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 ProvidedML20118B995 |
Person / Time |
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Site: |
Davis Besse |
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Issue date: |
10/02/1992 |
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From: |
Storz L TOLEDO EDISON CO. |
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To: |
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM) |
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References |
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AB-92-048, AB-92-48, IEB-92-001, IEB-92-1, NP-22-92-08, NP-22-92-8, NUDOCS 9210080246 |
Download: ML20118B995 (2) |
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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 ML20211R0811999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Davis-Besse Nuclear Power Station,Unit 1.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 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 ML20195F4871999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Davis-Besse Nuclear Power Station,Unit 1.With 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 ML20207J1461999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Davis-Besse Nuclear Power Station,Unit 1.With 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 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 ML20205K5781998-12-31031 December 1998 Waterhammer Phenomena in Containment Air Cooler Swss ML20197J3441998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Davis-Besse Nuclear Power Station,Unit 1.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 ML20154H5801998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20151W1611998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Dbnps.With 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 ML20236N7451998-06-30030 June 1998 Monthly Operating Rept for June 1998 for Davis-Besse Nuclear Power Station,Unit 1 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 ML20236K5131998-06-29029 June 1998 Safety Evaluation Accepting Proposed Alternate Emergency Operations Facility Location for Davis-Besse Nuclear Power Station,Unit 1 ML20248F7441998-05-31031 May 1998 Reactor Vessel Working Group,Response to RAI Regarding Reactor Pressure Vessel Integrity ML20249A4121998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20196B5221998-05-23023 May 1998 10CFR50.59 Summary Rept of Facility Changes,Tests & Experiments Dbnps,Unit 1 for 960602-980523 ML20236E7581998-05-19019 May 1998 Rev 0 to Davis-Besse Unit 1 Cycle 12 Colr ML20236N7501998-04-30030 April 1998 Rev 2 to Monthly Operating Rept for Apr 1998 for Davis-Besse Nuclear Power Station,Unit ML20247F6721998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for Davis-Bess Nuclear Power Station,Unit 1 ML20249A4141998-04-30030 April 1998 Revised Monthly Operating Rept for Apr 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20217P8041998-04-0707 April 1998 11RFO OTSG ECT Insp Scope ML20216B4041998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20216C5131998-02-28028 February 1998 Monthly Operating Rept for Feb 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20202D3721998-01-31031 January 1998 Monthly Operating Rept for Jan 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20199G6321998-01-26026 January 1998 Rev 1 to Davis-Besse Unit 1,Cycle 11,COLR ML20198R4771998-01-13013 January 1998 SER Approving Second 10-year Interval Inservice Inspection Program Plan Requests for Relief for Davis-Besse Nuclear Power Station,Unit 1 ML20198K7931997-12-31031 December 1997 Monthly Operating Rept for Dec 1997 for Davis-Besse Nuclear Power Station,Unit 1 ML20217K6401997-12-31031 December 1997 1997 Annual Rept First Energy ML20203A3931997-11-30030 November 1997 Monthly Operating Rept for Nov 1997 for Davis-Besse Nuclear Power Plant,Unit 1 ML20198S5371997-10-31031 October 1997 Monthly Operating Rept for Oct 1997 for Davis-Besse Nuclear Power Station ML20217H7701997-09-30030 September 1997 Monthly Operating Rept for Sept 1997 for Davis-Besse Nuclear Power Station,Unit 1 ML20216H3261997-08-31031 August 1997 Monthly Operating Rept for August 1997 for DBNPS ML20217K0241997-07-31031 July 1997 Monthly Operating Rept for Jul 1997 for Davis Besse Nuclear Power Station,Unit 1 1999-09-30
[Table view] |
Text
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% EDlucN A Ce%:m ( nmgp Crap.rq E DSON PL AZ A 3K) MADISON AVL NUE tdt EDO ohio 40U2 UAV NP-33-92-08 AE-92-048 Docket Number 30-346 1,1 cense Numbtr NPF-3 October 2, 1992 United States Nuclear Regulatory Commission Document Control Desk Vashington, D.C. 20555
Subject:
Voluntary Report - Fire Protection Missed Thermo-M g Fire Vatch Gentlemen:
Summary ; ,,
on September 10, 1792, while performing a routine audit of fire watch patrol logs, security personnel discovered that a non-Technical Specification hourly ftre watch, completed on September 8, 1992, was not properly performed. This hourly fire vatch was established an September 1, '.992 as a compensatory measure in response to NRC Bulletin 92-01, a pplement 1, Failure of Thermo-Lag 330 Fire Barrier System to Perform its Specified Fire Endurance Function" (Log Number l-2726), dated August 31, 1992. This is a voluntary report summarizing the citeumstances of this incident.
Discussion on September 10, 1992, as part of an ongoing fire patrol self audit a comparison
, of fire watch patrol logs to dotr card reader time histories, security personnel discovered that Room 325 (High Voltage Switchgear Room A) was not e.itered from 1706 ui.til 1822 on September 8, 1992, a period of 76 minutes. This exceeded the 60 +/ 15 minute hourly fire watch requirement established in response to NRC Bulletir. 92-01, Supplement 1. Further investigation revealed that the individual assigned to completing the required fire watch did eot enter Room 325 A
during the two patrols he performed from 1800 until 2000 on September 8, 1992.
However, a qualified fire vatch individv3'. enters 3 Room 325 at 1822 and again at 1921 therefore, technically only one lite watnh was missed. This event was not detected during the hourly reviews of fire watch logs because the fire watch log
, was incorrectl'/ signed by the individual as if the vatch was properly performed at 1806 and 1906. Potential Condition Adverse To Quali.ty Report 92-0367 was initiated on September 10, 1992 to address this incident.
I 921008024.2 921002 4 l h PDR ADOCK 05000346 /g S PDR t l
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Docket Number 50-346 hicense Number NPF-3 Page 2 Toledo Edison has investigated the incident and has coi.cluded that the individual who performed the vatch old not villfully falsify the fire vatch log.
Vhen interviewed, the individual freely tated that he had not entered Room 325 either on the first et second fire watch pattol, lie believed his actions in this area, which consisted of obsersing the door and the area around the door for evidence of a fita and recording the time, vere proper. The individual confitmed that he was trained to enter Room 325 when performing the fire watch but did not proparly recall this training during the September 8, 1992 fire watch patrols. vas the first performance of the assigned roving fire vatch t oute by the j i hv al since he receivel training on September 1, 1992. In addition, the i to Room 325 was directly on the toute taken to perform the iro vatch and, as such, the individual passed by the door to Room 325 during the fire watch patrol. The individual involved is a security officer and is aware that his duties can be audited and that computer histories are available to assist in audits. Toledo Edison has concluded that the cause of this incident was hurran er 3r and inattention to detail. This investigation report is available on site ;or NRC review.
Toledo Edison has taken several actions in response to this incident.
Addi*ional tire vatch logs were reviewed and this appears to be an isolated incident. The individual involved was disciplined. He also received further training to ensure that he is knowledgeable and able to properly conduct fire vatch duties. Fire Protection personnel accompanied security personnel on two separate fire watch patrols to ensure the patrols were performed properly.
Security personnel vere advised of the incident during shift briefings and the 4
requirerrents of performing proper firevatch duties were reiterated.
Very truly yours, -
, p y j Q) igj(~7-
-)' j l'
)
- h. F. Stor: -
Plant Manager MAT /ed G
cc: A. 11 . Davis, Regional Administrator, NRC Region III J. 11 . Ilopkins, NRC/NRR DB-1 Senior Project Manager K P., Valton, NRC Region III, DB-1 Resident Inspector l
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