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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20024J3201994-10-0707 October 1994 LER 94-022-00:on 940907,TS Violation Occurred Due to Inadequate Fire Watch.Retrained Personnel Associated W/ Painting activities.W/941007 Ltr ML20029E2001994-05-13013 May 1994 LER 94-006-00:on 940414,SS Recognized That Required Frequency for Performing STP 057-3705 Had Been Exceeded. Caused by Inadequate Supervisory Methods.Corrective Action: Inhouse Tracking Process Will Be created.W/940513 Ltr ML20029C8741994-04-26026 April 1994 LER 93-026-01:on 931117,isolation of RCIC Sys Occurred Due to Apparent Failure of Relay.Three Relays Associated W/ Isolation Replaced & Shipped to Mfg for Failure Analysis.W/ 940426 Ltr ML20029C7021994-04-19019 April 1994 LER 90-003-05:on 900206,discovered Deficiencies in Thermo-Lag Fire Barrier Envelope Around Redundant Safe Shutdown.Firewatches Established in Areas Where Thermo Lag Used as barrier.W/940419 Ltr ML20046C3891993-08-0202 August 1993 LER 93-014-00:on 930701,installed Sprinkler Sys as Substitute for Passive fire-rated Barrier Due to Deficiency Identified in Fire Barrier Separation Requirements.Declared Fire Barriers Surrounding Valves degraded.W/930802 Ltr ML20046B8981993-07-29029 July 1993 LER 93-013-00:on 930629,high Pressure Core Spray Pump Failed to Start & Run During Surveillance Test Due to Failed Overfrequency Relay.Relay Tested & Installed in Switchgear. W/930729 Ltr ML20046A2361993-07-22022 July 1993 LER 93-008-01:on 930429,relief Request Improperly Prepared for Insvc Testing Program Results in Noncompliance W/Main Steam Isolation Valve Testing Requirement.Caused by Personnel Error.Testing Frequency Revised ML20045G6111993-07-0202 July 1993 LER 93-012-00:on 930603,deficiency in Plant Surveillance Test Procedures Identified.Caused by Primary Causal Factor Inattention to Detail During Initial Procedure Development Process.Surveillance Test Procedures performed.W/930702 Ltr ML20045D6991993-06-21021 June 1993 LER 93-011-00:on 930521,determined That Mode Switch Placed in Refuel Position During Testing of Switch Interlock Functions.Caused by Conflicting Info in Surveillance Procedures.Operating Procedure revised.W/930621 Ltr ML20045C0141993-06-14014 June 1993 LER 93-010-00:on 930514,SDC Lost for Approx Three Minutes When One SDC Suction Valve Closed Due to Initiation of Spurious ESF Actuation Signal.Caused by Personnel Error. Procedural Guidance revised.W/930614 Ltr ML20045C0021993-06-14014 June 1993 LER 93-003-01:on 930225,incidents Discovered Which Caused Interlock Mechanism in Upper Containment Airlocks at Elevation 171 to Operate Improperly.Case Study Training Class Developed for Airlock incidents.W/930614 Ltr ML20045A1461993-06-0404 June 1993 LER 93-009-00:on 930504,discovered That Surveillance Test Procedure for Control Bldg Chilled Water Sys Quarterly Pump Missed Due to Cognitive Personnel Error.Administrative Procedure Will Be revised.W/930604 Ltr ML20045A4261993-06-0101 June 1993 LER 93-002-02:on 930212,discovered That TS SRs Not Properly Implemented in Logic Sys Functional Tests Due to Inattention to Detail While Preparing Revs of Relevant Surveillance Test Procedures (Stp).Relevant STPs revised.W/930601 Ltr ML20044H3571993-06-0101 June 1993 LER 93-008-00:on 930429,investigation Determined That Relief Request for Inservice Testing of Pumps & Valves in Conflict W/Msiv Testing Requirements.Caused by Personnel Error.Relief Request 40 revised.W/930601 Ltr ML20044G7401993-05-26026 May 1993 LER 93-006-00:on 930419,MSIV Failed to Stroke Closed When Given Close Signal from CR Due to Poppet Sticking.Caused by Insufficient poppet-to-guide Rib Clearance.Stricter Controls Imposed to Control clearances.W/930526 Ltr ML20044F2541993-05-20020 May 1993 LER 93-007-00:on 930420,noted That an Isolation of Inboard & Outboard MSIV & Ms Line Drains Occurred.Caused by Lack of Personnel Knowledge of Unique Maint Conditions.Precaution Will Be Added to Sys Operating procedure.W/930520 Ltr ML20044D8511993-05-17017 May 1993 LER 93-005-00:on 930415,discovered That RCIC Steam Line Flow - High Timer Function Never Performed on Monthly Basis. Caused by Failure to Include Test in Initial Procedure Development Process.Procedures revised.W/930517 Ltr ML20024H2381991-05-21021 May 1991 LER 91-003-01:on 910322,Div II Control Power Circuit Deenergized,Resulting in Deenergization of Charcoal Filter Train Suction Dampers.Caused by Inadequate Work Plan.Plan Revised to Document Restoration of wiring.W/910521 Ltr ML20024G7441991-04-22022 April 1991 LER 91-003-00:on 910322,control Bldg Local Air Intake Radiation Monitor Control Power Circuit Deenergized, Resulting in Isolation of air-operated Dampers.Caused by Inadequate Work Plan.Work Plan revised.W/910422 Ltr ML20024G7181991-04-19019 April 1991 LER 91-004-00:on 910321,RCIC Turbine Main Steam Supply Line Outboard Containment Isolation Valve Isolated.Caused by Negative Trip Setpoint of Trip Unit Being Reached.Caution Added to RCIC Sys Operating procedures.W/910419 Ltr ML20029C1211991-03-14014 March 1991 LER 91-001-00:on 910212,use of Inadequate Control Room Filter Initiation Signal Due to Discrepancies Between Logic Diagrams.Main Control Room Doses Due to MSLB Outside Containment recalculated.W/910314 Ltr ML20029B1341991-02-26026 February 1991 LER 90-033-01:on 901104,RWCU Sys Isolation Occurred While Performing Plant Mod to Power Supply Wiring in Control Room Panel 1H13-P642.Caused by Removal of Terminal Screw.Power Supply reterminated.W/910226 Ltr ML20028H3961990-12-18018 December 1990 LER 90-032-01:on 901021,discovered That Five Snubbers Removed from Standby Svc Water Sys Piping in Violation of Tech Spec 3.7.4.Caused by Scheduling Error & Inadequate Review.Training Will Be Completed on 910331.W/901218 Ltr ML20024F7481990-12-10010 December 1990 LER 90-040-00:on 901110,technician Inadvertently Shorted Relay Terminals,Energizing Relay & Causing Emergency Diesel Generator to Start Unexpectedly.Caused by Personnel Error. Generator Manually secured.W/901210 Ltr ML20044B1951990-07-12012 July 1990 LER 90-003-01:on 900206 to 08,deficiencies Found in thermo-lag Fire Barrier Envelopes Redundant Safe Shutdown Circuits.Fire Watch Established.Util Working W/Vendor to Resolve discrepancies.W/900712 Ltr ML20044A3781990-06-22022 June 1990 LER 90-023-00:on 900523,discovered That Annulus Ventilation Radiation monitor,1RMS*RE11A Inoperable.Caused by Failure of Radiation Monitor Sample Pump & Failure of Switch to Actuate.Flow Switches replaced.W/900622 Ltr ML20043F4721990-06-0808 June 1990 LER 90-021-00:on 900509,RWCU Sys Differential Flow High Trip Instrumentation Inoperable for Period Greater than Allowed by Tech Spec.Caused by Misinterpretation of Tech Spec 3/4.3.2,Table 3.3.2.-1.4.Personnel retrained.W/900608 Ltr ML20043D5831990-06-0101 June 1990 LER 90-020-00:on 900504,radwaste Operator Entered High Radiation Area W/O Dose Rate Meter,Alarming Dosimeter or Radiation Protection Technician Coverage.Caused by Personnel Error.Training Provided to operators.W/900601 Ltr ML20043B8031990-05-24024 May 1990 LER 90-019-00:on 900425,RWCU Sys Isolation & ESF Actuation Occurred After Completion of Channel Check of Riley Temp Trip Unit.Caused by Unit Exceeding Differential Temp Setpoint of 46 F.Unit replaced.W/900524 Ltr ML20043B3301990-05-21021 May 1990 LER 90-017-00:on 900419,inadequate Fire Barrier in Shake Space Occurred Contrary to Tech Spec.Caused by Oversight. Roving Fire Watch Scheduled.Maint Will Rework Voids & Install Seismic Gap seal.W/900521 Ltr ML20043C0281990-05-19019 May 1990 LER 90-018-00:on 900420,ESF Actuation Occurred Causing Reactor Water Sample Containment Isolation Valve to Close. Caused by Failure of Fuse Which Deenergized Isolation Logic of Valves.Fuse replaced.W/900518 Ltr ML20042G7981990-05-10010 May 1990 LER 90-016-00:on 900414,insulator Fault on Local Grid Resulted in Trip of 500 Kv Breaker.Caused by Spurious Alarm Signal from Control Room Local Intake Radiation Monitor 1RMS*RE13B.Sys Returned to Normal operation.W/900510 Ltr ML20042G8001990-05-0909 May 1990 LER 90-015-00:on 900409,loss of Div II Reactor Protection Sys Bus Occurred Due to Trip of Electrical Protection Assembly.Another Trip Also Occurred on 900415.Caused by Faulty Integrated Circuit logics.W/900509 Ltr ML20042G4501990-05-0707 May 1990 LER 90-013-00:on 900405,discovered That Control Bldg Chiller Motor Current Limiter C Set Incorrectly at 56% Instead of 100%.Caused by Incorrect Setting & Maint Activities.Loop Calibr Data Sheet revised.W/900507 Ltr ML20042G4531990-05-0707 May 1990 LER 90-014-00:on 900407,reactor Scram Occurred While Testing Main Turbine Combined Intermediate Valves.Caused by Low Pressure Signal from Emergency Trip Sys of Electrohydraulic Control Sys.Two Solenoid Valves replaced.W/900507 Ltr ML20042F4731990-05-0101 May 1990 LER 90-012-00:on 900401,ESF Actuations Occurred Due to Electrical Protection Assembly Breakers Trip.Caused by Voltage Regulator Failure.Replacement Voltage Regulator Card Installed in MG 1C71-S001B.W/900501 Ltr ML20042E2231990-04-0909 April 1990 LER 90-007-00:on 900311,control Bldg Ventilation Sys Isolated & Filtration Unit Initiated.Caused by Severe Electrical Transient.Performance of Radiation Monitors Improved Prior to Implementation of procedures.W/900409 Ltr ML20012C0741990-03-12012 March 1990 LER 90-004-00:on 900211,Div II Emergency 125-volt Dc Bus Experienced Voltage Spike,Causing Topaz Inverter to Trip & Resulting in Loss of Power to Control Room Panel.Cause Unknown.Setpoint Changes Being evaluated.W/900312 Ltr ML20012C4191990-03-0808 March 1990 LER 90-003-00:on 900206,found That Several Minor Deficiencies Existed in thermo-lag Fire Barrier Envelopes Redundant Safe Shutdown Circuits.Util Currently Working W/ Vendor to Resolve Identified discrepancies.W/900308 Ltr ML20011E2491990-01-31031 January 1990 LER 88-018-04:on 880825,reactor Scram Occurred Due to Main Generator Exciter Brush Failure.Preventive Maint Procedure Revised to Establish Specific Wear Criteria at Which Brushes to Be replaced.W/900131 Ltr ML20011E2461990-01-31031 January 1990 LER 89-036-01:on 891007,discovered That Various motor- Operated Valves Energized,Contrary to Assumptions Contained in Plant Fire Hazards Analysis.Cause Not Stated.Operations Initiated Required Fire Watches on valves.W/900131 Ltr ML20011E1191990-01-30030 January 1990 LER 90-001-00:on 900103,isolation of RCIC Steam Supply Inboard Isolation Valve Occurred During Surveillance Testing of RCIC Sys.Caused by Technician Lifting Wrong Lead,Causing ESF Actuation.Lead Relanded on terminal.W/900130 Ltr ML20011E1181990-01-30030 January 1990 LER 89-033-01:on 890916,loss of Power to Div II 120-volt Ac Distribution Panel Caused auto-start of Standby Gas Treatment & Annulus Mixing Sys,Resulting in ESF Actuations. Caused by Transformer Failure.Valves opened.W/900130 Ltr ML20005G1641990-01-10010 January 1990 LER 89-044-00:on 891211,unplanned ESF Actuation Occurred, Resulting in Isolation of Rcic.Caused by Technician Failing to Perform Steps of Surveillance Test Procedure in Sequence.Div II Isolation Signal reset.W/900110 Ltr ML20005G1661990-01-10010 January 1990 LER 89-045-00:on 891212,Div I Standby Svc Water Pumps Received Automatic Start Signal Due to Spurious Low Svc Water Pressure Signal When Normal Svc Water Pump Secured. Signal Cleared & Sys Restored to Normal lineup.W/900110 Ltr ML20005E8521990-01-0202 January 1990 LER 89-043-00:on 891201.two Outboard MSIVs Inoperable Due to Failure of Corresponding Fast Closure solenoid-operated Valve.Caused by Incomplete Removal of Silicone Lubricant. Lubricant Removed by Application of Acetone.W/900102 Ltr ML20005E8511990-01-0202 January 1990 LER 89-042-01:on 891201,main Turbine Generator Tripped, Resulting in Reactor Scram.Caused by Sensing Fault on Offsite 230 Kv Line.Sys Maint Procedure Being Revised to Include Test of Failed Portion of relay.W/900102 Ltr ML20005E1381989-12-26026 December 1989 LER 89-041-00:on 891125,unplanned ESF Actuation Occurred as Result of Two Leads Shorted Together During Testing of Control Circuitry,Causing Valve Isolation from Suppression Pool.Sys Lineup Restored to Normal position.W/891226 Ltr ML20011D6201989-12-18018 December 1989 LER 89-040-00:on 891117,surveillance Test of Div II Penetration Valve Leakage Control Sys Air Supply Header Pressure Not Performed within Allowable Tolerance.Addl Training of Scheduling Group Will Be provided.W/891218 Ltr ML20011D1371989-12-14014 December 1989 LER 89-039-00:on 891114,discovered That Required post-maint Overall Leak Rate Test on Upper Containment Airlock Not Performed After Replacement of Inflatable Seal.Caused by Personnel Error.Maint Procedure revised.W/891214 Ltr 1994-05-13
[Table view] Category:RO)
MONTHYEARML20024J3201994-10-0707 October 1994 LER 94-022-00:on 940907,TS Violation Occurred Due to Inadequate Fire Watch.Retrained Personnel Associated W/ Painting activities.W/941007 Ltr ML20029E2001994-05-13013 May 1994 LER 94-006-00:on 940414,SS Recognized That Required Frequency for Performing STP 057-3705 Had Been Exceeded. Caused by Inadequate Supervisory Methods.Corrective Action: Inhouse Tracking Process Will Be created.W/940513 Ltr ML20029C8741994-04-26026 April 1994 LER 93-026-01:on 931117,isolation of RCIC Sys Occurred Due to Apparent Failure of Relay.Three Relays Associated W/ Isolation Replaced & Shipped to Mfg for Failure Analysis.W/ 940426 Ltr ML20029C7021994-04-19019 April 1994 LER 90-003-05:on 900206,discovered Deficiencies in Thermo-Lag Fire Barrier Envelope Around Redundant Safe Shutdown.Firewatches Established in Areas Where Thermo Lag Used as barrier.W/940419 Ltr ML20046C3891993-08-0202 August 1993 LER 93-014-00:on 930701,installed Sprinkler Sys as Substitute for Passive fire-rated Barrier Due to Deficiency Identified in Fire Barrier Separation Requirements.Declared Fire Barriers Surrounding Valves degraded.W/930802 Ltr ML20046B8981993-07-29029 July 1993 LER 93-013-00:on 930629,high Pressure Core Spray Pump Failed to Start & Run During Surveillance Test Due to Failed Overfrequency Relay.Relay Tested & Installed in Switchgear. W/930729 Ltr ML20046A2361993-07-22022 July 1993 LER 93-008-01:on 930429,relief Request Improperly Prepared for Insvc Testing Program Results in Noncompliance W/Main Steam Isolation Valve Testing Requirement.Caused by Personnel Error.Testing Frequency Revised ML20045G6111993-07-0202 July 1993 LER 93-012-00:on 930603,deficiency in Plant Surveillance Test Procedures Identified.Caused by Primary Causal Factor Inattention to Detail During Initial Procedure Development Process.Surveillance Test Procedures performed.W/930702 Ltr ML20045D6991993-06-21021 June 1993 LER 93-011-00:on 930521,determined That Mode Switch Placed in Refuel Position During Testing of Switch Interlock Functions.Caused by Conflicting Info in Surveillance Procedures.Operating Procedure revised.W/930621 Ltr ML20045C0141993-06-14014 June 1993 LER 93-010-00:on 930514,SDC Lost for Approx Three Minutes When One SDC Suction Valve Closed Due to Initiation of Spurious ESF Actuation Signal.Caused by Personnel Error. Procedural Guidance revised.W/930614 Ltr ML20045C0021993-06-14014 June 1993 LER 93-003-01:on 930225,incidents Discovered Which Caused Interlock Mechanism in Upper Containment Airlocks at Elevation 171 to Operate Improperly.Case Study Training Class Developed for Airlock incidents.W/930614 Ltr ML20045A1461993-06-0404 June 1993 LER 93-009-00:on 930504,discovered That Surveillance Test Procedure for Control Bldg Chilled Water Sys Quarterly Pump Missed Due to Cognitive Personnel Error.Administrative Procedure Will Be revised.W/930604 Ltr ML20045A4261993-06-0101 June 1993 LER 93-002-02:on 930212,discovered That TS SRs Not Properly Implemented in Logic Sys Functional Tests Due to Inattention to Detail While Preparing Revs of Relevant Surveillance Test Procedures (Stp).Relevant STPs revised.W/930601 Ltr ML20044H3571993-06-0101 June 1993 LER 93-008-00:on 930429,investigation Determined That Relief Request for Inservice Testing of Pumps & Valves in Conflict W/Msiv Testing Requirements.Caused by Personnel Error.Relief Request 40 revised.W/930601 Ltr ML20044G7401993-05-26026 May 1993 LER 93-006-00:on 930419,MSIV Failed to Stroke Closed When Given Close Signal from CR Due to Poppet Sticking.Caused by Insufficient poppet-to-guide Rib Clearance.Stricter Controls Imposed to Control clearances.W/930526 Ltr ML20044F2541993-05-20020 May 1993 LER 93-007-00:on 930420,noted That an Isolation of Inboard & Outboard MSIV & Ms Line Drains Occurred.Caused by Lack of Personnel Knowledge of Unique Maint Conditions.Precaution Will Be Added to Sys Operating procedure.W/930520 Ltr ML20044D8511993-05-17017 May 1993 LER 93-005-00:on 930415,discovered That RCIC Steam Line Flow - High Timer Function Never Performed on Monthly Basis. Caused by Failure to Include Test in Initial Procedure Development Process.Procedures revised.W/930517 Ltr ML20024H2381991-05-21021 May 1991 LER 91-003-01:on 910322,Div II Control Power Circuit Deenergized,Resulting in Deenergization of Charcoal Filter Train Suction Dampers.Caused by Inadequate Work Plan.Plan Revised to Document Restoration of wiring.W/910521 Ltr ML20024G7441991-04-22022 April 1991 LER 91-003-00:on 910322,control Bldg Local Air Intake Radiation Monitor Control Power Circuit Deenergized, Resulting in Isolation of air-operated Dampers.Caused by Inadequate Work Plan.Work Plan revised.W/910422 Ltr ML20024G7181991-04-19019 April 1991 LER 91-004-00:on 910321,RCIC Turbine Main Steam Supply Line Outboard Containment Isolation Valve Isolated.Caused by Negative Trip Setpoint of Trip Unit Being Reached.Caution Added to RCIC Sys Operating procedures.W/910419 Ltr ML20029C1211991-03-14014 March 1991 LER 91-001-00:on 910212,use of Inadequate Control Room Filter Initiation Signal Due to Discrepancies Between Logic Diagrams.Main Control Room Doses Due to MSLB Outside Containment recalculated.W/910314 Ltr ML20029B1341991-02-26026 February 1991 LER 90-033-01:on 901104,RWCU Sys Isolation Occurred While Performing Plant Mod to Power Supply Wiring in Control Room Panel 1H13-P642.Caused by Removal of Terminal Screw.Power Supply reterminated.W/910226 Ltr ML20028H3961990-12-18018 December 1990 LER 90-032-01:on 901021,discovered That Five Snubbers Removed from Standby Svc Water Sys Piping in Violation of Tech Spec 3.7.4.Caused by Scheduling Error & Inadequate Review.Training Will Be Completed on 910331.W/901218 Ltr ML20024F7481990-12-10010 December 1990 LER 90-040-00:on 901110,technician Inadvertently Shorted Relay Terminals,Energizing Relay & Causing Emergency Diesel Generator to Start Unexpectedly.Caused by Personnel Error. Generator Manually secured.W/901210 Ltr ML20044B1951990-07-12012 July 1990 LER 90-003-01:on 900206 to 08,deficiencies Found in thermo-lag Fire Barrier Envelopes Redundant Safe Shutdown Circuits.Fire Watch Established.Util Working W/Vendor to Resolve discrepancies.W/900712 Ltr ML20044A3781990-06-22022 June 1990 LER 90-023-00:on 900523,discovered That Annulus Ventilation Radiation monitor,1RMS*RE11A Inoperable.Caused by Failure of Radiation Monitor Sample Pump & Failure of Switch to Actuate.Flow Switches replaced.W/900622 Ltr ML20043F4721990-06-0808 June 1990 LER 90-021-00:on 900509,RWCU Sys Differential Flow High Trip Instrumentation Inoperable for Period Greater than Allowed by Tech Spec.Caused by Misinterpretation of Tech Spec 3/4.3.2,Table 3.3.2.-1.4.Personnel retrained.W/900608 Ltr ML20043D5831990-06-0101 June 1990 LER 90-020-00:on 900504,radwaste Operator Entered High Radiation Area W/O Dose Rate Meter,Alarming Dosimeter or Radiation Protection Technician Coverage.Caused by Personnel Error.Training Provided to operators.W/900601 Ltr ML20043B8031990-05-24024 May 1990 LER 90-019-00:on 900425,RWCU Sys Isolation & ESF Actuation Occurred After Completion of Channel Check of Riley Temp Trip Unit.Caused by Unit Exceeding Differential Temp Setpoint of 46 F.Unit replaced.W/900524 Ltr ML20043B3301990-05-21021 May 1990 LER 90-017-00:on 900419,inadequate Fire Barrier in Shake Space Occurred Contrary to Tech Spec.Caused by Oversight. Roving Fire Watch Scheduled.Maint Will Rework Voids & Install Seismic Gap seal.W/900521 Ltr ML20043C0281990-05-19019 May 1990 LER 90-018-00:on 900420,ESF Actuation Occurred Causing Reactor Water Sample Containment Isolation Valve to Close. Caused by Failure of Fuse Which Deenergized Isolation Logic of Valves.Fuse replaced.W/900518 Ltr ML20042G7981990-05-10010 May 1990 LER 90-016-00:on 900414,insulator Fault on Local Grid Resulted in Trip of 500 Kv Breaker.Caused by Spurious Alarm Signal from Control Room Local Intake Radiation Monitor 1RMS*RE13B.Sys Returned to Normal operation.W/900510 Ltr ML20042G8001990-05-0909 May 1990 LER 90-015-00:on 900409,loss of Div II Reactor Protection Sys Bus Occurred Due to Trip of Electrical Protection Assembly.Another Trip Also Occurred on 900415.Caused by Faulty Integrated Circuit logics.W/900509 Ltr ML20042G4501990-05-0707 May 1990 LER 90-013-00:on 900405,discovered That Control Bldg Chiller Motor Current Limiter C Set Incorrectly at 56% Instead of 100%.Caused by Incorrect Setting & Maint Activities.Loop Calibr Data Sheet revised.W/900507 Ltr ML20042G4531990-05-0707 May 1990 LER 90-014-00:on 900407,reactor Scram Occurred While Testing Main Turbine Combined Intermediate Valves.Caused by Low Pressure Signal from Emergency Trip Sys of Electrohydraulic Control Sys.Two Solenoid Valves replaced.W/900507 Ltr ML20042F4731990-05-0101 May 1990 LER 90-012-00:on 900401,ESF Actuations Occurred Due to Electrical Protection Assembly Breakers Trip.Caused by Voltage Regulator Failure.Replacement Voltage Regulator Card Installed in MG 1C71-S001B.W/900501 Ltr ML20042E2231990-04-0909 April 1990 LER 90-007-00:on 900311,control Bldg Ventilation Sys Isolated & Filtration Unit Initiated.Caused by Severe Electrical Transient.Performance of Radiation Monitors Improved Prior to Implementation of procedures.W/900409 Ltr ML20012C0741990-03-12012 March 1990 LER 90-004-00:on 900211,Div II Emergency 125-volt Dc Bus Experienced Voltage Spike,Causing Topaz Inverter to Trip & Resulting in Loss of Power to Control Room Panel.Cause Unknown.Setpoint Changes Being evaluated.W/900312 Ltr ML20012C4191990-03-0808 March 1990 LER 90-003-00:on 900206,found That Several Minor Deficiencies Existed in thermo-lag Fire Barrier Envelopes Redundant Safe Shutdown Circuits.Util Currently Working W/ Vendor to Resolve Identified discrepancies.W/900308 Ltr ML20011E2491990-01-31031 January 1990 LER 88-018-04:on 880825,reactor Scram Occurred Due to Main Generator Exciter Brush Failure.Preventive Maint Procedure Revised to Establish Specific Wear Criteria at Which Brushes to Be replaced.W/900131 Ltr ML20011E2461990-01-31031 January 1990 LER 89-036-01:on 891007,discovered That Various motor- Operated Valves Energized,Contrary to Assumptions Contained in Plant Fire Hazards Analysis.Cause Not Stated.Operations Initiated Required Fire Watches on valves.W/900131 Ltr ML20011E1191990-01-30030 January 1990 LER 90-001-00:on 900103,isolation of RCIC Steam Supply Inboard Isolation Valve Occurred During Surveillance Testing of RCIC Sys.Caused by Technician Lifting Wrong Lead,Causing ESF Actuation.Lead Relanded on terminal.W/900130 Ltr ML20011E1181990-01-30030 January 1990 LER 89-033-01:on 890916,loss of Power to Div II 120-volt Ac Distribution Panel Caused auto-start of Standby Gas Treatment & Annulus Mixing Sys,Resulting in ESF Actuations. Caused by Transformer Failure.Valves opened.W/900130 Ltr ML20005G1641990-01-10010 January 1990 LER 89-044-00:on 891211,unplanned ESF Actuation Occurred, Resulting in Isolation of Rcic.Caused by Technician Failing to Perform Steps of Surveillance Test Procedure in Sequence.Div II Isolation Signal reset.W/900110 Ltr ML20005G1661990-01-10010 January 1990 LER 89-045-00:on 891212,Div I Standby Svc Water Pumps Received Automatic Start Signal Due to Spurious Low Svc Water Pressure Signal When Normal Svc Water Pump Secured. Signal Cleared & Sys Restored to Normal lineup.W/900110 Ltr ML20005E8521990-01-0202 January 1990 LER 89-043-00:on 891201.two Outboard MSIVs Inoperable Due to Failure of Corresponding Fast Closure solenoid-operated Valve.Caused by Incomplete Removal of Silicone Lubricant. Lubricant Removed by Application of Acetone.W/900102 Ltr ML20005E8511990-01-0202 January 1990 LER 89-042-01:on 891201,main Turbine Generator Tripped, Resulting in Reactor Scram.Caused by Sensing Fault on Offsite 230 Kv Line.Sys Maint Procedure Being Revised to Include Test of Failed Portion of relay.W/900102 Ltr ML20005E1381989-12-26026 December 1989 LER 89-041-00:on 891125,unplanned ESF Actuation Occurred as Result of Two Leads Shorted Together During Testing of Control Circuitry,Causing Valve Isolation from Suppression Pool.Sys Lineup Restored to Normal position.W/891226 Ltr ML20011D6201989-12-18018 December 1989 LER 89-040-00:on 891117,surveillance Test of Div II Penetration Valve Leakage Control Sys Air Supply Header Pressure Not Performed within Allowable Tolerance.Addl Training of Scheduling Group Will Be provided.W/891218 Ltr ML20011D1371989-12-14014 December 1989 LER 89-039-00:on 891114,discovered That Required post-maint Overall Leak Rate Test on Upper Containment Airlock Not Performed After Replacement of Inflatable Seal.Caused by Personnel Error.Maint Procedure revised.W/891214 Ltr 1994-05-13
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARRBG-45144, Monthly Operating Rept for Sept 1999 for River Bend Station. with1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for River Bend Station. with ML20216G1201999-09-0909 September 1999 Rev 3 to Rbs,Cycle 9 Colr RBG-45110, Monthly Operating Rept for Aug 1999 for River Bend Station, Unit 1.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for River Bend Station, Unit 1.With RBG-45087, Special Rept:On 990510,LPCI a & LPCS Injected Into Rv for Less than Two Minutes.Caused by Electrical Transient in One of ECCS Power Supplies.Operators Verified Reactor Cavity Level & Closed Injection Valves to Stop Injection1999-08-0606 August 1999 Special Rept:On 990510,LPCI a & LPCS Injected Into Rv for Less than Two Minutes.Caused by Electrical Transient in One of ECCS Power Supplies.Operators Verified Reactor Cavity Level & Closed Injection Valves to Stop Injection ML20210K4721999-08-0303 August 1999 SER Accepting Licensee 180-day Response to GL 95-07, Pressure Locking & Thermal Binding of Safety-Related Power-Operated Gate Valves RBG-45091, Monthly Operating Rept for July 1999 for River Bend Station, Unit 1.With1999-07-31031 July 1999 Monthly Operating Rept for July 1999 for River Bend Station, Unit 1.With ML20210C6391999-07-0202 July 1999 Rev 2 to River Bend Station,Cycle 9 Colr RBG-45055, Monthly Operating Rept for June 1999 for River Bend Station, Unit 1.With1999-06-30030 June 1999 Monthly Operating Rept for June 1999 for River Bend Station, Unit 1.With ML20196J8031999-06-24024 June 1999 Rev 1 to Rbs,Cycle 9 Colr RBG-45028, Monthly Operating Rept for May 1999 for River Bend Station, Unit 1.With1999-05-31031 May 1999 Monthly Operating Rept for May 1999 for River Bend Station, Unit 1.With RBG-45016, Monthly Operating Rept for Apr 1999 for River Bend Station, Unit 1.With1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for River Bend Station, Unit 1.With ML20206A2111999-04-21021 April 1999 Safety Evaluation Authorizing Pump Relief Request PRR-001 & Valve Relief Request VRR-001 & Denying Valve Relief Request VRR-002 RBG-44969, Monthly Operating Rept for Mar 1999 for River Bend Station, Unit 1.With1999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for River Bend Station, Unit 1.With ML20205S0601999-03-31031 March 1999 Rept on Status of Public Petitions Under 10CFR2.206 with Status Change from Previous Update,990331 ML20205D5481999-03-26026 March 1999 SER Accepting Util Proposed Alternative to Exam Weld AA with Weld Volume Coverage of 62 Percent for First 10-year Insp Interval Pursuant to 10CFR50.55a(a)(3)(ii) & 10CFR50.55a(g)(6)(ii)(A)(5) RBG-44930, Monthly Operating Rept for Feb 1999 for River Bend Station, Unit 1.With1999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for River Bend Station, Unit 1.With RBG-44826, Monthly Operating Rept for Dec 1998 for River Bend Station Unit 1.With1998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for River Bend Station Unit 1.With ML20198K2701998-12-22022 December 1998 Rev 1 to RBS Cycle 8 Colr RBG-44773, Monthly Operating Rept for Nov 1998 for River Bend Station, Unit 1.With1998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for River Bend Station, Unit 1.With RBG-44727, LER 98-S01-00:on 981021,identified That Contract Employee with Temporary Access Authorization Failed to Disclose Complete Criminal & Employment History.Individual Denied Access to Plants for Five Years.With1998-11-17017 November 1998 LER 98-S01-00:on 981021,identified That Contract Employee with Temporary Access Authorization Failed to Disclose Complete Criminal & Employment History.Individual Denied Access to Plants for Five Years.With ML20195C4841998-11-0606 November 1998 SER Accepting QA Program Change to Consolidate Four Existing QA Programs for Arkansas Nuclear One,Grand Gulf Nuclear Station,River Bend Station & Waterford 3 Steam Electric Station Into Single QA Program ML20155H3491998-11-0303 November 1998 Safety Evaluation Granting Requests for Relief RR2-0001, RR2-0002 & RR2-0003 RBG-44719, Monthly Operating Rept for Oct 1998 for River Bend Station, Unit 1.With1998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for River Bend Station, Unit 1.With ML20155C1351998-10-26026 October 1998 Rev B to Entergy QA Program Manual RBG-44677, Monthly Operating Rept for Sept 1998 for River Bend Station, Unit 1.With1998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for River Bend Station, Unit 1.With ML20154E2171998-09-28028 September 1998 Follow-up Part 21 Rept Re Defect with 1200AC & 1200BC Recorders Built Under Westronics 10CFR50 App B Program. Westronics Has Notified Bvps,Ano & RBS & Is Currently Making Arrangements to Implement Design Mods ML20151S5421998-09-0303 September 1998 Safety Evaluation Opposing Licensee Thermal Model as Currently Implemented.Evaluation Recommended to Be Used in Any follow-up Site Insp RBG-44629, Monthly Operating Rept for Aug 1998 for River Bend Station, Unit 1.With1998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for River Bend Station, Unit 1.With ML20236X2351998-08-0505 August 1998 Part 21 Rept Re Defect Associated W/Westronics 1200AC & 1200BC Recorders Built Under Westronics 10CFR50,App B Program.Beaver Valley,Arkansas Nuclear One & River Bend Station Notified.Design Mod Is Being Developed RBG-44600, Monthly Operating Rept for July 1998 for River Bend Station1998-07-31031 July 1998 Monthly Operating Rept for July 1998 for River Bend Station RBG-44564, Monthly Operating Rept for June 1998 for River Bend Station, Unit 11998-06-30030 June 1998 Monthly Operating Rept for June 1998 for River Bend Station, Unit 1 ML20249A6431998-06-12012 June 1998 SER Accepting 980427 Request for Change to River Bend QA Manual Program Description,Per 10CFR50.54(a)(3) RBG-44539, Monthly Operating Rept for May 1998 for River Bend Station, Unit 11998-05-31031 May 1998 Monthly Operating Rept for May 1998 for River Bend Station, Unit 1 RBG-44501, Monthly Operating Rept for Apr 1998 for River Bend Station, Unit 11998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for River Bend Station, Unit 1 ML20217M8951998-04-30030 April 1998 QA Program Manual ML20217P8281998-04-0707 April 1998 Safety Evaluation Accepting Relief Authorization for Alternative to Requirements of ASME Section Xi,Subarticle IWA-5250 Bolting Exam for Plants,Per 10CFR50.55a(a)(3)(i) RBG-44458, Monthly Operating Rept for Mar 1998 for River Bend Station, Unit 11998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for River Bend Station, Unit 1 RBG-44423, Monthly Operating Rept for Feb 1998 for River Bend Station Unit 11998-02-28028 February 1998 Monthly Operating Rept for Feb 1998 for River Bend Station Unit 1 ML20203L6631998-02-11011 February 1998 Rev 0 to River Bend Station,1998 Emergency Preparedness Exercise RBG-44385, Monthly Operating Rept for Jan 1998 for River Bend Station, Unit 11998-01-31031 January 1998 Monthly Operating Rept for Jan 1998 for River Bend Station, Unit 1 RBG-44353, Monthly Operating Rept for Dec 1997 for River Bend Station, Unit 11997-12-31031 December 1997 Monthly Operating Rept for Dec 1997 for River Bend Station, Unit 1 RBG-44460, Forwards Annual Radiological Environmental Operating Rept, for Period Jan-Dec 19971997-12-31031 December 1997 Forwards Annual Radiological Environmental Operating Rept, for Period Jan-Dec 1997 ML20203H9891997-12-12012 December 1997 Part 21 Rept Re Potential Manufacturing Defect of Enterprise DSR-4 & DSRV-4 Edgs.Cooper Energy Svcs Supplied 1A-7840 Adjusting Screw to Affected Utils & Sites.River Bend Station Replaced W/Acceptable Assemblies ML20202E9941997-12-0101 December 1997 ISI Plan Second Ten-Yr Interval (Dec 1,1997-Nov 30,2007) ML20199K9741997-11-30030 November 1997 Brief Aerial Photography Analysis of RBS at St Francisville,LA:1996-1997 RBG-44337, Monthly Operating Rept for Nov 1997 for River Bend Station, Unit 11997-11-30030 November 1997 Monthly Operating Rept for Nov 1997 for River Bend Station, Unit 1 ML20202F0191997-11-28028 November 1997 Safety Evaluation Approving Transfer of License NPF-47 for River Bend Station,Unit 1 ML20199H3711997-11-19019 November 1997 SER Accepting Approving Request Relief from Requirements of Section XI, Rule for Inservice Insp of NPP Components, of ASME for Current or New 10-year Inservice Insp Interval IAW 50.55(a)(3)(i) of 10CFR50 RBG-44295, Monthly Operating Rept for Oct 1997 for River Bend Station Unit 11997-10-31031 October 1997 Monthly Operating Rept for Oct 1997 for River Bend Station Unit 1 RBG-44243, LER 97-S03-00:on 970911,contract Employee Was Granted Temporary Access After Failing to List Prior Employment Termination & Access Denial.Caused by Employee Failure to Provide Accurate Info.Updated Info Re Employee1997-10-13013 October 1997 LER 97-S03-00:on 970911,contract Employee Was Granted Temporary Access After Failing to List Prior Employment Termination & Access Denial.Caused by Employee Failure to Provide Accurate Info.Updated Info Re Employee 1999-09-09
[Table view] |
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GULF ' -STATES ' ' UTILITIES - COMPANY MVE R flEhD STAMON POST OrtfCE BGX 220 ST FF4ANCISVILLE todt$1ANA 70775 ARE A COD 6 %d 6 38J 6094 346 66f1 June 1, 1993 RBG- 38584 File Nos. G9.5, G9.25.1.3 U.S. Nuclear Regulatory Commission Document Control Desk Washington, D.C. 20555 Gentlemen:
River Bend Station - Unst 1 Docket No. 50-458 Please find enclosed Supplement 2 to Licensee Event Report No.93-002 for River Bend Station - Unit 1. This supplement provides details of additional investigation concerning logic system functional tests that did not fulfill the Technical Specification Surveillance Requirements.
Sincerely,
.24vtkh ;
J. E. Booker i Manager - Safety Assessment and Quality Verification River Bend Nuclear Group i LAE/ S / C /ML5/kvm (l"('0 Q G })
9306100240 930601 v I{ 4 PDR ADOCK 05000458- l l S PDR /. i l
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cc: U.S. Nuclear Regulatory Commission 611 Ryan Plaza Drive, Suite 400 >
Arlington, TX 76011 :
NRC Resident Inspector P.O. Box 1051 St. Francisville, LA 70775 '
INPO Records Center f 1100 Circle 75 Parkway Atlanta, GA 30339-3064 i Mr. C.R. Oberg Public Utility Commission of Texas I 7800 Shoal Creek Blvd., Suite 400 Nonh +
Austin, TX 78757
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Department of Envimnmental Quality Radiation Protection Division ,
P.O. Box 82135 Baton Rouge, LA 70884-2135 l ATrN: Administrator [
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i NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION APPROVED DY OMB NO. 3150-0104
[5 92)
EXPIRES 5/31/95
' l'ST! MATED BURDEN PER RESPONSE TO COMPLY WrTH THIS INrORMATION COi.LE CTION REQUEST. 50 0 HR3. FORWARD LICENSEE EVENT REPORT (LER) cOMMms ntGAnOm BuRotN csTwTE TO TnE ivoneroN AND RECORDS MANAGEMENT BRANCH (VNBS 7714), U $ NUCLEAR HrGULATORY COMMISS!ON, WASH:NGTON, DC 20555-0001, AND TO THE FAPERWORK HCDUCTION P5tGJECT 13150 otc4 OF FICE Or (See reverse for required number of d3gits/ characters for each block) uANAGEMENT AND BUDGET, WASH:NGTON, DC 20$03 f ACIUTY NAME (1) DOCKET NUMBER (2) PAGE (3)
RIVER BEND STATION 1 OF 05000 458 10
= a) TECHNICAL SPECIFICATION SURVEILLANCE REQUIREMENTS NOT PROPERLY IMPLEMENTED IN LOGIC l SYSTEM FUNCTIONAL TESTS EVENT DATE (5) LER NUMBER (6l REPORT NUMBER (7) OTHER FACILITIES INVOLVED (8) ,
Day srcumAt Re m ON
uOes vtan ve an ,, MONN DAY YEAR
%yggy 05000 i F AQUIY NAME DOCKET NUMBER 02 25 93 93 - 002 -
02 06 01 93 05000 ,
OPERATING THIS REPORT IS SUBMITTED PUHSUANT TO THE REQUIREMENTS OF 10 CFR 1: (Check one or morel (11)
MODE (9) 1 20.402(b) 20 405(c) 50 73(a)(2} 0v) 73.71(b) ,
POWEH 20 405;ain10) 50.36(c)(1) 50.73(a)(2Hv) 73 71(c)
LEVEL (10) 100 20 405 aH1)co 50 36(cH2) 50.73(aH2Hvid OTHER l, 20 405faH1Hui) X 50.73(aH2)D) A )
50.73(a)(2)(vin)(A) 20 405(a)(1 Hiv) 50.73(a)(2)D ) 50.73(a)(2)(vin)(B) Form 36sAj !
20 405(aH1)(v) 50.73(aH2>0n) 50.73(a)(2)(x) !
I LICENSEE CONTACT FOR THIS LER (12)
NayE 4d&+K,JNE NUMdd Mcluce Area Corie} l L.A. ENGLAND - DIRECTOR.. NUCLEAR LICENSING (504) 381-4145 ,
- COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
"C ^ # E CAusE Sys'E M ctwoNENt umur ACrunr n g CAUSE SYSTEM COMPOMNT MANUTACTURER ;
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pr yo, cuev rvEcTED susMwoN DATE) x DATE (15) ,
ABSTRACT (Limtt to 1400 spaces, i e., approdmately 15 sing le-spaced typewntten knes) (16) l i
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On February 12,1993 with the plant at 100 percent power (Operational Condition 1), a deficiency :
in plant suneillance test procedures (STPs) was identified. During a safety system functional assessment (SSFA) perfonned by Quality Assurance, it was discovered that the logic system
. functional test (LSFT) that verifies the isolation of reactor core isolation cooling system (RCIC) [
valve E51-F045 on a reactor water level 8 signa: was not being completely satisfied. !
Technical SpeciGcations (TS) require that an LSFT and simulated automatic operation of all channels be performed at least once per 18 months. A combination of three suneillance test procedures was intended to meet the TS suncillance requirements; however, the SSFA revealed that j these procedures do not provide proper overlap. ,
GSU's ongoing review of all STPs which perfonn LSFTs has revealed several conditions in addition i to the original one described above. As conditions are identiGed, GSU is verifying the operability ;
of the affected circuitry and initiating the necessary changes to the applicable surveillance test procedures.
l uterOnuu m
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l REQUIRED NUMBER OF DIGITS / CHARACTERS .
FOR EACH BLOCK i BLOCK NUMBER OF TITLE NUMBER DIGITS / CHARACTERS 1 UP TO 46 - FACILITY NAME 8 TOTAL DOCKET NUMBER 3 IN ADDITION TO 05000 3 VARIES PAGE NUMBER i
4 UP TO 76 TITLE 6 TOTAL DATE 2 PER BLOCK ;
7 TOTAL
- 6 LER NUMBER 3 FOR SEQUENT AL NUMBER 2 FOR REVISION NUMBER f
6 TOTAL ,
7 OM DATE ,
2 PER BLOCK UP TO 18 - FACIUTY NAME ,
8 8 TOTAL - DOCKET NUMBER H AI I IN OWED l 3 IN ADDITION TO 05000 9 1 OPERATING MODE .
10 3 i POWER LEVEL Il REQUIREMENTS OF 10 CFR CHECK BOX THAT APPLIES 12 W TO 50 M ME LICENSEE CONTACT 14 FOR TELEPHONE r CAUSE VARIES 2 FOR SYSTEM 13 4 FOR COMPONENT EACH COMPONENT FAILURE '
4 FOR MANUFACTURER NPRDS VARIES
'4 CHECK BOX THAT APPLIES 6 TOTAL 6 15 EXPECTED SUBMISSION DATE 2 PER BLOCK s
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i N'iC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150-0104 .
(5-er: EXPlRES 5/31/95 ]
ESTWTED BURDEN PER RESPONSE TO COMPLY W4H THS !
LICENSEE EVENT REPORT (LER) ES"Es"nEf8NERif$$AEo"T2 wl875 -1 S
TEXT CONTINUATION @v"'C@Se "du^$"o'['w"E378'e",dt;$ia e,"$E THE PAPERWORK REDUCTION PROJECT (3150-0104, OFFICE OF l MANAGEMENT AND BVDGET, WASHINGTON, DC 20503.
1 FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3) 6EQvENTA REv&ON '
NUMBEA NUMBER RIVER BEND STATION 05000 4 5 8 93 - 002 -
02 2 10
,w w n.w.c.v.u a ..m m .~ m m on RF. PORTED CONDITION On February 12,1993 with the plant at 100 percent power (Operational Condition 1), a deficiency in plant surveillance test procedures (STPs) was identified. During a safety system functional 1
assessment (SSFA) performed by Quality Assurance, it was discovered that the logic system functional test (LSFT) that verifies the isolation of reactor core isolation cooling system (RCIC)
(*BN*) valve (*V*) E51-F045 on a reactor water level 8 signal was not being completely satisfied.
Technical Specification (TS) Table 4.3.5.1-1-1.b and TS 4.3.5.2 requires that a logic system ,
functional test and simulated automatic operation of all channels be performed at least once per 18 months. The combinations of STP-209-0601, STP-051-4226, and STP-051-4227 were intended to meet the TS surveillance requirements; however, the SSFA revealed that thti procedures do not provide proper overlap. The last performance of these STPs such that the TS requirements were met was on November 13, 1985. This report is submitted pursuant to 10CFR50.73(a)(2)(i)(b) as operation prohibited by the Technical Specifications.
The supplemental repon dated April 2,1993 documented two additional missed overlap points. One l ,
of these was the low pressure core spray (*BM*) / low pressure coolant injection (*BO*) ' l (LPCS/LPCI) injection valves (*V*) E21-F005 and E12-F042A permissive actuation instrumentation channels / circuitry for reactor vessel pressure - low. The other condition is the LSFT requirement to verify that Division II balance of plant (BOP) isolation valves (*V*) will isolate on a high drywell ;
pressure signal.
This report documents additional conditions identified during the period from March 26,1993 to May 11,1993. These conditions are described in detail in the investigation section below.
INVESTIGATION The logic system functional test (LSFT) requirement to verify that RCIC valve E51-F045 (*V*) will 1 isolate on a reactor water level 8 signal is implemented by the combination of STP-051-4226, STP- .l 051-4227 and STP-209-0601. Review of these procedures has shown that proper overlap between them is not provided.
The logic for this circuit requires that two level transmitters (*LT*) both sense that a level 8 condition exists for the isolation to occur. Each of the level transmitters (*LT*) sends a signal to a trip unit. When the trip unit receives a level 8 signal from the transmitter, it trips, causing a contact to close. The contacts from the two trip units are in series. When both of these contacts close, ;
i I
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NRC FORM 366A u.S. NUCLEAR REGULATORY COMMISSION APPROVED BY oMB NO. 3150-0104 cs-ag EXPIRES $/31/95 ESTruA'ED BJRDEN PER RESPONSE TO COMPLY W'TM TMS LICENSEE EVENT REPORT (LER) C$ $ 3 E f 8 E RiE! $ $ JE OOMR72 TEXT CONTINUATION @MS yMEN',$"fo"TS*M,*EIS c
THE PAPEAWOR4 REDUCTION PROJECT (US>otM, OFFICE 08 MANAGEMEN'T AND BUDGET, WASHINGTON. DC 20501 FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (4) PAGE(M EQdNTA REVSON NUMBER NUMBER RIVER BEND STATION 458 93 -
002 - 02 3 10 Tw m. ,o.:. w.w.a .. .mm., e Nw m <m relay (*RLY*) B21-K92 is energized, which causes the E51-F045 valve (*V*) to close.
Surveillance test procedure STP-051-4226 verifies that if there is a high level signal at transmitter
(*LT*) B21-N095A, contact MI/Tl of relay B21-K62 closes. This is one of the two contacts needed to energize relay B21-K92. Surveillance test procedure STP-051-4227 verifies that a level 8 condition at the other reactor vessel level transmitter (*LT*), B21-N095B, will cause contact Ml/Tl of relay (*RLY*) B21-K14 to close. This is the second contact needed to energize relay (*RLY*)
B21-K92. Surveillance test procedure STP-209-0601 jumpers a lead from terminal TB0004-1 and terminal TB0004-03 which supplies 125VDC to relay (*RLY') B21-K92. Valve (*V*) E51-F045 is then checked to see if it closed when the jumper was installed. The combination of these three STPs are designed to check all of the circuitry from the transmitters to the valve. However, ponions of wiring between each of the relays are not checked by the STPs as written. Therefore, proper overlap between the STPs did not exist.
Based on a review of the STPs, TS Table 4.3.5.1-1-1.b, and TS 4.3.5.2 it is apparent that the surveillance requirements were not met. A search through previous performance of these STPs showed that the last time that the surveillance was met was on November 13, 1985. At that time, STP-051-4226 checked the circuitry beyond relay (*RLY*) K62 and actually cycled valve (*V*)
E51-F045. During revision 3 of this procedure it was changed to the method of testing currently used. Based on the correct performance of the nirveillance on November 13, 1985, the surveillance became overdue on October 2,1987. Continuity checks performed by Prompt MWO 059403, on the wiring that was not checked by the STPs, showed that there was no problem with the wiring.
This check also completed the overlap between the STPs. The combination of this MWO and the STPs meets the surveillance requirements of TS Table 4.3.5.1-1-1.b, and TS 4.3.5.2.
Funher reviews of STPs were performed by the SSFA team and by System Engineering. In these reviews two additional missed overlap points were found. One of these was the LPCS/LPCI injection valves E21-F005 and E12-F042 permissive actuation instrumentation channels / circuitry for reactor vessel pressure - low. The other condition is the LSFT requirement to verify that Division II balance of plant (BOP) isolation valves (*V*) will isolate on a high drywell pressure signal.
The investigation of the LPCS/LPCI (*BM*) (*BO*) injection valve (*V*) permissive overlap condition revealed that STP-051-4247 was changed during revision from rev. 6 to rev. 7. This revision deleted the check of relay (*RLY*) E21 A-K108 terminals M1-Tl and M4-T4. The reason for the change called out on the procedure change review form was to " Incorporate Administrative requirements, technical comments, and TCN-88-0094". This failed to indicate that the procedure intent had been changed. Also, the question "Does this revision change the intent of the procedure" was marked "NO". STP-051-4249 was also changed in the same manner and the same reason for 440 FORM M6A (S 92,
NRC FORM 366A u.S. NUCLEAR REGULATORY COMMISSION ' APPROVED BY OMB NO. 3150-0104 p sa EXPIRES 5/31/95 ESTIMA4D BJRDEN PER RESPONSE TO COMPLY WlTH THis LICENSEE EVENT REPORT (LER) CC"7^/ITnEG M # SERO 77$55?o" *E ,,J,02 TEXT CONTINUATION ZREORS"" C MM b fC 1 THE PAPERWORK REDUCTICN PRWECT (31$3-01rd), OmCE OS MANAGEMEW AND BJDGET, WASMiNGTON, DC 20503 FACILITY hAME 01 DOCF ET NUMBE R (2) LIR NUMBER @p PAGE (3)
E.E QvENTiAL HENON YEAR NUMBER NUMBER 05000 OF RIVER BEND STATION 458 93 002 02 4 10 rw w n, w.c. ,, ,v.w. .mn m , mc w us o n change was given. No specific n:ason was given for deleting the checks of (*RLY*) E21 A-K108.
Analysis of the available documents indicates that the deletion of these steps was due to an oversight by the personnel preparing the new revision. This revision was not intended to change the purpose of the procedure. The steps were deleted in error. Further analysis shows that the review of the procedure by the independent reviewer should have detected the change in intent, but failed to do so.
Both STPs were corrected to include checks of (*RLY*) E21 A-K108 at the appropriate points in the procedure via change notice (CN)-93-0098 and CN-93-0099. After incorporation of these CNs, STPs 051-4247 and 051-4249 were performed (panially) to demonstrate the operability of (*RLY*)
E21A-K108. Both STPs were completed successfully. This would indicate that these contacts have been operable since the last correct perfonnance of these STPs (STP-051-4247 last done correctly 3-28-89 and STP-051-4249 last done correctly on 10-8-87). Together with previous performances of STP-051-4247,051-4249, and 309-0601, this satis 0es the ponion of the LSFT required by Technical Specification 4.3.3.2 relating to LPCS/LPCI (*BM*) (*BO*) injection valve (*V*) E21-F005 and E12F042A permissive.
The logic system functional test (LSFT) requirement to verify that the Division II BOP isolation valves will isolate on a high drywell pressure signal is panially implemented by STP-508-4202 and verified by the time response surveillance in STP-508-4810. Note that this testing is required by Technical Specifications 4.3.1.2 and 4.3.2.2. The channel B logic circuit for high drywell pressure de-energizes relay C71 A*K4B, opening contacts M4-T4. If a similar signal is provided in channel C, the Division II BOP isolation valves will close.
Revision 9 to STP-508-4202 omitted testing contacts M4-T4 of relay C71 A*K4B. The time response surveillance in STP-508-4810 was also not performed during the last outage because it is scheduled for every other outage. Therefore, the Division II BOP isolation function on high drywell pressure was not tested during the last outage.
A review of previous revisions of STP-508-4202 shows that the point in question was tested before, but it was eliminated from revision 9. The last correct performance of the LSFT was on October 1, 1990. The procedure writer used another STP for the same function in a different channel as an example and eliminated t'~ relay from the test due to a different relay number used in this channel.
In addition, the independent review was inadequate.
NRC 7 DRM 366A SSE
NRC FORM 366A u.S. NUCLEAR REGULATORY COMMISSloN APPROVED BY oMB No. 3150-0104 rs u EXPIRES 5/31/95 INEuTm*S"EEo*NEEE.'TE seo rTo T s ,NronuAT;oN' "Is$
LICENSEE EVENT REPORT (LER) CouuE,cs ataAna,Na BunoEN EsT,u TEXT CONTINUATION E"MS "o^%C87,C"g*8 o :c 'SAMyjy'" h THE PAPERWonK REDUCT!oN PROJECT (31504104 OFFICE Of MANAGEMENT AND BJDGET,
- ASMtNGToN, DC POS03 F ACILITV NAME (O DOCF ET NUMBER (2p LE R NUMBER (4) PAGE (3) tMJENhAL HE G ON NuvaEn NUMBER 05000 OF RIVER BEND STATION 458 93 - 002 -
02 5 10 mTm oc..,. - .. .c .e m , m on The STP was corrected to test relay C71 A*K4B at the appropriate points in the procedure via change notices CN-93-0122 and CN-93-0123. After incorporation of these CNs, a panial performance of the STP verified the operability of relay C71 A*K4B.
A ponion of the safety relief valve (SRV) 10-10 set function of the reactor vessel pressure instnamentation was not properly tested as required by TS 4.4.2.2.1.b. This circuit changes the pressure setpoints of several SRVs once the Hrst SRV has lifted, and keeps these setpoints at this lower value until a manual reset button is pressed. These lower setpoints prevent excessive cycling of SRVs. The ponion of the circuit that maintains these lower setpoints until the manual reset is pressed was not tested. The LSFT requirement to verify that the safety relief valve (SRV) IsLo set setpoints remain in effect is implemented by STP-051-4247,051-4248,051-4249, and 051-4250.
A review of past revisions of these procedures revealed that this deficiency has existed since the l implementation of the STP program at RBS.
A portion of the reactor core isolation cooling (RCIC) high differential pressure or line break isolation circuitry was not tested as required by TS 4.3.2.2. This circuit monitors RCIC flow (differential pressure) and will close the RCIC system isolation valves (*ISV*) if a high flow condition exists (indicating a line break). The portion of wire which connects the isolation logic relay contacts to the valve operation relays was nat tested. The LSFT requirement to verify that the RCIC high differential pressure isolation logic is properly tested is implemented in STP-207-5250, 207-5251, and 202-0602. A review of past revisions of these procedures revealed that this deficiency has existed since the implementation of the STP program at RBS.
A ponion of the RCIC low supply pressure isolation circuitry was not tested as required by TS 4.3.2.2. This circuit monitors the supply pressure to the RCIC system and will isolate the RCIC system on low pressure to prevent operation under these plant conditions. The isolation relay contacts M2-T2 of relays (*RLY*) E31 A-K66 and E31 A-K86 and the wire connecting the isolation
( relay contacts to the valve operation relays was not tested. The LSFT requirement to verify that the l RCIC low supply pressure isolation logic is properly tested is implemented in STP-209-5201,209-l 5202, and 209-0603. A review of past revisions of these procedures revealed that this deficiency has existed since the implementation of the STP progam at RBS.
' A ponion of the main steam line tunnel high temperature RCIC isolation circuitry was not tested as required by TS 4.3.2.2. This circuit monitors the main steam tunnel temperature and on a high temperature signal, indicating a leak in the main steam tunnel, closes the isolation valves for RCIC and other systems. The wire connecting the isolation relays to the valve operation relays was not tested. The LSFr requirement to verify that the RCIC portion of the main steam line tunnel high l
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMD No. 3150-0104
<s-s2; EXPlRES 5/31/95 ESTIMA'ED BURDEN PER RESPONSE TO COMPLY W'TH TH:S LICENSEE EVENT REPORT (LER) 2 "uT' E ES $ $ " E* E E k W O 's TEXT CONTINUATION Wyo"JS",^"jsi,7d'$'"77%
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FACILITY NAME 0) DOCFl^T NUMBER (2l Lt.R NUMBE R {$) PAGE (3)
YEAR NUMBER NUMBER 05000 OF RIVER BEND STATION 458 93 - 002 02 6 10
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temperature isolation logic is properly tested is implemented in STP-207-4201,207-4202,207-4238, 207-4239, and 209-0603. A review of past revisions of these procedures revealed that this deficiency l has existed since the implementation of the STP program at RBS.
I A portion of the RCIC turbine exhaust diaphmgm high pressure isolation circuitry was not tested as required by TS 4.3.2.2. This circuit monitors the RCIC turbine exhaust pressure and closes the isolation valves for the RCIC system to prevent operation of the turbine under adverse conditions.
The wire between terminal board 0036 terminal I and terminal 2 which connects the isolation relays to the valve operating relays was not tested. The LSFT requirement to verify that the RCIC turbine exhaust diaphmgm high pressure isolation logic is properly tested is implemented in STP-209-4201, 209-4202,209-5201,209-5202 and 209-0603. A review of past revisions of these procedures revealed that this deficiency has existed since the implementation of the STP program at RBS. I A portion of the circuitry which load sheds the emergency standby buses when a degraded voltage i occurs for 3 seconds concurrently with a LOCA was not tested as required by TS 4.3.2.2, Table 4.3.3.1-1.D.l.b and Table 4.3.3.1-1.D.2.b. One contact and a small section of wiring was not tested on Division I, one contact was not tested on Division II, and two contacts were not tested on l Division III. If any of these contacts would not have worked, it would not have prevented load shedding of the buses on a sustained undervoltage for 3 seconds or a degraded undervoltage for 60 seconds. The LSFT requirement to verify that the degraded undervoltage (short time) standby diesel generator start and load shedding logic is properly tested is implemented in STP-309-0601,309-0602, and 309-0603. A review of past revisions of these procedures revealed that this deficiency has existed since the implementation of the STP program at RBS.
l A portion of the sustained undervoltage trip circuitry of service water pump (*P*) ISWP*P2C was not tested as required by TS 4.3.3.2. This circuit monitors the Division III bus voltage and trips the Division III service water pump so that the Division III (HPCS) diesel will not be overloaded on its subsequent startup. A contact in the service water pump switchgear which performs this function was not tested. The 13FT requirement to verify that the sustained undervoltage trip logic for service water pump ISWP*P2C is properly tested is implemented in STP-309-0603. A review of past revisions of this procedure revealed that this deficiency has existed since the implementation of the STP program at RBS.
A portion of the HPCS level control circuitry was not tested as required by TS 4.3.3.2. This circuit l will close the high pressure core spray (HPCS) injection valve on receipt of a reactor vessel high level 8 signal and open it on receipt of a reactor vessel low level 2 signal, thereby controlling reactor vessel level during HPCS operations. Two contacts on IE22A-K13, which prevent manual
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NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY oMB NO. 3150-0104 (5-Ba EXPIRES 5/31/95 ESTtMATED BURDEN PER RESPONSE TO COMMY Wm4 THfS LICENSEE EVENT REPORT (LER) l7%I'Js'nEGMEnl#Eh5"oldfo"U
- TEXT CONTINUATION @MS "a*Iy'*M"',"jy'3g"d'$'s@,%^l c
THE PAPERWOR< REDUCTION PAQJECT 131504104), OFFICE OF MANAGEMENT AND BJDGE7, WASHtNGTON. DC 20503.
FACILITV NAME (1) DOCKET NUMBER (2) LER NUMBER (4) PAGE (3)
SE QVENW OPJON NUMBEA NUVBEA 05000 OF RIVER BEND STATION 458 93 - 002 -
02 7 10 1LXT (U rnore spece ss reowrea, use enterw topees of NHG larrn 3664) (11) or automatic opening (due to other HPCS initiation signals) of the HPCS injection valve prior to a level 2 signal or manual reset of the logic, were not tested. If the untested contacts had failed, the HPCS system would still have been capable of performing its intended safety function. The reactor vessel low level 2 contact in this same circuit was verified to open but was not verified to close.
The wire connecting this circuit to the valve operation relays was not tested. The LSFT requirement to verify that the HPCS reactor vessel level control logic is properly tested is implemented in STP-309-0603. A review of past revisions of this procedure revealed that this deficiency has existed since the implementation of the STP progam at RBS.
A podion of the circuitry that closes the test return valves (*20*) IE22*MOVF0010 and IE22*MOVF011 on a HPCS initiation signal was not tested as required by TS 4.3.3.2. This circuit closes these test return valves to prevent diverting pan of the HPCS flow to the condensate storage tank. Also the valves themselves were not verified to close as required by an LSFT. The LSFT requirement to verify that the test return to suppression pool valve logic is properly tested is implemented in STP-309-0603. A review of past revisions of this procedure revealed that this deficiency has existed since the implementation of the STP program at RBS.
A portion of the HPCS backup battery charger supply breaker trip circuitry was not tested as required by TS 4.3.3.2. This breaker (*BKR*) is required to open on receipt of a HPCS initiation signal so that HPCS power is isolated from the normal bus. The contact that initiates this trip in the switchgear was not tested. The LSFT requirement to verify that the HPCS backup battery charger supply breaker trip logic is properly tested is implemented in STP-309-0603. A review of past revisions of this procedure revealed that this deficiency has existed since the implementation of the STP progmm at RBS.
A portion of the reactor vessel high level 8 trip circuitry for the main turbine was not tested as required by TS 4.3.9.2. This circuit will close the stop and control valves on the main turbine in the event of high water level in the reactor. This is to prevent turbine damage due to water impingement on the turbine blades. This circuit requires 2 channels out of 3 monitoring reactor vessel level to indicate a high level 8 condition before initiating a trip. The wire connecting channels A, B, and C to each other and the wire connecting this 2 out of 3 logic to the main turbine trip relay was not tested. Also there was no test to check that the main turbine stop and control valves went closed.
The LSFT requirement to verify that the main turbine trip logic for reactor vessel high level 8 is properly tested is implemented in STP-501-4201,501-4202,501-4203, and 509-4801. A review of past revisions of these procedures revealed that this deficiency has existed since the implementation of the STP program at RBS.
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U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150-0104 NRC FOf; A 3,66A m EXPIRES 5/31/95 ESTtMA'ED BURDEN PER RESPONSE TO COMPLY W'TH THtS e$u"M Es" rec $$',S ERoE $ $ E Io"T$,, E Tcl LICENSEE EVENT REPORT (LER) 5 V US W N AR TEXT CONTINUATION QRE o g , MNBBe M, 4 ,
THE PAPERWORK REDUCTON PAGJECT [3153-0104;. OFFICE OF MANAGEMENT AND BUDGET, WASWNGTON DC 70$03.
FACILITY NAME (1) DOCFET NUMBER (2) LER NUMBER (4) PAGE (3) ,
ygg sEoA%At HEwsoN NUMBER NUMBER i 05000 l RIVER BEND STATION 458 93 - 002 _ 02 8 10 mT w. . ,, ,,,,w, -- -C - % cm i A portion of the reactor vessel high level 8 trip circuitry for the mactor feed pumps (*P*) was not tested as required by TS 4.3.9.2. These circuits will stop all three reactor feed pumps in the event of high water level in the reactor. This is to prevent overfilling the reactor in the event of failure of the feedwater flow control circuits. These circuits require 2 channels out of 3 monitoring reactor vessel level to indicate a high level 8 condition before initiating a trip. The wire connecting channels '
A, B, and C to each other and several contacts in these circuits was not tested. Also there is no test :
to verify that the reactor feed pump breakers would open. The LSFT requirement to verify that the ,
reactor feedwater pump trip logic for reactor vessel high level 8 is properly tested is implemented in STP-501-4201,501-4202,501-4203, and 509-4801. A review of past revisions of these procedures l revealed that this deGeiency has existed since the implementation of the STP program at RBS. 1 ROOT CAUSE A change analysis was performed which revealed two causal factors. The primary causal factor was !
identified as inattention to detail while preparing previous revisions of the relevant STPs. A -!
secondary causal factor was the inadequate review of the procedure by the independent myiewer.
A contributing factor to this event is that there is currently no cross reference matrix that provides association between STPs and their cormsponding overlap point. This makes the current process for
- LSFT verification difGcult during STP revisions.
t Similarities were identified in LERs91-020 and 92-014. LER 91-020 reported an event in which l hydrogen igniters were declared inoperable due to discrepancies between the TS and an STP. The root cause included denciences in the procedure review and revision process. Limited similarity between LER 91-020 and LER 93-002 exists due to these past practices of procedure review and revision. As part of the corrective action for LER 91-020, GSU made significant changes to the !
procedure review / revision process as described below in the corrective action section. LER 92-014 ,
reported an event in which LSFT overlap for ECCS logic system functional testing (LSFT) STPs did not have adequate overlap. In this event, a similar pattern emerged in that the LSFT had been '
properly performed during preoperational testing and later the STPs wem revised such that proper 4 overlap was no longer provided. ,
CORRECTIVE ACTIONS
- 1. STP-051-4226 and STP-051-4227 have been revised such that they also check all the wiring ,
and will meet the surveillance mquirements of TS Table 4.3.5.1-1-1.b and TS 4.3.5.2. In addition, STP-051-4247, STP-051-4249, and STP-508-4202 have all been revised to address I
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NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSloN APPROVED BY OMB NO. 3150-0104 gen EXPIRES 5/31/95 FSDMA4D BURDEN PER RESPONSE TO COMPLY W"N TH4 LICENSEE EVENT REPORT (LER) El#MTE:Lc'3$'EaTmE2 E S OU Nr501s TEXT CONTINUATION Ev"S'5 Cc E "'w"$ E1 7 *S 7S'd $ " $ ^$
THE PAPERWORK REDUCTION PROJECT (3160 0104). OFFICE 08 MANAOf MENT AND BJDGET. WASHINGTON, DC 20503.
DOCFET NUMBER (2) LIR NUMBER (S) PAGE l3)
F ACILITY NAME (1) t4QUENTA. Rf u SON NUMBER NUMBER 05000 OF RIVER BEND STATION 458 93 - 002 -
02 9 10 TEXT (Ir vnwe spece os rowea use *004rore cones of NC form 35A (17>
the LSFT deficiencies concerning the LPCS/LPCI %' injection valve permissive and the Division II BOP isolation function.
- 2. STPs 051-4247, 051-4248, 051-4249, 051-4250, 207-5250, 207-5251, 209-5201, 207-4201, 209-4202,501-4201,501-4202,501-4203, and 509-4801 were revised to include the ponions of the circuitry that were identified as not having been tested. These procedures were then panially perfonned and operability of their respective circuits was verified.
- 3. Maintenance work orders (MWOs) R059433, R059435, R059438, R059442, and R059448 verined the logic circuitry that should have been tested under STPs 309-0601,309-0602, and 309-0603 and demonstrated that these circuits are operable. These tests were performed under these MWOs since revision of these STPs is already in progress; however, it is not expected to be completed until later this year. These revisions will include proper testing of all required circuits.
- 4. A review of all STPs which perform LSFTs which was initially scheduled to start in May 1993 was started in February-March 1993. This review is to verify that the overlap exists between all STPs that perform a portion of an LSFr. It will also generate a cmss reference matrix between the TS, STPs, and procedures for every LSFT overlap point.
- 5. As of August 31, 1992, per ADM-0003 " Development, Control, and Use of Pmcedures" paragraph 4.6, all persons performing an independent review of new revisions to STPs shall have completed classroom training and on-the-job training (OJT) on the proper method of 10CFR50.59 review. Also a detailed checklist is now required which includes items for verifying that Technical Specifications requirements are met. The required training includes the process to verify TS and USAR requirements. This procedure revision and personnel training was completed subsequent to the inadequate changes made to the referenced STPs and prior to the discovery of the LSFT inadequacies reported in this LER.
- 6. GSU's accelerated review schedule for STPs which perfonn LSFTs now has an estimated completion date of December 31,1993. A final supplement to this LER will be issued following completion of this review.
NC FORv 366A (5 9h
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150-0104 n ear EXPIRES 5/31/95 EST1 MATED BJRDEN PER RESPONSE TO COMPLY WITH TH'S INFORMATON COU.ECTON REOUE ST; 50 0 HRS. FORWA.C LICENSEE EVENT REFORT (LER) COMMEuTS REGARDiNG BURDEN EST,uATE To THE N ORMiTcN AND RE^mS MANAGEMENT BRANCH (MNBB 7714L U.S. NUCLEAR TEXT CONTINUATION REGUOTORY COWSSCN, WASMMTON, DC 20555-D001. AND TO THE PAPERWORK REDUCTON PRO. LECT (31$04104L OFFICE OF MANAGEMENT AND BJDGET, WASHtNGTON. DC 20503.
FACIUTY NAME (1) DOCF ET NUMBER (2) LER NUMBER (6) P AGE (3)
LEiGUEN hAs HEv$ON
, NUMBER NUMBER 05000 OF RIVER BEND STATION 458 93 002 -
02 10 10 1E.XT (If Move Space is requered, use esa*Dorser cop *es of NHC Forrn 3bbA) (11}
SAFETY ASSESSMENT The TS surveillance requirements for LSFT overlap were not satisfied for the following STPs:
051-4226, 051-4227, 051-4247, 051-4248, 051-4249, 051-4250 l 207-4201, 207-5250, 207-5251 ,
209-0601, 209-5201, 209-5202, 209-4202 309-0601, 309-0602, 309-0603
. 501-4201, 501-4202, 501-4203
. 508-4202
. 509-4801 The portions of circuitry that were not tested have since been verified to be functioning properly.
This provides confidence that the portions of the circuitry that have not received the proper surveillance tests have in fact been operable since the expiration of the last surveillances. ,
1 I
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