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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20029E2071994-05-0909 May 1994 LER 94-004-00:on 940416,discovered That Surveillance Frequency for Sp 34SV-SUV-008-1S Not Correct for Seven Primary Containment Vent & Purge Valves Due to Personnel Error.Surveillance Brought Up to date.W/940509 Ltr ML20029C8681994-04-25025 April 1994 LER 94-003-00:on 940329,automatic Reactor Shutdown Occurred Due to Trip of Main Turbine.Caused by Loss of Main Generator Field Excitation.Damaged Main Generator Exciter Rotor replaced.W/940425 Ltr ML20029C6981994-04-19019 April 1994 LER 94-002-00:on 940325,personnel Error Resulted in ESF Actuations.Personnel Counseled & Trained & EDG Control Circuit Wire repaired.W/940419 Ltr ML20046D5941993-08-18018 August 1993 LER 93-006-00:on 930721,determined That Valves Could Not Be Closed by Use of Normal Motive Power Due to Inadequate Procedural Controls Resulting in Valve Actuators Being Set Up Improperly.Isolated Affected penetration.W/930818 Ltr ML20045H7441993-07-0909 July 1993 LER 93-012-00:on 930615,automatic Reactor Scram & Isolation of Inboard Group 2 PCIS Valves Occurred.Caused by Loose Packing Nut on Instrument Isolation Valve.Valve Repaired & Similar Installations on Units checked.W/930709 Ltr ML20045B0371993-06-10010 June 1993 LER 93-009-00:on 930514,scram Occurred When Mode Switch Moved to Run Position Due to Blown Fuses in Rps.Procedures 52PM-B21-005-1S,52PM-B21-005-2S & 52GM-MEL-007-0S Revised. W/930610 Ltr ML20045B0401993-06-10010 June 1993 LER 93-010-00:on 930514,unplanned ESF Actuation Occurred Due to Less That Adequate Procedures.Procedures 34SV-B21-001-1S & 34SV-B21-001-2S, MSIV Closure Instrument Functional Test revised.W/930610 Ltr ML20045B0761993-06-10010 June 1993 LER 93-011-00:on 930521,partial Group 1 Primary Containment Isolation Sys Actuation Occurred Due to Component Failure. MSLRM Returned to Svc,Failed electro-pneumatic Control Valve in MSIVs replaced.W/930610 Ltr ML20045B7111993-06-10010 June 1993 LER 93-005-00:on 930521,unplanned Insertion of Manual Scram Initiated Due to Personnel Error.Personnel Involved Temporarily Removed from License Duties & Being Subjected to Formal discipline.W/930610 Ltr ML20045A2121993-06-0303 June 1993 LER 93-008-00:on 930505,determined That B Train of SBGT Sys Had Been Inoperable.Caused by Procedure Error.C/As Included Bringing Missed Surveillances Up to Date,Revising Procedures & Counselling personnel.W/930603 Ltr ML20044F6021993-05-21021 May 1993 LER 93-007-01:on 930504,unplanned ESF Actuations Occurred. Caused by Inappropriate Jumper Placement by Plant Engineer. Personnel Performing LSFTs Made Aware of Event & Instructed Not to Install Jumpers on Relay Contact arms.W/930521 Ltr ML20044F5851993-05-18018 May 1993 LER 93-004-00:on 930419,isolation Valve Unexpectedly Closed While Trip Unit Was Tested.Cause for Valve Closing Undetermined.Logic of Trip Unit Correctly Configured to Prevent Closing.No Corrective Actions taken.W/930518 Ltr ML20044D5931993-05-15015 May 1993 LER 93-005-00:on 930414,fuse 1D11-A-f14B Blew,Resulting in Initiation of Train B of Both Standby Treatment Sys Units & Isolation of Damper B of Both Secondary Containments.Blown Fuse & Several Relays in Logic Replaced ML20044D4881993-05-14014 May 1993 LER 93-004-00:on 930414,unplanned ESF Sys Actuation Occurred When LPCI Valve Automatically Reclosed.Caused by Inadvertent Grounding of Logic Circuit,Resulting in Blown Fuse.Fuse Replaced & Operating Order Issued ML20044D1111993-05-10010 May 1993 LER 93-003-00:on 930412,determined That Monthly Operability Test for DG 1B Not Performed During Required Performance Window on 930328.Caused by Personnel Error.Surveillance Coordinator Aware of causes.W/930510 Ltr ML20044C9891993-05-0303 May 1993 LER 93-003-00:on 930407,scram Time Testing on All Control Rods Not Completed Prior to Exceeding 40% Rated Thermal Power.Caused by Personnel Error.Personnel Counseled & Procedures Will Be revised.W/930503 Ltr ML20024G6961991-04-25025 April 1991 LER 91-007-00:on 910326,unknown Inadequacy in Jumper Connection Results in Scram During Surveillance in Cold Shutdown.Cause Unknown.Functional Test Completed & Surveillance Procedure revised.W/910422 Ltr ML20024G7401991-04-24024 April 1991 LER 91-008-00:on 910327,main Steam Isolation Valve Local Leak Rate Test Failed Due to Normal Equipment Wear Resulting in Degradation of Valve Seating Surfaces.Valves Repaired & retested.W/910424 Ltr ML20029B0691991-03-0505 March 1991 LER 91-002-00:on 910203,partial Outboard Group 2 Primary Containment Isolation Sys Isolation Signal Resulted in Closure of Containment Isolation Valves.Caused by Failed Relay Coil.Coil replaced.W/910301 Ltr ML20029B0621991-02-26026 February 1991 LER 91-001-00:on 910129,determined That Setpoints for Condensate Storage Tank Level Switches Not Set to Initiate Required Transfer When 10,000 Gallons Water Available.Caused by Inadequate Documentation.Setpoints raised.W/910226 Ltr ML20028H8431991-01-27027 January 1991 LER 90-024-00:on 901228,pretreatment Monitoring Station Offgas Samples Not Collected & Analyzed within 4 H of Increased Fission Gas Release.Caused by Misinterpretation of Tech Specs.Personnel instructed.W/910125 Ltr ML20044A6411990-06-22022 June 1990 LER 90-011-00:on 900601,full Reactor Protection Sys Actuation Occurred When Mode Switch Moved to Run Position, Resulting in Scram Signal on MSIVs Less than 90% Open.Caused by Personnel Error.Individual counseled.W/900622 Ltr ML20043G7111990-06-15015 June 1990 LER 90-004-00:on 900521,personnel Error & FSAR Deviation Occurred & Resulted in Tech Spec Violation.Procedure 62CI-OCB-031-OS Incorrectly Directed Personnel to Periodically Open Airlock Doors.Memo issued.W/900615 Ltr ML20043G7141990-06-15015 June 1990 LER 90-009-00:on 900522,determined That Requirements of Tech Spec 3.14.2,Actions 105 & 107 Not Met.Caused by Inadequate Procedure.Normal Range Monitoring Sys Restored to Operable Status & Procedure 64CH-SAM-005-OS revised.W/900615 Ltr ML20043G7581990-06-0808 June 1990 LER 90-001-01:on 900112,component Failure & Inadequate Design Caused Group I Isolation & Scram W/Main Steamline Isolation Valves Less than 90% Open.Root Isolation Valves Replaced W/New Type of valve.W/900608 Ltr ML20043C7281990-05-31031 May 1990 LER 90-008-00:on 900505,determined That Reactor Vessel Head Vent Valves 1B21-F004 & 1B21-F005 Closed Contrary to Tech Spec 3.7.C.2.a(2) Requirements.Caused by Cognitive Personnel Error.Reactor Vessel Head Vent Valves reopened.W/900531 Ltr ML20043A5091990-05-14014 May 1990 LER 90-006-00:on 900418,discovered That Wiring Error Existed in Junction Box Leading to Strip Recorder That Resulted in Inadequate Tech Spec Surveillance.Caused by Personnel Error. Wiring Error Corrected & Personnel counseled.W/900514 Ltr ML20043A5131990-05-14014 May 1990 LER 90-007-00:on 900419,determined That Errors in Calculations for Measuring Feedwater Flow Resulted in Nonconservative Calibr of Flow Transmitters.Caused by Error in Design Calculation.Transmitters recalibr.W/900514 Ltr ML20042E6851990-04-27027 April 1990 LER 90-003-00:on 900328,reactor Scram & Group II Containment Isolation Occurred.Caused by Inadequate Procedure.Procedure Will Be Changed to Require Instruments to Be Pressurized to Process Pressure Before Valved Into svc.W/900423 Ltr ML20042E6841990-04-27027 April 1990 LER 90-005-00:on 900329,safety Relief Valves Experienced Setpoint Drift in Excess of Tolerance.Caused by corrosion- Induced Bonding of Surface Between Pilot Valve Disc & Seat. Valves refurbished.W/900424 Ltr ML20012D8861990-03-19019 March 1990 LER 99-004-00:on 900219,trip Setpoint for Isolation of Liquid Radwaste Effluent Line on Low Dilution Flow Not Set Correctly.Caused by Inadequate Procedure.Procedure Revised temporarily.W/900319 Ltr ML20012C2891990-03-12012 March 1990 LER 90-003-00:on 900212,determined That Surveillance Procedures for Monthly Functional Testing of Drywell High Pressure Instrumentation Logic Channels Less than Adequate. Caused by Personnel Error.Procedures revised.W/900312 Ltr ML20011F4291990-02-26026 February 1990 LER 90-002-00:on 900131,discovered That Functional Test of Turbine Stop Valve Position Limit Switches Not Performed. Caused by Personnel Error When Writing Recent Rev.Rev to Procedure 34SV-C71-001-1S/2S written.W/900226 Ltr ML20006E2891990-02-0707 February 1990 LER 90-001-00:on 900112,reactor Scrammed Because MSIVs Were Less than 90% Open.Caused by Component Failure & Configuration of Condenser Vacuum Sensing Lines & Instruments.Valves replaced.W/900207 Ltr ML20006E0111990-02-0606 February 1990 LER 90-002-00:on 900114,RWCU Experienced High Differential Flow,Indicating Possibility of Leak in Sys.Caused by Component Failure & Less than Adequate Mounting for Relay. Relay Replaced W/Time Delay relay.W/900206 Ltr ML20006A8881990-01-22022 January 1990 LER 90-001-00:on 900104,HPCI Pump Declared Inoperable Due to Rated Flow Not Maintained During Surveillance Testing. Caused by Component Failure.Defective Resistor Replaced & Procedure 34SV-E41-002-1S performed.W/900122 Ltr ML20005E6541990-01-0202 January 1990 LER 89-010-00:on 891204,determined That Plant Was Not Fully Meeting Surveillance Requirements of Tech Spec Table 4.3.6.4-1,item 10.b.Caused by Inadequate Procedure.Recorder Calibr Steps to Be Removed from procedure.W/900102 Ltr ML20005E1851989-12-27027 December 1989 LER 89-009-00:on 891129,reactor Protection Sys Actuation Occurred from Scram Discharge Vol High Level Condition. Caused by Equipment Failure.Backup Temporary Air Compressor Placed Into Svc & Blown Fuse replaced.W/891227 Ltr ML20005E5131989-12-22022 December 1989 LER 89-017-00:on 891128,discovered That Efficiency Factors Used for Old Liquid Radwaste Discharge Radiation Monitors Incorrect.Caused by Personnel Not Incorporating Updated Efficiency Factor Into Sys software.W/891222 Ltr ML19332F8691989-12-14014 December 1989 LER 89-018-00:on 891114,sys High Differential Flow Condition Occurred Causing Actuation of Primary Containment Isolation Sys Valve Group 5 Logic Resulting in Closure of RWCU Valve. Caused by Personnel Error.Personnel counseled.W/891214 Ltr ML19332E6141989-11-30030 November 1989 LER 89-016-00:on 891103,discovered That Procedures 57SV-C51-001-1/2S Did Not Fully Test Rod Block Monitor Function.Caused by Procedural Deficiency.Limiting Condition for Operation Initiated & Procedure revised.W/891130 Ltr ML19332D8791989-11-29029 November 1989 LER 89-008-00:on 891102,RWCU Sys Experienced Partial Primary Containment Isolation Sys Group 5 Isolation Involving Valve 2G31-F004.Caused by Component Failure of Relay 2G31-R616D. Relay replaced.W/891129 Ltr ML19324C3271989-11-0808 November 1989 LER 89-014-00:on 891010,primary Containment Isolation Sys Group 5 Isolation Occurred Due to Opening of Valve 1G31-D002A.Caused by Personnel Error.Personnel Counseled & Memo Issued Re Confirming commands.W/891108 Ltr ML19325F1781989-11-0606 November 1989 LER 89-015-00:on 891009,diesel Generator 1R43-S001B Failed to Start Manually During Monthly Generator Test.Caused by Personnel Error & Incorrect Model Number Assigned to Pump. Pump Replaced & Oil Drained from cylinders.W/891106 Ltr ML19332B6191989-10-31031 October 1989 LER 89-013-00:on 891003,RWCU Sys Valve 1G31-F020 Closed, Rendering Inservice Reactor Coolant Monitor Inoperable. Caused by Cognitive Personnel error.In-line Conductivity Surveillance Initiated & Personnel counseled.W/891031 Ltr ML19325E6911989-10-31031 October 1989 LER 89-012-00:on 891003,plant Operators Received Indication That RWCU Sys Experiencing High Differential Flow Which Resulted in Isolation of Primary Containment Isolation Sys Valves.Caused by Component failure.W/891031 Ltr ML19327B3281989-10-23023 October 1989 LER 89-007-00:on 890926,four Safety Relief Valves Had Exhibited Drift in Mechanical Lift Setpoints in Excess of 3% Tolerance Specified by Inservice Testing Requirements.Root Cause Being Investigated.Valves refurbished.W/891023 Ltr ML19327B2991989-10-23023 October 1989 LER 89-006-00:on 890926,Procedure 34SV-SUV-019-2S, Surveillance Checks Did Not Fully Implement Requirements of Tech Spec Table 4.3.2-1.Caused by Personnel Error. Personnel Counseled & Procedure revised.W/891023 Ltr ML20024F4081983-09-0101 September 1983 LER 83-079/03L-0:on 830809,main Steam Line & Reactor Water Sample Valve Relay 1A71-K7A Determined Operating in Degraded Mode.Caused by Component Failure.Coil & Contacts Replaced. W/830901 Ltr ML20024F3341983-09-0101 September 1983 LER 83-064/03L-0:on 830811,during post-maint Review of DCR 83-76 Determined Torus Vent Valves Instrument Air Piping Returned to Svc W/O Performance of HNP-6907.Caused by Personnel oversight.W/830901 Ltr 1994-05-09
[Table view] Category:RO)
MONTHYEARML20029E2071994-05-0909 May 1994 LER 94-004-00:on 940416,discovered That Surveillance Frequency for Sp 34SV-SUV-008-1S Not Correct for Seven Primary Containment Vent & Purge Valves Due to Personnel Error.Surveillance Brought Up to date.W/940509 Ltr ML20029C8681994-04-25025 April 1994 LER 94-003-00:on 940329,automatic Reactor Shutdown Occurred Due to Trip of Main Turbine.Caused by Loss of Main Generator Field Excitation.Damaged Main Generator Exciter Rotor replaced.W/940425 Ltr ML20029C6981994-04-19019 April 1994 LER 94-002-00:on 940325,personnel Error Resulted in ESF Actuations.Personnel Counseled & Trained & EDG Control Circuit Wire repaired.W/940419 Ltr ML20046D5941993-08-18018 August 1993 LER 93-006-00:on 930721,determined That Valves Could Not Be Closed by Use of Normal Motive Power Due to Inadequate Procedural Controls Resulting in Valve Actuators Being Set Up Improperly.Isolated Affected penetration.W/930818 Ltr ML20045H7441993-07-0909 July 1993 LER 93-012-00:on 930615,automatic Reactor Scram & Isolation of Inboard Group 2 PCIS Valves Occurred.Caused by Loose Packing Nut on Instrument Isolation Valve.Valve Repaired & Similar Installations on Units checked.W/930709 Ltr ML20045B0371993-06-10010 June 1993 LER 93-009-00:on 930514,scram Occurred When Mode Switch Moved to Run Position Due to Blown Fuses in Rps.Procedures 52PM-B21-005-1S,52PM-B21-005-2S & 52GM-MEL-007-0S Revised. W/930610 Ltr ML20045B0401993-06-10010 June 1993 LER 93-010-00:on 930514,unplanned ESF Actuation Occurred Due to Less That Adequate Procedures.Procedures 34SV-B21-001-1S & 34SV-B21-001-2S, MSIV Closure Instrument Functional Test revised.W/930610 Ltr ML20045B0761993-06-10010 June 1993 LER 93-011-00:on 930521,partial Group 1 Primary Containment Isolation Sys Actuation Occurred Due to Component Failure. MSLRM Returned to Svc,Failed electro-pneumatic Control Valve in MSIVs replaced.W/930610 Ltr ML20045B7111993-06-10010 June 1993 LER 93-005-00:on 930521,unplanned Insertion of Manual Scram Initiated Due to Personnel Error.Personnel Involved Temporarily Removed from License Duties & Being Subjected to Formal discipline.W/930610 Ltr ML20045A2121993-06-0303 June 1993 LER 93-008-00:on 930505,determined That B Train of SBGT Sys Had Been Inoperable.Caused by Procedure Error.C/As Included Bringing Missed Surveillances Up to Date,Revising Procedures & Counselling personnel.W/930603 Ltr ML20044F6021993-05-21021 May 1993 LER 93-007-01:on 930504,unplanned ESF Actuations Occurred. Caused by Inappropriate Jumper Placement by Plant Engineer. Personnel Performing LSFTs Made Aware of Event & Instructed Not to Install Jumpers on Relay Contact arms.W/930521 Ltr ML20044F5851993-05-18018 May 1993 LER 93-004-00:on 930419,isolation Valve Unexpectedly Closed While Trip Unit Was Tested.Cause for Valve Closing Undetermined.Logic of Trip Unit Correctly Configured to Prevent Closing.No Corrective Actions taken.W/930518 Ltr ML20044D5931993-05-15015 May 1993 LER 93-005-00:on 930414,fuse 1D11-A-f14B Blew,Resulting in Initiation of Train B of Both Standby Treatment Sys Units & Isolation of Damper B of Both Secondary Containments.Blown Fuse & Several Relays in Logic Replaced ML20044D4881993-05-14014 May 1993 LER 93-004-00:on 930414,unplanned ESF Sys Actuation Occurred When LPCI Valve Automatically Reclosed.Caused by Inadvertent Grounding of Logic Circuit,Resulting in Blown Fuse.Fuse Replaced & Operating Order Issued ML20044D1111993-05-10010 May 1993 LER 93-003-00:on 930412,determined That Monthly Operability Test for DG 1B Not Performed During Required Performance Window on 930328.Caused by Personnel Error.Surveillance Coordinator Aware of causes.W/930510 Ltr ML20044C9891993-05-0303 May 1993 LER 93-003-00:on 930407,scram Time Testing on All Control Rods Not Completed Prior to Exceeding 40% Rated Thermal Power.Caused by Personnel Error.Personnel Counseled & Procedures Will Be revised.W/930503 Ltr ML20024G6961991-04-25025 April 1991 LER 91-007-00:on 910326,unknown Inadequacy in Jumper Connection Results in Scram During Surveillance in Cold Shutdown.Cause Unknown.Functional Test Completed & Surveillance Procedure revised.W/910422 Ltr ML20024G7401991-04-24024 April 1991 LER 91-008-00:on 910327,main Steam Isolation Valve Local Leak Rate Test Failed Due to Normal Equipment Wear Resulting in Degradation of Valve Seating Surfaces.Valves Repaired & retested.W/910424 Ltr ML20029B0691991-03-0505 March 1991 LER 91-002-00:on 910203,partial Outboard Group 2 Primary Containment Isolation Sys Isolation Signal Resulted in Closure of Containment Isolation Valves.Caused by Failed Relay Coil.Coil replaced.W/910301 Ltr ML20029B0621991-02-26026 February 1991 LER 91-001-00:on 910129,determined That Setpoints for Condensate Storage Tank Level Switches Not Set to Initiate Required Transfer When 10,000 Gallons Water Available.Caused by Inadequate Documentation.Setpoints raised.W/910226 Ltr ML20028H8431991-01-27027 January 1991 LER 90-024-00:on 901228,pretreatment Monitoring Station Offgas Samples Not Collected & Analyzed within 4 H of Increased Fission Gas Release.Caused by Misinterpretation of Tech Specs.Personnel instructed.W/910125 Ltr ML20044A6411990-06-22022 June 1990 LER 90-011-00:on 900601,full Reactor Protection Sys Actuation Occurred When Mode Switch Moved to Run Position, Resulting in Scram Signal on MSIVs Less than 90% Open.Caused by Personnel Error.Individual counseled.W/900622 Ltr ML20043G7111990-06-15015 June 1990 LER 90-004-00:on 900521,personnel Error & FSAR Deviation Occurred & Resulted in Tech Spec Violation.Procedure 62CI-OCB-031-OS Incorrectly Directed Personnel to Periodically Open Airlock Doors.Memo issued.W/900615 Ltr ML20043G7141990-06-15015 June 1990 LER 90-009-00:on 900522,determined That Requirements of Tech Spec 3.14.2,Actions 105 & 107 Not Met.Caused by Inadequate Procedure.Normal Range Monitoring Sys Restored to Operable Status & Procedure 64CH-SAM-005-OS revised.W/900615 Ltr ML20043G7581990-06-0808 June 1990 LER 90-001-01:on 900112,component Failure & Inadequate Design Caused Group I Isolation & Scram W/Main Steamline Isolation Valves Less than 90% Open.Root Isolation Valves Replaced W/New Type of valve.W/900608 Ltr ML20043C7281990-05-31031 May 1990 LER 90-008-00:on 900505,determined That Reactor Vessel Head Vent Valves 1B21-F004 & 1B21-F005 Closed Contrary to Tech Spec 3.7.C.2.a(2) Requirements.Caused by Cognitive Personnel Error.Reactor Vessel Head Vent Valves reopened.W/900531 Ltr ML20043A5091990-05-14014 May 1990 LER 90-006-00:on 900418,discovered That Wiring Error Existed in Junction Box Leading to Strip Recorder That Resulted in Inadequate Tech Spec Surveillance.Caused by Personnel Error. Wiring Error Corrected & Personnel counseled.W/900514 Ltr ML20043A5131990-05-14014 May 1990 LER 90-007-00:on 900419,determined That Errors in Calculations for Measuring Feedwater Flow Resulted in Nonconservative Calibr of Flow Transmitters.Caused by Error in Design Calculation.Transmitters recalibr.W/900514 Ltr ML20042E6851990-04-27027 April 1990 LER 90-003-00:on 900328,reactor Scram & Group II Containment Isolation Occurred.Caused by Inadequate Procedure.Procedure Will Be Changed to Require Instruments to Be Pressurized to Process Pressure Before Valved Into svc.W/900423 Ltr ML20042E6841990-04-27027 April 1990 LER 90-005-00:on 900329,safety Relief Valves Experienced Setpoint Drift in Excess of Tolerance.Caused by corrosion- Induced Bonding of Surface Between Pilot Valve Disc & Seat. Valves refurbished.W/900424 Ltr ML20012D8861990-03-19019 March 1990 LER 99-004-00:on 900219,trip Setpoint for Isolation of Liquid Radwaste Effluent Line on Low Dilution Flow Not Set Correctly.Caused by Inadequate Procedure.Procedure Revised temporarily.W/900319 Ltr ML20012C2891990-03-12012 March 1990 LER 90-003-00:on 900212,determined That Surveillance Procedures for Monthly Functional Testing of Drywell High Pressure Instrumentation Logic Channels Less than Adequate. Caused by Personnel Error.Procedures revised.W/900312 Ltr ML20011F4291990-02-26026 February 1990 LER 90-002-00:on 900131,discovered That Functional Test of Turbine Stop Valve Position Limit Switches Not Performed. Caused by Personnel Error When Writing Recent Rev.Rev to Procedure 34SV-C71-001-1S/2S written.W/900226 Ltr ML20006E2891990-02-0707 February 1990 LER 90-001-00:on 900112,reactor Scrammed Because MSIVs Were Less than 90% Open.Caused by Component Failure & Configuration of Condenser Vacuum Sensing Lines & Instruments.Valves replaced.W/900207 Ltr ML20006E0111990-02-0606 February 1990 LER 90-002-00:on 900114,RWCU Experienced High Differential Flow,Indicating Possibility of Leak in Sys.Caused by Component Failure & Less than Adequate Mounting for Relay. Relay Replaced W/Time Delay relay.W/900206 Ltr ML20006A8881990-01-22022 January 1990 LER 90-001-00:on 900104,HPCI Pump Declared Inoperable Due to Rated Flow Not Maintained During Surveillance Testing. Caused by Component Failure.Defective Resistor Replaced & Procedure 34SV-E41-002-1S performed.W/900122 Ltr ML20005E6541990-01-0202 January 1990 LER 89-010-00:on 891204,determined That Plant Was Not Fully Meeting Surveillance Requirements of Tech Spec Table 4.3.6.4-1,item 10.b.Caused by Inadequate Procedure.Recorder Calibr Steps to Be Removed from procedure.W/900102 Ltr ML20005E1851989-12-27027 December 1989 LER 89-009-00:on 891129,reactor Protection Sys Actuation Occurred from Scram Discharge Vol High Level Condition. Caused by Equipment Failure.Backup Temporary Air Compressor Placed Into Svc & Blown Fuse replaced.W/891227 Ltr ML20005E5131989-12-22022 December 1989 LER 89-017-00:on 891128,discovered That Efficiency Factors Used for Old Liquid Radwaste Discharge Radiation Monitors Incorrect.Caused by Personnel Not Incorporating Updated Efficiency Factor Into Sys software.W/891222 Ltr ML19332F8691989-12-14014 December 1989 LER 89-018-00:on 891114,sys High Differential Flow Condition Occurred Causing Actuation of Primary Containment Isolation Sys Valve Group 5 Logic Resulting in Closure of RWCU Valve. Caused by Personnel Error.Personnel counseled.W/891214 Ltr ML19332E6141989-11-30030 November 1989 LER 89-016-00:on 891103,discovered That Procedures 57SV-C51-001-1/2S Did Not Fully Test Rod Block Monitor Function.Caused by Procedural Deficiency.Limiting Condition for Operation Initiated & Procedure revised.W/891130 Ltr ML19332D8791989-11-29029 November 1989 LER 89-008-00:on 891102,RWCU Sys Experienced Partial Primary Containment Isolation Sys Group 5 Isolation Involving Valve 2G31-F004.Caused by Component Failure of Relay 2G31-R616D. Relay replaced.W/891129 Ltr ML19324C3271989-11-0808 November 1989 LER 89-014-00:on 891010,primary Containment Isolation Sys Group 5 Isolation Occurred Due to Opening of Valve 1G31-D002A.Caused by Personnel Error.Personnel Counseled & Memo Issued Re Confirming commands.W/891108 Ltr ML19325F1781989-11-0606 November 1989 LER 89-015-00:on 891009,diesel Generator 1R43-S001B Failed to Start Manually During Monthly Generator Test.Caused by Personnel Error & Incorrect Model Number Assigned to Pump. Pump Replaced & Oil Drained from cylinders.W/891106 Ltr ML19332B6191989-10-31031 October 1989 LER 89-013-00:on 891003,RWCU Sys Valve 1G31-F020 Closed, Rendering Inservice Reactor Coolant Monitor Inoperable. Caused by Cognitive Personnel error.In-line Conductivity Surveillance Initiated & Personnel counseled.W/891031 Ltr ML19325E6911989-10-31031 October 1989 LER 89-012-00:on 891003,plant Operators Received Indication That RWCU Sys Experiencing High Differential Flow Which Resulted in Isolation of Primary Containment Isolation Sys Valves.Caused by Component failure.W/891031 Ltr ML19327B3281989-10-23023 October 1989 LER 89-007-00:on 890926,four Safety Relief Valves Had Exhibited Drift in Mechanical Lift Setpoints in Excess of 3% Tolerance Specified by Inservice Testing Requirements.Root Cause Being Investigated.Valves refurbished.W/891023 Ltr ML19327B2991989-10-23023 October 1989 LER 89-006-00:on 890926,Procedure 34SV-SUV-019-2S, Surveillance Checks Did Not Fully Implement Requirements of Tech Spec Table 4.3.2-1.Caused by Personnel Error. Personnel Counseled & Procedure revised.W/891023 Ltr ML20024F4081983-09-0101 September 1983 LER 83-079/03L-0:on 830809,main Steam Line & Reactor Water Sample Valve Relay 1A71-K7A Determined Operating in Degraded Mode.Caused by Component Failure.Coil & Contacts Replaced. W/830901 Ltr ML20024F3341983-09-0101 September 1983 LER 83-064/03L-0:on 830811,during post-maint Review of DCR 83-76 Determined Torus Vent Valves Instrument Air Piping Returned to Svc W/O Performance of HNP-6907.Caused by Personnel oversight.W/830901 Ltr 1994-05-09
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217D3061999-10-13013 October 1999 SER Accepting Licensee Proposed Changes to Edwin I Hatch Nuclear Plant Emergency Classification Scheme to Add Emergency Action Levels Related to Operation of Independent Spent Fuel Storage Installation HL-5845, Monthly Operating Repts for Sept 1999 for Ei Hatch Nuclear Plant.With1999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Ei Hatch Nuclear Plant.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 ML20212A6641999-09-13013 September 1999 Safety Evaluation Authorizing Relief Request RR-V-16 for Third 10 Yr Interval Inservice Testing Program HL-5836, Monthly Operating Repts for Aug 1999 for Edwin I Hatch Nuclear Plant.With1999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Edwin I Hatch Nuclear Plant.With ML20210J9631999-08-0202 August 1999 SER Finding That Licensee Established Acceptable Program to Verify Periodically design-basis Capability of safety-related MOVs at Edwin I Hatch Nuclear Plant,Units 1 & 2 ML20210J9271999-08-0202 August 1999 SER Finds That Licensee Performed Appropriate Evaluations of Operational Configurations of safety-related power-operated Gate Valves to Identify Valves at Plant,Susceptible to Pressure Locking or Thermal Binding HL-5818, Monthly Operating Repts for July 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With HL-5805, Monthly Operating Repts for June 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20207E7631999-06-0303 June 1999 Safety Evaluation Concluding That Licensee Proposed Alternative to Use Code Case N-509 Contained in RR-4 Provides Acceptable Level of Quality & Safety.Considers Rev 2 to RR-4 & RR-6 Acceptable HL-5795, Monthly Operating Repts for May 1999 for Ehnp Units 1 & 2. with1999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Ehnp Units 1 & 2. with ML20206G1691999-05-0404 May 1999 SER Approving Requirements of Istb 4.6.2(b) Pursuant to 10CFR50.55a(a)(3)(ii) HL-5784, Monthly Operating Repts for Apr 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With HL-5766, Monthly Operating Repts for Mar 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20207M1891999-03-11011 March 1999 SER Accepting Relief Request for Authorization of Alternative Reactor Pressure Vessel Exam for Circumferential Weld HL-5755, Monthly Operating Repts for Feb 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20206P6981999-01-0707 January 1999 Ehnp Intake Structure Licensing Rept HL-5726, Monthly Operating Repts for Dec 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With1998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20196J4931998-12-0707 December 1998 Safety Evaluation Accepting Proposed Alternatives in Relief Requests RR-V-12,RR-V-15,RR-P-15,RR-V-7,RR-V-12,RR-V-14 & RR-V-15 HL-5714, Monthly Operating Repts for Nov 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With1998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With HL-5706, Monthly Operating Repts for Oct 1998 for Hatch Nuclear Plant Units 1 & 2.With1998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Hatch Nuclear Plant Units 1 & 2.With ML20155B6121998-10-28028 October 1998 Safety Evaluation of TR SNCH-9501, BWR Steady State & Transient Analysis Methods Benchmarking Topical Rept. Rept Acceptable HL-5691, Monthly Operating Repts for Sept 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With1998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20153G2481998-09-24024 September 1998 SE Concluding That Licensee Implementation Program to Resolve USI A-46 at Plant Adequately Addressed Purpose of 10CFR50.54(f) Request ML20239A2531998-09-0303 September 1998 SER Accepting Licensee Request for Relief Numbers RR-17 & RR-18 for Edwin I Hatch Nuclear Plant,Units 1 & 2.Technical Ltr Rept on Third 10-year Interval ISI Request for Reliefs for Plant,Units 1 & 2 Encl HL-5675, Monthly Operating Repts for Aug 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 ML20238F7131998-08-31031 August 1998 9,change 2 to QAP 1.0, Organization HL-5667, Monthly Operating Repts for July 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 HL-5657, Ro:On 980626,noted That Pami Channels Had Been Inoperable for More than Thirty Days.Cause Indeterminate.Licensee Will Replace Automatic Function W/Five Other Qualified Pamis of Like Kind in Drywell & Revised Procedures1998-07-30030 July 1998 Ro:On 980626,noted That Pami Channels Had Been Inoperable for More than Thirty Days.Cause Indeterminate.Licensee Will Replace Automatic Function W/Five Other Qualified Pamis of Like Kind in Drywell & Revised Procedures ML20236W3441998-07-30030 July 1998 Safety Evaluation Accepting Relief Requests for Second 10-yr ISI for Plant,Units 1 & 2 ML20236V5191998-07-28028 July 1998 Safety Evaluation Accepting Proposed License Amend Power Uprate Review 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 ML20236L1821998-07-0707 July 1998 Safety Evaluation Accepting 980428 Proposed Alternative to ASME Boiler & Pressure Vessel Code,Section Xi,Repair & Replacement Requirements Under 10CFR50.55a(a)(3) HL-5653, Monthly Operating Repts for June 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 HL-5640, Monthly Operating Repts for May 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-05-31031 May 1998 Monthly Operating Repts for May 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 ML20248B8651998-05-15015 May 1998 Quadrennial Simulator Certification Rept HL-5628, Monthly Operating Repts for Apr 1998 for Ei Hatch Nuclear Plant1998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for Ei Hatch Nuclear Plant HL-5604, Monthly Operating Repts for Mar 1998 for Edwin I Hatch Nuclear Plant,Units 1 & 21998-03-31031 March 1998 Monthly Operating Repts for Mar 1998 for Edwin I Hatch Nuclear Plant,Units 1 & 2 ML20216B2711998-02-28028 February 1998 Extended Power Uprate Safety Analysis Rept for Ei Hatch Plant,Units 1 & 2 HL-5585, Monthly Operating Repts for Feb 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-02-28028 February 1998 Monthly Operating Repts for Feb 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 HL-5571, Monthly Operating Repts for Jan 1998 for Edwin I Hatch Nuclear Plant,Unit 11998-01-31031 January 1998 Monthly Operating Repts for Jan 1998 for Edwin I Hatch Nuclear Plant,Unit 1 HL-5551, Monthly Operating Repts for Dec 1997 for Ei Hatch Nuclear Plant,Units 1 & 21997-12-31031 December 1997 Monthly Operating Repts for Dec 1997 for Ei Hatch Nuclear Plant,Units 1 & 2 ML20199B0561997-12-31031 December 1997 Rev 0 GE-NE-B13-01869-122, Jet Pump Riser Weld Flaw Evaluation Handbook for Hatch Unit 1 HL-5581, Annual Operating Rept for 1997, for Ei Hatch Nuclear Plant Units 1 & 21997-12-31031 December 1997 Annual Operating Rept for 1997, for Ei Hatch Nuclear Plant Units 1 & 2 HL-5533, Monthly Operating Repts for Nov 1997 for Ei Hatch Nuclear Plant,Units 1 & 21997-11-30030 November 1997 Monthly Operating Repts for Nov 1997 for Ei Hatch Nuclear Plant,Units 1 & 2 HL-5514, Monthly Operating Repts for Oct 1997 for Edwin I Hatch Nuclear Plant,Units 1 & 21997-10-31031 October 1997 Monthly Operating Repts for Oct 1997 for Edwin I Hatch Nuclear Plant,Units 1 & 2 ML20212A1981997-10-16016 October 1997 Safety Evaluation Denying Licensee Request for Relief from Implementation of 10CFR50.55a Requirements Re Use of 1992 Edition of ASME Code Section XI for ISI of Containments ML20211M6491997-10-0808 October 1997 Addenda 1 to Part 21 Rept Re Weldments on Opposed Piston & Coltec-Pielstick Emergency stand-by Diesel gen-set lube-oil & Jacket Water Piping Sys.Revised List of Potentially Affected Utils to Include Asterisked Utils,Submitted ML20211H5311997-10-0101 October 1997 Rev 2 to Unit 1,Cycle 17 Colr ML20211H5251997-10-0101 October 1997 Rev 3 to Unit 1,Cycle 17 Colr 1999-09-30
[Table view] |
Text
Georgia Power Company 40 inverness Center Parkway ,
. Post Ofhce Box 129s
, , Birmingham, Alabama 35201 Telephone 20s 877-7279 l n
J. T. Beckham, Jr. Georgia Power
%ce President Nuclear Hatch Project T* ' MYD t mm , sem June 3, 1993 Docket No. 50-321 HL-3330 005544 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, D.C. 20555 Edwin I. Hatch Nuclear Plant - Unit 1 Licensee Event Report Procedure Error and Miscommunication Result in Missed Technical Specifications Action Statement Gentlemen:
In accordance with the requirements of 10 CFR 50.73(a)(2)(i), Georgia Power Company is submitting the enclosed Licensee Event Report (LER) concerning a procedure error and miscommunication which resulted in a missed Technical Specifications Action Statement. This event occurred at Plant Hatch - Unit 1.
Sincerely, w -[/ -b J. T. Beckham, Jr.
MCM/cr
Enclosure:
LER 50-321/1993-008 cc: Georaia Power Company Mr. H. L. Sumner, General Manager - Nuclear Plant NORMS j U.S. Nuclear Reaulatory Commission. Washinoton. D.C.
]
Mr. K. Jabbour, Licensing Project Manager - Hatch '
U.S. Nuclear Reaulatory Commission. Reaion II Mr. S. D. Ebneter, Regional Administrator Mr. L. D. Wert, Senior Resident Inspector - Hatch 9306090531 930603 PDR S
ADDCK 05000321 PDR
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- PU W i
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(b89) . EXPIRES: 4/30/92 l LICENSEE EVENT REPORT (LER) l l
rALlilii hAML (1) UUCAti huMots (2) PAM f3)
Plant Edwin 1. Hatch, Unit 1 05000321 1l0FIO
- ITLE (4)
Procedure Error and Miscomunication Result in Missed Technical Specifications Action Statement EWENT DATE (5) LER huMBER (6) REFORT DATE (7) OThiR FACILITIES IhWOLvED (8) l MONIN DAY YEAR YEAR SEQ hum REV MONTn DAY YEAR FACILITY hAME5 DOCKET huMBER(5)
Plant Hatch, Unit 2 05000366 05 05 93 93 008 00 06 03 93 05000 OPERATING 0 m (11)
MODE (9) 4 20.402(b) 20.405(c) 50.73(a)(2)(iv) 73.71(b)
POWER -
20.405(a)(1)(1) -
50.36(c)(1) 50.73(a)(2)(v) 73.71(c) ,
LEVEL 000 20.405(a)(1)(ii) 50.36(c)(2) 50.73(a)(2)(vii) OTHER (Specify in l 20.405(a)(1)(iii) T 50.73(a)(2)(1) 50.73(a)(2)(viii)(A) Abstract below) 20.405(a)(1)(iv) -
50.73(a)(2)(ii) -
50.73(a)(2)(viii)(B) l 20.405(a)(1)(v) 50.73(a)(2)(iii) 50.73(a)(2)(x)
LICENSE E CONTACT FOR THIS LER (li) l NAME TELEPM0hE NUMBER 4REA CODE Steven B. Tipps, Manager Nuclear Safety and Compliance Hatch 921 367-7851 l COMPLETE ONE LlhE FOR EACH FAILURF DESCRIBED IN THIS REFORT (13)
CAUSE SYSTEM COMPONENT FAkUFAC- R P0RT CAUSE SYSTEM COMPONENT MANUFAC- R P RT TUR ppDS y X BH MC H260 Yes X EK XFMR B093 Yes suPPLEMEhlAL REFORT EAFECTED (14) MONTH DAY YEAR SUBMISSION
] YES(If yes, complete EXPECTED SUEMISSION DATE) % h0 DATE (15)
A551RACT (16)
)
I 1
On 5/5/93, at 2000 CDT, Unit 1 was in the Cold Shutdown mode and Unit 2 was in the Run mode at a power level of 1805 CMUT (74.1 percent rated thermal power).
At that time, the Unit 1 Shift Supervisor determined that the Unit 1 "B" train ,
of the Standby Gas Treatment (SBGT) system had been inoperable since 0100 on ;
5/2/93. On that date, Instrument and Control technicians had found a humidity controller in the SBGT system inoperable. However, licensed shift personnel were not aware that this made the "B" train of the SBGT system inoperable and thus did not initiate a Limiting Condition for Operation at that time.
Concurrently, the emergency power source for the redundant train of the Unit 1 SBGT system was inoperable because of component failure. Since one train of the Unit 1 SBGT system was already inoperable due to the failed humidity controller, this invoked the Unit 2 Technical Specifications requirement that the redundant train be declared inoperable due to the lack of an emergency power source.
However, since the condition was not recognized until 5/5/93, the Action statement requiring Unit 2 to be shutdown within 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> was missed. In addition, Unit 1 entered a condition prohibited by the Technical Specifications when it had less than the required number of operable SBGT system trains in a condition wherein Secondary Containment integrity was required. The root causes of this event were a less than adequate procedure and less than adequate communicacions. The calibration procedure which was in use at the time of the event did not list all the effects of removing the controller from service.
Communications among involved personnel resulted in failure to identify this inadequacy. Corrective actions include revising a procedure and discussing communications with personnel in the departments involved in the event. The first action is completed; the second will be completed by 06/30/93. l i
I
.. - . .--~ .- . . . - - - . . - . . .
l NE Wrm am ul Mdie hiuuhi idNaivi ie rwis uMa I,0 ai ,v-sia.i (6-89) LXPIRES: 4/30/92 LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FAClllTT NAME (1) DOCKE T nun'BER (2) Lf4 NUMBER (5) FAG [ (3)
V L Aii 5f0 NUM Rfv Plant Edwin I. Hatch, Unit 1 05000321 93 008 00 7 or 8 ILXI PLANT AND SYSTEM IDENTIFICATION General Electric - Boiling Water Reactor Energy Industry Identification System codes are identified in the text as (E11S Code XX)
DESCRIPTION OF EVENT On 5/5/93, at 2000 CDT, Unit I was in the Cold Shutdown mode and Unit 2 was in the Run mode at a power level of 1805 CMWT (74.1 percent rated thermal power).
At that time, the Unit 1 licensed Shift Supervisor initiated a Deficiency Card reporting his discovery that the Unit 1 "B" train of the Standby Cas Treatment (SBGT, E1IS Code BH) system had been inoperable since 0100 on 5/2/93. On 5/2/93, Instrument and Control technicians (16C technicians) were performing calibration procedure 57CP-CAL-041-15, "HONEYWELL MODEL R7088C RELATIVE HUM 1DITY SWITCHES," when they discovered that humidity controller 1T46-R753 was inoperable. This controller is required to be operable in order to energize the relative humidity heaters in the SBGT system when the relative humidity of the air entering the filter train exceeds prescribed limits. The heaters ensure the SBGT system can keep relative humidity in the filter trains below the 70t j assumed in the SBGT system design. With the controller inoperable, the heaters cannot turn on when the heater control switch is in t.he " Auto" position, which is the normal position.
On 5/2/93, when the I6C technicians found the controller inoperable, they submitted a Deficiency Card (DC) reporting the condition to licensed personnel ;
as required. The calibration procedure in use at the time indicated that i annunciation was the only function affected by this condition, so the DC listed .;
this as the only consequence of the inoperable controller. Thus, on the basis ;
of information available to him at the time, the licensed Shift Supervisor !
concluded that no immediate action was required to comply with the Technical Speci fica tions . However, some discussion about whether the procedure was correct took place between licensed personnel, the 16C technicians and the System Engineer. Therefore, the technicians and System Engineer initiated j separate, concurrent reviews of the effect of the inoperable humidity controller on the plant. By approximately 0300 CDT on 5/2/93, both the System Engineer and l
the 16C technicians had completed their separate reviews and determined that the inoperable humidity controller affected the SBGT system heater in addition to annunciation. The 16C technicians discussed this information with the STA and the System Engineer discussed similar information with the SOS. However, because of unclear communications, neither the SOS nor the STA realized that this made the affected SBGT. train inoperable Subsequently, the DC was routinely forwarded for generation of a Maintenance Work Order (MWO) and scheduling of repair. When difficulty arose concerning the availability of spare parts, the MWO was sent to the Engineering Support department with a request for assistance in locating suitable replacement parts.
vd, form aooA U.a. hhAA A:.uaAvu CUhaivh A%ns OMb NU 3130-L154 (6-89) EXPlRES: 4/30/92 LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION i FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (5) PAGE (3)
YEAR SEO NUM REV l
Plant Edwin 1. Hatch, Unit 1 05000321 93 008 00 3 0F 8 l Hx1 No further action was taken until 5/5/93 when a supervisor in the Engineering i Support department reviewed the MWO and realized that the condition might make the affected SBGT system train inoperable. After consulting the System Engineer, the supervisor and the System Engineer contacted the licensed SOS and conveyed to him their concerns about the operability of the SBGT system. The SOS agreed that the affected train of the SBGT system had been inoperable since 5/2/93.
Additionally, since the Unit 1 "B" train was inoperable, the otherwise unaffected "A" train of the S3GT system had to be declared inoperable due to its emergency power source being inoperabic. Specifically, the emergency power source for the unaffected "A" train of ;he SEGT system, the Unit 1 "A" Emergency Diesel Generator (EDG, EIIS Code EK), was inoperable at tnat time due to a failed component which was identified following surveillance testing. Per the Unit 2 Technical Specifications section 3.6.6.1, both trains of the Unit 1 SBGT system are required to be operable. Unit 2 Technical Specifications section 3.0.5 requires that when one train of a two train system is inoperable, the redundant train can be considered operable only if the normal and emergency power sources to the redundant train are operable. Therefore, since the Unit 1 l "B" train was inoperable and the emergency power source for the Unit 1 "A" train l was inoperable, the Unit 1 "A" train itself had to be declared inoperable from the perspective of Unit 2 requirements for Unit 1 SBGT system availability.
However, prior to declaring the "B" train of the Unit 1 SBGT system inoperable, there was no need to question the operability of the "A" train under Unit 2 Technical Specifications section 3.0.5. With both Unit 1 SBGT system trains thus inoperable, the Action statement for Unit 2 Technical Specifications section 3.6.6.1 requires that the unit be in the Hot Shutdown condition within 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />. So, by 2000 CDT on 5/5/93, the appropriate Limiting Condition for Operation was entered on Unit 2 in anticipation of entering the Hot Shutdown condition within the next 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> if the Unit 1 SBGT system trains could not be restored to operable status in the interim.
By 2252 CDT, a qualified replacement part had been located in the warehouse and installed in the humidity controller; the Unit 1 "B" train had been restored to operable status, and the shutdown LCO had been terminated.
Subsequent review of Emergency Diesel Generator operability revealed that the Unit 1 "A" Generator had been inoperable since 1805 CDT on 5/2/93 due to component failure, roughly coinciding with the time when the "B" train of the SBGT system had become inoperable. The EDG was not restored to operable status until 0510 CDT on 05/07/93. Therefore, it was concluded that a shutdown LCO had been exceeded based on the fact that both Unit 1 SBGT system trains were inoperable for greater than 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />. The Unit 1 "B" train of the SBGT system was inoperabic due to the failure of the humidity controller, and the Unit 1 "A" train was inoperable due to the fact that its emergency power supply was not available. Since this condition was not recognized until the event was discovered on 5/5/93, the requirement to enter the Hot Shutdown mode was not satisfied for Unit 2. In addition, review of the requirements for Secondary
l l
j
% iorm .w A U.a inu t.iw k:.uvuu vo Udhb v4 Ar r un U UMa O x W-Un4 (fe89) LXP!RES 4/30/92 LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILilt NAME (1) DCCKET WMBER ( l.' ) LCR NUMBER (5) PAGE (3) y[AR 5[Q NUM 4[v Plant Edwin 1. Hatch, Unit 1 05000321 93 008 00 4 9f 8 ItxI Containment showed that the SBGT system was required to be operable per Unit 1 Technical Specifications section 3.7.B.1.a because the Unit 1 reactor vessel had been pressurized for the Class 1 system leakage test. Since at least one train of the Unit 1 SBGT system was inoperable during this test, Unit 1 also was in a i condition prohibited by the Technical Specifications, i
l CAUSES OF EVENT I 1
The causes of this event were a less than adequate procedure and less than adequate communications.
Procedure 57CP CAL-041-15 was determined to be less than adequate in that it misled I&C technicians and Control Room personnel concerning the eifects of disabling the humidity controller in the SBCT system. Rather than stating that :
removing the controller from service would result in the inability of the SBGT system heaters to function in the automatic mode, the procedure stated that only annunciation was affected. Licensed personnel would have known to carry out the required actions had the procedure clearly identified all the effects of removing this component from service.
Less than adequate communications occurred when the SBGT System Engineer and 16C technicians discussed the effects of the inoperable humidity controller with the SOS and STA. The STA did not understand from his conversation with the 16C technicians that the condition rendered the heater inoperable when the control switch was placed in the " Auto" position. The STA relayed his understanding of the conversation with the I&C technicians to the SOS who was consulting the System Engineer. As a result or conversations with the System Engineer, the SOS did not change his initial impression that the operability of the Unit 1 "B" SBGT train was not affected. Specifically, the SOS directed his questioning toward the effect of the component failure on the upcoming SBCT system 18-month surveillance. The System Engineer explained that the 18-month SBGT surveillance would not be impacted because the test is conducted with a local heater control switch positioned to continuously energize the humidity controller (as long as flow exists in the SBGT train). Although the Engineer mentioned the fact that the heater would work only if the control switch were placed in the " Manual" ,
position, this did not prompt the SOS to question his previous conclusion that the operability of the affected filter train was not immediately impacted.
REPORTABILITY ANALYSIS AND SAFETY ASSESSMENT This event is reportable per 10 CFR 50.73 (a)(2)(1) because the plant entered a condition which is prohibited by the Technical Specifications. Specifically, Unit 2 Technical Specifications section 3.6.6.1 requires both trains of the Unit 1 SBCT system to be operable, and section 3.0.5 further requires that when one train of a two train system is inoperable, its redundant system is operable only if the normal and emergency power sources to the redundant system are
% vann.,voA v1 w tannLuuthvo Lu h ub Ate m u vHb hu M G-Oiv4 (tr89) f2HRES: 4/30/92 LICENSEE EVENT REPORT (LER) i TEXT CONTINUATION ]
FACIL!1Y NAME (1) CDCKET NUMBER (2) L[R NUMBER (5) PAGE (3)
YEAR 5to %M RfV l
Plant Edwin I . Hatch, Unit 1 05000321 93 008 00 5 Of 8 IExi operable. Since the Unit 1 "B" train of the SBGT system was inoperable due to a i failed humidity controller and the Unit 1 "A" train was inoperable due to its emergency power supply being inoperaHe, the associated Unit 2 Action statement l should have been entered. This action required Unit 2 to enter the Hot shutdown !
condition within 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />. However, since the condition was not recognized at the time, the Action statement was not carried out, and the shutdown LCO was exceeded. In addition, Unit 1 entered a condition prohibited by the Technical Specifications in that the number of operable trains of the SBCT system was less than that required by Unit 1 Technical Specifications section 3.7.B.1.a.
Specifically, when the Unit 1 reactor vessel was pressurized for the Class 1 system leakage test, both trains of the Unit 1 SBGT system were required to be i operable, but were not.
l The Standby Gas Treatment system is designed such that airborne particulates and radioactive iodine which may enter the Secondary Containment during a Design Basis Accident (DBA) will be filtered to acceptable levels and released to the environment at an elevated release point through the Main Stack (EIIS Code VL).
The SBGT system for each of the two reactor units is comprised of two 100 percent capacity filtration trains containing fans, dampers, demisters, relative humidity heaters, High Efficiency Particulate Air (HEPA) filters, and charcoal adsorbers which treat the air and ensure that the atmosphere in the Secondary Containment is maintained at a negative pressure in order to minimize ground level releases. The purpose of the heaters in the SBGT system filter trains is to ensure that the relative humidity in the charcoal adsorbers is maintained below 70 percent to prevent moisture from significantly reducing efficiency of iodine adsorption. Each unit's Technical Specifications require the other unit's SBGT system to be operable. That is, Unit 1 requires the Unit 2 SBGT system to be operable in order to respond to a postulated Loss of Coolant Accident (LOCA) on Unit 1. The Unit 2 SBGT is designed such that it can automatically line up and vent the Unit 1 Secondary Containment by way of the common refueling floor. Similarly, the Unit 2 Technical Specifications require the Unit 1 SBGT system to be operable in order to mitigate the effects of an accident occurring on the common refueling floor or of a LOCA on Unit 2 which could result in drywell head leakage into the common refueling floor.
The Emergency Diesel Generators provide onsite backup a.c. power. There are five EDGs for Plant Hatch, two dedicated to each unit and one " swing" EDG which can be either automatically or manually aligned to supply power to either unit as needed. Should a Loss of Offsite Power (LOSP) event occur, the EDGs automatically start and tie to their respective emergency busses within 12 seconds per Unit 1 Technical Specifications section 4.9.A.2.a. In the event of a LOCA, the swing EDG automatically aligns to supply power to the unit which experienced the LOCA.
In this event, the "B" train of the Unit 1 SBGT system was inoperable because the humidity cont roller which switches on its heater was inoperable and was therefore not capable of maintaining the requisite relative humidity needed for design filtration efficiency. Concurrently, the "A" train of the Unit 1 SBGT
% tonn avoA ui Nuuim *si6hivo Umi35nA A r s t a ut Nu a l 50-0104 (fr83) DPIRES: 4/30/92 LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACIL11Y NAME (1) DOCKET NUMBER (2) LER NUMBER ($) PAGE (3)
YiAk 5EQ hum KEV Plant Edwin I. Hatch, Unit 1 05000321 93 008 00 6 Of 8 :
IEXT system was inoperable due to the fact that the EDG which is its emergency power supply was inoperable because of a failed component. Since both filter trains were inoperable at the same time, Unit 2 Technical Specifications section j 3.6.6.1 requires that Unit 2 be in the Hot Shutdown condition within 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />, i As mentioned previously, this action was not carried out because licensed 1 personnel did not realize that the inoperable humidity controller in the "B" train caused the entire train to be inoperable.
Had a design basis LOCA occurred concurrent with an LOSP on Unit 2 during this event, the two Unit 2 SBGT system filter trains would have started and aligned to the Unit 2 Secondary Contairunent and to the unit-common refueling; floor.
These two trains would be sufficient to maintain these areas at a negative pressure with respect to the environment. Thus, any radioactive material that might possibly leak out of the Unit 2 drywell head into the common refueling floor or into the Unit 2 Secondary Containment would be processed by the SBCT system.
The Unit 1 "B" SEGT system train would start if the radiation levels on the refueling floor were sufficient to trip the Refueling Floor Radiation Monitors (EIIS Code IL). In this case, the train would initiate and align to the Unit 1 Reactor Building and the unit-common refueling floor. If the relative humidity of air entering the train exceeded 70 percent and adversely affected the efficiency of the carbon filter, radioactive iodines would ultimately not be filtered out of the exhaust air. In the event that excessive amounts of radioactive material had passed through the filter, radiation monitor (EIIS Code IL) 1D11-R613, located in the Unit 1 SBGT system exhaust line to the Main Stack, would have alarmed in the Main Control Room. The Annunciator Response Procedure for this alarm, 34AR-601-402-IS, "SBGT/DRWELL AND TORUS RADI ATION J HIGH," requires operators to secure the operating SBGT system train and turn on the system which is not in use. However, the standby "A" train would not be available because its emergency power source was inoperable. Therefore, operators would secure the Unit 1 "B" train and rely upon the Unit 2 SBGT system to maintain negative pressure on Unit 2 Secondary Containment and the common refueling floor. As previously noted, these trains would be sufficient to ;
maintain a negative pressure in the Unit 2 Secondary Containment and the unit-common refueling floor.
Had a design basis LOCA concurrent with an LOSP occurred on Unit I during this event, the "B" train of the Unit 1 SEGT system would have started as designed and both trains of the Unit 2 SBGT system would have started and automatically aligned to the Unit 1 Secondary Containment and the Unit 2 Secondary ;
Containment. Since the Unit 1 "A" EDG was out of service, systems powered from this EDG would not have enert;ized, so the Unit 1 "A" train of the SBGT system would not have started. Af ter licensed operations personnel had verified that the three available trains had successfully started, one of the Unit 2 trains would be secured and placed in standby. However, on Unit 1 the inoperable humidity controller on SBGT system train "B" would have prevented the heater from energizing. Moreover, this same controller activates the high humidity
- m. ionn 3sA u.5. Moum euuutAw Lu+ii:,5iUN A h vta use ha 3ibO-Uwe (6-89) LXPlRES: 4/30/92 LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (5) PAGE (3)
TEAR $[0 hum REV Plant Edwin 1. llatch, Unit 1 05000321 93 008 00 7 0F 8 IEX1 annunciator in the Main Control Room; therefore, Control Room operators would have received no indication of excessive humidity in the train should it have been present. Therefore, the "B" train of the Unit 1 SBGT system could have been functioning at less than full efficiency if relative humidity on the train had exceeded 70%, and the system would have given no indication of anomalous performance. In the event that excessive amounts of radioactive material had passed through the filter, radiation monitor 1D11-K613 mentioned above would have alarmed in the Main Control Room and operators would have secured the l
operating Unit 1 SBGT system train and turned on the standby Unit 2 train and aligned it to the Unit 1 Secondary Containment. Both Unit 2 trains would then i provide sufficient capacity to maintain Unit 1 Secondary Containment at a negative pressure and to process any releases into Secondary Containment that would result from a DBA LOCA.
Based on this analysis, it is concluded that this event hac m adverse impact on nuclear safety. This analysis is applicable to all power levels.
CORRECTIVE ACTIONS
- 1. The inoperable humidity controller was replaced and the affected train of the SBGT system was returned to service. This action is complete.
- 2. The failed component in the Unit 1 "A" EDG was replaced; the EDG was successfully functionally tested and returned to service This action is complete.
- 3. Procedure 57CP-CAL-041-1S has been temporarily revised to correctly address the effects of removing the humidity controller from the SBGT system. This revision will be permanently incorporated into the procedure by 11/30/93.
- 4. This event will be discussed in departmental meetings with the involved departments. The discussion will emphasize the need for timely and complete communications. This action will be completed by 6/30/93.
ADDITIONAL INFOPJ4ATION l
- 1. Other Affected Systems: No systems other than those already mentioned in i this report were affected by this event. l l
- 2. Previous Similar Events: No events have been reported in the past 190 years i in which both trains of redundant safety systems were found to be inoperabic ;
at the same time Events reported in the past two years in which the plant i changed Technical Specifications applicability states without satisfying all prerequisites for doing so are described in the following LERs:
I 1_- - - - ,
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& g g a i g -oic4 LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITV NAME (1) DOCKET NUMBER (2) LER NUMBER (5) PAGE (3)
YEAR 5E0 hum REV Plant Edwin I. Hatch, Unit 1 05000321 93 008 00 8 0F 8 TEXT 50-321/1991-012, dated 07/17/91 50-321/1991-025, dated 11/11/91 50-321/1992-019, dated 08/04/92 50-366/1991-016, dated 06/28/91 50-366/1992-012, dated 08/25/92 50-366/1992-025, dated 12/21/92 Corrective actions for these events included bringing missed surveillances up to date, revising procedures, counseling personnel, reviewing the Technical Specifications surveillance program, and issuing management information clarifying the Technical Specifications. These corrective actions would not have prevented this event because the root causes of the events ere er.tirely different; that is, none of the previous events was brought about by component failure.
- 3. Failed Equipment Information:
Master Parts List Number: 1T46-R753 Manufacturer: Honeywell Model Number: R7088C Type: Humidity Switch Manufacturer Code: H260 E1IS System Code: BH Reportable to NPRDS: Yes Root Cause Code: X EIIS Component Code: MC Master Parts List Number: 1R43-S001A-T45 Manufacturer: Basler Electrical Company Model Number: BE13616001 ,
Type: Electric Transformer Manufacturer Code: B093 Ells System Code. EK Reportable to NPRDS: Yes Root Cause Code: X EIIS Component Code: XFMR
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