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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17335A7641998-10-22022 October 1998 LER 98-004-00:on 980923,inadvertent Actuation of Efs Occurred During Surveillance Testing.Caused by Personnel Error.Personnel Involved with Event Were Counseled & Procedure Changes Were Implemented.With 981022 Ltr ML20045B3021993-06-11011 June 1993 LER 93-001-00:on 930513,discovered That One Channel of Rvlms Inoperable Since Probe Replaced in Oct 1992.On 930507, Discovered That Two Sensors in Rvlms Indicating Wet.Caused by Design Error.Wiring Polarity corrected.W/930611 Ltr ML20024H2281991-05-21021 May 1991 LER 91-003-00:on 910421,actuation of EFW Sys During Plant Heatup Occurred Due to Low Once Through Steam Generator Level.Caused by Leaking Feedwater Recirculation Valve.Plant Startup Procedure OP 1102.02 Will Be revised.W/910521 Ltr ML20024H0861991-05-10010 May 1991 LER 91-002-00:on 910410,inadvertent Actuations of Combined Control Emergency Ventilation Sys Occurred.Caused by Transient Noise Spike.Mod Will Be Completed by 910531 to Install Time Delay in Actuation circuitry.W/910510 Ltr ML20024G9781991-05-10010 May 1991 LER 90-004-01:on 900531,discovered Degraded Fire Barrier Penetration During Insp Per Generic Ltr 86-10.Caused by Failure to Identify Adequate Fire Barrier Seal During 1983 Plant Walkdown.Fire Watch posted.W/910510 Ltr ML20029C3771991-03-22022 March 1991 LER 91-006-00:on 910222,core Protection Calculator Reactor Coolant Sys Flow Channels Not Being Calibrated within Tech Spec.Caused by Personnel Error.Operations Manager Counseled Operators Involved in event.W/910322 Ltr ML20029B1331991-02-27027 February 1991 LER 91-004-00:on 910125,control Room Radiation Monitor Alarm/Trip Setpoint Greater than Normal.Caused by Personnel Error.Operations Manager Will Counsel Shift Supervisors & Night Order Will Be posted.W/910227 Ltr ML20028H6841991-01-21021 January 1991 LER 90-021-00:on 901222,potential RCS Leak Noted in Area of Pressurizer Upper Level Instrument Nozzle.Caused by Pure Water Stress Corrosion Cracking.New Nozzle Installed Into Penetration from Shell OD.W/910121 Ltr ML20043C6801990-05-31031 May 1990 LER 89-025-01:on 891221,identified That Portion of Wall Located in Auxiliary Bldg Had Not Been Previously Identified as Tech Spec Fire Barrier.Caused by Personnel Error.Wall Being Upgraded to Tech Spec status.W/900531 Ltr ML20043C3781990-05-30030 May 1990 LER 90-012-00:on 900430,18 Month Channel Calibr of Liquid Radwaste Effluent Line Flow Monitor Not Performed as Required.Caused by Inadequate Controls to Ensure Followup Actions Taken in Timely Manner.Amends revised.W/900530 Ltr ML20043C0361990-05-23023 May 1990 LER 90-003-01:on 900423,discovered That Incorrect Monitoring Instrumentation for Radiological Effluent Ventilation Sys Utilized to Comply W/Tech Specs.Caused by Mgt Oversight.Logs Process Monitors Will Not Be used.W/900523 Ltr ML20043A7411990-05-17017 May 1990 LER 90-004-01:on 900212,discovered That Backwater Valve in Floor Drain Pipe in Emergency Feedwater Pump Room Missing. Caused by Inadequate Configuration Control.Backwater Pumps Installed & Will Be Included in Maint program.W/900517 Ltr ML20042F7681990-05-0101 May 1990 LER 90-002-01:on 900131,errors Identified in Calculation Used to Establish Calibr Tables for Steam Generator Water Level Transmitters.Errors in Original Calculation Not Identified.Calibr Procedures revised.W/900501 Ltr ML20042F7751990-05-0101 May 1990 LER 90-010-00:on 900401,personnel Failed to Complete Control Element Assembly Position Log.Caused by Surveillance Program Deficiencies & Lack of Mgt Involvement.Shift Briefing Completed & Procedure Change incorporated.W/900501 Ltr ML20042E1981990-04-10010 April 1990 LER 90-008-00:on 900311,determined That Seal Leakage Test for Containment Personnel Air Lock Had Not Been Performed, Per Tech Specs.Caused by Personnel Error.Procedure Revs Initiated & Personnel counseled.W/900410 Ltr ML20012F5051990-04-0505 April 1990 LER 89-027-00:on 891005,determined That Leakage Rate for Containment Isolation Check Valve in Excess of Leakage Rate Allowed Per Tech Specs.Caused by Loose Weld Slag in Valve Seat Area.Valve Cleaned & reassembled.W/900405 Ltr ML20012F5031990-04-0505 April 1990 LER 90-007-00:on 900306,RCS Charging Line Rendered Inoperable Due to Deficient Piping Support Weld.Caused by Inadequate Work Controls & post-installation Insp Processes. Field Walkdowns & Weld Insps initiated.W/900405 Ltr ML20012F5741990-04-0404 April 1990 LER 90-006-00:on 900305,instrumentation Channels Declared Inoperable,Resulting in Manual Actuation of Reactor Protection Sys.Caused by Procedural Deficiencies.Functional Tests of Log Power Level Channels performed.W/900404 Ltr ML20012C7221990-03-14014 March 1990 LER 90-004-00:on 900212,identified That No Backwater Valve Located in Floor Drain Pipe in One of Emergency Feedwater Pump Rooms.Caused by Inadequate Configuration Control. Valves Installed on 900215.W/900314 Ltr ML20012C1821990-03-12012 March 1990 LER 85-029-00:on 850520,unusual Motor Vibrations Identified on Svc Water Pump 2PM4A.On 861028,high Vibrations Noted on Upper Motor Bearings of Pump 2PM4B.Caused by Improper Installation.New Bearings installed.W/900312 Ltr ML20012B7271990-03-0808 March 1990 LER 89-049-01:on 891220,discovered That Okonite T-95 Tape Not Used to Tape Internal Motor Lead Connections for Main Feedwater Containment Isolation Valves.Caused by Personnel Error.Valves Taped According to Design drawing.W/900308 Ltr ML20012B5701990-03-0505 March 1990 LER 90-003-00:on 900201,failure to Perform Monthly Source Check Surveillance on Three Radiation Process Monitors Occurred.Caused by Inadequate Procedure Change by Personnel. Source Check on Monthly Basis implemented.W/900305 Ltr ML20011F6741990-03-0202 March 1990 LER 90-002-00:on 900131,errors Identified in Calculation Used to Establish Calibr Tables for Steam Generator Water Level Transmitters.Caused by Incorrect Static Pressure Assumption.Trip Setpoint Bistable increased.W/900302 Ltr ML20011F6781990-03-0101 March 1990 LER 89-026-00:on 891112,gaps in Piping Supports on Supply & Return Piping for Containment Coolers Identified.Caused by Inadequate Design Technique Used in Original Support Design. Shims Added Before Restart from outage.W/900301 Ltr ML20011F5831990-02-27027 February 1990 LER 89-022-01:on 891114,normal Offsite Power Feeder Breaker to 4,160-volt Ac ESF Bus Opened,Resulting in Loss of Power to Bus 2A3.Caused by Inadequate post-maint Test Controls. Test Switch Opened & Job Order changed.W/900227 Ltr ML20011F7311990-02-23023 February 1990 LER 90-001-00:on 900126,identified That Required Visual Insps of Containment Bldg After Entry Made Not Documented as Being Performed.Caused by Inadequate Procedural Guidance. Administrative Controls to Be established.W/900226 Ltr ML20006D7391990-02-0606 February 1990 LER 89-034-01:on 891031,determined That Tech Spec 3.9.1 Had Likely Been Violated Re Independent Circuits of Control Room Emergency Air Conditioning Sys.Caused by Inadequate Guidance Re Equipment Svc Removal.Procedures revised.W/900206 Ltr ML20011E2371990-01-31031 January 1990 LER 89-012-01:on 890626,RCS Backleakage Through Safety Injection Sys Check Valve Occurred Three Times.Caused by Missing Rollpins Which Connect Valve Disc to Valve Disc Shaft.Rollpins Replaced & Valves reassembled.W/900131 Ltr ML20011E2291990-01-31031 January 1990 LER 89-039-01:on 891116,discovered That Door for Upper North Electrical Penetration Room Open & Latch Mechanism Missing. Caused by Abnormally High Differential Pressure Across Door. Ventilation Sys Flow Balance performed.W/900131 Ltr ML20011E1451990-01-30030 January 1990 LER 89-024-00:on 891231,loose Terminal in Feedwater Control Sys Cabinet Resulted in Reactor Trip.Caused by Loose Connection on Terminal.Loose Connection Reterminated properly.W/900130 Ltr ML20006C1451990-01-29029 January 1990 LER 89-048-00:on 891228,automatic Reactor Trip & ESF Actuation Occurred as Result of Loss of All Main Feedwater Flow Due to Inadvertent Tripping of Main Feedwater Pump. Caused by Personnel error.O-rings replaced.W/900129 Ltr ML19354E3331990-01-22022 January 1990 LER 89-025-00:on 891221,two Piping Penetrations Located in Barrier Not Surveilled as Required by Tech Specs.Caused by Personnel Error.Fire Watch Posted When Necessary Per Tech Spec.W/900122 Ltr ML20006A8661990-01-22022 January 1990 LER 89-041-00:on 891221,automatic Actuation of Emergency Feedwater Sys Initiated.Caused by Lack of Adequate Procedural Guidance.Valve Positioners CV-2623 & CV-2673 Adjusted & Guidance Procedures developed.W/900122 Ltr ML20006A8671990-01-22022 January 1990 LER 89-042-01:on 891209,inadvertent Actuation of Control Room Emergency Ventilation Sys Occurred.Caused by Keying of Hand Held Radio in Vicinity of Chlorine Monitors by Technician.Technician counseled.W/900122 Ltr ML20005F1551990-01-18018 January 1990 LER 89-023-01:on 891117,noted That Channel a Not Responding to Change in Power Level & Declared Inoperable.Caused by Defective Preamplifier.Evaluation of Sys Design & Channel Functional Test initiated.W/900108 Ltr ML20006B6461990-01-18018 January 1990 LER 89-047-00:on 891219,RCS Temp Increased Above 250 F W/ Oxygen Concentration Greater than Tech Specs Limit.Caused by Inadequate Procedural Guidance.Plant Startup Procedure Revised to Require Chemistry Dept signoff.W/900118 Ltr ML19354D8291990-01-15015 January 1990 LER 89-044-00:on 891214,incorrect Assumptions & Calculational Errors Identified for Low Pressure Injection & Reactor Bldg Spray Pumps When Aligned to Take Suction from Reactor Bldg sump.W/900115 Ltr ML20005G1681990-01-0909 January 1990 LER 89-045-00:on 891210,discovered That U-bolt Supports on Two Containment Isolation Valves in Containment Bldg Not Installed & Pressurizer Sample Lines & Valves Considered Inoperable.Missing U-bolts installed.W/900109 Ltr ML20005F1481990-01-0808 January 1990 LER 89-042-00:on 891209,inadvertent Actuation of Control Room Emergency Ventilation Sys Occurred.Caused by Keying of Hand Held Radio in Vicinity of Chlorine Monitors by Technician.Technician counseled.W/900108 Ltr ML20005F1571990-01-0808 January 1990 LER 89-043-00:on 891208,discovered That Approx 50% of One Nut Ring Half Beneath Reactor Vessel Nozzle Flange Corroded Away.Caused by Gradual Deterioration of Gasket Matl.Design Change implemented.W/900108 Ltr ML20005F2071990-01-0404 January 1990 LER 89-040-00:on 891205 & 06,automatic Actuations of Emergency Diesel Generator Occurred as Result of Loss of Power to 480-volt ESF Bus.Caused by Personnel Error During Bus Transfer.Mgt Briefings conducted.W/900104 Ltr ML20005F0471990-01-0303 January 1990 LER 89-046-00:on 891204,reactor Bldg Isolation Valves Rendered Inoperable Due to Deficient Welds on Piping Supports Which Were Installed During Initial Plant Const. Deficient Supports Repaired Prior to restart.W/900103 Ltr ML20011D2521989-12-18018 December 1989 LER 89-039-00:on 891116,discovered That Door for Upper North Electrical Penetration Room Open & Missing Latch Mechanism. Caused by Extensive Use During 56-day Refueling Outage.More Frequent Insps of Door Condition to Be done.W/891218 Ltr ML20011D2501989-12-18018 December 1989 LER 89-023-00:on 891117,approach to Criticality Commenced After Seventh Refueling Outage W/Logarithmic Power Level Channels Inoperable.Caused by Electrical Noise in Circuitry. Defective Preamplifier replaced.W/891218 Ltr ML19351A6731989-12-14014 December 1989 LER 89-022-00:on 891114,inadequate post-maint Test Controls Resulted in de-energizing 4,160 Volt Ac ESFs Electric Bus Uexpectedly.Caused by Inadequate post-maint Test Controls. Job Order Instructions changed.W/891214 Ltr ML19354D5521989-12-14014 December 1989 LER 89-038-00:on 891114,reactor Trip Occurred as Result of Inadvertent Closure of Main Feedwater Isolation Valve.Caused by Personnel Error.Disciplinary Action Taken Against Individual & Senior Mgt Personnel Put on shift.W/891214 Ltr ML19351A4651989-12-11011 December 1989 LER 89-021-00:on 891111,when Low Level Radwaste Water in Waste Condensate Tank Aligned to Be Released,Discovered That Radiation Monitor Inoperable for Duration of Release.Caused by Personnel Error.Procedure revised.W/891211 Ltr ML19332F6171989-12-11011 December 1989 LER 89-037-00:on 891110,reactor Trip Occurred as Result of Inadvertent Grounding of Reactor Protection Sys Power Supply During Surveillance Testing.Caused by Inadequate Procedure. Procedures revised.W/891211 Ltr ML20005D6821989-12-0101 December 1989 LER 89-005-01:on 890518 & 25,damping Board Removed from Penetration Containing Cable Tray.On 890531,voids Noted in Penetration Seals.Caused by Erroneous Vendor Procedures. Penetrations Restored & Procedures revised.W/891201 Ltr ML19332E8611989-11-30030 November 1989 LER 89-034-00:on 891031,control Room Emergency Air Conditioning Sys Rendered Inoperable Due to Removing Independent Circuits from Svc.Caused by Inadequate Guidance.Procedures Revised & Circuits flagged.W/891130 Ltr 1998-10-22
[Table view] Category:RO)
MONTHYEARML17335A7641998-10-22022 October 1998 LER 98-004-00:on 980923,inadvertent Actuation of Efs Occurred During Surveillance Testing.Caused by Personnel Error.Personnel Involved with Event Were Counseled & Procedure Changes Were Implemented.With 981022 Ltr ML20045B3021993-06-11011 June 1993 LER 93-001-00:on 930513,discovered That One Channel of Rvlms Inoperable Since Probe Replaced in Oct 1992.On 930507, Discovered That Two Sensors in Rvlms Indicating Wet.Caused by Design Error.Wiring Polarity corrected.W/930611 Ltr ML20024H2281991-05-21021 May 1991 LER 91-003-00:on 910421,actuation of EFW Sys During Plant Heatup Occurred Due to Low Once Through Steam Generator Level.Caused by Leaking Feedwater Recirculation Valve.Plant Startup Procedure OP 1102.02 Will Be revised.W/910521 Ltr ML20024H0861991-05-10010 May 1991 LER 91-002-00:on 910410,inadvertent Actuations of Combined Control Emergency Ventilation Sys Occurred.Caused by Transient Noise Spike.Mod Will Be Completed by 910531 to Install Time Delay in Actuation circuitry.W/910510 Ltr ML20024G9781991-05-10010 May 1991 LER 90-004-01:on 900531,discovered Degraded Fire Barrier Penetration During Insp Per Generic Ltr 86-10.Caused by Failure to Identify Adequate Fire Barrier Seal During 1983 Plant Walkdown.Fire Watch posted.W/910510 Ltr ML20029C3771991-03-22022 March 1991 LER 91-006-00:on 910222,core Protection Calculator Reactor Coolant Sys Flow Channels Not Being Calibrated within Tech Spec.Caused by Personnel Error.Operations Manager Counseled Operators Involved in event.W/910322 Ltr ML20029B1331991-02-27027 February 1991 LER 91-004-00:on 910125,control Room Radiation Monitor Alarm/Trip Setpoint Greater than Normal.Caused by Personnel Error.Operations Manager Will Counsel Shift Supervisors & Night Order Will Be posted.W/910227 Ltr ML20028H6841991-01-21021 January 1991 LER 90-021-00:on 901222,potential RCS Leak Noted in Area of Pressurizer Upper Level Instrument Nozzle.Caused by Pure Water Stress Corrosion Cracking.New Nozzle Installed Into Penetration from Shell OD.W/910121 Ltr ML20043C6801990-05-31031 May 1990 LER 89-025-01:on 891221,identified That Portion of Wall Located in Auxiliary Bldg Had Not Been Previously Identified as Tech Spec Fire Barrier.Caused by Personnel Error.Wall Being Upgraded to Tech Spec status.W/900531 Ltr ML20043C3781990-05-30030 May 1990 LER 90-012-00:on 900430,18 Month Channel Calibr of Liquid Radwaste Effluent Line Flow Monitor Not Performed as Required.Caused by Inadequate Controls to Ensure Followup Actions Taken in Timely Manner.Amends revised.W/900530 Ltr ML20043C0361990-05-23023 May 1990 LER 90-003-01:on 900423,discovered That Incorrect Monitoring Instrumentation for Radiological Effluent Ventilation Sys Utilized to Comply W/Tech Specs.Caused by Mgt Oversight.Logs Process Monitors Will Not Be used.W/900523 Ltr ML20043A7411990-05-17017 May 1990 LER 90-004-01:on 900212,discovered That Backwater Valve in Floor Drain Pipe in Emergency Feedwater Pump Room Missing. Caused by Inadequate Configuration Control.Backwater Pumps Installed & Will Be Included in Maint program.W/900517 Ltr ML20042F7681990-05-0101 May 1990 LER 90-002-01:on 900131,errors Identified in Calculation Used to Establish Calibr Tables for Steam Generator Water Level Transmitters.Errors in Original Calculation Not Identified.Calibr Procedures revised.W/900501 Ltr ML20042F7751990-05-0101 May 1990 LER 90-010-00:on 900401,personnel Failed to Complete Control Element Assembly Position Log.Caused by Surveillance Program Deficiencies & Lack of Mgt Involvement.Shift Briefing Completed & Procedure Change incorporated.W/900501 Ltr ML20042E1981990-04-10010 April 1990 LER 90-008-00:on 900311,determined That Seal Leakage Test for Containment Personnel Air Lock Had Not Been Performed, Per Tech Specs.Caused by Personnel Error.Procedure Revs Initiated & Personnel counseled.W/900410 Ltr ML20012F5051990-04-0505 April 1990 LER 89-027-00:on 891005,determined That Leakage Rate for Containment Isolation Check Valve in Excess of Leakage Rate Allowed Per Tech Specs.Caused by Loose Weld Slag in Valve Seat Area.Valve Cleaned & reassembled.W/900405 Ltr ML20012F5031990-04-0505 April 1990 LER 90-007-00:on 900306,RCS Charging Line Rendered Inoperable Due to Deficient Piping Support Weld.Caused by Inadequate Work Controls & post-installation Insp Processes. Field Walkdowns & Weld Insps initiated.W/900405 Ltr ML20012F5741990-04-0404 April 1990 LER 90-006-00:on 900305,instrumentation Channels Declared Inoperable,Resulting in Manual Actuation of Reactor Protection Sys.Caused by Procedural Deficiencies.Functional Tests of Log Power Level Channels performed.W/900404 Ltr ML20012C7221990-03-14014 March 1990 LER 90-004-00:on 900212,identified That No Backwater Valve Located in Floor Drain Pipe in One of Emergency Feedwater Pump Rooms.Caused by Inadequate Configuration Control. Valves Installed on 900215.W/900314 Ltr ML20012C1821990-03-12012 March 1990 LER 85-029-00:on 850520,unusual Motor Vibrations Identified on Svc Water Pump 2PM4A.On 861028,high Vibrations Noted on Upper Motor Bearings of Pump 2PM4B.Caused by Improper Installation.New Bearings installed.W/900312 Ltr ML20012B7271990-03-0808 March 1990 LER 89-049-01:on 891220,discovered That Okonite T-95 Tape Not Used to Tape Internal Motor Lead Connections for Main Feedwater Containment Isolation Valves.Caused by Personnel Error.Valves Taped According to Design drawing.W/900308 Ltr ML20012B5701990-03-0505 March 1990 LER 90-003-00:on 900201,failure to Perform Monthly Source Check Surveillance on Three Radiation Process Monitors Occurred.Caused by Inadequate Procedure Change by Personnel. Source Check on Monthly Basis implemented.W/900305 Ltr ML20011F6741990-03-0202 March 1990 LER 90-002-00:on 900131,errors Identified in Calculation Used to Establish Calibr Tables for Steam Generator Water Level Transmitters.Caused by Incorrect Static Pressure Assumption.Trip Setpoint Bistable increased.W/900302 Ltr ML20011F6781990-03-0101 March 1990 LER 89-026-00:on 891112,gaps in Piping Supports on Supply & Return Piping for Containment Coolers Identified.Caused by Inadequate Design Technique Used in Original Support Design. Shims Added Before Restart from outage.W/900301 Ltr ML20011F5831990-02-27027 February 1990 LER 89-022-01:on 891114,normal Offsite Power Feeder Breaker to 4,160-volt Ac ESF Bus Opened,Resulting in Loss of Power to Bus 2A3.Caused by Inadequate post-maint Test Controls. Test Switch Opened & Job Order changed.W/900227 Ltr ML20011F7311990-02-23023 February 1990 LER 90-001-00:on 900126,identified That Required Visual Insps of Containment Bldg After Entry Made Not Documented as Being Performed.Caused by Inadequate Procedural Guidance. Administrative Controls to Be established.W/900226 Ltr ML20006D7391990-02-0606 February 1990 LER 89-034-01:on 891031,determined That Tech Spec 3.9.1 Had Likely Been Violated Re Independent Circuits of Control Room Emergency Air Conditioning Sys.Caused by Inadequate Guidance Re Equipment Svc Removal.Procedures revised.W/900206 Ltr ML20011E2371990-01-31031 January 1990 LER 89-012-01:on 890626,RCS Backleakage Through Safety Injection Sys Check Valve Occurred Three Times.Caused by Missing Rollpins Which Connect Valve Disc to Valve Disc Shaft.Rollpins Replaced & Valves reassembled.W/900131 Ltr ML20011E2291990-01-31031 January 1990 LER 89-039-01:on 891116,discovered That Door for Upper North Electrical Penetration Room Open & Latch Mechanism Missing. Caused by Abnormally High Differential Pressure Across Door. Ventilation Sys Flow Balance performed.W/900131 Ltr ML20011E1451990-01-30030 January 1990 LER 89-024-00:on 891231,loose Terminal in Feedwater Control Sys Cabinet Resulted in Reactor Trip.Caused by Loose Connection on Terminal.Loose Connection Reterminated properly.W/900130 Ltr ML20006C1451990-01-29029 January 1990 LER 89-048-00:on 891228,automatic Reactor Trip & ESF Actuation Occurred as Result of Loss of All Main Feedwater Flow Due to Inadvertent Tripping of Main Feedwater Pump. Caused by Personnel error.O-rings replaced.W/900129 Ltr ML19354E3331990-01-22022 January 1990 LER 89-025-00:on 891221,two Piping Penetrations Located in Barrier Not Surveilled as Required by Tech Specs.Caused by Personnel Error.Fire Watch Posted When Necessary Per Tech Spec.W/900122 Ltr ML20006A8661990-01-22022 January 1990 LER 89-041-00:on 891221,automatic Actuation of Emergency Feedwater Sys Initiated.Caused by Lack of Adequate Procedural Guidance.Valve Positioners CV-2623 & CV-2673 Adjusted & Guidance Procedures developed.W/900122 Ltr ML20006A8671990-01-22022 January 1990 LER 89-042-01:on 891209,inadvertent Actuation of Control Room Emergency Ventilation Sys Occurred.Caused by Keying of Hand Held Radio in Vicinity of Chlorine Monitors by Technician.Technician counseled.W/900122 Ltr ML20005F1551990-01-18018 January 1990 LER 89-023-01:on 891117,noted That Channel a Not Responding to Change in Power Level & Declared Inoperable.Caused by Defective Preamplifier.Evaluation of Sys Design & Channel Functional Test initiated.W/900108 Ltr ML20006B6461990-01-18018 January 1990 LER 89-047-00:on 891219,RCS Temp Increased Above 250 F W/ Oxygen Concentration Greater than Tech Specs Limit.Caused by Inadequate Procedural Guidance.Plant Startup Procedure Revised to Require Chemistry Dept signoff.W/900118 Ltr ML19354D8291990-01-15015 January 1990 LER 89-044-00:on 891214,incorrect Assumptions & Calculational Errors Identified for Low Pressure Injection & Reactor Bldg Spray Pumps When Aligned to Take Suction from Reactor Bldg sump.W/900115 Ltr ML20005G1681990-01-0909 January 1990 LER 89-045-00:on 891210,discovered That U-bolt Supports on Two Containment Isolation Valves in Containment Bldg Not Installed & Pressurizer Sample Lines & Valves Considered Inoperable.Missing U-bolts installed.W/900109 Ltr ML20005F1481990-01-0808 January 1990 LER 89-042-00:on 891209,inadvertent Actuation of Control Room Emergency Ventilation Sys Occurred.Caused by Keying of Hand Held Radio in Vicinity of Chlorine Monitors by Technician.Technician counseled.W/900108 Ltr ML20005F1571990-01-0808 January 1990 LER 89-043-00:on 891208,discovered That Approx 50% of One Nut Ring Half Beneath Reactor Vessel Nozzle Flange Corroded Away.Caused by Gradual Deterioration of Gasket Matl.Design Change implemented.W/900108 Ltr ML20005F2071990-01-0404 January 1990 LER 89-040-00:on 891205 & 06,automatic Actuations of Emergency Diesel Generator Occurred as Result of Loss of Power to 480-volt ESF Bus.Caused by Personnel Error During Bus Transfer.Mgt Briefings conducted.W/900104 Ltr ML20005F0471990-01-0303 January 1990 LER 89-046-00:on 891204,reactor Bldg Isolation Valves Rendered Inoperable Due to Deficient Welds on Piping Supports Which Were Installed During Initial Plant Const. Deficient Supports Repaired Prior to restart.W/900103 Ltr ML20011D2521989-12-18018 December 1989 LER 89-039-00:on 891116,discovered That Door for Upper North Electrical Penetration Room Open & Missing Latch Mechanism. Caused by Extensive Use During 56-day Refueling Outage.More Frequent Insps of Door Condition to Be done.W/891218 Ltr ML20011D2501989-12-18018 December 1989 LER 89-023-00:on 891117,approach to Criticality Commenced After Seventh Refueling Outage W/Logarithmic Power Level Channels Inoperable.Caused by Electrical Noise in Circuitry. Defective Preamplifier replaced.W/891218 Ltr ML19351A6731989-12-14014 December 1989 LER 89-022-00:on 891114,inadequate post-maint Test Controls Resulted in de-energizing 4,160 Volt Ac ESFs Electric Bus Uexpectedly.Caused by Inadequate post-maint Test Controls. Job Order Instructions changed.W/891214 Ltr ML19354D5521989-12-14014 December 1989 LER 89-038-00:on 891114,reactor Trip Occurred as Result of Inadvertent Closure of Main Feedwater Isolation Valve.Caused by Personnel Error.Disciplinary Action Taken Against Individual & Senior Mgt Personnel Put on shift.W/891214 Ltr ML19351A4651989-12-11011 December 1989 LER 89-021-00:on 891111,when Low Level Radwaste Water in Waste Condensate Tank Aligned to Be Released,Discovered That Radiation Monitor Inoperable for Duration of Release.Caused by Personnel Error.Procedure revised.W/891211 Ltr ML19332F6171989-12-11011 December 1989 LER 89-037-00:on 891110,reactor Trip Occurred as Result of Inadvertent Grounding of Reactor Protection Sys Power Supply During Surveillance Testing.Caused by Inadequate Procedure. Procedures revised.W/891211 Ltr ML20005D6821989-12-0101 December 1989 LER 89-005-01:on 890518 & 25,damping Board Removed from Penetration Containing Cable Tray.On 890531,voids Noted in Penetration Seals.Caused by Erroneous Vendor Procedures. Penetrations Restored & Procedures revised.W/891201 Ltr ML19332E8611989-11-30030 November 1989 LER 89-034-00:on 891031,control Room Emergency Air Conditioning Sys Rendered Inoperable Due to Removing Independent Circuits from Svc.Caused by Inadequate Guidance.Procedures Revised & Circuits flagged.W/891130 Ltr 1998-10-22
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217L8931999-10-31031 October 1999 Rev 1 to BAW-10235, Mgt Program for Volumetric Outer Diameter Intergranular Attack in Tubesheets of Once-Through Sgs ML20212L1141999-10-0101 October 1999 Safety Evaluation Granting Request for Exemption from Technical Requirements of 10CFR50,App R,Section III.G.2.c 0CAN109902, Monthly Operating Repts for Sept 1999 for Arkansas Nuclear One,Units 1 & 2.With1999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Arkansas Nuclear One,Units 1 & 2.With ML20216J6271999-09-27027 September 1999 Rev 0 to CALC-98-R-1020-04, ANO-1 Cycle 16 Colr ML20212F5261999-09-22022 September 1999 SER Approving Request Reliefs 1-98-001 & 1-98-200,parts 1,2 & 3 for Second 10-year ISI Interval at Arkansas Nuclear One, Unit 1 0CAN099907, Monthly Operating Repts for Aug 1999 for Ano,Units 1 & 2. with1999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Ano,Units 1 & 2. with ML20211F4281999-08-25025 August 1999 Safety Evaluation Concluding That Licensee Provided Acceptable Alternative to Requirements of ASME Code Section XI & That Authorization of Proposed Alternative Would Provide Acceptable Level of Quality & Safety 0CAN089904, Monthly Operating Repts for July 1999 for Ano,Units 1 & 2. with1999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Ano,Units 1 & 2. with ML20210K8831999-07-29029 July 1999 Non-proprietary Addendum B to BAW-2346P,Rev 0 Re ANO-1 Specific MSLB Leak Rates 0CAN079903, Monthly Operating Repts for June 1999 for Ano,Units 1 & 2. with1999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Ano,Units 1 & 2. with ML20207E7231999-06-0202 June 1999 Safety Evaluation Authorizing Proposed Alternative Exam Methods Proposed in Alternative Exam 99-0-002 to Perform General Visual Exam of Accessible Areas & Detailed Visual Exam of Areas Determined to Be Suspect ML20196A0191999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Arkansas Nuclear One,Units 1 & 2.With ML20196A6251999-05-31031 May 1999 Non-proprietary Rev 0 to TR BAW-10235, Mgt Program for Volumetric Outer Diameter Intergranular Attack in Tubesheets of Once-Through Sgs ML20195D1991999-05-28028 May 1999 Probabilistic Operational Assessment of ANO-2 SG Tubing for Cycle 14 ML20206M7711999-05-11011 May 1999 SER Accepting Relief Request from ASME Code Section XI Requirements for Plant,Units 1 & 2 0CAN059903, Monthly Operating Repts for Apr 1999 for Ano,Units 1 & 2. with1999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Ano,Units 1 & 2. with ML20206F0691999-04-29029 April 1999 Safety Evaluation Accepting Licensee Re ISI Plan for Third 10-year Interval & Associated Requests for Alternatives for Plant,Unit 1 ML20205M6941999-04-12012 April 1999 Safety Evaluation Granting Relief for Second 10-yr Inservice Inspection Interval for Plant,Unit 1 ML20205D6061999-03-31031 March 1999 Safety Evaluation Supporting Licensee Proposed Approach Acceptable to Perform Future Structural Integrity & Operability Assessments of Carbon Steel ML20205R6351999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Ano,Units 1 & 2. with ML20205D4711999-03-26026 March 1999 SER Accepting Util Proposed Alternative to Employ Alternative Welding Matls of Code Cases 2142-1 & 2143-1 for Reactor Coolant System to Facilitate Replacement of Steam Generators at Arkansas Nuclear One,Unit 2 ML20204B1861999-03-15015 March 1999 Safety Evaluation Authorizing Licensee Request for Alternative to Augmented Exam of Certain Reactor Vessel Shell Welds,Per Provisions of 10CFR50.55a(g)(6)(ii)(A)(5) 0CAN039904, Monthly Operating Repts for Feb 1999 for Ano,Units 1 & 2. with1999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Ano,Units 1 & 2. with ML20212G6381999-02-25025 February 1999 Ano,Unit 2 10CFR50.59 Rept for 980411-990225 ML20203E4891999-02-11011 February 1999 Rev 1 to 97-R-2018-03, ANO-2,COLR for Cycle 14 ML20199F0351998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Ano,Units 1 & 2 ML20198M7841998-12-29029 December 1998 SER Accepting Util Proposal to Use ASME Code Case N-578 as Alternative to ASME Code Section Xi,Table IWX-2500 for Arkansas Nuclear One,Unit 2 0CAN129805, LER 98-S02-00:on 981124,security Officer Found Not to Have Had Control of Weapon for Period of Approx 3 Minutes Due to Inadequate self-checking to Ensure That Weapon Remained Secure.All Security Officers Briefed.With1998-12-11011 December 1998 LER 98-S02-00:on 981124,security Officer Found Not to Have Had Control of Weapon for Period of Approx 3 Minutes Due to Inadequate self-checking to Ensure That Weapon Remained Secure.All Security Officers Briefed.With ML20196F4911998-12-0101 December 1998 SER Accepting Request for Relief ISI2-09 for Waterford Steam Electric Station,Unit 3 & Arkansas Nuclear One,Unit 2 ML20198D2441998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Ano,Units 1 & 2. with ML20199F7401998-11-16016 November 1998 Rev 9 to ANO-1 Simulator Operability Test,Year 9 (First Cycle) ML20195B4801998-11-0707 November 1998 Rev 20 to ANO QA Manual Operations ML20195C4841998-11-0606 November 1998 SER Accepting QA Program Change to Consolidate Four Existing QA Programs for Arkansas Nuclear One,Grand Gulf Nuclear Station,River Bend Station & Waterford 3 Steam Electric Station Into Single QA Program 0CAN119808, Monthly Operating Repts for Oct 1998 for Ano,Units 1 & 2. with1998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Ano,Units 1 & 2. with ML20197H0741998-10-29029 October 1998 Rev 1 to Third Interval ISI Program for ANO-1 ML20155C1351998-10-26026 October 1998 Rev B to Entergy QA Program Manual ML17335A7641998-10-22022 October 1998 LER 98-004-00:on 980923,inadvertent Actuation of Efs Occurred During Surveillance Testing.Caused by Personnel Error.Personnel Involved with Event Were Counseled & Procedure Changes Were Implemented.With 981022 Ltr ML20154J2471998-10-0909 October 1998 SER Accepting Inservice Testing Program,Third ten-year Interval for License DPR-51,Arkansas Nuclear One,Unit 1 0CAN109806, Monthly Operating Repts for Sept 1998 for ANO Units 1 & 2. with1998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for ANO Units 1 & 2. with ML20154E2171998-09-28028 September 1998 Follow-up Part 21 Rept Re Defect with 1200AC & 1200BC Recorders Built Under Westronics 10CFR50 App B Program. Westronics Has Notified Bvps,Ano & RBS & Is Currently Making Arrangements to Implement Design Mods 0CAN099803, Monthly Operating Repts for Aug 1998 for ANO Units 1 & 2. with1998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for ANO Units 1 & 2. with ML20237B7671998-08-19019 August 1998 ANO REX-98 Exercise for 980819 ML18066A2771998-08-13013 August 1998 Part 21 Rept Re Deficiency in CE Current Screening Methodology for Determining Limiting Fuel Assembly for Detailed PWR thermal-hydraulic Sa.Evaluations Were Performed for Affected Plants to Determine Effect of Deficiency ML20236X2351998-08-0505 August 1998 Part 21 Rept Re Defect Associated W/Westronics 1200AC & 1200BC Recorders Built Under Westronics 10CFR50,App B Program.Beaver Valley,Arkansas Nuclear One & River Bend Station Notified.Design Mod Is Being Developed 0CAN089804, Monthly Operating Repts for July 1998 for Ano,Units 1 & 21998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Ano,Units 1 & 2 ML20196C7831998-07-30030 July 1998 Summary Rept of Results for ASME Class 1 & 2 Pressure Retaining Components & Support for ANO-1 ML20155H7161998-07-15015 July 1998 Rev 1 to 96-R-2030-02, Revised Reactor Vessel Fluence Determination ML20236R0531998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Ano,Units 1 & 2 ML20249B7791998-06-22022 June 1998 Part 21 Rept Re Findings,Resolutions & Conclusions Re Failure of Safety Related Siemens 4KV,350 MVA,1200 a Circuit Breakers to Latch Closed ML20249B5091998-06-15015 June 1998 SG ISI Results for Fourteenth Refueling Outage 1999-09-30
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Arkr.nsas Powsr & Ught Comp 2ny o 3[ 137 G HussolMito AR 72t01 Tel 501904 3100 May 31, 1990 2CAN059016 U. S. Nuclear Regulatory Commission Document Control Desk Mail Station P1-137 Washington, D.-C. 20555
SUBJECT:
" Arkansas Nuclear One - Unit 2 Docket No. 50-368 License No. NPF-6 Licensee Event Report No. 50-368/89-025-01 Gentlemen:
In accordance with 10CFR50.73(a)(2)(i)(B), attached is the subject report concerning a personnel error which resulted in not properly identifying Technical Specification fire barriers which rendered the fire barrier penetrations inoperable due to failure to perform surveillance requirements within the appropriate time interval. This report is being supplemented to provide a revised schedule for the completion of corrective actions.
Very truly yours, g
' E. C. Ewing General Manager, Technical Support and Assessment ECE/0M/sgw attachment cc: Regional Administrator Region IV U. S. Nuclear Regulatory Commission 611 Ryan Plaza Drive, Suite 1000 Arlington, TX 76011 INP0 Records Center 1500 Circle 75 Parkway Atlanta, GA 30339-3064 g 9006060048 900531 DR ADOCK 0500 8 An E nterav cortpany
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Form 1062,01A NRC Fom 366 U.S. Nuclear Regulatory Commission (9 B3) Approved OMB No. 3150-0104 Expires: 8/31/85 LICENSEE EVENT REPORT (L E R)
' FACILITY NAME (1) Arkansas Nuclear One Unit Two lDOCALT NUMBER (2) (PAGE (3) r 10151010101 31 6! 81110Fl013 TITLE (4) Personnel Error Resulted in Not Properly Identifying Technical Specification Fire Barriers Rencering the Fire Barrier Penetrations Inoperable Out to failure to Perform Surveillance Requirements Within L the Appropriate Time Interval EVENT DATE (b) LFR NUMBER (6) REPORT OATE (7) OTHER FAtlLITIES INVOLVED (8) i i 1 5equentiali IRevision -1 i l
Month Day Year (Year l Number i Number Month Day Year Facility Names Docket Number (s)_
l l l AND 1 0 5 0 0 0 3 11 3 -
_11 2 21 11 8 9! 81 91-- 01 21 5 --I 01 1 01 5 31 11 91 01 0 5 0 0 0 1 OPERA"ING l THIS REPORT.15 5UBMITTED PUR5UANT "O THE REQUIREMENTS OF A0 CFR 5:
MODE (9) I1 (Check one or more of the followino) (11)
POWER l l 20.402(b) l l-l 50.73(a)(2)(iv) ~{ 73.71(b)
LEVELI l~1 20.405(a)(1)(1) l i 20.405(c) l 50.36(c)(1)
QO)1110101 l 20,405(a)(1)(ii) l l 50.36(c)(2) l[l50.73(a)(2)(v) l I 50.73(a)(2)(vii) [l73.71(c)
I Other (Specify in 1~! 20.405(a)(1)(iii) l l 50.73(a)(2)(1) l _I 50.73(a)(2)(viii)(A)1 Abstract below and l_I 20.405(a)(1)(iv) l l 50.73(a)(2)(ii) l _l 50.73(a)(2)(viii)(B)l in Text NRC Form
,, I i 20.405(a)(1)(v) l l 50.73(a)(2)(iii) 1 l 50.73(a)(2)(x) l 366A)
LICEN5EE CONTACT FOR THIS LER (12)
Name i Telephone Number Dana N111er, Nuclear Safety and Licensing Specialist i Area Codel 510111916141-13111010 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (L3)
I j j ; Reportable { l l l JReportable Causelsystem Component IManufacturer to NPRDS Causelsystem Component IManufacturer to NPRDS l 1 l 1 i l I i ! I I I I I l l 1 I I I i i L1 e I i l i l I i l n i I I i ! I I I l i,ea r SUPPLEMENT REPORT EXFECTED (14) EXPECTED Month Day i SUBMIS$10N i l'l Yes (If yes, complete Expected Submission Date) lil No l DATE (15) i I I I I I ABSTRACT (Limit to 1400 spaces, i.e., approximately fifteen single-space typewritten lines) (16)
On December 21, 1989, it was identified that a portion of a wall located in the auxiliary bulloing between the 354 and 360 foot elevations had not been previously identified as a Technical Specification fire barrier. As a result, two piping penetrations located in the barrier had not been surveilled as required by Technical Specifications. A visual inspection of one side of the penetrations was performed with no discrepancies identified. It is reasonable to believe since no discrepancies were identified that the penetration fire barriers had previously been functional. Therefore, no safety concerns existed. The root cause of this event was personnel error. During the initial review of plant areas the design configuration on different elevations was not considered. A review of the drawings for ANO-1 and ANO-2 is being performed to ensure any other barriers that exist on different plant elevations have been properly accounted for as Technical Specification barriers. Several barriers have been identified which are located on different plant elevations and a walkdown of these barriers is in progress. A fire watch has been posted when necessary as required by Technical Specifications. The fire barriers which p eviously have not been identified as Technical Specification fire barriers will i be upgraded and a Anet hspection of the fire barrier penetrations has been performed. This event is l reportable pursuaM to 1MiR50.73(a)(2)(1)(B).
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.. .c Fom 1062.01Lt NRC Form 366A U.S. Nuclear Regulatory Commission (9-83) Approved OMB No. 3150 0104 Expirest 8/31/85 LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILITY NAE (1) i DOCKET NUMBER (2) l LER NUMBER (6) l PAGE (3) l l Sequentiall (Revision]
Arkansas Nuclear One, Unit Two l l Year Number Number l 1 0151010101 31 61 81 86 9 --
01 21 5 --
01 1101210Fl013 TEK1 (If more space is required, use additional NRC Form 366A's) (17)
A. Plant Status At the time of discovery of this condition Arkansas Nuclear One, Unit Two (ANO-2) was in Mode 1 (Power Operation) operating at 100 percent of rated thermal power. Reactor Coolant System (RCS) [AB) pressure was approximately 2250 psia and RCS temperature about 580 degrees Fahrenheit.
B. Event Description On December 21, 1989, whH e reviewing fire barrier design drawings and a log which lists fire barrier penetrations, it was identified that a portion of a well (wall 24 5 24) located in the auxiliary building between the 354 and 360 foot elevations had not been previously identified as a Technical Specification fire berrier. As a result, two piping penetrations located in the fire barrier had not been surveilled as required by Technical Specifications. A visual inspection of one side of the penetrations was performed with no discrepancies identified. The other side of the fire barrier penetrations was not inspected due to ALARA concerns.
C. Safety Significance Following the discovery that two penetrations had not been inspected within the required Technical Specification time interval, a visual inspection of the penetrations on one side was performed and no significant discrepancies noted. Therefore, it is reasonable to believe that the penetration fire barriers had previously been functional. Based on this, no significant safety concerns existed.
D. Root Cause The root cause of this event was personnel error in that during the initial-review to identify Technical Specification fire barriers of ANO-1 and ANO 2 plant areas the design configuration on different elevations was not considered. After initially identifying the Technical Specifi-cation required fire barriers, each barrier was surveyed on one side to identify penetrations which existed. In some instances a fire barrier was surveyed from one side of the barrier where the floor slab was at a higher plant elevation than the floor slab on the other side of the barrier. Therefore, a portion of that fire barrier on the other side of the barrier which was being inspected may not have been documented or surveyed.
Additionally, it would be reasonable to assume that a comparison between architectural sectional and fire zone floor plan prints was not performed which could have aided in identifying those po'tions of fire barriers which need to be surveyed.
E. Basis for Reportability The' ANO-2 Technical Specifications require that all penetration fire barriers protecting safety related areas shall be functional at all times. Technical Specification 4.0.3 states that failure to perform a surveillance requirement within the specified time interval shall constitute a failure to meet the operability requirements for a limiting condition for operation. For the purpose of complying with Technical Specifications, the terms functional and operable are considered the same for penetration fire barriers. By failing to inspect the penetration fire barriers within the surveillance interval, the identified penetration fire barriers were technically inoperable, and therefore, the Technical Specification limiting condition for operation was not satisfied. Therefore, this event is reportable pursuant to 10CFR50.73(a)(2)(i)(B), operation prohibited by Technical Specifications.
F. Corrective Actions The portion of wall 24-5 24 which was not identified as a lechnical Specification fire barrier and the piping penetrations located in the wall are being upgraded to Technical Specification status.
A review of the drawings (i.e., architectural sectional and fire Zone floor plan prints) for both AND-1 and ANO-2 is being performed to ensure that other barriers which may not have been identified during the initial review due to the design configuration (i.e. , exist on dif ferent plant elevations) have been properly accounted for as Technical Specification barriers. Several barriers have been
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Form 1062.018 NRC Fore ,366A U.S. Nuclear Regulatory Commission
'(9-83)' Approved OMB No. 3150-0104 ,
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION
. FACILITY NAME (1) l DOCKET NUPEER (2) l .ER NUMBER (6) l PAGE (3) l l l Jequential. lRevisioni Arkansas Nuclear One, Unit Two l l Year Number Number l 10151010101 31-61 81 81 9 --
01 21 5 --
01 Il01310Fl013 TEXT (If more space is required, use additional NRC Fore 366A's) (17) identified which are located on different plant elevations and a walkdown of these barriers is ,
being performed to identify any existing fire barrier penetrations. A fire watch has been posted when necessary as required by the Technical Specifications. A visual inspection of the penetrations located in these barriers which have not previously been identified as Technical Specificaton fire i barrier penetrations has been completed.
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The identified fire barriers and penetrations which previously have not been identified as Technical Specification fire barriers will be upgraded. The documentation which is required to upgrade the .f fire barriers to Technical Specification status has been completed. The compl6 tion of the physical changes necessary to implement the upgrade will be accomplished by September 4,1990. The proce: e governing the inspection of Technical Specification fire barrier penetrations will be revised to include any additional barriers which have been identified prior to the performance of the next required surveillance inspections (for ANO-2, August 6,1990). The procedure revision for AN0*1 ,
has been completed.
G. Additional Information !
Previous similar events where fire barrier penetrations were not surveilled within the required time interval allowed by Technical Specifications were reported in LER 50-368/86 008 00, 50-313/89-026-00 and 50-368/86-015-00.
Energy Industry Identification System (EIIS) codes are identified in tho text as (XX).
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