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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
'
Geofa Power Company 40 inverness Center Parkway
, Post O* fees Box 1295
- Bwmsngham, Alabama 35201 Telephone 205 877-7279 b I J. T. exkham, Jr. Georgia Power Vce President - Nuclear q Hatch Propct ??t' D..P+"n Mor fynern June 10, 1993 Docket No. 50-321 HL-3335 005590 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, D.C. 20555 Edwin I. Hatch Nuclear Plant - Unit 1 Licensee Event Report less Than Adequate Procedure Results in Unplanned Enoineered Safety Feature Actuation Gentlemen:
In accordance w'th the requirements of 10 CFR 50.73(a)(2)(iv), Georgia Power Company is submitting the enclosed Licensee Event Report (LER) concerning a less than adequate procedure which resulted in an unplanned Main Steam Isolation Valve closure. This event occurred at Plant Hatch Unit 1.
Sincerely,
. - Jf9%
. T. Beckham, Jr.
OCV/cr
Enclosure:
LER 50-321/1993-010 cc: Georaia Power Company Mr. H. L. Sumner, General Manager - Nuclear Plant NORMS U.S. Nuclear Reaulatory Commission. Washinaton. D.C.
Mr. K. Jabbour, Licensing Project Manager - Hatch U.S. Nuclear Reaulatory Commission. Reaion II l Mr. S. D. Ebneter, Regional Administrator '
Mr. L. D. Wert, Senior Resident Inspector - Hatch !
l 9306160144 930610 Y I PDR ADOCK 05000321 S PDR a
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U.5. hhlM nu1Adf W%5510h Arv 50-0104 7grm .x;6 LICENSEE EVENT REPORT (LER) rALitliY hAME (1) UQLAti hvMoth (2) FW (4)
PIANT HATCH, UNIT 1 05000321 1 gpl4 ilTLE (4)
LESS THAN ADEIK1 ATE PROCEDURE RESULTS IN USTIANNED ENGINEERED SAFETY FEATURE ACIUATION T vEhI DAIL (5) LER hum 6ER (6) REFORI DATE (7) OTHER F ACILITIES IhWOLVED (6)
M0hTN DAY TEAR TEAR 5E0 hum REV MQhlh DAY YEAR FACILITY hAMES DOCAEI huMBER(5) 05000 05 14 93 93 010 00 06 10 93 05000 OPERAT1hG INIS 60 n MMI E W W 10 M MMMM N 10 m (H) '
MODE (9) 3 20.402(b) 20.405(c) ^ 50.73(a)(2)(iv) 73.71(b)
P08ER -
20.405(a)(1)(i) -
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 20.405(a)(1)(iii) 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) 20.405(a)(1)(v) 50.73(a)(2)(tii) 50.73(a)(2)(x) +
LICEh5EE CChTACI FOR THIS LER (12)
NAME TELEPn0hE huMBER t l A CODE STEVEN B. TIPPS. MANAGER NUCIIAR SAFEIY AND COMPLIANCE, HATCH 912 367-7851 LOMFLElE GhE LIhE FOR EACn F AILURE DESCRIBED IN IN15 REPORT (13)
CAUSE SYSTEM COMPONENT R P0RT CAUSE SYSTEM COMPONENT NANUFAC- R P RT FAyUFAC-j Ep ppDS T i
I 5UFFLEMEhlAL REFOR1 EAFECTED (14) M0hlh DAY TEAR l
EXPECTED SUBMISSION l
] YES(If yes, complete EXPECTED SUEMISSION DATE) % NO DATE (15) l Ab51RACI (16)
)
On 5/14/93 at 1948 CDT, Unit I was in the Hot Shutdown mode with all control rods fully inserted and reactor pressure at 75 psig. At that time, all eight Main Steam Isolation Valves (MS1Vs) closed on the unexpected receipt of a Group 1 Primary Containment Isolation System (PCIS) signal during the performance of plant surveillance procedure 34SV-E21-001-1S, "MSIV Closure ,
Instrument Functional Test." The isolation was the result of a failure to reset l partial Group 1 PCIS trips generated during the performance of the surveillance. '
No other Group 1 PCIS valves closed nor should any have closed given the logic tripped during the performance of the procedure. The MS1Vs were re-opened and the surveillance was completed successfully at 2210 CDT on 5/14/93.
The cause of this event was a less than adequate procedure. Surveillance i procedure 34SV-B21-001-1S did not state that Group 1 PCIS logic could be tripped I by the performance of the procedure nor did it require that the tripped isolation logic be reset following the testing of each MSIV closure instrument logic channel. As a result, the operator did not reset the partial Group 1 trip following the test of the "C" outboard MSIV. A full Group 1 PCIS signal was then generated when the operator began the test of the "D" outboard MSIV. ;
Corrective actions include revising procedures 34SV-B21-001-1S and l 345V-B21-001-2S, "MSIV Closure Instrument Functional Test." i
g, m U.b. NLLLAR i4.t:JLAi AY w%5510N AP t 0104 !
LICENSEE EVENT REPORT (LER) :
TEXT CONTINUATION [
s FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (5) PAGE (3) !
YEAR ELQ NUM REV ,
PIRIT HAIG UNIT 1 05000321 93 010 00 2 0F 4 IEAT PLANT AND SYSTEM IDENTIFICATIOT i General Electric - Boiling Water Reactor f Energy Industry Identification System codes are identified in the text as (E1IS Code XX).
DESCRIPTION OF EVENT On 5/14/93 at 1948 CDT, Unit 1 was in the Hot Shutdown mode with all control' f rods fully inserted and reactor pressure at 75 psig. At that time, all eight.
Main Steam Isolation Valves (MSIVs, EIIS Code JM) closed on the unexpected receipt of a Group 1 Primary Containment Isolation System (PCIS, EIIS Code JM) ,
signal during the performance of plant surveillanca procedure 34SV-B21-001-1S, "MSIv ilosure Instrument Functional Test." This procedure provides instructions ;
to tec; that portion of the logic in the Reactor Protection System (EIIS Code '
JC) whLch initiates a scram signal when the MSIVs are less thaa 90% open. This :
test is performa .at. least once every 92 days as required by Unit 1 Technical Specifications Table 4.1-1, item 10.
When the reactor mode switch is not in the Run position, as was the case when l the performance of procedure 345V-B21-001-1S began at 1700 CDT on 5/14/93, the ,
Reactor Protection System scram signal on MSIVs less than 90% open is f automatically bypassed. Similarly, the Group 1 PCIS isolation signal on low I main condenser (EIIS Code SQ) vacuum also is automatically bypassed. These two l logic system bypass signals are provided by the same set of four relays, one for each of the four Reactor Protection System and PCIS logic channels. These four :
relays sense mode switch position and are energized when the mode switch is not in the Run position; when the relays are energized, the Reactor Protection i System scram signal on MSIVs less than 90% open and the Group 1 PCIS isolation l signal on low main condenser vacuum are bypassed. ;
i Procedure 345V-B21-001-1S contains instructions to defeat the bypass in each of !
the Reactor Protection System logic channels by de-energizing the relay which j provides the bypass signal for that channel. This allows the Reactor Protection !
System scram signal in that channel to be functionally tested as required by the ;
Unit 1 Technical Specifications when the mode switch is not in the Run position.
However, de-energizing the relay also enables the Group 1 PCIS isolation signal on low condenser vacuum in the corresponding Group 1 PCIS logic channel.
I When each relay which provides the Reactor Protection System and Group 1 PCIS ;
bypass signals was de-energized as required by the procedure, the corresponding '
channel in the Group 1 PCIS logic tripped on low main condenser vacuum per ;
design (the main condenser vacuum breakers had been opened at 0550 CDT on I 5/14/93; therefore, there was no vacuum in the main condenser). Additionally, annunciators illuminated indicating a Group 1 System "A" or "B" trip, as appropriate, had occurred. The PCIS trips sealed-in as designed; therefore, the isolation logic did not automatically reset as the relay was re-energized following completion of Reactor Protection System testing in that channel.
i
gnn m "
u.s. uum eumuum wms3a g g g om LICENSEE EVENT REPORT-(LER)
TEXT CONTINUATION FACILIT1f NAME (1) DOCKET NUMBER (2) LER NUMBER (5) PAGE (3)
YEAR SEQ hum REV PUNI HATCH, UNIT 1 05000321 93 010 00 3 0F 4 TEXT The procedure required that the Reactor Protection System logic be reset prior to testing the next channel (trips in this system also seal-in per design), but it did not require that the Group 1 PCIS logic be reset. The licensed operator performing the procedure reset the Reactor Protection System logic as required.
Even though the PCIS reset is not listed in the procedures, he also reset the
.l partial Group 1 PCIS logic trips, generated during the testing of the "A" and "B" outboard MSIVs, in response to the Group 1 System "A" and "B" trip t annunciators received during the performance of the test. However, he failed to ;
reset the Group 1 PCIS trip generated in trip system "B" when he tested the "C" ;
outboard MSIV. Consequently, a full Group 1 PCIS isolation signal was generated at 1948 CDT when he began the test of the "D" outboard'MSIV'thereby generating a j trip in sufficient PCIS logic channels (i.e. , trip system "A" in conjunction with the existing trip in trip system "B") to isolate the_eight MSIVs. Because of the order in which the logic channels were tested, only the MSIVs received a Group 1 PCIS isolation signal. No other Group 1 PCIS valves isolated nor should !
tb- have isolated. !
i When it was determined that the isolation was the result of the performance of l the surveillance procedure and that the Group 1 PCIS logic functioned properly, I the MSIVs were re-opened. The surveillance was completed at 2210 CDT on 5/14/93 ,
with no further probluns. !
CAUSE OF THE EVENT I
The cause of this event was a less than adequate procedure. Surveillance procedure 345V-521-001-1S did not state that Group 1 PCIS' logic could be tripped by the performance of the procedure nor did it require that the tripped isolation logic be reset following the testing of each MSIV closure instrument logic channel.
l REPORTABILITY ANALYSIS AND SAFETY ASSESSMENT
]
This report is required by 10 CFR 50.73(a)(2)(iv) because an unplanned actuation of an Engineered Safety Feature (ESF) system occurred. Specifically, several Group 1 PCIS valves unexpectedly closed during the performance of a surveillance procedure. These valves are components in an ESF system, namely the Primary 1 Containment Isolation System. '
The Primary Containment Isolation System provides timely protection against the onset and consequences of accidents involving the release of radioactive materials from the fuel and nuclear system process barriers. To accomplish this, the PCIS initiates automatic isolation of appropriate lines which penetrate the P.imary containment whenever monitored variables such as reactor vessel water level, main steam line radiation, drywell pressure, and main condenser vacuum exceed selected operational limits. 1
NKL Fonn 3thA U.5. N4LLAH KLtm.LAiWY WPMibbl0h ArrKVYLp G E ND 3150-0104 (6-89) .
LICENSEE EVENT REPORT (LER) t TEXT CONTINUATION t
FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (5) PAGE (3) ,
YEAR SEQ hum REV PIANI HATCH, UNIT 1 05000321 93 010 00 4 0F 4 I 1 EXT In this event, several Group 1 PCIS valves, specifically, the eight MSIVs, !
unexpectedly closed during the performance of a surveillance of MSIV closure [
instruments. The MSIVs closed on an actual low main condenser vacuum signal }
when the bypass of this isolation was removed as required by the procedure. -
Because the Group 1 PCIS isolation logic was not reset after each channel was j tested, sufficient logic channels to cause the MSIVs to isolate were tripped.
The Group 1 PCIS logic system functioned as designed given the signals which ,
were generated by the performance of the surveillance procedure.
Based on the above analysis, it is concluded that this event had no adverse impact on nuclear safety. This analysis is applicable to all power levels and -
operating modes. ,
CORRECTIVE ACTIONS Procedures 34SV-B21-001-1S and 34SV-B21-001-2S, "MSIV Closure Instrument Functional Test," will be revised prior to their next scheduled performances to caution the user that performance of the procedure could affect Group 1 PCIS ,
logic and to require that this logic be reset, as necessary, following the l completion of testing in each Reactor Protection System logic channel. l
.i ADDITIONAL INFORMATION No systems other than those mentioned in this report were affected by this j event. j l
No failed components caused or resulted from this event.
One previous similar event in the last two years in which an inadequate l procedure caused an unexpected ESF system actuation was reported in Licensee Event Report 50-321/1991-031 dated 12/23/91. In that event, a Group 5 PCIS valve isolated on high Reactor Water Cleanup System (EIIS Code CE) differential flow. The high differential flow signal resulted when a Reactor Water Cleanup System pump was placed into service with the system piping partially voided due to temperature changes while the system was out of service The system ,
operating procedure did not caution against this possibility nor did it provide l sufficient instructions to avoid an isolation while returning a pump to service l under these conditions. Corrective actions included revising the Unit 1 and Unit 2 Reactor Water Cleanup System operating procedures to correct these deficiencies. Corrective actions for the previous similar event would not have prevented this event, however, because the two events involved completely different procedures and activities.