ML20045H933

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Discusses Insp Repts 50-338/93-17 & 50-339/93-17 & Forwards Notice of Violation.Licensed Operators Failed to Consult Procedures in Securing AFW
ML20045H933
Person / Time
Site: North Anna  
Issue date: 06/21/1993
From: Ebneter S
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To: Stewart W
VIRGINIA POWER (VIRGINIA ELECTRIC & POWER CO.)
Shared Package
ML20045H934 List:
References
EA-93-094, EA-93-94, NUDOCS 9307220132
Download: ML20045H933 (6)


See also: IR 05000338/1993017

Text

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JUN 21 1993

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Docket Nos.

50-338, 50-339

License Nos. NPF-4, NPF-7

EA 93-094

Virginia Electric and Power Company

ATTN: Mr. W. L. Stewart

Senior Vice President - Nuclear

5000 Dominion Boulevard

Glen Allen, Virginia 23060

Gentlemen:

SUBJECT: NOTICE OF VIOLATION

(NRC INSPECTION REPORT N0. 50-338/93-17 AND 50-339/93-17)

This refers to the Nuclear Regulatory Commission (NRC) inspection conducted by

Mr. M. Lesser on April 16 - 23, 1993, at the North Anna Power Station. The

inspection included a review of the facts and circumstances related to actions

tak-

by operators following the Unit 2 reactor trip on April 16,.1993, in

which the automatic start function of the auxiliary feedwater (AFW) pumps was

defeated for at least 18 minutes while a valid start signal was present. The

report documenting the NRC inspection was sent to you by letter dated May 10,

1993. An enforcement conference was conducted in the NRC Region II office on

May 20, 1993, to discuss a number of potential violations, their~ causes, and

your corrt.ctive actions to preclude recurrence. This enforcement conference

was open for public observation in accordance with the Commission's trial

program for conducting open enforcement conferences as discussed in the

Federal Register, 57 FR 30762, July 10,1992. A summary of the enforcement-

conference was sent to you by letter dated May 28,~1993.

Violation A described in the enclosed Notice of Violation (Notice) involved

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defeating the automatic actuation function of'the AFW pumps. After an

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automatic reactor trip due to a main generator voltage regu'ator circuitry

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problem, all safety systems responded as designed. Approximately nine minutes

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into the event, a reactor operator defeated the automatic actuation function

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of the AFW system by placing the motor driven AFW pump switches in pull-to-

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lock and isolating steam to the turbine driven AFW pump in order to arrest the

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primary plant cooldown. At the time the pump switches were placed in pull-to-

. lock, a valid AFW pump start signal from a low-low steam generator level was

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still present. Approximately 18 minutes later, the condition was identified

by another operator as an incorrect alignment and the. AFW system was ~

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immediately returned to automatic standby.

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At the time of the reactor trip, the crew initiated Emergency Procedure 2-E-0,

Reactor Trip and Safety Injection, to stabilize plant conditions, and after

approximately three minutes transitioned to Procedure 2-ES-0.1, Reactor Trip

Response. The AFW pumps had automatically started and total AFW flow reached

1425 gpm with all throttle valves fully open as a result of a valid initiation

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signal due to steam generator level decrease. This high AFW flow rate to the

steam generators caused the reactor coolant system (RCS) temperature to

decrease below the no-load value of 547'F, which was noted by the primary

plant reactor operator who alerted the Unit 2 supervisor of the condition.

The Unit 2 supervisor, intent on arresting primary plant cooldown, recognized

that AFW flow had to be reduced. The Unit I supervisor, acting as the

procedure reader, requested to read aloud the procedural steps designed to

accomplish that task. .Rather than allowing the steps to be read, the Unit 2

supervisor commenced shifting steam generator feeding from AFW to main

feedwater by giving the balance-of-plant (B0P) operator permission to secure

the AFW system at nine minutes into the event. The Unit 2 supervisor's

interpretation of the word " secure" was to close the AFW valves to stop flow.

However, the B0P operator had a different interpretation and secured the AFW

system by placing both motor driven AFW pumps in pull-to-lock and closing the

steam supply trip valves to the turbine driven AFW pump. The B0P operator

then commenced to feed two of the three steam generators through main

feedwater bypass valves and after approximately 18 minutes the primary

temperature and pressure stabilized at acceptable values.

The actions taken above did not conform with those specified in the applicable

procedure. The NRC is concerned that two licensed operators on the same crew

would fail to consult their procedures and, notwithstanding the communications

problem in securing AFW, failed to recognize the existence of a bypassed

safety system upon receipt of the annunciator alarm when the turbine driven

AFW pump was defeated. This is of particular concern considering your recent

development and distribution of the policy statement on defeating automatic

safety system actuations. The NRC is also concerned with the poor

communication between the Unit 2 supervisor and the B0P operator. This lack

of effective communication directly contributed to the defeating of the

automatic safety function of the AFW system.

Approximately 27 minutes after initiation of the event, the Unit I supervisor

observed that the AFW pump switches were in the pull-to-lock position and

notified the shift supervisor, who directed that the switches be immediately

placed in the automatic start position.

Based on the fact that the automatic

actuation function of the AFW system was defeated when the pump switches were

placed in the pull-to-lock position and the supply trip valves were closed,

the auxiliary feedwater system was inoperable and incapable of automatic

actuation as required by Technical Specifications for approximately 18

minutes.

The NRC understands that the actual safety consequence of this event was minor

because the steam generators were adequately fed and an adequate heat sink was

quickly achieved and maintained. However, as stated above the NRC considers

the failures of the operating crew to be a significant regulatory concern.

Therefore, in accordance with the " General Statement of Policy and Procedure

for NRC Enforcement Actions," (Enforcement Policy) 10 CFR Part 2, Appendix C,

this violation has been categorized at Severity Level III.

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Virginia Electric and

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Power Company

In accordance with the " General Statement of Policy and Procedure for NRC

Enforcement Actions," (Enforcement Policy) 10 CFR Part 2, Appendix C, a civil

penalty is considered for a Severity Level III violation. The base civil

penalty for a Severity Level III violation is $50,000. However, after

consultation with the Director, Office of Enforcement, and the Deputy

Executive Director for Nuclear Reactor Regulation, Regional Operations and

Research, I have decided that a civil penalty will not be proposed for this

case. The escalation and mitigation factors in the Enforcement Policy were

considered.

Escalation was warranted based on the factor of prior opportunity

to identify because your training and guidance in response to NRC Information Notice 92-47 and the two earlier events at Surry (EA 91-141 and 92-093) were

not effectively communicated to all licensed personnel. However, that

escalation was more than offset by the mitigation warranted based on the

factors of identification, corrective action, and licensee performance.

The enclosed Notice also contains Violation B, cited at Severity Level IV, for

the operator's failure to follow the established procedures. The NRC

considered combining this violation with Violation A as a Severity Level III

problem. However, in order to emphasize the particular significance with

which the NRC views the operation of a safety system without its automatic

actuation function, the violations have been cited separately.

You are required to respond to this letter and should follow the instructions

specified in the enclosed Notice when preparing your response.

In your

response, you should document the specific actions taken and any additional

actions you plan to prevent recurrence. After reviewing your response to this

Notice, including your proposed corrective actions and results of future

inspections, the NRC will determine whether further NRC enforcement action is

necessary to ensure compliance with NRC regulatory requirements.

In accordance with 10 CFR 2.790 of the NRC's " Rules of Practice," a copy of

this letter and its enclosure will be placed in the NRC Public Document Room.

The responses directed by this letter and the enclosed Notice are not subject

to the clearance procedures of the Office of Management and Budget as required

by the Paperwork Reduction Act of 1980, Pub. L. No.96-511.

Should you have any questions concerning this letter, please contact us.

Sincerely,

O"Idnsi Signed Dy-

Stourt D. Ebner

Stewart D. Ebneter

Regional Administrator

Enclosure:

Notice of Violation

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Virginia Electric and

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JUN 2 l 1993

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cc w/ encl:

M. L. Bowling, Jr., Manager

Nuclear Licensing

Virginia Electric & Power Company

5000 Dominion Boulevard

Glen Allen, VA 23060

G. E. Kane, Station Manager

North Anna Power Station

P. O. Box 402

Mineral, VA 23117

Executive Vice President

Old Dominion Electric Cooperative

4201 Dominion Boulevard

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Glen Allen, VA 23060

Dr. W. T. Lough

Virginia Corporation Commission

Division of Energy Regulation

P. O. Box 1197

Richmond, VA 23209

William C. Porter, Jr.

County Administrator

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Louisa County

P. 0. Box 160

Louisa, VA 23093

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Michael W. Maupin, . Esq.

Hunton and Williams

Riverfront Plaza, East Tower

951 E. Byrd Street

Richmond, VA 23219

Attorney General

Supreme Court Building

101 North 8th Street

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Richmond, VA 23219

Robert B. Strobe, M.D., M.P.H.

State Health Commissioner

Office of the Commissioner

Virginia Department of Health

P. O. Box 2448

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Richmond, VA 23218

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