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Category:REPORTABLE OCCURRENCE REPORT (SEE ALSO AO LER)
MONTHYEARML20205C4171999-03-25025 March 1999 Special Rept 99-02:on 801027,Commission Approved for publication,10CFR50.48 & 10CFR50 App R Delineating Certain Fire Protection Provisions for Nuclear Power Plants Licensed to Operate Prior to 790101.Team Draft Findings Reviewed ML20207K2051999-03-0505 March 1999 Special Rept 99-01:on 990128,DG Tripped After 2 H of Operation During Loaded Operation for Monthly Test.Caused by Several Components That Were Degraded or Had Intermittent Problems.Parts Were Replaced & Initial Run Was Performed ML20196D4171998-11-24024 November 1998 Special Rept 98-02:on 981112,failure to Implement Fire Watches in Rooms Containing Inoperable Fire Barrier Penetrations,Was Determined.Repair of Affected Fire Barriers in Progress ML20151W3521998-09-0808 September 1998 Special Rept 98-01:on 980819,maint Could Not Be Performed on FPS Due to Isolation Boundary Leakage.Caused by Inadequate Info Provided in Fire Impairment Plan.Isolated Portion of FPS Was Returned to Svc ML20148A9881997-05-0101 May 1997 Special Rept 96-04-02:on 970429,groundwater Level at Well Mk GWA-2 Was in Alarm for 7 Days.Caused by Precipitation During Previous Week.Verified That No Other Groundwater Monitoring Instruments Were in Alarm ML20137P0711997-04-0707 April 1997 Special Rept 97-01:on 970226,Peak Accelerometer,1MIMT-5030, Removed Under WO 95092624 as Part of SG Replacement Project. Accelerometer Will Return to Svc Prior to Unit 1 Startup ML20133L6051997-01-0909 January 1997 Special Rept 96-04,Rev 1,groundwater Level at Well Mk GWA-2 Monitored by 2WZLS5060 Was in Alarm for 7 Days.Verified That No Other Groundwater Monitoring Instruments in Alarm ML20134N0261996-11-14014 November 1996 Special Rept:On 961006,groundwater Alarm Was Received & Entered in TS Action Item List for Tracking.Field Survey of Surrounding Areas Was Performed to Verify That No Water Was Percolating to Surface That Would Indicate Pipe Leak ML20116K0331996-08-0909 August 1996 Special Rept 96-03:on 960611,identified Broken Secondary Contact Blocks.Caused by Mishandling of Breakers or over- Torquing of Mounting Bolts.Breaker 2BYA Repaired,Tested & re-installed in Cabinet ML20086G9601995-07-12012 July 1995 Special Rept 95-002:on 950612,turbocharger Failed,As Detected by Excessive Noise & Vibration.Engine Subsequently Secured.Damaged Components Replaced & DG 2A Returned to Operable Status ML20080G4421995-02-0303 February 1995 Special Rept 95-01:on 950104,personnel on Unit 2 Operating in Solid Condition During Fill & Vent of Nc Sys ML20078R7651994-12-15015 December 1994 Special Rept 94-06:on 941012,fatigue Usage to SI Sys Piping by Manually Initiating Flow Through B Cold Leg from Fwst During Testing for Valve 1NI-71 Intentionally Increased. Startup of Facility Discontinued to Repair Valve ML20078L6571994-11-22022 November 1994 Special Rept SR-94-05:on 941024,Channel 3 of Vibration & Loose Parts Monitoring Sys Declared Inoperable Due to Noise.Channel 3 of V&Lpm Will Be Repaired Under WR 94043758 or Replaced by Nsm MG-12096 During Outage 1EOC10 ML20073C2451994-09-14014 September 1994 Special Rept 94-004:on 940821,valid Failure of DG 1A Occurred Due to Failure of Series Boost exciter-regulator (Voltage Regulator).Isolation Transformer T54 & Current Transformers CT1,CT2 & CT3 Will Be Inspected ML20065K2501994-04-15015 April 1994 Special Rept 94-03:on 940210,during Testing PORV Observed to Hang Open in Absence of air-assisted Closure.Caused by Incomplete Testing of Porvs.Compensatory Measures Reanalyzed & Reestablished Addressing Fire & Security Issues ML20064K0311994-03-15015 March 1994 Special Rept 94-01:on 940215,DG 2A Tripped W/Low Lube Oil Pressure Indication During Routine Surveillance Test.Caused by Pressure Too Low in Bldg Up in Sensing Lines.Test Satisfactorily Repeated ML20058M4281993-09-27027 September 1993 Special Rept 93-09:on 930920,notifies of Alarm Condition Showing Alert on Ground Water Level Outside 1A DG Room.Work Order 93063348 Initiated by Wc Personnel to Have Iae Personnel Check Operation & Calibr ML20056F8561993-08-23023 August 1993 Special Rept 93-06:on 930405,discovered Debris on Unit 1 Lower Core Plate.Four Other Unidentified Objects Noted During Video Insp of Lower Core Plate ML20126B5051992-12-15015 December 1992 Inplant Review Rept 92-20,special Rept Re Postulated Scenario That Could Introduce Air Into AFW Suction Piping. Caused by Functional Design Deficiency.Setpoints of Affected Pressure Switches Increased ML20106D7401992-10-0909 October 1992 RO 92-19:on 920804,discovered That Drive Shaft on Pump 1MNVPU0046 Was Rotating in Opposite Direction than Specified on Pump Casing.Caused by Mgt Deficiency.Motor Leads of Subj Pump Reconfigured to Provide Correct Pump Shaft Rotation ML20127E0191992-09-0909 September 1992 Special Rept:On 920421,unusual Event Declared Because Unit 1 Train B of Ssps Inoperable Due to Defective Circuit Card within Ssps.Failed Train B Ssps Circuit Board Replaced & Appropriate Procedures to Be Evaluated ML20101T9441992-07-13013 July 1992 Special Rept for Inplant Review 92-10:on 920610 No Mention Made on Work List of Vent Path Through SG 1B for Incoming SG Crews.Caused by Deficient Communication.Turnover Sheet Established to Document Existing Vent Path Status ML20101P5581992-07-0303 July 1992 In-Plant Review Rept 92-09:on 920619,setpoint Problems Noted W/Ts & Selected Licensee Commitment Values for Listed Field Data.Caused by Discrepancies W/Groundwater Level Monitoring Portion of Wz Sys.Ts Monitor Logged in Unit 2 Logbook ML20086Q1101991-12-20020 December 1991 Voluntary Special Rept 91-23:on 911008,reactor Vessel Lower Internals Contacted Reactor Vessel During Removal.Caused by Inappropriate Operator Action & Mgt Deficiency.Recovery Plan Developed Re Insp of Lower Internals & Refueling Canal ML20086H9431991-12-0404 December 1991 Special Rept 91-24:on 911104-29,concerns Noted Re Possible Leakage of Containment Spray Sys Check Valves Into Annulus, Causing Offsite Radioactive Dose.Caused by Design Deficiency.Check Valve Installed Downstream of Piping ML20091C0851991-08-0101 August 1991 Special Rept PIR 1-M91-0113:on 910616,diesel Engine Cooling Water Leak Discovered on Diesel Generator 1A at Discharge Flange on Intercooler End Bell Cover.Caused by Poor Casting Quality.New Covers Will Be Installed ML20081F7371991-06-0404 June 1991 Rev 1 to Special Rept 91-11 Dtd 910411:on 910215,turbine Driven Auxiliary Feedwater Pumps Automatically Started. Caused by Deficient Communication & Lack of Attention to Detail.Pump Speed Reduced & Discharge Valves Closed ML20062E7991990-11-14014 November 1990 Special Rept:On 901011,turbine Driven Auxiliary Feedwater Pump Declared Inoperable W/O Having Made Security Notification.Caused by Inappropriate Action ML20055G2161990-07-12012 July 1990 Ro:On 900602,discovered That Channel 7 of Vibration & Loose Parts Monitor Sys Had Low Noise Level.Probably Caused by Bad or Damaged Sensor Cable.Definite Cause of Failure Undetermined.Sys Scheduled to Be Replaced ML20246F7081989-07-0303 July 1989 Special Rept:On 890601,diesel Generator 1A Shut Down Due to Lack of Oil Flow.Due to Test Being Performed,Normal Stop Would Not Shutdown Engine.New Oil Added & Pumps Primed. Turbocharger Mods Under Investigation ML20247N8841989-05-30030 May 1989 Special Rept:On 890418,vibration & Loose Parts Monitor Failed.Caused by Damaged Cables to Sensors on Each Affected Channel.Vibration & Loose Parts Monitor Will Be Repaired During Next Refueling Outage After New Replacement Received ML20244C6731989-04-0606 April 1989 Special Rept:On 890225,operations Personnel Discovered That Channel 8 of Vibration & Loose Parts Monitoring Sys Had Low Noise Level.Investigation Scheduled to Be Completed During Unit 1 Tube Leak Outage ML20196E8241988-12-0505 December 1988 Special Rept:On 881205,diesel Generator 1B Experienced Invalid Test Failure.Caused by Improper Adjustment of Voltage Regulator Due to Personnel Error.Operations Mgt Will Cover Incident W/Representative from Each Shift ML20196B5211988-11-29029 November 1988 Special Rept:On 881030,Diesel Generator 1B Experienced Invalid Test Failure During Start Attempt 602.Applicable Procedures for Diesel Generator Testing Reviewed & Revised If Necessary ML20195H4901988-11-16016 November 1988 Special Rept:On 881017,diesel Generator 1A Started for Operability Test & Subsequently Tripped.Caused by Loose Wire on Jacket Pump Discharge Pressure Switch.Wire Reterminated & Pressure Switch Calibr ML20205G3401988-10-24024 October 1988 Special Rept:On 880916,Tech Spec 3.7.14.a Violated.Caused by Standby Shutdown Facility Being Inoperable for More than 7 Days Due to Transfer Canal Isolating & Draining Utilizing Weir Gate.Special Order 88-13 Issued ML20151R0971988-07-27027 July 1988 Special Rept:On 880627,diesel Generator 1A Failed to Start within 11 S.Caused by Missing Drain Valve on Starting Air Filter Housing on Right Bank Side of Diesel Engine.Work Request Written to Replace Filter Housing ML20151F4911988-07-22022 July 1988 Special Rept:On 880519,diesel Generator 1A Started for Operability Test & After Operating for 10 Minutes, Automatically Stopped & Declared Inoperable.Caused by Failure to Maintain Lubricating Level in Valve 1LD-7 ML20195J3601988-06-22022 June 1988 Special Rept:On 880323,Train a Safety Injection & Main Steam Sys Isolation Signals Received from Unknown Fault Inside Train a Solid State Protection Sys Logic Cabinet.Cause of Fault Could Not Be Isolated.Cabinet Returned to Svc ML20195J6161988-06-20020 June 1988 Advises That Special Rept Re Diesel Generator 1A Incident on 880519 Will Be Submitted by 880708 Instead of 880620 Due to Unresolved Concerns ML20195G2171988-06-17017 June 1988 Special Rept:On 880518,diesel Generator 1B Experienced Valid Failure.Caused by Fuel & Vol of Trapped Air Shook Debris Loose from Engine Mounted Duplex Fuel Filter.Filter Cartridges Replaced.Preventative Maint Procedure Revised ML20151C7691988-04-0404 April 1988 Ro:Change of Commitment Submitted Re Diesel Generator Turbocharger Rotor Assembly Replacement.Turbocharger Inlet Casings Replaced on All Four Engines W/New Design.Dye Penetrant Testing Will Continue to Be Performed ML20147F4311988-03-0303 March 1988 Special Rept:On 880123,Channels 3,4 & 8 of Vibration & Loose Parts Monitor Had Unusual Noise Level.Cause Not Determined Due to Number of Possible Failures & Location of Components within Plants.Monitor Will Be Repaired During 1988 Outage ML20237D1341987-12-14014 December 1987 Special Rept:On 871108,safe Shutdown Facility RCS Wide Range Transmitter Out of Calibr.Instrument Could Not Be Calibrated.Requisition Initiated for Replacement Transmitter ML20236Q1621987-11-13013 November 1987 Special Rept:On 870816,malfunction of Main Turbine Generator Controls Caused Rapidly Decreasing Main Steam Line Pressure Triggering Safety Injection/Reactor Trip.Safety Injection & Unusual Event Terminated & Repairs Completed on 870821 ML20214S5421987-06-0808 June 1987 Special Rept:On 870503,pressurizer PORV 2NC-34A Automatically Opened Due to Pressure Transient in Rcs.Cause Not Determined.Charging & Letdown Flow Adjusted & Procedures Re Allowable Setpoint Range Revised ML20214G7301987-05-13013 May 1987 Special Rept:On 870407 & 08,complete 18-month Insp Required for Standby Shutdown Diesel Generator Determined Not to Have Been Performed on Time.Caused by Personnel Error.Work Request Will Be Issued Prior to 18-month Due Dates ML20213H0591987-05-0808 May 1987 Ro:On 870409,personnel Discovered Monthly Channel Checks on Reactor Vessel Level Instrumentation Sys Wide Range Instrumentation Not Performed,Per Tech Specs.Ler Will Be Submitted by 870518 ML20214J1591986-11-21021 November 1986 Ro:On 861029,valves in ECCS Declared Inoperable.Caused by Rotork Motor Switch Settings.Ler for Incident Will Be Delayed Until 861219 to Allow Testing & Evaluation of Units ML20203J6551986-07-28028 July 1986 Ro:On 860626 & 27,small Cylindrical Objects Observed on Upper Core Baffle & in Vicinity of Upender,Respectively.On 860629,objects Confirmed to Be Spent Fuel Pellets.Pellets Vacuumed from Core & Upender 1999-03-05
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217G7951999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for McGuire Nuclear Station,Units 1 & 2 ML20217F3661999-09-22022 September 1999 Rev 18 to McGuire Unit 1 Cycle 14 Colr ML20212D1911999-09-20020 September 1999 SER Accepting Exemption from Certain Requirements of 10CFR50,App A,General Design Criterion 57 Closed System Isolation Valves for McGuire Nuclear Station,Units 1 & 2 ML20216E8851999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for McGuire Nuclear Station,Units 1 & 2 ML20211B1281999-08-31031 August 1999 Dynamic Rod Worth Measurement Using Casmo/Simulate ML20217G8101999-08-31031 August 1999 Revised Monthly Operating Repts for Aug 1999 for McGuire Nuclear Station,Unit 1 & 2 ML20211G5261999-08-24024 August 1999 SER Accepting Approval of Second 10-year Interval Inservice Insp Program Plan Request for Relief 98-004 for Plant,Unit 1 ML20211F3441999-08-17017 August 1999 Updated non-proprietary Page 2-4 of TR DPC-NE-2009 ML20210S2371999-07-31031 July 1999 Monthly Operating Repts for July 1999 for McGuire Nuclear Station,Units 1 & 2 ML20216E8951999-07-31031 July 1999 Revised Monthly Operating Repts for July 1999 for McGuire Nuclear Station,Units 1 & 2 ML20209E4361999-07-0909 July 1999 SER Agreeing with Licensee General Interpretation of TS LCO 3.0.6,but Finds No Technical Basis or Guidance That Snubbers Could Be Treated as Exception to General Interpretation ML20196K6631999-07-0707 July 1999 Safety Evaluation Supporting Licensee 990520 Position Re Inoperable Snubbers ML20209H1631999-06-30030 June 1999 Monthly Operating Repts for June 1999 for McGuire Nuclear Station,Units 1 & 2 ML20210S2491999-06-30030 June 1999 Revised Monthly Operating Rept for June 1999 for McGuire Nuclear Station,Units 1 & 2 ML20209H1731999-05-31031 May 1999 Revised Monthly Operating Rept for May 1999 for McGuire Nuclear Station,Units 1 & 2 ML20206T4771999-05-31031 May 1999 Rev 3 to UFSAR Chapter 15 Sys Transient Analysis Methodology ML20196L1881999-05-31031 May 1999 Non-proprietary Rev 1 to DPC-NE-3004, Mass & Energy Release & Containment Response Methodology ML20195K3691999-05-31031 May 1999 Monthly Operating Repts for May 1999 for McGuire Nuclear Station,Units 1 & 2 ML20206N3511999-05-11011 May 1999 Safety Evaluation Accepting Licensee Response to GL 96-05, Periodic Verification of Design-Basis Capability of Safety- Related Movs ML20195K3761999-04-30030 April 1999 Revised MORs for Apr 1999 for McGuire Nuclear Station,Units 1 & 2 ML20206R0891999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for McGuire Nuclear Station,Units 1 & 2 ML20205L2341999-04-0505 April 1999 SFP Criticality Analysis ML20206R0931999-03-31031 March 1999 Revised Monthly Repts for Mar 1999 for McGuire Nuclear Station,Units 1 & 2 ML20205P8991999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for McGuire Nuclear Station,Units 1 & 2 ML20205C4171999-03-25025 March 1999 Special Rept 99-02:on 801027,Commission Approved for publication,10CFR50.48 & 10CFR50 App R Delineating Certain Fire Protection Provisions for Nuclear Power Plants Licensed to Operate Prior to 790101.Team Draft Findings Reviewed ML20207K2051999-03-0505 March 1999 Special Rept 99-01:on 990128,DG Tripped After 2 H of Operation During Loaded Operation for Monthly Test.Caused by Several Components That Were Degraded or Had Intermittent Problems.Parts Were Replaced & Initial Run Was Performed ML20204C8911999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for McGuire Nuclear Station,Units 1 & 2 ML20205P9021999-02-28028 February 1999 Revised Monthly Operating Repts for Feb 1999 for McGuire Nuclear Station,Units 1 & 2 ML20204C8961999-01-31031 January 1999 Revised Monthly Operating Repts for Jan 1999 for McGuire Nuclear Station,Units 1 & 2 ML20199E0301998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for McGuire Nuclear Station,Units 1 & 2 ML20216F9931998-12-31031 December 1998 Piedmont Municipal Power Agency 1998 Annual Rept ML20198A4481998-12-11011 December 1998 Safety Evaluation Concluding That for Relief Request 97-004, Parts 1 & 2,ASME Code Exam Requirements Are Impractical. Request for Relief & Alternative Imposed,Granted ML20198D7561998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for McGuire Nuclear Station,Units 1 & 2 ML20199E0491998-11-30030 November 1998 Revised Monthly Operating Rept for Nov 1998 for McGuire Nuclear Station,Units 1 & 2 Re Personnel Exposure ML20199E9651998-11-24024 November 1998 Rev 1 to ATI-98-012-T005, DPC Evaluation of McGuire Unit 1 Surveillance Weld Data Credibility ML20196D4171998-11-24024 November 1998 Special Rept 98-02:on 981112,failure to Implement Fire Watches in Rooms Containing Inoperable Fire Barrier Penetrations,Was Determined.Repair of Affected Fire Barriers in Progress ML20196G0581998-11-0606 November 1998 Rev 17 to COLR Cycle 13 for McGuire Unit 1 ML20196G0761998-11-0606 November 1998 Rev 15 to COLR Cycle 12 for McGuire Unit 2 ML20198D7771998-10-31031 October 1998 Revised Monthly Operating Rept for Oct 1998 for McGuire Nuclear Station,Units 1 & 2 ML20195E5961998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for McGuire Nuclear Station,Units 1 & 2 ML20154L6251998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for McGuire Nuclear Station,Units 1 & 2 ML20195E6021998-09-30030 September 1998 Revised Monthly Operating Rept for Sept 1998 for McGuire Nuclear Station,Units 1 & 2 ML20154B4131998-09-22022 September 1998 Rev 0 to ISI Rept for McGuire Nuclear Unit 1 Twelfth Refueling Outage ML20151W3521998-09-0808 September 1998 Special Rept 98-01:on 980819,maint Could Not Be Performed on FPS Due to Isolation Boundary Leakage.Caused by Inadequate Info Provided in Fire Impairment Plan.Isolated Portion of FPS Was Returned to Svc ML20154L6321998-08-31031 August 1998 Rev 1 to MOR for Aug 1998 for McGuire Nuclear Station,Unit 1 ML20153B3741998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for McGuire Nuclear Station,Units 1 & 2 ML20236U1601998-07-31031 July 1998 Non-proprietary DPC-NE-2009, DPC W Fuel Transition Rept ML20237B2381998-07-31031 July 1998 Monthly Operating Repts for July 1998 for McGuire Nuclear Station,Units 1 & 2 ML20153B3931998-07-31031 July 1998 Revised Monthly Operating Repts for Jul 1998 for McGuire Nuclear Station,Units 1 & 2 ML20236P0451998-07-0808 July 1998 Part 21 Rept Re non-conformance & Potential Defect in Component of Nordberg Model FS1316HSC Standby Dg.Caused by Outer Spring Valves Mfg from Matl That Did Not Meet Specifications.Will Furnish Written Rept within 60 Days 1999-09-30
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DUKE POWER COMPANY STEAM PItODUCTION DEPT. ,
GENEllAL OFFICES Tettrao'eec! AREA 704 P o. sox sates 422 south CHURCH STREET ,* 373 4ott CIIAllLOrrE, N. C. 28242 August 4, 1982 Mr. James P. O'Reilly, Regional Administrator U. S. Nuclear Regulatory Commission Region II 101 Marietta Street, Suite 3100 Atlanta, Georgia 30303 Re: McGuire Nuclear Station Unit 1 Docket No. 50-369
Dear Mr. O'Reilly:
Please find attached Revision 1 to Reportable Occurrence Report R0-369/81-151.
The original report was submitted by Mr. W. O. Parker, Jr.'s letter of October 9, 1982. This report concerns T.S.3.4.10.1, "The Reactor Coolant System (except the pressurizer) Temperature and Pressure Shall be Limited in Accordance with the Limit Lines Shown on Figures 3.4-2 and 3.4-3 During Heatup, Cooldcwn, Criticality, and Inservice Leak and Hydrostatic Testing with: ... b. A Maximum Cooldown of 100 F in any one Hour Period...". The incident was considered to be of no significance with respect to the health and safety of the public.
This revision reflects additional insight into the event gained by Duke Power since the initial submittal, and updates the status of corrective actions. The originally submitted LER form does not contain information needing to be revised and thus is still applicable. Note that the original report was reviewed and closed in I.E. Inspection Report 50-369/81-30 and 50-370/81-18.
Thir report is also being submitted pursuant to T.S.6.9.2 in fulfillment of the spe :ial report provision of T.S.3.5.2 (Action b) .
Very truly yours, s
W / O H. B. Tucker, Vice President Nuclear Production PBN/jfw Attachment cc: Director Records Center Office of Management and Program Analysis Institute of Nuclear Power Operations U. S. Nuclear Regulatory Commission 1820 Water Place Washington, D. C. 20555 Atlanta, Georgia 30339 Mr. P. R. Bemis Sr. Resident Inspector McGuire Nuclear Station -
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l McGUIRE NUCLEAR STATION I REPORTABLE OCCURRENCE REPORT NUMBER: 81-151 (Revision)
REPORT DATE: ' August 4,.1982 OCCURRENCE DATE: September 14, 1981 FACILITY: McGuire Unit 1; Cornelius, N. C.
IDENTIFICATION OF OCCURRENCE: During the performance of the Loss of Control Room Test, operators had trouble controlling the Auxiliary Feedwater (CA) System.
An excessive amount of feedwater was pumped into the steam generators (S/G) causing an abnormally fast cooldown rate and a safety injection (SI) actuation.
CONDITIONS PRIOR TO OCCURRENCE: Mode 1, Power Operation (20% power)
DESCRIPTION OF OCCURRENCE: The following is a chronological Itsting of the events that occurred during the incident.
01:12 About this time, the test started; operators left the control room to man the reactor trip circuit breakers (located in a room adjacent to the control room), the auxiliary shutdown panel, and the CA pump control panels (located in the CA pump room several floors below the control room).
01:13:19 Operators manually tripped the reactor from the reactor trip breakers.
Almost Lamediately after the reactor was tripped, the main feedwater (CF) isola-tion valves closed on coincident reactor trip and Tave less than 564 F and S/t levels dropped to the Lo-Lo level setpoint which resulted in automatic start signals of the-three CA pumps. All three CA pumps started and pumped water into the S/G's at maximum flow-rate since the CA throttle valves had been fully opened by the automatic start signal. Steam generator levels began increasing. During the next several minutes operators tried unsuccessfully to gain control of the CA throttle valves. As a result, the S/G's filled rapidly with the excessive CA flow. Pressurizer level and Reactor Coolant System (NC) pressure fell at a corre- i sponding rate. (
01:20:26 Operators started the second centrifugal charging pump to recover
. pressurizer level and NC pressure.
As NC pressure dropped below the ?-11 setpoint (1955 psig), operators blocked SI to prevent further complicating the transient. Both charging pumps were running at this time.
01:21:06 Pressurizer level indication decreased to zero. Operators tripped ._
the 4 NC pumps. l 01:30:14 As the two charging pumps refilled the pressurizer, NC pressure was also restored. The minimum NC pressure reached was approximately 1900 psig.
When the NC pressure exceeded the P-ll setpoint, the SI block was cleared and SI'was initiated by S/G low pressure. The main steam isolation valves closed due to the SI which helped stem the heat loss from the NC system.
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Report Number.81-151 (Revision) -
Page 2
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- 33:40E SI was reset on both trains. The two D/G sequencers were reset'and the recovery proceeded smoothly from this point on except that a'second SI.was .
initiated on train A when the reactor trip circuit-breakers on that train were reset without sufficient S/G pressure. The reactor trip-breakers were reset in an effort to satisfy the CF valve logic and open the CF isolation valves.
APPARENT CAUSE OF OCCURRENCE: The operators-were unable to gain control of the CA flow to the S/G's due to a combination of.the following: Design Deficiency--
the lack of CA flow control reset switches on the auxiliary'down panels; Procedural i Deficiency--the procedure specifying when the reactor would be tripped relative to the manning of the auxiliary shutdown panels and no mention of the CA flow control reset switches'in the control room; and Personnel Error--possiblyidue to ,
inadequate training or experience in controlling CA flow from the~ auxiliary shut-4 down panels.
ANALYSIS OF OCCURRENCE: CF isolation on low T ave coincident with reactor trip will occur on virtually every reactor trip. This response and the rapid S/G level drop which resulted in the automatic' start of all three CA pumps are characteristics of Westinghouse units similar to McGuire Unit #1. S/G levels dropped.from the normal operating values to the Lo-Lo setpoint in less than five g seconds. During this event, the lack of significant decay heat addition to the
- primary system exacerbated the cooldown effect, e
On an automatic start signal to the CA system, solenoid valves interrupt the air supply to each of the CA control valves and the valves go to the-fully open
' position. Recirculation valves on each pump go to the fully closed position.
The solenoid valves must be reset to allow normal operation of the CA throttle i and recirculation valves. Resetting all of the CA control valves following an a automatic start (other than SI) is done with two mechanically latching switch modules located in the-control room. The CA control valves can be operated, following an automatic start, if reset switched are depressed and latched and the proper control station is selected on'the auxiliary shutdown panels. The sequence of these actions is irrelevant.
Since the reactor was tripped as soon as the first group of operators reached the reactor trip breakers, the transient was well underway'when the second group of operators reached the auxiliary. shutdown panels (the euxiliary shutdown panels are much further from the control room than the reactor trip breakers). Although the operators were aware of the level' drop characterdstics of the S/G's following reactor trip and CF isolation, the rapidity of the drop was unexpected. Upon reaching the auxiliary shutdown panels the operators tried unsuccessfully to reset the CA flow controls. Operators that were stationed in the control room depressed the reset pushbuttons located there with no apparent results.. The CA flow logic has since been tested completely including the equipment, wiring and
- functional tests of the circuitry. Logic involved with the two CA flow control _
reset switch modules is completely separate and the. possibility of a double a failure is judged to' be remote. Some confusion was present during the test resulting from the rapidity.and severity of'the transient and the lack of experience in controlling the plant from the auxiliary shutdown panels.
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- I-Report Number.81-151 (Revision)
Page 3 During the resulting transient, HC temperatures exceeded the 1000F/ hour cool-down rate addressed in Technical Specification 3.4.10.1. Maximum temperature
-change during the hour following the reactor trip was ll6.8 0F. Excessive cooling by the S/G's and the large amount of water injected into the NC system during the initial level recovery contributed to the excessive cooldown.
The operators tripped the NC pumps out of a perceived need to protect the pumps from damage due to loss of level in the pressurizer. This action, although specified in the Emergency Procedure, was premature in that the conditions specified for tripping the pumps were not reached. In this particular event, tripping the pumps did not pose a safety concern, due to the lack of significant decay heat generation. However, this action was not appropriate. ;
i SAFETY ANALYSIS: During the test all.of the safety systems worked as designed l in their emergency configurations. There was never any danger of uncovering the core or damaging the fuel. Sufficient subcooling margins were maintained at all times. The test was designed to uncover any problems the operators would have in controlling the plant without the use of the centrol room. ;
Westinghouse reviewed the data from the cooldown transient and concluded that 6 although the technical specification limit for 1000F/ hour cooldown of the reactor vessel was exceeded, no fracture concern exists because the absolute temperatures remained high and the ASME Code Section III Appendix G stress limits were not j exceeded. In addition, the fatigue usage factor contribution of this transient is insignificant. Therefore, this transient did not create a' safety concern for .
continued safe operation of the plant.
CORRECTIVE ACTION: Both the Loss of Control Room test procedure and operating procedure were revised to include depressing the CA flow control reset switches before leaving the control room and establishing communications between the reactor trip breakers and the auxiliary shutdown panels before the reactor is tripped. CA flow control resec switches were installed on the auxiliary shutdown panels,.along with annunciators to indica'te contacts made on the. reset switches.
Duke Power Company is developing plans to modify the auxiliary shutdown panels.
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The changes should clarify the operation of equipment and monitoring of system parameters from these panels. Additional guidance for maintaining forced flow in the NC system has been developed and provided to the station for inclusion in their procedures, and operator instruction. This guidance will also be incorporated into McGuire and Catawba operator trainin_g classes.
. A second Loss of Control Room Test was conducted on September 17, 1981 using the revised procedure. In this test the operators were able'to' control the CA flow to the S/G's and the NC system parameters responded as expected. All of the -
acceptance criteria were met.
.