 0 l":
-TEXT' ; Energy ladustry identification System (Ells) codes are _ identified in the text as [XX] l N
- PIAlfi. AND SYSTEM 10ENTiflCAT10N:
y IGeneral' Electric.- Dolling Water Reactor l
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l Energy Industry identification System (Ells). codes are identified in the text as [XX)..
i A. COWITION PRIOR TO EVENT
'2 Event Date:- 8/26/09 Event Time: 0414 Hours
. Unit (s):
i 1 . Mode (s) Hame: Run Power Level (s): 105
)ReactorMode(s):'
k[ I. B DESCRIPT1001 0F EVENT:
I 10nAugust 26,.1999 a controlled shutdown'was'in progress on' unit 2 in preparation.for a maintenance outage to replace the seal on the 28 Reactor Recirculation (RR) [AD) pump. In accordance with the General Surveillance. schedule, LaSalle operating Survel11ance LOS-TG-SA1, " Turbine Semi-4nnual overspeed
. Survelliance," had just been completed satisfactorily. At 0336 hours0.00389 days <br />0.0933 hours <br />5.555556e-4 weeks <br />1.27848e-4 months <br />, LOS-1G-SA2,~ " Turbine Valve
' Tightness Test," was begun.
After. successful cogletion of the Turbine Control Valve leak tightness portion of LOS-TG-SA2 at s : approximately 0412 hours0.00477 days <br />0.114 hours <br />6.812169e-4 weeks <br />1.56766e-4 months <br />, an Equipment Operator (EO) installed a jumper on the #2 Main Turbine Stop iValve (MSV 2) preany function board in the Electro-Hydraulic Control (EHC) [JG) cabinet. This causes
' the Main Turbine Stop Valves to go closed while maintaining the Turbine Control Valves open. This
! started the Turbine Stop Valve portion of the LOS-TG-SA2. o
' After the j'Juper was installed, MSV 2 began to drift closed as expected. When MSV 2 reached 905 open position, MSV 1, 3 and 4 closed reaching full closed at 0413 hours0.00478 days <br />0.115 hours <br />6.828704e-4 weeks <br />1.571465e-4 months <br />.
( Approximately 23 seconds after MSV i, 3 and 4 reached full closed, at least one subchannel in each of
' Reactor Protection System'(RPS) [JC) channels A and B tripped, with the respective channel trips occurring within 40 milliseconds of each other. - At this time only the "A" back-up scra channel ,
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p : energized.;: (Refer to Attaciument A.)
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' After the automatic RPS actuation, the Control Room Operator (NSO, licensed Reactor Operator) perfoming the surveillance noticed that the A2/A3 rod scr m group lights were stl11 energized which indicated that the.A2'and A3 control rod scr m solenoids were still energized. He directed another NSO at the feedwater pump panel to manually scram the reactor. This NSO amed and depressed it.e A2 and 82 subchannel manual scram pushbuttons. This scr m occurred approximately 12 seconds after the automatic actuation. ' This action successfully deenergized the A2 and A3 scra solenoids (and red scrm group lights) and caused the B channel of the back-up scrm to energize (by deenergizing the "K14G" scrm icontactor). All rods were verified to be fully inserted within a minute of the initial signals, it is estimated that rod groups I and 4 were fully inserted 3 seconds after the initial actuation and all t
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Form Rev' 2.0
- Liemt55 EVENT REPORT (LER)' TEXT CONTINUATION LER NUSER (6) Pace (3)
FACILITV NME (1) DOCKET NUSER (2)
Year /,/,/, Sequential /,/,/, Revision W/ thaber - W/ Nimber l o I 5 I o l'o l'o 1 31 71 4 sI9 - oI111 - 0I 1 ol 3 0F 11 o l
u u11'e Counts Station unit 2
-TEXT Energy industry identificatloc System (Ells) codes are identified in the text as [XX]
B. DESCRIPTION OF EVENT (Continued) control rods were fully inserted within 3 seconds of the manual scr m. Based on available indications,
'It was determined that all other expected automatic actions occurred as expected and a valid proces's scram signal had not occurred. This event is being reported in accordance with 10CFR50.73(1)(2)(lv) due to the actuation of an Engineered Safety Feature System.
Prior to performing the Turbine Valve lightness Test the turbine was tripped at 0306 and 0319 hours0.00369 days <br />0.0886 hours <br />5.274471e-4 weeks <br />1.213795e-4 months <br /> on August 26, 1989. The reactor did not scrm during either of these events because the 30E Turbine First Stage Pressure Trip Bypass was in effect at the time.
From approximately 2327 hours0.0269 days <br />0.646 hours <br />0.00385 weeks <br />8.854235e-4 months <br /> on August 25, 1999 to 0316 hours0.00366 days <br />0.0878 hours <br />5.224868e-4 weeks <br />1.20238e-4 months <br /> on August 26, 1989, the sequential memory of the sequence of events recorder (SER) was being saturated (filled) due to cycling inputs from the 8 Turbine Driven Feed Water Punp Seal injection Pressure switch, and the Off Gas Pre-Treatment Radiation
~
Monitor Low Sanple Flow detector. Both of these alanns are " normal" for the shutdown condition, and were cycling rapidly.because the process signals were slowly passing through the al' arm setpoints.
At about 0338 hours0.00391 days <br />0.0939 hours <br />5.588624e-4 weeks <br />1.28609e-4 months <br /> the Hathaway Sequential Events Recorder (SER) alann printer was turned off because the typer was continuously printing messages caused by these nuisance alanns. This printing was distracting to the Operators who were performing the turbine valve surveillance in the inmediate vicinity of the typer. This had no effect on the operation of the visual or audible alarms in the Control Room.- Authorization to bypass these alanns had been initiated prior to when the printer was
. turned off and had just been obtained just prior to the event, but the associated bypass jimpers had not been installed.
As a result of not having the SER alann printer in operation at the time of the event, investigations into the cause of the event are very difficult. Therefore the primary sources of recorded data for this The event are the plant process computer (CX) [lD), the Startrec computer and Control Room charts.
process computer prints out certain digital inputs if they change state for at least I second (its digital point scan rate). It also printed a "NS$$ post trip log" which prints a historical log of 10 analog sensor readings (stored at 5 second intervals) retrieved from 5 minutes prior to its initiation.
This log was initiated by the receipt of the "A" backup scre signal which accompanied the initial automatic scram. The Startrec recording was initiated directly by the RPS actuation and records selected sigacis from .5 seconds before the trip to 1 minute after the trip. It has a scan rate of 20 milliseconds per scan.
C. APPARENT CAUSE OF EVENT To evaluate the cause of the scrm, a list of possible scrm signals was generated and available infonnation (including Control Room chart recorder data) was used to eliminate any parameters which it could be shown to have not exceeded their scrm setpoints (LSSS value) at any time. The results of this conparison concluded that there is no indication that any LSSS parameter actually reached a required scram setpoint. Therefore, any RPS channels which received trip signals were receiving only false trip indication, not reflective of the true process conditions.
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L1 8 E74T rep 0RT (LER) TEX 1 CONTINUATION Fo m hev 2.0 ,
I LER NUSER (6) Pace (3)
FACILITY N M _(1)y DOCKET NUMER (2) y Year. SpentialfJ/ Revision .)
m pg//
n/ Number u/ thaber l' 0l111 0l 1 01 4 0F 11 0 l 0 i s 1 0 1 0 1 0 1 31 71 4 e19 - -
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TEX 1 > Energy Industry identification System (Ells) codes are identified in the text as [XX]
i 1 APPARENT CAUSE OF EVENT (Continued)-
J C.
=i LEstensive Operator interviews were conducted. The only significant infomation related to the cause of the event was the Operator' actions to verify that the visual annunciator system."first out" light ilt
?
was' the " Turbine Stop Valves Not F-open" alam. This alam is espected during the associated test and would not necessarily reflect the cause of the scr e in this case. This contributed to the Operators' L
belief that the scre had been caused by a combination of the stop vs1ve closure (due to the test), and .
l'
'an unexpected loss of the scrm bypass function which operates off of the-turbine first stage pressure.
l l} . Subsequent indications of.the turbine first stage pressure. led to the conclusion that this was not
]
.likely to be'the cause of the scr m signal.
Further investigations indicate that the scrm signal could be due to a spurious pulse (not caused by an h
actual process variable transient) on one of the sensing lines which is shared by an "A" and a "B" RPS E subchannel. All shared sensing lines were identified using plant drawings.
i Extensive tests of the RPS system was undertaken in an attempt to detect anomalies in the following' areas:
- 1) proper subchannel wiring'(i.e., that the correct contactors respond to trip and reset
-actuations,
- 2) Inadvertent or failed rest / seal-in paths,
- 3) loose connections, E 4)- -foreign materials inside the contactors or houslogs,
- 5) response timing between paired contactors and between contacts on the see contactor,
- 6) logic inputs (station scre functional survelliances perfomed),
- 7) Radio - frequency interference, and
- 8) mechanically induced trips due to striking conmon sensing lines.
All of these tests demonstrated proper operation in all "A" and "8" RPS channels.
' The failure of the A2 and A3 Reactor Protection System channels to drop out indicates that the K14E and K14G scr e contactors did not trip. Scr m contactors K14E and K14G were removed from the plant to be tested. Prior to removal the following was perfomed:
- 1) Visual checks for discoloration
- 2) Drop out timing tests
- 3) Response times
- 4) Coll and contact resistance
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I LP_""' EVENT L"lRT (GR) TEXT CONTINUATION - Fom Rev 2.0 DOCKET NupeER (2) ER MurunER (6) Pane (3)
, FACILITY NNE (1) 4 Year Sequential Revision 3 g//
/ thaber g/// thaber
% 11e t- M y Station Unit 2 015101010131114 8l9 - 0l111 - 0l 1 015 0F 11 0 l' i
. TEXT Energy Industry identification System (Ells) codes are identified in the text as (KXJ 1
3 E C.,' APPARENT CAUSE OF EVENT-(Continued) 3
- 5) Varlstor current check
- 6) Coil shorted turns test
. 7) Temperature rise test P Early evaluations indicated that the pulse which initiated the trip signal was sufficiently short and b
the reaction time of the contactor(s) was slow enough to prevent drop 4ut and seal-out of one contactor in a logic pair.
H Extensive testing was done by System Operational Analysis Department (SOAD), with vendor and NRC observers to look for abnomalltles in the removed K14E and K14G contactors and in a new contactor.
This testing has found no identifiable problem with the K14E or K14G contactor.' However the testing demonstrated a repeatable condition where narrow pulse actuations (between 8 and 12 ellliseconds) will l< occasionally result in one contactor in the pair dropping out and the other remaining energized. ,
The initiation of the event could not have been a valid scem signal. The studies done show that the observed operation of the RPS system was not the result of mechanical binding but could be mimicked by 1 applying trip signals for short (8 to 12 milliseconds) latervals. Such signals were observed to cause l only one of the two relays in the RPS automatic scram channel to actuate (de-energize and stay de-energized).'.
(.
The most plausible explanation of this event is that it was initiated by a spurious. signal having a duration of 8 to 12 ell 11 seconds. Because not all plant monitering 'quipment was available at the time, i
)
the exact source of this spurious signal cannot be detemined.
The manual scram was a valid scram signal and perfonned as expected and designed.
D. SAFETY ANALYSIS OF EVENT Initiation of the event was not due to an actual transient on a parameter which is monitored to protect the reactor. All systems, when required to operate, functioned as designed. l l-The delay in the operation of these contactors caused the insertion delay of two groups of rods.
Insertion of two rod groups is sufficient to ensure the reactor is subcritical in hot shutdown.
l Reviews of the conputer scan of rod positions which was requested at the time of the scrm indicated that all rods were being inserted. This shows that the actuations of the "A" backup scram channel was sufficient to cause the scran air header to bleed down enough to open the scram valves of the last two groups of rods and cause them to begin moving before the Operator manually .scramed the reactor.
This event is not expected to have been worse at higher power levels since no actual plant transient occurred during the event.
Due to tne redundancy of the Reactor Protection System components and the satisfactory response of required support systems, ti.e safety consequences of this event are minimal.
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1 L W a s8 EVENT REPORT (LER) TEXT CONTINUATION- Fom Rev 2.0 FACILifY NME (1)' 00CKET NumER (2). ' LER NUMER (6) Pane (3)
Year, // Sequential //j/j j Revision f
/ Nueer V/ Nueer tasatie County Station unit 2 oI5IoIoIo 1 31 71'4 e19 - ol111 - ol 1 016 oF- 11 o l-4 TEXT = Energy Industry identification System (Ells) codes are identified in the text as [KK1 E. . CORRECTIVE ACTIONS The Operating Department generated procedure guidance to prevent the deactivation of key recording ,
l devices whlie major evolutions are in progress and delay the start of major evolutions until these H
? recording devices were operable. LaSalle Aeninistrative Procedure LAP-1600-2, " Conduct of Operations," j has been revised with the following guidance:
l
- 1) . The SER alam typer wlil not be turned off during evolutions that have a high potential for an :!
unexpected translent, j 2); Provide options which can be used to deal with nuisance alams. -
-In addition, the.laportance of the SER in post event evolutions has been included in Operator training. !
. Options for improving the availability of the SER will be pursued tracked by Action item Record (AIR) l s 374-200 4 9-03701. ':
E- Response time " tests were conducted on these scram contactors in an attempt _ to identify faulty contactor l l ,and/or quantify the magnitude of their response times. During the test equipment hookup to the A1 j L subchannel, the partial scr a condition appeared.to be repeated only once in many attempts, where the A2 I L
~and A3 lights did not deenergize as quickly as did the Al and A4 lights. This trip signal'was generated.
While setting up the monitoring instruments and, though it was observed by personnel in the Control Room, was not recorded. , Subsequent attempts to repeat the event at varying times failed to repeat the unusual dropout behavior of the suspected "E" contactor or identify its cause. Because of this second
- observation of slallar behavior as the initial scran and the repeated successful tests on the "G" contactor, the "E" contactor was considered to be suspect. As a conservative measure, both the K14E and K14G contactors have been replaced. The two removed contactors have been sent to Commonwealth Edison's l System Operational Analysis Department (SOAD) to be analyzed for potential failure mechanisms. ;
lI The SOAD testing and inspection of the removed contactors consisted of 4 phases. These were:
- 1. Detailed inspection of "as found" conditions prior to removal.
- 2. Preliminary non-destructive response time characteristics testing of the contactor and associated varistor (voltage spike suppressor).
- 3. Disassembly and inspection with vendor and NRC observation.
- 4. Reassenbly and testing of response times under varied trip demand conditions.
Phase 1 discovered the presence of fire retardant cable packing which had vibrated out of the conduit entering the top of the contactor housing. This was not considered to be related to the problem under evaluation.
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F.geg Rev 2.0 LIP ~ ~ EVENT REPORT (LER) TEXT CONTluuATION M c ___
DOCKET NueER (2) LER INMBER (6) P m (3)
FACILITY INuE (1)-
' Year /// Sequential // Revision fff
/// thauber
/j//
ff
/ Ng$tr.
% )1e county Station unit i o I 5 I o f o I o i 31 71 4 8Ic - 01111 - oi 1 01 7 0F 11 0
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TEXT Energy Industry identification System (Ells) codes tre identified in the text as [XX)
I I
E. .. CORRECTIVE ACTIONS (Continued)-
1 i
Phase 2 demonstrated that it was possible to deeerrgize a single contactor in a pair if the demand
" pulse" is short enough, between 8 and 12 milli',econds. t y
Phase 3 discovered no unusual conditions ip',lde the contactor moving assembly or contacts. All movable
- surfaces were free of foreign material wh'ch could cause binding or sticking, and no physical distortion j of any parts was found. The above mentioned packing material was present inside the ccntactor body, in small quantitles. This dry, soft material was not seen to potentially interfere with contactor movement. No contact welding was indicated, t-l ;. y> i Miase 4 involved detailed simulation of the plant logic chain. Oropout tests of the parallel contactors f'
was perforined using the same relay contact configuration as the plant. (Phase 1 tests had used a solid state switching device to drop out the contactors.) -In this way, ranoom portions of the AC waveforin would be interrupted by the driving relay contacts, and the possible effect of contact bounce could be t
-simulated. This testing showed that narrow pulses to the logic chain which result in. interruption of AC power to scram contactor for intervals of 8 to 15 milliseconds would result in a single contactor dropping out approximately once in 70 to 80 demands. The width of this interval is consistent with all observed inforination to date.
On September 8,1989 following the perforinance of LaSalle Instrument Surveillance LIS-#R-402, "Interinediate Range Monitor Pod Block and Reactor Scram Functional Test" on the D Interinediate Range Monitor (IRM) [lG), the D 1RM function switch was moved from OPERATE to TRIP TEST and back to OPERATE with the IN0P INHIBIT button depressed. (This bypasses the inoperative scr m signal.) This was done to i.
! verify proper operations but was not part of LIS-41R-402. During this actiore the RPS subchannel was reset (which is not the case during the normal Lis). When the mode switch was noved from TRIP TEST to CPERATE,'a HI-H1 signal was generated for a short period. RPS rod grocps B2 and 83 were dropped but 81 i and 84 did not trip. Investigations did not find any specific problems with tie system.
During the investigation it was learned that the channel C and D Turbine First Stage Pressure switches This did were found to be out of tolerance in the non-conservative direction due to instrument drift.
not affect the sequence of events. Deviation report (1-2-89-039) has been generated on these switches and they have since been recalibrated.
Corrective actions have been taken to correct specific equipment operational problems. These have been done under LaSalle Work Requests, and were reviewed in accordance with a special On-Site Review for plant startup.
i
! The RPS specific corrective actions are as follows:
- 1. Scram contactors K14E and Kl4G were replaced.
- 2. The turbine valve leak tightness testing was satisfactorily perforined on Unit 2 statup to verify that the event is not repeated as a result of testing.
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", m e LM8 REPORT (LER) TERT CONTIMATION Fo m Rev 2.0 FACILITY llME_-(1) 00CKET NUMER (2) LER NU MER (6) Pane (3)
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Year- //
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g % 11e Co ntv station unit 2 - o I 5 I o I o I o I 31 71 4 eIe - - oI 1 01 s OF 11 o l-p 1 TEX 1.
' Energy Industry Identificction System'(Ells) codes are identified in the text as [XX]:
N 1,;
.EA 00RRECTIVE ACTIONS'(Continued)
,: .3. RecordinginstroentationwasIinstalledtomonitortheRPSchannelsduringthe'subsequentstartup
'of Unit 2, until the next refuel.
4 C.,{>
= F .' PREVIOUS EVENTS tiene.
u- -
' 6. -- COWONENT FAILURE DATA -
Manufacturer- tienenc1'ature . Model ihmber MFG Part thster .
General Electric Scr a contactor CR-105 CR105002 -j CR105X100E l'
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1 1
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n, a 6 LlCEllSEE EVENT REPORT ~ (LER) TElli CONTINuAtl0N - Forg Rev 2.0 ;
FACILITV elRIE (1) . 000tEl NUMER (2) LIR NumER (6) Pane (3) ,
! M*
,, Tear /// Revision 1
/T/ Sequentialg//
f Humber Huber !
diteCountyStation' unit 2 o i 5 l'o l'o I o 1 31 71 4 eIe .. OI111 - o l 1 01 9 0F 11 0 l-
- TEXT _ :' . Energy Industry Identification System (Ell 5) codes are identified in the text-as [XX]_
ATTACHMENT A-h REACICR PROTECTION SYSTEt1 RPS CHAMMEL A RPS CHANNEL B
-Q: W. :ll ' j
'(egY , $ . ?
' X14 R
,tch 4";E C B F D 'H -i o . ich 4 D ;. ;
- L@ ..<a 21 -@ ..g .o o o .c L ruMCr
- 0 .<o n e -e .e e .c .e .g t l @ @ @ @ ,
l '.
L AUTOMATIC SCRAM: '
li _ De-energize to' actuate l
- 1/2 Twice logio l' - Actuates assigned rod Groups e i
a-L n 1 1 ,
L ::a >P mi-x1: 1: "'
1:
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i "45-G1 R05S "55'55il0DS "4 -G5'R0DS' "U'~G4 RO55
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[' ==D ==H ==F -- B
==B
==F ==H' I L
O O h T"'
v ScRaa AIR b]69:11]:j:] Header l\ , . .
I KQ A C :
F H BACKUP SCRAM: -
Backup "A" .g -Energize to actuate
-oriven by Auto scram E. Backup "B' B D -scrams all rod' E G O O L. 12s voC 12s voc y
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- Fore Rev 2.0 L c""r EVENT REPORT (LER) TEXT CONTimlAT10ll i DOCKET NupWER (2)' LER IL T : (6) Paae (3)
FACll,lTY NIWE (1)
' * ' Year //,/ Sequential ///, Revision W/ thaber -f
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W/ thaber-8 A lle County Station Unit'2' 0 1 5 l'0 1 0 1 0 1 31 71 4 ei9 - 011l1 - 01 1 11 0 0F 11 0 l1' TEXT Energy Industry Identification System (Ells) codes are identified in the text as (XX)
ATTACHMENT B-r RPS LOGIC EXAMPLE ;
LaSalle' .
SUBCHANNEL IKil 2 ,
128 URC 0 Bupass O I
-TRIP Turb. Stop Ulv Not .Open Cont Ulv Fast Close
=
=
.4
7=
=
= Turb ist
'StgPress u S/D == RESET u
M" Mode SU. ""
= i Scran Disch Volume Hi
=\=='B/P sw MSIVs not Full Open n u\= ='Rx Mode..,e::!.d. " " '_ . " " -
Switch -
t
==
HI D/H Pressure == - ' \ a gAJ HI Rx. Pressure u SCRAM n reqd "
LO Rx, Hater Lvl MSL HI Rad n HI Neutron Flux , ,
L ( IRH/ RPRM -RUN )
H '*
l Manual Scran - n -- - - - .
Contactor K14R !
r- QK1,4E ;) '
(Ks o 4
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- 6. ,s g ,. y d --
5
.)
T I d
l T i x X15 X19 MANUAL SCRAN SCRAM RESET SCRAM RESET LOGIC l'
SU. Reset Resets B/U Position Relay Contactor Lockout K19A (
Gi+ G+
K19B K19C ( gy G2+G3 X19D 1H
,