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Category:REPORTABLE OCCURRENCE REPORT (SEE ALSO AO LER)
MONTHYEARML20236U5011998-07-23023 July 1998 Special Rept:On 980624,Unit 1 Site Damaged by Tornado & High Winds.Alert Declared by DBNPS Staff,Dbnps Emergency Response Facilities Activiated & Special Insp Team Deployed to Site by Nrc,As Result of Event ML20115J1121996-07-17017 July 1996 Voluntary Report:On 960430,two Unplanned Starts of Emergency Diesel Generator (EDG) 1-2 Occurred.Caused by Failure to Perform Procedural Step to Verify Power Supply to Electrical Busses D1 & D2.Personnel Counseled ML20071K6881994-07-27027 July 1994 Special Rept:On 940519,pilot Operated Relief Valve Opened for Approx 5 Seconds During Functional Testing of Replacement Reactor Trip Module in Reactor Protection Sys ML20118B9951992-10-0202 October 1992 Ro:On 920910,discovered That non-TS Hourly Fire Watch, Completed on 920908,improperly Performed,Per Suppl 1 to NRC Bulletin 92-001,resulting in Falsification of Fire Watch Log.Individual Disciplined & Addl Training Provided ML20096H0261992-05-19019 May 1992 Special Rept:On 911206,twelve Smoke Detectors in Fire Detection Zone Were Inoperable.Cause Unknown.Detectors Replaced W/Pyrotronics Model DI-6 ML20094L0651992-03-19019 March 1992 Special Rept:On 920204,local Fire Detector Alarm Panel for Fire Detection Zone Was in Trouble Indication Condition. Cause Not Determined.Hourly Fire Watch Patrol Established to Monitor Alarm ML20086K3891991-12-0606 December 1991 Supplement to 910925 Special Rept:On 910830,four Addl Alison Controls,Inc Detectors in Fire Detection Zone RCP-1,RCP-3, RZP-4 & Fdz A208 Failed.Caused by Dust Particles in Sensing Chamber.Subj Detectors Replaced W/Pyrotronics Model DI-6 ML20079F6301991-09-25025 September 1991 Special Rept:On 910818 & 0905,Fire Detection Zone A208 & Instruments Declared Inoperable When Subj Zone Panel Went Into Alarm W/No Indications of Fire.Detector Shipped to Vendor for Troubleshooting & Repair ML20073Q7671991-05-29029 May 1991 Special Rept:On 910415,ionization Type Fire Detector in Fire Detection Zone 235 (Boric Acid Evaporator Room 1-1) Inoperable.Ts 3/4.3.3.8 Entered & Hourly Fire Watch Patrol Established within 1 H ML20072U8091991-01-10010 January 1991 Special Rept:On 910304,electric Fire Pump Removed from Svc for Planned Outage for More than Seven Days.Pump Removed to Replace Existing Controller.Replacement of Controller Accomplished & Electric Fire Pump Returned to Svc ML20058M8561990-08-0606 August 1990 Ro:On 900609 & 11,station Experienced Series of Events Which Lead to Opening of Control Rod Drive Trip Breakers.Caused by Fuse Failure & Mispositioned Control Mode Selector Switch, Respectively.Test Procedure Being Modified ML20246K8931989-07-14014 July 1989 Ro:On 890314,discovered Error in Scheduling & Actual Performance of Surveillance Requirement 4.6.1.3 Re Testing for Personnel & Emergency Air Locks.Caused by Oversight. App J Exemption Request Submitted & Test Interval Changed ML20154C5271988-08-31031 August 1988 Special Rept:On 880722,Tech Spec 3.3.3.3 Violated.Caused by Accelerometers Being Inoperable for More than 30 Days.Mod 88-0060 to Replace Accelerometers Scheduled for Completion by 880915 ML20154M6751988-05-26026 May 1988 Special Rept:On 880419,diesel Fire Pump Removed from Svc for Maint & Declared Inoperable for Longer than Limit Required by Tech Spec Due to Unanticipated Temp Switch Failure.Switch Repaired & Diesel Fire Pump Declared Operable ML20236L4361987-11-0606 November 1987 Special Rept:On 870718,fire Detection Zone FDZ-A208 Declared Inoperable.Caused by Failure of Fire Detector.Hourly Fire Watch Established.Main Work Order Initiated to Repair Detector ML20236S8411987-06-12012 June 1987 Special Rept:On 870513,fire Protection Coordinator Discovered Damage to Fire Barrier Wall in Entrance to Radiation Access Control Area.Probably Caused by Personnel Negligence.Repairs to Wall Should Be Completed by 870731 ML20235B7741987-01-21021 January 1987 RO 07352:on 870121,reactor Tripped from 40% Power.Cause Not Yet Known & All Sys Functioned as Regulated for Reactor Trip ML20076J7391983-06-27027 June 1983 Ro:On 830616,hatches Associated W/Negative Pressure Boundary & Fire Barrier Removed.Notification Satisfies 30-day Requirement.Written Rept Will Be Submitted by 830713 ML20054E1931981-10-16016 October 1981 Telecopy RO Re Max String Error of Pressure/Temp Bistable of Reactor Protection Sys Exceeding Allowable Values of Tech Spec 2.2.1,Table 2.2-1.Event Reported on 811016.Facility Change Request Implemented 1998-07-23
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217K1231999-10-14014 October 1999 Revised Positions for DBNPS & PNPP QA Program ML20217D5441999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Davis-Besse Nuclear Power Station.With 05000346/LER-1998-011, :on 981014,manual Reactor Trip Occurred.Caused by Component Cooling Water Sys Leak.Breaker Being Installed Into D1 Bus cubicle.AACD1 Was Removed from Cubicle1999-09-0303 September 1999
- on 981014,manual Reactor Trip Occurred.Caused by Component Cooling Water Sys Leak.Breaker Being Installed Into D1 Bus cubicle.AACD1 Was Removed from Cubicle
ML20211R0811999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Davis-Besse Nuclear Power Station,Unit 1.With 05000346/LER-1999-003, :on 990727,failure to Perform Engineering Evaluation for Pressurizer Cooldown Rate Exceeding TS Limit Was Noted.Caused by Inadequate Procedural Guidance.Provided Required Reading for Operators.With1999-08-26026 August 1999
- on 990727,failure to Perform Engineering Evaluation for Pressurizer Cooldown Rate Exceeding TS Limit Was Noted.Caused by Inadequate Procedural Guidance.Provided Required Reading for Operators.With
ML20211B0271999-08-13013 August 1999 SER Accepting Second 10-year Interval Inservice Insp Requests for Relief RR-A16,RR-A17 & RR-B9 for Plant, Unit 1 ML20210Q8541999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20209E6231999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Davis-Besse Nuclear Power Station,Unit 1.With 05000346/LER-1998-013, :on 981105,safety Valve Rupture Disks May Induce Excessive Eccentric Loading of Pressurizer Vessel Nozzles.Caused by Failure of RCS Pressure Boundary.Plant Mod Was Implemented in May of 1999.With1999-06-24024 June 1999
- on 981105,safety Valve Rupture Disks May Induce Excessive Eccentric Loading of Pressurizer Vessel Nozzles.Caused by Failure of RCS Pressure Boundary.Plant Mod Was Implemented in May of 1999.With
ML20212H9961999-06-22022 June 1999 Safety Evaluation Supporting Amend 233 to License NPF-3 ML20195K2871999-06-16016 June 1999 Safety Evaluation Accepting Licensee Response to GL 95-07, Pressure Locking & Thermal Binding of Safety-Related Power-Operated Gate Valves ML20207G6661999-06-0808 June 1999 Safety Evaluation Supporting Amend 232 to License NPF-3 ML20195F4871999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20206U7371999-05-19019 May 1999 Safety Evaluation Supporting Amend 231 to License NPF-3 ML20207E8011999-05-19019 May 1999 Non-proprietary Rev 2 to HI-981933, Design & Licensing Rept DBNPS Unit 1 Cask Pit Rack Installation Project ML20207F4351999-05-0404 May 1999 Rev 1 to DBNPS Emergency Preparedness Evaluated Exercise Manual 990504 ML20206M6341999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Davis-Besse Nuclear Station,Unit 1.With ML20205M2931999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Davis-Besse Nuclear Power Station.With 05000346/LER-1999-002, :on 990208,both Trains of Emergency Ventilation Sys Were Rendered Inoperable.Caused by Unattended Open Door. Door Was Immediately Closed Upon Discovery.With1999-03-0505 March 1999
- on 990208,both Trains of Emergency Ventilation Sys Were Rendered Inoperable.Caused by Unattended Open Door. Door Was Immediately Closed Upon Discovery.With
ML20207J1461999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20206U2441999-02-0909 February 1999 Safety Evaluation Supporting Amend 229 to License NPF-3 ML20199H5931999-01-20020 January 1999 Safety Evaluation Accepting Thermo-Lag Re Ampacity Derating Issues for Plant ML20204J6751998-12-31031 December 1998 1998 Annual Rept for Dbnps,Unit 1,PNPP,Unit 1 & BVPS Units 1 & 2 ML20199E2501998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20205K5781998-12-31031 December 1998 Waterhammer Phenomena in Containment Air Cooler Swss ML20206B0101998-12-31031 December 1998 1998 Annual Rept for Firstenergy Corp, for Perry Nuclear Power Plant & Davis-Besse Nuclear Power Station.Form 10-K Annual Rept to Us Securities & Exchange Commission for Fiscal Yr Ending 981231,encl ML20197J3441998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Davis-Besse Nuclear Power Station,Unit 1.With 05000346/LER-1998-012, :on 981018,reactor Trip Occurred from Approx 4% Power Due to ARTS Signal.Caused by Inadequate Design Drawing Resulting in Inadequate Procedure.Procedure Revised to Correct Deficiency.With1998-11-17017 November 1998
- on 981018,reactor Trip Occurred from Approx 4% Power Due to ARTS Signal.Caused by Inadequate Design Drawing Resulting in Inadequate Procedure.Procedure Revised to Correct Deficiency.With
05000346/LER-1998-009, :on 980909,RCS Pressurizer Spray Valve Was Not Functional with Two of Eight Body to Bonnet Nuts Missing. Caused by Less than Adequate Matl Separation Work Practices. Bonnet Nuts Replaced.With1998-11-13013 November 1998
- on 980909,RCS Pressurizer Spray Valve Was Not Functional with Two of Eight Body to Bonnet Nuts Missing. Caused by Less than Adequate Matl Separation Work Practices. Bonnet Nuts Replaced.With
05000346/LER-1998-011, :on 981014,manual RT Due to Ccws Leak Was Noted.Caused by Failure of One Letdown Cooler Rupture Disk. All Letdown Cooler Rupture Disks Were Replaced Prior to Plant Restart.With1998-11-13013 November 1998
- on 981014,manual RT Due to Ccws Leak Was Noted.Caused by Failure of One Letdown Cooler Rupture Disk. All Letdown Cooler Rupture Disks Were Replaced Prior to Plant Restart.With
ML20195D0001998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20155B6781998-10-28028 October 1998 Safety Evaluation Accepting Proposed Reduction in Commitment Changes in QA Program Matl Receipt Insp Process 05000346/LER-1998-010, :on 980924,manual Reactor Trip Was Noted.Caused by Misdiagnosed Failure of Main FW Control Valve Solenoid Valve.Faulty Solenoid valve,SVSP6B1,was Replaced & Tested. with1998-10-26026 October 1998
- on 980924,manual Reactor Trip Was Noted.Caused by Misdiagnosed Failure of Main FW Control Valve Solenoid Valve.Faulty Solenoid valve,SVSP6B1,was Replaced & Tested. with
05000346/LER-1998-008, :on 981001,documented Proceduralized Guidance for Initiation of Post LOCA B Dilution Flow Path.Caused by Design Analysis Oversight.Revised Procedures to Provide Active B Dilution Flow Path Guidance.With1998-10-0101 October 1998
- on 981001,documented Proceduralized Guidance for Initiation of Post LOCA B Dilution Flow Path.Caused by Design Analysis Oversight.Revised Procedures to Provide Active B Dilution Flow Path Guidance.With
ML20154H5801998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Davis-Besse Nuclear Power Station,Unit 1.With 05000346/LER-1998-007, :on 980824,CR Humidifier Ductwork Failure Caused Excessive Opening in Positive Pressure Boundary. Caused by Less than Adequate Fabrication.Evaluation of CR Humidifiers Conducted.With1998-09-22022 September 1998
- on 980824,CR Humidifier Ductwork Failure Caused Excessive Opening in Positive Pressure Boundary. Caused by Less than Adequate Fabrication.Evaluation of CR Humidifiers Conducted.With
ML20151W1611998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Dbnps.With 05000346/LER-1998-006, :on 980624,loss of Offsite Power Was Noted. Caused by Tornado Damage to Switchyard.Tested & Repaired Affected Electrical & Mechanical Equipment Necessary to Restore Two Offsite Power Sources1998-08-21021 August 1998
- on 980624,loss of Offsite Power Was Noted. Caused by Tornado Damage to Switchyard.Tested & Repaired Affected Electrical & Mechanical Equipment Necessary to Restore Two Offsite Power Sources
ML20237E3171998-08-21021 August 1998 ISI Summary Rept of Eleventh Refueling Outage Activities for Davis-Besse Nuclear Power Station ML20237B1681998-07-31031 July 1998 Monthly Operating Rept for July 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20236U5011998-07-23023 July 1998 Special Rept:On 980624,Unit 1 Site Damaged by Tornado & High Winds.Alert Declared by DBNPS Staff,Dbnps Emergency Response Facilities Activiated & Special Insp Team Deployed to Site by Nrc,As Result of Event ML20236R1441998-07-15015 July 1998 SER Related to Quality Assurance Program Description Changes for Davis-Besse Nuclear Power Station,Unit 1 05000346/LER-1998-004, :on 980601,ductwork for Number 2 Control Room Humidifier Found Disconnected from Humidifier.Caused by Less than Adequate Connection at Humidifier Blower Housing. Ductwork Repaired1998-07-13013 July 1998
- on 980601,ductwork for Number 2 Control Room Humidifier Found Disconnected from Humidifier.Caused by Less than Adequate Connection at Humidifier Blower Housing. Ductwork Repaired
05000346/LER-1998-005, :on 980601,both Low Pressure Injection/Dhr Pumps Were Rendered Inoperable During Testing.Caused by Inadequate Self Checking,Communication & Procedure Usage Work Practices.Operations Mgt Reviewed Expectations1998-07-11011 July 1998
- on 980601,both Low Pressure Injection/Dhr Pumps Were Rendered Inoperable During Testing.Caused by Inadequate Self Checking,Communication & Procedure Usage Work Practices.Operations Mgt Reviewed Expectations
ML20236M9411998-07-0707 July 1998 Safety Evaluation Supporting Amend 225 to License NPF-3 ML20236K3981998-06-30030 June 1998 SER Accepting in Part & Denying in Part Relief Requests from Some of ASME Section XI Requirements as Endorsed by 10CFR50.55a for Containment Insp for Davis-Besse Nuclear Power Station,Unit 1 ML20236N7451998-06-30030 June 1998 Monthly Operating Rept for June 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20236K4321998-06-30030 June 1998 Safety Evaluation Supporting Amend 224 to License NPF-03 ML20236K5131998-06-29029 June 1998 Safety Evaluation Accepting Proposed Alternate Emergency Operations Facility Location for Davis-Besse Nuclear Power Station,Unit 1 05000346/LER-1998-003, :on 980519,Mode 3 Entry Without Completion of Surveillance Requirement Occurred.Caused by Failure of I&C Technicians to Perform Each Sp as Written or Adherence. Revised Procedure1998-06-18018 June 1998
- on 980519,Mode 3 Entry Without Completion of Surveillance Requirement Occurred.Caused by Failure of I&C Technicians to Perform Each Sp as Written or Adherence. Revised Procedure
1999-09-30
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CENTERIOR ENERGY 0200 0 9 Ne Bowe<cro W Adress incependence OH P O 6'e 9400; 76 4473100 Cweed OH 44:0: 4601 Docket Number 50-346 License Number NPF-3 Serial Number 2336 July 27, 1994 United States Nuclear Regulatory Commission Document Control Desk Vashington, D. C. 20555
Subject:
Events Surrounding the Pilot Operated Relief Valve Actuation on May 19, 1994 Gentiemen:
On May 19, 1994, at Davis Besse Nuclear Power Station (DBNPS), the Pilot Operated Relief Valve (PORV) opened for approximately 5 seconds.
The PORV opened during functional testing of a replacement Reactor Trip Module (RTM) in the Reactor Protection System (RPS). Although the PORV 10 not part of the RPS, a pressure signal to the PORV actuation control circuit originates from an RPS pressure sensor.
This event was reported in the Monthly Operating Report for May 1994.
The purpose of this letter is to provide a status of investigation of this event and to provide additional information since this event was of regulatory interest.
On May 19, 1994, the surveillance test Channel Functional Test of Reactor Trip Breaker "B", RPS Channel 1 Reactor Trip Module Logic, and Anticipatory Reactor Trip System Channel 1 Output Logic (DB-MI-03011) was being performed to meet Technical Specification requirements. At approximately 1000 hours0.0116 days <br />0.278 hours <br />0.00165 weeks <br />3.805e-4 months <br />, RPS Channel 1 was manually tripped as required by the test procedure. Status lights on RPS channel 2 did not indicate the expected RPS Channel 1 trip. Investigation showed that a set of contacts in the RPS Channel 1 RTM had not opened when the associated relay coil was de-energized. Operations declared RPS channel 1 inoperable at 1008 hours0.0117 days <br />0.28 hours <br />0.00167 weeks <br />3.83544e-4 months <br /> and performed required actions in accordance with Technical Specification 3.3.1.1. A Maintenance Vork Order (MV0) was implemented to replace the malfunctioning RPS channel 1 RTH vith a spare RTH from varehouse stock.
9408010290 940727 PDR ADOCK 05000346 I S PDR O
Operotag Compomes Chweiond t mctne litummahng <
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I0'ed0 Id504
Docket Number 50-346
. License Number NPF-3 l
Serial Number 2336 Page 2 The spare RTM drawn from stock was originally purchased from Bailey Controls by the Sacramento Municipal Utility District (SMUD) for the Rancho Seco RPS system. Three RTMs along with a number of other ,
Bailey module types were purchased from SMUD. SMUD originally bought I and maintained the modules as safety related under their 10 CFR 50, Appendix B Ouality Assurance program. However, the modules were purchased by Toledo Edison as commercial grade to simplify the procurement process. The dedication process at DBNPS for the RTMs purchased included verification of part number, visual inspection and i vork bench functional testing at the module level. This was completed acceptably and the RTMs were placed in varchouse stock on December 10, 1993.
The replacement RTM vas installed and post maintenance functional testing was initiated in accordance with Channel Functional Test of RPS Channel 1 (DB-MI-03001). At approximately 1755 hours0.0203 days <br />0.488 hours <br />0.0029 weeks <br />6.677775e-4 months <br /> with reactor power at approximately 99 percent, during the course of testing, the Power Range Test Module Switch was placed in the Test Operate position and the RPS Direct Current (DC) Power Supply Breaker subsequently opened. During this time, RPS Channel 1 vas selected to supply RCS pressure signal input to the Non-Nuclear Instrumentation (NNI). When power was lost, the pressure signal spiked high, then failed lov and the PORV opened for approximately 5 seconds. This caused a slight (approximately 35 psi) pressure decrease in the RCS. Following the PORV closure, operators placed the pressurizer heaters in manual, entered the Pressurizer System Abnormal Operation procedure (DB-0P-02513) and verified the PORV closed. NNI pressure and flow inputs from the RPS vere svapped to RPS Channel 2 and at 1845 hours0.0214 days <br />0.513 hours <br />0.00305 weeks <br />7.020225e-4 months <br /> DB-0P-02513 was exited.
After this occurrence, the original failed RTM was repaired by Toledo Edison personnel by replacing the Main Trip Relay Circuit Board (PC2).
- When the repaired RTH vas reinstalled in RPS Channel 1 for testing, a malfunction was revealed in the channel bypass circuitry in this module. Status lights on the RTM indicated the channel was bypassed even though the channel bypass key switch was not in the bypass position. A replacement Channel Bypass Circuit Board (PC5) was not '
I available in spare parts stock but was obtained from another spare RTH and installed in the original RTM. Post maintenance functional testing, followed by testing to satisfy Technical Specification Surveillance requirements was completed at approximately 1035 hours0.012 days <br />0.288 hours <br />0.00171 weeks <br />3.938175e-4 months <br /> on May 20, 1994. RPS Channel 1 was declared operable at approximately 1120 hours0.013 days <br />0.311 hours <br />0.00185 weeks <br />4.2616e-4 months <br />.
The reason for actuation of the PORV vas traced to the RTH that was obtained from stock that had been purchased from SHUD. Review of the maintenance history for this module revealed that it was a spare module at Rancho Seco and had never been installed in the plant.
Detailed visual inspection of the PC2 board from this module revealed a difference in configuration when compared to a PC2 board from a Toledo Edison RTM. Review of the modification history of the PC2 board revealed that a change to the board in 1971, prior to Rancho Seco commencing operation, was not impicmented on this spare module. ;
1 Docket Number 50-346
, License Number NPF-3 Serial Number 2336
- Page 3 "The other two RTMs purchased from SMUD had the modification implemented. The purpose of the module modification was to alleviate a cross-bridging condition in the relay by relocating a resistor so that it functioned in a current limiting mode should cross bridging occur. Cross bridging causes a momentary shorting of the -15 volt power supply to ground. Since the modification had not been made, actuation of the relay forced an excessive current draw from the DC -
power supply, causing the power supply breaker to open and the resultant opening of the PORV.
Investigations as a result of this event have been conducted on the modification history of the SMUD modules purchased by Toledo Edison and other Babcock and Vilcox Owners Group (BV0G) utilities. The BV0G Instrument and Control Committee representatives vere notified of the circinnstances of the DBNPS event. The BV0G Instrument and Control Committee reviewed all Preliminary Safety Concerns (PSC) from the original design of the RPS until the time of the purchase from SMUD.
This cross-bridging was not considered a PSC when the modification was +
implemented in 1971 because de-energization of a power supply is fail-safeanpthereforenotasafetyconcern. Further investigation has been requested by the BV0G that vill provide complete design change information from B&V to each affected BV0G utility for the RPS modules. This vill provide detailed information from which the modules that were spare at SMUD can be reverifi3d as the current !
design. Enhanced inspection of the SMUD modules based on this l information should prevent further recurrence.
In this event, the RPS logic was not required to actuate and did not j actuate. The PORV actuation control circuit receives a pressure signal from the RPS pressure sensor but is not part of the RPS. The I event was determined to not be reportable under the criteria of 10 CFR f 50.73. This event was also not considered to be reportable under the criteria of 10 CFR, Part 21. The failure mechanism that was corrected by the design change vould not have created a substantial safety hazard because a deenergized RPS channel by design would go to a tripped state. l 1
Should you have any questions or require additional information, I please contact Mr. Villiam T. O'Connor, Manager - Regulatory Affairs, f at (419) 249-2366.
Very truly yours,
&bf John P. Stetz Vice President - Nuclear Davis-Besse Nuclear Power Station DLH/ eld cc: J. B. Martin, Regional Administrator, NRC Region III S. Stasek, DB-1 NRC Senior Resident Inspector R. J. Stransky, NRC Project Manager Utility Radiological Safety Board
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