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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20046C2121993-07-30030 July 1993 LER 93-004-01:on 930301,confirmed That Channel D Axial Shape Index (Asi) Being Calculated in Reverse Since 921031-930301 Due to Drawing Discrepancies Associated W/Control Channel B. Temporary Mod 92-078 & Standing Order 0-25 Revised ML20046A8691993-07-26026 July 1993 LER 93-011-00:on 930624,experienced Reactor Trip Due to Loss of Load.Caused by Lack of Proper Job Planning,Lack of Formal Decision Making Process & Incomplete Communications.Training Will Be Provided to Operations personnel.W/930726 Ltr ML20045H2561993-07-12012 July 1993 LER 93-010-00:on 930611,1 of 14 Halon Cylinders Did Not Meet Min Pressure Acceptance Criteria Listed in Semiannual Switchgear Rooms Surveillance Test.Caused by Failure of Test to Include Necessary Steps.Cylinder recharged.W/930712 Ltr ML20045D7201993-06-22022 June 1993 LER 93-009-00:on 930524,apparent Spurious Signal from Pressurizer Level Instrumentation Caused Backup Charging Pumps to Automatically Start,Due to Deterioration of Wiring. Instrument Loop Calibration Will Be performed.W/930622 Ltr ML20045D3741993-06-21021 June 1993 LER 93-008-00:on 930520,determined That TS SR Not Satisfied for Stack Flow Indicator,Per Amend 137 Issued on 910307. Caused by Lack of Attention to Detail.Calibr & Functional Test Procedures developed.W/930621 Ltr ML20044H5261993-06-0101 June 1993 LER 93-007-00:on 930430,unplanned Emergency Generator Start & Rt Signal Occurred.Caused by Inadequate Attention to Detail,Labeling of Fuse Drawers,Caution Signs & Training. Labeling & Caution Signs upgraded.W/930601 Ltr ML20044G4941993-05-26026 May 1993 LER 93-006-00:on 930118,Halon Fire Suppression Sys for Switchgear Rooms Disabled to Allow Repair/Replacement of Halon Sys Piping.On 930427,individual Responsible for Fire Watch Not Present.Individual Relieved of Responsibilities ML20044B6711993-02-22022 February 1993 LER 93-002-00:on 930122,determined That Current SG LP Signal Block Reset Values Greater than Allowed Ts.Caused by Improper Design.Test Procedures Will Be Revised by 930917 to Specify Desired Value for Block function.W/930222 Ltr ML20024G6821991-04-19019 April 1991 LER 91-007-00:on 910320,480 Volt Circuit Breaker Coordination Outside Design Basis.Caused by Deficiencies in Original Sys Design.Breaker/Fuse Coordination Study to Be Completed & Problems Will Be corrected.W/910419 Ltr ML20029C1591991-03-21021 March 1991 LER 91-004-00:on 910212,offsite Power Low Signal Outside Design Basis.Caused by Inadequate Mod Design at Time of Performance of Original Degraded Voltage Analysis. Engineering Analysis EA-FC-91-017 performed.W/910321 Ltr ML20029C1051991-03-18018 March 1991 LER 91-002-00:on 901209,ventilation Isolation Actuation Signal Generated by High Alarm on Process Radiation Monitor RM-062.Caused by Accumulation of Noncondensible Gases in Sample Piping.Valve Packing Leak repaired.W/910318 Ltr ML20029A2981991-02-0808 February 1991 LER 91-001-00:on 910109,determined That Containment Tendon Surveillances Performed in 1981 & 1985 Did Not Reflect Guidance in Tech Specs.Caused by Inadequate Administrative Controls.Testing Program Plan implemented.W/910208 Ltr ML20029A2971991-02-0606 February 1991 LER 90-022-02:on 900907,approx 460 Fire Barrier Penetration seals,60 Fire Dampers & 6 Fire Doors Declared Nonfunctional Per NRC Info Notice 88-004 Due to Lack of Documentation. Plant Outage Required to Implement Repairs/Replacements ML20028G9171990-09-28028 September 1990 LER 90-021-00:on 900829,inadvertent Reactor Protective Sys Actuation Occurred While Operator Changed Power Source. Caused by Operator Not Following Proper Procedures.Operator counseled.W/900928 Ltr ML20044B0131990-07-12012 July 1990 LER 90-018-00:on 900612,reactor Protective Sys (RPS) Trip Units for Axial Power Distribution Determined to Be Inoperable.Caused by Procedural Deficiencies.Procedure Revised & RPS Surveillance Tests reviewed.W/900712 Ltr ML20043F6301990-06-11011 June 1990 LER 90-016-00:on 900511,accident Scenarios Identified by Which Auxiliary Feedwater Piping from Discharge of Turbine Driven Auxiliary Feedwater Pump FW-10 Can Be Overpressurized.Caused by Design deficiency.W/900611 Ltr ML20043F2441990-06-0707 June 1990 LER 90-015-00:on 900507,PORV Variable Setpoints Used for Low Pressure Overpressure Protection Determined to Be Nonconservative for PORV Opening Time.Caused by Design Deficiency.Tech Spec Amend prepared.W/900607 Ltr ML20043C0991990-05-29029 May 1990 LER 90-014-00:on 900427,investigation Revealed That Component Cooling Water Piping to Reactor Coolant Pump Seal Coolers Could Be Targets of High Energy Line Break.Safety Analysis for Operability completed.W/900529 Ltr ML20042G7211990-05-10010 May 1990 LER 90-011-00:on 900402,inadvertent Actuation of Pressurizer Pressure Low Signal Occurred While Performing Calibr Procedure.Caused by Inappropriate Action by Technician Involved.Validation of Procedures reviewed.W/900510 Ltr ML20042E6871990-04-23023 April 1990 LER 90-007-01:on 900228,determined That Several Supports Would Be Overloaded During Seismic Event on Nonsafety Related & safety-related Main Steam Piping.Caused by Design Deficiency.Piping Supports modified.W/900423 Ltr ML20042E6861990-04-23023 April 1990 LER 90-009-00:on 900316,potential Overpressurization of Auxiliary Feedwater Piping Could Have Occurred During Thermal Expansion of Process Fluid Between Closed Valved. Caused by Design deficiencies.W/900423 Ltr ML20012E7641990-03-26026 March 1990 LER 90-005-00:on 900223,determined That Spent Fuel Pool Area Charcoal Filtration Unit VA-66 Was Outside Design Basis. Caused by Insufficient Airflow Into Unit.Affected Updated SAR Analysis Will Be updated.W/900326 Ltr ML20012D0121990-03-19019 March 1990 LER 90-004-00:on 900217,lift Pressures for 6 of 10 Main Steam Safety Valves Found Outside Acceptance Criteria. Caused by Overly Restrictive Operability Criteria.Valves Recalibr & License Amend Submitted to NRC.W/900319 Ltr ML20012D0101990-03-19019 March 1990 LER 90-003-00:on 900216,determined That Auxiliary Feedwater Piping Outside Normal Stress Limits of ASME Code & Design Basis Specified in Updated Sar.Caused by Design Deficiency.Valve Operators Will Be inspected.W/900319 Ltr ML20012B6361990-03-0909 March 1990 LER 89-017-01:on 890624,internal Valve Component from Check Valve Found Lying on Pump Discharge Vane.Repair or Replacement of Valve Internals Could Not Be Accomplished within Time Requirement of Tech Spec.W/900309 Ltr ML20006E1041990-02-0909 February 1990 LER 90-001-00:on 900108,fire Barrier for Wall Between Auxiliary Bldg Rooms 26 & 34 Breached But Hourly Fire Watch Patrol Not Established.Caused by Lack of Sufficient Training for Shift Supervisors.Standing Order revised.W/900209 Ltr ML20011E2691990-02-0505 February 1990 LER 89-024-00:on 891221,determined That Containment Spray Pumps & Suction Header Piping Not Constructed for Use as Backup to LPSI Sys for Shutdown Cooling.Caused by Inadequate Review of Assumptions.Firewatch established.W/900205 Ltr ML20011E2271990-02-0101 February 1990 LER 89-021-00:on 891010,util Informed by C-E of Potential Nonconservative Setpoint in Reactor Protection Sys Thermal Margin/Low Pressure Trip Unit.Caused by Error in Incorporating Transient Setpoint analyses.W/900201 Ltr ML20005F7151990-01-10010 January 1990 LER 89-023-00:on 891211,hourly Firewatch Patrol Entered Posted High Radiation Area W/O Meeting Entry Requirements for Area.Briefings on High Radiation Entry Requirements Held for Personnel W/Assigned dosimetry.W/900110 Ltr ML19354D6381989-12-20020 December 1989 LER 89-022-00:on 890805,change to Surveillance Procedure ST-CEA-1 Became Effective Which Would Have Made Both Emergency Diesel Generators Simultaneously Inoperable During Portion of Test.Change removed.W/891220 Ltr ML19332E7431989-12-0808 December 1989 LER 88-037-01:on 881214,one of Two Supply Headers Supplying Fire Suppression Headers in Auxiliary Bldg Isolated.Caused by Lack of Procedural Guidance & Inadequate Procedural Controls.Standing Order G-58 Will Be revised.W/891208 Ltr ML19332E2681989-12-0101 December 1989 LER 89-016-02:on 890616,for Unknown Period Since 890614, Auxiliary Feedwater Pump FW-10 Operated Outside Design Basis for Certain Accident Conditions.Caused by Inoperable Speed Control Loop.Action Plan implemented.W/891201 Ltr ML19351A4541989-11-22022 November 1989 LER 89-020-00:on 891012,determined That Two of Four Component Cooling Water HXs Simultaneously Inoperable for More than 24 H.Caused by Inadequate Controls Re Return of Equipment to Svc.Standing Order revised.W/891122 Ltr ML19327B5481989-10-24024 October 1989 LER 89-019-00:on 890924,indication of High Temp for Reactor Coolant Pump RC-3A Upper Motor Thrust Bearing Received in Control Room.Caused by Damaged Cable for Bearing Resistive Temp Device.Damaged Cable replaced.W/891024 Ltr ML19325D2471989-10-13013 October 1989 LER 89-012-01:on 890502,main Feedwater Isolation Valve to Steam Generator a Found Inoperable Due to Improperly Set Torque Switch.Caused by Inadequate Program for Maint of Motor Operated Valves.Torque Switches reset.W/891013 Ltr ML20028C7711983-01-0606 January 1983 LER 82-020/03L-0:on 821207,during Main Steam Safety Valve Test,Four Main Steam Safety Valves Had Lift Setpoints Out of Tolerance.Caused by Normal Drift of Valves Over Operating Cycle.Valves Readjusted ML20028B5451982-10-28028 October 1982 LER 82-019/03L-0:on 821024,MSIVs HCV-1041A & HCV-1042A Stopped Three to Four Degrees Off Seat When Signaled to Close.Caused by Binding Between Valve Packing & Shaft. Packings Sprayed W/Penetrant Oil ML20052J0631982-04-27027 April 1982 LER 82-009/03L-0:on 820411,while Exchanging Component Cooling Water Heat Exchangers,Associated Outlet Valves HCV-490B,HCV-491B & HCV-492B Failed to Open.Cause Not stated.HCV-491B Reassembled & Tested ML20052B2361982-04-0707 April 1982 LER 82-006/03L-0:on 820323,during Surveillance Test ST-ISI- WD-1,F.1,valve HCV-506A Failed to Close Via Control Room Switch.Caused by Solenoid Valve Malfunction.Solenoid Valve Disassembled,Cleaned & Reassembled ML20052D9291982-04-0606 April 1982 LER 82-008/03L-0:on 820330,during Performance of ST-FW-1, F.2(b)(6)per Tech Spec 3.9,steam Driven Auxiliary Feedwater Pump Failed to Start.Caused by Back Pressure Trip Lever in Tripped Position.Lever Reset ML20041G1291982-02-22022 February 1982 LER 82-005/03L-0:on 820210,at 98% Power,Control Element 24 Inserted Into Core.Emergency Procedure EP-13,CEDM Malfunctions,Implemented & Power Stabilized at 88%.Caused by Erroneous Operating Instruction.Instruction Changed ML20041F7481982-02-17017 February 1982 LER 82-003/03L-0:on 820203,containment Isolation Valve Associated W/Gas Vent Header HCV-507A Failed to Close on Demand.Caused by Solenoid Valve Plunger Sticking in Energized Position.Plunger Freed ML20041F6251982-02-0505 February 1982 LER 82-004/03L-0:on 820203,small Quantity of Radioactive Gas/Particulate Released to Auxiliary Bldg During Routine Operation.Caused by Failure of Stack Gas Monitor RM-062 to Alarm at Appropriate Setpoint Due to Faulty Alarm Module ML20041B1051982-01-28028 January 1982 LER 82-002/03L-0:on 820114,at 99% Power,Lockout Relay 86B1, Containment Radiation High Signal,Failed to Actuate on Demand by Plant Radiation Monitoring Sys.Caused by Burnt Coil on Lockout Relay.Coil Replaced & Tested Satisfactorily ML20041B1171982-01-19019 January 1982 LER 82-001/03L-0:on 820111,during Normal Operation,Two Fire Barrier Penetrations Found Nonfunctional.Shift Supervisor Immediately Notified;However,Fire Watch Not Posted.Insp & Supervisor Personnel Instructed on Proper Actions ML20039B4561981-12-11011 December 1981 LER 81-011/03L-0:on 811113,containment Isolation Valves Opened & Ventilation Process Initiated W/Containment Air Monitor RM-050/051 Inoperable.Caused by Personnel Error. Valves Closed ML20010H8581981-08-27027 August 1981 LER 81-008/03L-0:on 810813,86B/CRHS (Containment Radiation High Signal) Lockout Relay Failed to Actuate When RM-062 Was Placed in Alarm,Resulting in Failure of 86B1/CRHS Relay to Actuate.Caused by Dirt in Relay Latching Mechanism ML20041F6291981-08-27027 August 1981 LER 81-008/03L-1:on 810813,containment Radiation High Signal 86B Lockout Relay Failed to Actuate When Radiation Monitor RM-062 Placed in Alarm.Caused by Bound Relay Latching Mechanism Due to Dirt & Grease.Latch Cleaned ML20010C2271981-07-0707 July 1981 LER 81-006/03L-0:on 810624,reactor Protection Sys Nuclear Power Recorder Channel B Trip Setpoints Determined to Be Nonconservative.Caused by Faulty Temp Change Power Calculation Due to Grounded Hot Leg Temp Loop ML20004B1111981-05-0606 May 1981 LER 81-005/03L-0:on 810423,dc Sequencer Timers AC-3A (Component Cooling Water Pump) & AC-102A (Raw Water Pump) Failed to Time Out within Prescribed Limit.Cause Unknown Mechanisms Satisfactorily Inspected 1993-07-30
[Table view] Category:RO)
MONTHYEARML20046C2121993-07-30030 July 1993 LER 93-004-01:on 930301,confirmed That Channel D Axial Shape Index (Asi) Being Calculated in Reverse Since 921031-930301 Due to Drawing Discrepancies Associated W/Control Channel B. Temporary Mod 92-078 & Standing Order 0-25 Revised ML20046A8691993-07-26026 July 1993 LER 93-011-00:on 930624,experienced Reactor Trip Due to Loss of Load.Caused by Lack of Proper Job Planning,Lack of Formal Decision Making Process & Incomplete Communications.Training Will Be Provided to Operations personnel.W/930726 Ltr ML20045H2561993-07-12012 July 1993 LER 93-010-00:on 930611,1 of 14 Halon Cylinders Did Not Meet Min Pressure Acceptance Criteria Listed in Semiannual Switchgear Rooms Surveillance Test.Caused by Failure of Test to Include Necessary Steps.Cylinder recharged.W/930712 Ltr ML20045D7201993-06-22022 June 1993 LER 93-009-00:on 930524,apparent Spurious Signal from Pressurizer Level Instrumentation Caused Backup Charging Pumps to Automatically Start,Due to Deterioration of Wiring. Instrument Loop Calibration Will Be performed.W/930622 Ltr ML20045D3741993-06-21021 June 1993 LER 93-008-00:on 930520,determined That TS SR Not Satisfied for Stack Flow Indicator,Per Amend 137 Issued on 910307. Caused by Lack of Attention to Detail.Calibr & Functional Test Procedures developed.W/930621 Ltr ML20044H5261993-06-0101 June 1993 LER 93-007-00:on 930430,unplanned Emergency Generator Start & Rt Signal Occurred.Caused by Inadequate Attention to Detail,Labeling of Fuse Drawers,Caution Signs & Training. Labeling & Caution Signs upgraded.W/930601 Ltr ML20044G4941993-05-26026 May 1993 LER 93-006-00:on 930118,Halon Fire Suppression Sys for Switchgear Rooms Disabled to Allow Repair/Replacement of Halon Sys Piping.On 930427,individual Responsible for Fire Watch Not Present.Individual Relieved of Responsibilities ML20044B6711993-02-22022 February 1993 LER 93-002-00:on 930122,determined That Current SG LP Signal Block Reset Values Greater than Allowed Ts.Caused by Improper Design.Test Procedures Will Be Revised by 930917 to Specify Desired Value for Block function.W/930222 Ltr ML20024G6821991-04-19019 April 1991 LER 91-007-00:on 910320,480 Volt Circuit Breaker Coordination Outside Design Basis.Caused by Deficiencies in Original Sys Design.Breaker/Fuse Coordination Study to Be Completed & Problems Will Be corrected.W/910419 Ltr ML20029C1591991-03-21021 March 1991 LER 91-004-00:on 910212,offsite Power Low Signal Outside Design Basis.Caused by Inadequate Mod Design at Time of Performance of Original Degraded Voltage Analysis. Engineering Analysis EA-FC-91-017 performed.W/910321 Ltr ML20029C1051991-03-18018 March 1991 LER 91-002-00:on 901209,ventilation Isolation Actuation Signal Generated by High Alarm on Process Radiation Monitor RM-062.Caused by Accumulation of Noncondensible Gases in Sample Piping.Valve Packing Leak repaired.W/910318 Ltr ML20029A2981991-02-0808 February 1991 LER 91-001-00:on 910109,determined That Containment Tendon Surveillances Performed in 1981 & 1985 Did Not Reflect Guidance in Tech Specs.Caused by Inadequate Administrative Controls.Testing Program Plan implemented.W/910208 Ltr ML20029A2971991-02-0606 February 1991 LER 90-022-02:on 900907,approx 460 Fire Barrier Penetration seals,60 Fire Dampers & 6 Fire Doors Declared Nonfunctional Per NRC Info Notice 88-004 Due to Lack of Documentation. Plant Outage Required to Implement Repairs/Replacements ML20028G9171990-09-28028 September 1990 LER 90-021-00:on 900829,inadvertent Reactor Protective Sys Actuation Occurred While Operator Changed Power Source. Caused by Operator Not Following Proper Procedures.Operator counseled.W/900928 Ltr ML20044B0131990-07-12012 July 1990 LER 90-018-00:on 900612,reactor Protective Sys (RPS) Trip Units for Axial Power Distribution Determined to Be Inoperable.Caused by Procedural Deficiencies.Procedure Revised & RPS Surveillance Tests reviewed.W/900712 Ltr ML20043F6301990-06-11011 June 1990 LER 90-016-00:on 900511,accident Scenarios Identified by Which Auxiliary Feedwater Piping from Discharge of Turbine Driven Auxiliary Feedwater Pump FW-10 Can Be Overpressurized.Caused by Design deficiency.W/900611 Ltr ML20043F2441990-06-0707 June 1990 LER 90-015-00:on 900507,PORV Variable Setpoints Used for Low Pressure Overpressure Protection Determined to Be Nonconservative for PORV Opening Time.Caused by Design Deficiency.Tech Spec Amend prepared.W/900607 Ltr ML20043C0991990-05-29029 May 1990 LER 90-014-00:on 900427,investigation Revealed That Component Cooling Water Piping to Reactor Coolant Pump Seal Coolers Could Be Targets of High Energy Line Break.Safety Analysis for Operability completed.W/900529 Ltr ML20042G7211990-05-10010 May 1990 LER 90-011-00:on 900402,inadvertent Actuation of Pressurizer Pressure Low Signal Occurred While Performing Calibr Procedure.Caused by Inappropriate Action by Technician Involved.Validation of Procedures reviewed.W/900510 Ltr ML20042E6871990-04-23023 April 1990 LER 90-007-01:on 900228,determined That Several Supports Would Be Overloaded During Seismic Event on Nonsafety Related & safety-related Main Steam Piping.Caused by Design Deficiency.Piping Supports modified.W/900423 Ltr ML20042E6861990-04-23023 April 1990 LER 90-009-00:on 900316,potential Overpressurization of Auxiliary Feedwater Piping Could Have Occurred During Thermal Expansion of Process Fluid Between Closed Valved. Caused by Design deficiencies.W/900423 Ltr ML20012E7641990-03-26026 March 1990 LER 90-005-00:on 900223,determined That Spent Fuel Pool Area Charcoal Filtration Unit VA-66 Was Outside Design Basis. Caused by Insufficient Airflow Into Unit.Affected Updated SAR Analysis Will Be updated.W/900326 Ltr ML20012D0121990-03-19019 March 1990 LER 90-004-00:on 900217,lift Pressures for 6 of 10 Main Steam Safety Valves Found Outside Acceptance Criteria. Caused by Overly Restrictive Operability Criteria.Valves Recalibr & License Amend Submitted to NRC.W/900319 Ltr ML20012D0101990-03-19019 March 1990 LER 90-003-00:on 900216,determined That Auxiliary Feedwater Piping Outside Normal Stress Limits of ASME Code & Design Basis Specified in Updated Sar.Caused by Design Deficiency.Valve Operators Will Be inspected.W/900319 Ltr ML20012B6361990-03-0909 March 1990 LER 89-017-01:on 890624,internal Valve Component from Check Valve Found Lying on Pump Discharge Vane.Repair or Replacement of Valve Internals Could Not Be Accomplished within Time Requirement of Tech Spec.W/900309 Ltr ML20006E1041990-02-0909 February 1990 LER 90-001-00:on 900108,fire Barrier for Wall Between Auxiliary Bldg Rooms 26 & 34 Breached But Hourly Fire Watch Patrol Not Established.Caused by Lack of Sufficient Training for Shift Supervisors.Standing Order revised.W/900209 Ltr ML20011E2691990-02-0505 February 1990 LER 89-024-00:on 891221,determined That Containment Spray Pumps & Suction Header Piping Not Constructed for Use as Backup to LPSI Sys for Shutdown Cooling.Caused by Inadequate Review of Assumptions.Firewatch established.W/900205 Ltr ML20011E2271990-02-0101 February 1990 LER 89-021-00:on 891010,util Informed by C-E of Potential Nonconservative Setpoint in Reactor Protection Sys Thermal Margin/Low Pressure Trip Unit.Caused by Error in Incorporating Transient Setpoint analyses.W/900201 Ltr ML20005F7151990-01-10010 January 1990 LER 89-023-00:on 891211,hourly Firewatch Patrol Entered Posted High Radiation Area W/O Meeting Entry Requirements for Area.Briefings on High Radiation Entry Requirements Held for Personnel W/Assigned dosimetry.W/900110 Ltr ML19354D6381989-12-20020 December 1989 LER 89-022-00:on 890805,change to Surveillance Procedure ST-CEA-1 Became Effective Which Would Have Made Both Emergency Diesel Generators Simultaneously Inoperable During Portion of Test.Change removed.W/891220 Ltr ML19332E7431989-12-0808 December 1989 LER 88-037-01:on 881214,one of Two Supply Headers Supplying Fire Suppression Headers in Auxiliary Bldg Isolated.Caused by Lack of Procedural Guidance & Inadequate Procedural Controls.Standing Order G-58 Will Be revised.W/891208 Ltr ML19332E2681989-12-0101 December 1989 LER 89-016-02:on 890616,for Unknown Period Since 890614, Auxiliary Feedwater Pump FW-10 Operated Outside Design Basis for Certain Accident Conditions.Caused by Inoperable Speed Control Loop.Action Plan implemented.W/891201 Ltr ML19351A4541989-11-22022 November 1989 LER 89-020-00:on 891012,determined That Two of Four Component Cooling Water HXs Simultaneously Inoperable for More than 24 H.Caused by Inadequate Controls Re Return of Equipment to Svc.Standing Order revised.W/891122 Ltr ML19327B5481989-10-24024 October 1989 LER 89-019-00:on 890924,indication of High Temp for Reactor Coolant Pump RC-3A Upper Motor Thrust Bearing Received in Control Room.Caused by Damaged Cable for Bearing Resistive Temp Device.Damaged Cable replaced.W/891024 Ltr ML19325D2471989-10-13013 October 1989 LER 89-012-01:on 890502,main Feedwater Isolation Valve to Steam Generator a Found Inoperable Due to Improperly Set Torque Switch.Caused by Inadequate Program for Maint of Motor Operated Valves.Torque Switches reset.W/891013 Ltr ML20028C7711983-01-0606 January 1983 LER 82-020/03L-0:on 821207,during Main Steam Safety Valve Test,Four Main Steam Safety Valves Had Lift Setpoints Out of Tolerance.Caused by Normal Drift of Valves Over Operating Cycle.Valves Readjusted ML20028B5451982-10-28028 October 1982 LER 82-019/03L-0:on 821024,MSIVs HCV-1041A & HCV-1042A Stopped Three to Four Degrees Off Seat When Signaled to Close.Caused by Binding Between Valve Packing & Shaft. Packings Sprayed W/Penetrant Oil ML20052J0631982-04-27027 April 1982 LER 82-009/03L-0:on 820411,while Exchanging Component Cooling Water Heat Exchangers,Associated Outlet Valves HCV-490B,HCV-491B & HCV-492B Failed to Open.Cause Not stated.HCV-491B Reassembled & Tested ML20052B2361982-04-0707 April 1982 LER 82-006/03L-0:on 820323,during Surveillance Test ST-ISI- WD-1,F.1,valve HCV-506A Failed to Close Via Control Room Switch.Caused by Solenoid Valve Malfunction.Solenoid Valve Disassembled,Cleaned & Reassembled ML20052D9291982-04-0606 April 1982 LER 82-008/03L-0:on 820330,during Performance of ST-FW-1, F.2(b)(6)per Tech Spec 3.9,steam Driven Auxiliary Feedwater Pump Failed to Start.Caused by Back Pressure Trip Lever in Tripped Position.Lever Reset ML20041G1291982-02-22022 February 1982 LER 82-005/03L-0:on 820210,at 98% Power,Control Element 24 Inserted Into Core.Emergency Procedure EP-13,CEDM Malfunctions,Implemented & Power Stabilized at 88%.Caused by Erroneous Operating Instruction.Instruction Changed ML20041F7481982-02-17017 February 1982 LER 82-003/03L-0:on 820203,containment Isolation Valve Associated W/Gas Vent Header HCV-507A Failed to Close on Demand.Caused by Solenoid Valve Plunger Sticking in Energized Position.Plunger Freed ML20041F6251982-02-0505 February 1982 LER 82-004/03L-0:on 820203,small Quantity of Radioactive Gas/Particulate Released to Auxiliary Bldg During Routine Operation.Caused by Failure of Stack Gas Monitor RM-062 to Alarm at Appropriate Setpoint Due to Faulty Alarm Module ML20041B1051982-01-28028 January 1982 LER 82-002/03L-0:on 820114,at 99% Power,Lockout Relay 86B1, Containment Radiation High Signal,Failed to Actuate on Demand by Plant Radiation Monitoring Sys.Caused by Burnt Coil on Lockout Relay.Coil Replaced & Tested Satisfactorily ML20041B1171982-01-19019 January 1982 LER 82-001/03L-0:on 820111,during Normal Operation,Two Fire Barrier Penetrations Found Nonfunctional.Shift Supervisor Immediately Notified;However,Fire Watch Not Posted.Insp & Supervisor Personnel Instructed on Proper Actions ML20039B4561981-12-11011 December 1981 LER 81-011/03L-0:on 811113,containment Isolation Valves Opened & Ventilation Process Initiated W/Containment Air Monitor RM-050/051 Inoperable.Caused by Personnel Error. Valves Closed ML20010H8581981-08-27027 August 1981 LER 81-008/03L-0:on 810813,86B/CRHS (Containment Radiation High Signal) Lockout Relay Failed to Actuate When RM-062 Was Placed in Alarm,Resulting in Failure of 86B1/CRHS Relay to Actuate.Caused by Dirt in Relay Latching Mechanism ML20041F6291981-08-27027 August 1981 LER 81-008/03L-1:on 810813,containment Radiation High Signal 86B Lockout Relay Failed to Actuate When Radiation Monitor RM-062 Placed in Alarm.Caused by Bound Relay Latching Mechanism Due to Dirt & Grease.Latch Cleaned ML20010C2271981-07-0707 July 1981 LER 81-006/03L-0:on 810624,reactor Protection Sys Nuclear Power Recorder Channel B Trip Setpoints Determined to Be Nonconservative.Caused by Faulty Temp Change Power Calculation Due to Grounded Hot Leg Temp Loop ML20004B1111981-05-0606 May 1981 LER 81-005/03L-0:on 810423,dc Sequencer Timers AC-3A (Component Cooling Water Pump) & AC-102A (Raw Water Pump) Failed to Time Out within Prescribed Limit.Cause Unknown Mechanisms Satisfactorily Inspected 1993-07-30
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217B5401999-10-0606 October 1999 Safety Evaluation Supporting Amend 193 to License DPR-40 ML20217A9931999-09-30030 September 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data LIC-99-0096, Monthly Operating Rept for Sept 1999 for Fcs,Unit 1.With1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Fcs,Unit 1.With ML20211J9321999-09-0202 September 1999 Safety Evaluation Concluding That Licensee Proposed Alternatives Provide Acceptable Level of Quality & Safety. Proposed Alternatives Authorized for Remainder of Third ten- Yr ISI Interval for Fort Calhoun Station,Unit 1 LIC-99-0084, Monthly Operating Rept for Aug 1999 for Fort Calhoun Station.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Fort Calhoun Station.With ML20216E6431999-08-26026 August 1999 Rev 19 to TDB-VI, COLR for FCS Unit 1 ML20210R1961999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Fcs,Unit 1 ML20210G2181999-07-27027 July 1999 Safety Evaluation Supporting Amend 192 to License DPR-40 ML20210D9951999-07-22022 July 1999 Safety Evaluation Supporting Amend 191 to License DPR-40 ML20216E6361999-07-21021 July 1999 Rev 18 to TDB-VI, COLR for FCS Unit 1 ML20210R2081999-06-30030 June 1999 Revised Monthly Operating Rept for June 1999 for Fcs,Unit 1 LIC-99-0065, Monthly Operating Rept for June 1999 for Fort Calhoun Station,Unit 1.With1999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Fort Calhoun Station,Unit 1.With ML20196H8621999-06-30030 June 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data, June 1999 Rept ML20210P5461999-06-0808 June 1999 Rev 0,Vols 1-5 of Fort Calhoun Station 1999 Emergency Preparedness Exercise Manual, to Be Conducted on 990810. Pages 2-20 & 2-40 in Vol 2 & Page 4-1 in Vol 4 of Incoming Submittal Not Included ML20195B4581999-05-31031 May 1999 Rev 3 to CE NPSD-683, Development of RCS Pressure & Temp Limits Rept for Removal of P-T Limits & LTOP Requirements from Ts ML20207H7401999-05-31031 May 1999 Performance Indicators Rept for May 1999 LIC-99-0053, Monthly Operating Rept for May 1999 for Fort Calhoun Station,Unit 11999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Fort Calhoun Station,Unit 1 ML20195B4521999-05-17017 May 1999 Technical Data Book TDB-IX, RCS Pressure - Temp Limits Rept (Ptlr) ML20206L4241999-05-10010 May 1999 Safety Evaluation Supporting Corrective Actions to Ensure That Valves Are Capable of Performing Intended Safety Functions & OPPD Adequately Addressed Requested Actions Discussed in GL 95-07 ML20206M2601999-05-0606 May 1999 SER Concluding That Licensee IPEEE Complete Re Info Requested by Suppl 4 to GL 88-20 & IPEEE Results Reasonable Given FCS Design,Operation & History LIC-99-0047, Monthly Operating Rept for Apr 1999 for Fort Calhoun Station Unit 1.With1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Fort Calhoun Station Unit 1.With ML20195E8621999-04-30030 April 1999 Performance Indicators, for Apr 1999 ML20205Q5831999-04-15015 April 1999 Safety Evaluation Supporting Amend 190 to License DPR-40 ML20210J4331999-03-31031 March 1999 Changes,Tests, & Experiments Carried Out Without Prior Commission Approval for Period 981101-990331.With USAR Changes Other than Those Resulting from 10CFR50.59 ML20206G2641999-03-31031 March 1999 Performance Indicators Rept for Mar 1999 LIC-99-0034, Monthly Operating Rept for Mar 1999 for Fcs,Unit 1.With1999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Fcs,Unit 1.With ML20205J8181999-02-28028 February 1999 Performance Indicators, for Feb 1999 LIC-99-0025, Monthly Operating Rept for Feb 1999 for Fort Calhoun Station,Unit 1.With1999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Fort Calhoun Station,Unit 1.With ML20207F3291999-01-31031 January 1999 FCS Performance Indicators for Jan 1999 ML20203B0991998-12-31031 December 1998 Performance Indicators for Dec 1998 LIC-99-0026, 1998 Omaha Public Power District Annual Rept. with1998-12-31031 December 1998 1998 Omaha Public Power District Annual Rept. with LIC-99-0003, Monthly Operating Rept for Dec 1998 for Fort Calhoun Station.With1998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Fort Calhoun Station.With ML20198S3771998-12-31031 December 1998 Safety Evaluation Supporting Amend 189 to License DPR-40 ML20198S4831998-12-31031 December 1998 Safety Evaluation Supporting Amend 188 to License DPR-40 ML20196G2251998-12-18018 December 1998 Rev 2 to EA-FC-90-082, Potential Over-Pressurization of Containment Penetration Piping Following Main Steam Line Break in Containment ML20198M3141998-11-30030 November 1998 Performance Indicators Rept for Nov 1998 LIC-98-0172, Monthly Operating Rept for Nov 1998 for Fort Calhoun Station,Unit 1.With1998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Fort Calhoun Station,Unit 1.With LIC-98-0160, Special Rept:On 981113,MSL RM RM-064 Was Declared Inoperable Due to Leakage Past Isolation Valve HCV-922.Troubleshooting Has Indicated That Leakage Has Stopped & Cause of Leak Continues to Be Investigated1998-11-25025 November 1998 Special Rept:On 981113,MSL RM RM-064 Was Declared Inoperable Due to Leakage Past Isolation Valve HCV-922.Troubleshooting Has Indicated That Leakage Has Stopped & Cause of Leak Continues to Be Investigated ML20203B0721998-11-16016 November 1998 Rev 6 to HI-92828, Licensing Rept for Spent Fuel Storage Capacity Expansion ML20196E4981998-10-31031 October 1998 Performance Indicators Rept for Oct 1998 ML20196G2441998-10-31031 October 1998 Changes,Tests & Experiments Carried Out Without Prior Commission Approval. with USAR Changes Other than Those Resulting from 10CFR50.59 LIC-98-0154, Monthly Operating Rept for Oct 1998 for Fort Calhoun Station,Unit 1.With1998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Fort Calhoun Station,Unit 1.With ML20154M4881998-10-19019 October 1998 Safety Evaluation Supporting Amend 186 to License DPR-40 ML20154N2411998-10-19019 October 1998 Safety Evaluation Supporting Amend 187 to License DPR-40 LIC-98-0136, Monthly Operating Rept for Sept 1998 for Fort Calhoun Station,Unit 1.With1998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Fort Calhoun Station,Unit 1.With ML20155G4261998-09-30030 September 1998 Performance Indicators for Sept 1998 ML20154A1251998-08-31031 August 1998 Performance Indicators, Rept for Aug 1998 LIC-98-0122, Monthly Operating Rept for Aug 1998 for Fort Calhoun Station Unit 1.With1998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Fort Calhoun Station Unit 1.With ML20238F7231998-08-17017 August 1998 Owner'S Rept for Isis 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 1999-09-30
[Table view] |
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Omaha Public Power District
, 444 South 16th Street Mall Omaha, Nebraska 68102-2247 4 <
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' July 12,-1990, LIC-90-0560
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U. S. Nuclear Regulatory Commission Attn: Document Control Desk Mail Station P1-137
, Washington, DC-20555
Reference:
Docket No. 50-285 Gentlemen ,
Subject:
Licensee Event Report 90-18 for the Fort Calhoun Station W :Please find atta:hed Licensee Event Report 90-18 dated July 12, 1990.
=This. report is:being submitted pursuant to requirements of 10 CFR 50.73(a)(2)(v).-
If you'should have any questions, please contact me.
. Sincerely,.
Al - 5.&
W.'G. Gates:
Division Manager Nuclear Operations WGG/ tem Attachment-c: : R. D. Martin, NRC Regional Administrator A. Bournia, NRC Project Manager P. H. Harrell, NRC Senior Resident Inspector.
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On May M.1990 et 1240 hours0.0144 days <br />0.344 hours <br />0.00205 weeks <br />4.7182e-4 months <br />, the Channel "C" Reactor Protective System (RPS) trip units for Axial Power Distribution (APD) and Thermal Margin / Low Pressure '
l= (TM/LP)weredeterminedtobeinoperable. The inoperability resulted from procedural deficiencies for channel calibration in surveillance test RE-ST-NI-0001. Channel "C" was subsequently correctly calibrated and returned ,
L to operability. Further evaluation of this event on June 12, 1990, determined ;
that the procedural deficiencies could have led to ino)erability of the APD and TM/LP trip functions for all four RPS channels, even t1ough only the "C" channel operability was.actually affected. This event is therefore reportable l pursuantto10CFR50.73(a)(2)(v). l Corrective actions include revising the procedure to eliminate the ! i deficiencies, reviewing other RPS surveillance tests to ensure similar i deficiencies do not exist, and implementing any relevant improvements in the l l procedure upgrade program. l
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01 0 0l 2 JF Ql4 text ru . - e r ,asenn Periodic checks are performed at Fort Calhoun Station when the plant is in Mode 1 to ensure that the excore Nuclear Instrumentation (NI), which supplies inputs to the Reactor Protective System (RPS), is properly calibrated to provide accur. ate indication of power level and axial )ower shape. Each of four safety-channels of NI consists of upper and lower su) channels which are used to calculate an Axial Sha)e Index (ASI). This ASI value is used as an input to theAxialPowerDistri)ution(APD)tripunitandtheThermalMargin/ Low Pressure (TM/LP) calculator. ASI can also be determined by using incore instrumentation in conjunction with Combustion Engineering's CECOR computer code. This computer generated value has been shown to be more accurate than the excore value and more reflective of actual power distribution.
The periodic checks referenced above are accomplished by the monthly performance of surveillance test RE-ST-NI-0001. This procedure compares ASI as calculated from the excore NI's with the ASI determined by the CECOR code.
Also, the various subchannel powers of NI's are compared to an average to determine if any'particular subchannel deviates excessively. If the CECOR and excore detector calculated ASI values differ from each other by more than 0.01 ASI units or if any subchannel power differs from the average by more than 0.5%, calibration of the subchannels is required. The same criteria are used-as acceptance criteria once that calibration has been completed. Procedure RE-ST-NI-0001 was recently rewritten under a major upgra'de effort to improve the cuality of Fort Calhoun Station procedures, especially from a human factors stanc point.
On May 30. 1990, with the plant at approximately 30%-power, RE-ST-NI-0001 was performrd "or the first time since it had been rewritten. After Instrument and Control O&C) Technicians had completed the calibration portion of the procedure, the Shift Technical Advisor (STA) completed a post calibration test reccrd and discovered that the CECOR ASI and the excore ASI did not meet the acceptance criteria for the test, although they were considerably closer to being in agreement than they were prior to calibration. (Excore ASI is'a computer calculated value which uses all four channels of the RPS. The fact that the acceptance criteria is not met does not necessarily mean that operability of the RPS is in question. It simply indicates that the individual c.Sannels should be checked for problems.)
The following morning, the Reactor Engineer was reviewing the results of the test and noticed the out of tolerance values. He also noticed that "C" RPS channel indicated an ASI value which deviated from the other RPS channels and the CECOR value'by approximately 0.04 ASI units, a condition whic" was abnormal after calibration.
The Reactor Engineer contacted the RPS System Engineer who immediately began to search for a reason for the abnormality. The System Engineer determined within a few hours that the reason that "C" channel differed from the other channels was that a sign error had been introduced into the equations for calculating l the voltage of the upper subchannels. This error was introduced during the i procedure upgrade process and did not exist in the old revision of the l procedure which was used in previous performances of the test.
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0 j0 q3 or 0 l4 rixt in . - , u,,c ,-., nn Further investigation revealed that "A", "B" and "0" RPS channels were calibrated by an experienced Senior I&C Technician while'"C" channel was calibrated by e less experienced Technician who was not intimately familiar with the equations. The Senior Technician had performed the calibration many times using the old revision of the procedure and was so familiar with the proper equation.that he did not notice the error in the new revision. The less experienced Technician had relied on the new procedure and had therefore used the incorrect equation. The result was that "C" upper subchannel was calibrated incorrectly.
It should be noted that the summed value of the upper and lower subchannels is used for NI power indication. This signal is adjusted separately to agree with the secondary calorimetric and was not affected by the error in the-subchannel calibration.
The effect of the sign error in the calibration equation was to create a difference between "C" channel ASI and CECOR ASI of approximately 0.04 ASI units. When the error was discovered, the Reactor Engineer contacted the Supervisor - Reactor Performance Analysis to determine operability.of "C" channel. It was concluded that it would be conservative to declare the channel inoperable because of the effect on the APD and TM/LP trips, make a procedure change to correct the sign error, and recalibrate."C" upper subchannel. At 1240 on May 31, 1990, "C" RPS channel was logged as inoperable for the APD and TM/LP trip functions in accordance with Technical Specification 2.15.
Recalibration was performed the same afternoon and the LC0 was cleared at 1440 on May 31, 1990.
At no time during'this event was more than one channel of-the RPS inoperable.
-However, it is possible to envision a scenario in which all four channels of the RPS could have been adversely affected for the APD and TM/LP trips. That is, if the erroneous equation had been used to calibrate all four NI channels, all the resultant ASI values would have been erroneous. This postulated situation would have been detected by the post-calibration operability check, but not before all four channels were affected. Thus, the error in the procedure resulted in a condition reportable pursuant to 10CFR50.73(a)(2)(v).
This was determined on June 12, 1990 during further evaluation of the "C" channel inoperability.
If the scenario in which all four channels were inoperable had occurred, Technical Specifications would have required that the plant be in hot shutdown within 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />. Inoperability of all four APD and TM/LP trip channels would put the plant outside its design basis as specified in the setpoint analysis.
A reactor trip could be delayed causing a potential violation of the Specified Acceptable Fuel Design Limit.
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010 0l4 0F 0 l4 rixT ~ . --c ,-., im There was little actual safety significance since only one channel was made inoperable, and the requirements of the Technical Specification Limiting Condition for Operation were followed as soon as that one channel was determined to be inoperable. The total time during which ope.wbility was affected was less than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. This is less than the allowabic time for a single channel to be inoperable. Also, the amount by which the ASt value was in error for "C" channel was only slightly outside the margin assumeo in the setpoint analysis.
A root cause investigation for this event was performed. The root cause was
-determined to be a-procedure deficiency which permitted all four channels of the RPS to be calibrated without verifying that each channel was acceptable
- before proceeding to the next. A contributing cause was the sign error in the
-calibration equation introduced during +he procedure upgrade.
The following corrective actions will prevent this event from occurring in the future:
- 1. A procedure change to correct the sign error in the calibration.
equation was incorporated into RE-ST-NI-0001.
- 2. A review of applicable RPS surveillance tests has been performed to determine if_any other procedures would permit calibration of RPS channels without checking the operability of previously-calibrated.
channels. No other RPS surveillance. tests have been identified with this deficiency.
- 3. RE-ST-NI-0001 will be revised to require a check for operability for each channel before calibrating the next channel. .The revision will also include a requirement to notify the Reactor Engineer immediately when acceptance criteria are-not met. This change will be.
incorporated by July 31, 1990.
- 4. The procedure upgrade program, including the verification and validation process, will be reviewed and revised, if necessary, to include specific guidance aimed at ensuring the accuracy of equations transferred from previous documents or references. These actions will be completed by August 14, 1990.
This is the first event in which a part of the Reactor Protective System has become inoperable as a result of procedural deficiencies.
- NRC Perm Je6A (6491