ML20127D132

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Summary of Operating Reactors Events Meeting 93-01 on 930106
ML20127D132
Person / Time
Site: Salem, Cooper, Sequoyah  Entergy icon.png
Issue date: 01/12/1993
From: Chaffee A
Office of Nuclear Reactor Regulation
To: Grimes B
Office of Nuclear Reactor Regulation
References
OREM-93-001, OREM-93-1, NUDOCS 9301150105
Download: ML20127D132 (17)


Text

.___ _ _

JAN 121993 I

MEMORANDUM FOR: Brian K. Grimes, Director Division of Operating Reactor Support FROM: Alfred E. Chaffee, Chief Events Assessment Branch Divisjon of Operating Reactor Support

SUBJECT:

OPERATING REACTORS EVENTS BRIEFING JANUARY 6, 1993 - BRIEFING 93-01 On January 6, 1993, we conducted an Operating Reactors Events Briefing (93-01) to inform senior managers from offices of AEOD, ACRS, NRR, RES, and regional offices of selected events that occurred since our last briefing on December 23, 1992.

Attachment i lists the attendeen. Attachment 2 presents the significant elements of the discussed events.

Attachment 3 contains reactor scram statistics for the week ending 12/27/92 and year ending 12/31/92. One significant event was identified for input into the NRC performance indicator program (Attachment 4).

Original signed by Alfred E. Chaffee, Chief Events Assessment Branch Division of Operating Reactor Support Attachments: As stated DISTRIBUTION:

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T. !!urley, llRR (12G18) R. Devan, PDIV-1 F. liiraglia, llRR (12G18) J. Larkins, PDIV-1 F. Gillespie, llRR (12G18) J. Stone, PDI-2 J. Partlow, llRR (12G18) C. Miller, PDI-2 S. Varga, llRR' (14 E4 ) D. LaBargo, PDII-4 J. Calvo, NRR (14A4) F. liebdon, PDII-4 G. Lainas, NRR (14113)

J. Roe, llRR (13E4)

J. Zwolinski, llRR (131124)

M. Virgilio, NRR (13E4)

W. Ruscell , 11RR (12G18)

J. Richardson, 11PR (7D26)

A. Thadani, 11RR (8E2)

S. Rosenberg , 11RR (10E4)

C. Rossi, NRR (9A2)

B. Boger, 11RR * (10113 )

P. Congel, NRR (10E2)

D. Crutchfield, NRR (111121)

W. Travers, NRR (11B19)

D. Coe, ACRS (P-315)

E. Jordan, AEOD (MN-3701)

T. 11ovak , AEOD ( M11-9112 )

L. Spessard, AEOD (M11-3701)

K. Brockman, AEOD (MN-3206)

S. Rubin, AEOD (M!i-5219 )

M. liarper, AEOD (MN-9112)

J. Grant, EDO (17G21)

R. Newlin, GPA (2GS)

E. Beckjord, RES (NLS-007)

A. Bates, SECY (16G15)

G. Rammling, OCM (16G15)

T. Martin, Region I W. Kane, Region I C. llehl, Region I S. Ebneter, Region II E. Merschoff, Region II B. Davis, Region III E. Greenman, Region llI J. Milhoan, Region IV B. Beach, Region IV J.B. Martin, Region V K. Perkins, Region V bec:~Mr. Sam Newton, Manager Events Analysis Department Institute of Nuclear Power Operations 1100 Circle 75 Parkway, Suite 1500 Atlanta, GA 30339-3064 l

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'i ATTACNMEllT 1 LIST OF ATTE!4 DEES l 1

OPERATIllG REACTORS EVEllTS FULL BRIEFI!1G (93-01) -

JANUARY 6, 1993  ;

llAME Offl_CE NAME OFFICE B. GRIMES NRR R. ECKENRODE HRR A. CNAFFEE NRR C. YATES 11RR R. DEliNIG liRR J. STEWART NRR E. GOODWILL NRR G. WEST, JR. IIRR D. SKEEN NRR C. DERLINGER NRR T. KOSHY NRR C. ROSSI NRR R. BENEDICT NRR J. ROE NRR K. GRAY NRR S. LONG NRR P. ENG NRR J. CALVO NRR J. GUO NRR J. BONGARRA NRR-J. STONE liRR G. MARCUS NRR S. BAJWA l C. MILLER NRR D. LABARGE let D. COE ACRS R. DEVAN NRR V. BEHAROYA AEOD- -

F. IIEBDON NRR D. ROSS AEOD P. O'CONNOR NRR W. MINNERS RES M. WEBB- NRR TELEPHONE ATTENDANCE (AT ROLL CALL)

Recions Resident Inspectors Region I Region II Region III Region IV Region V '

AIT Team Leaders Misnt Salem (W. Ruland)

+

. - . _ . . . - . . _ . . ,,_,=,.-.---...____,___._,_...._.-,,__._.__-._.,_.._..--x.___ .-,--,_.-,)

AfTACHMENT 2 OPERATING REACTORS EVENTS BRIEFING 93-01 ELENTS ASSESSMENT BRANCH LOCATION: 10 B11, WHITE FLINT WEDNESDAY, JANUARY 6, 1993, 11:00 A.M.

COOPER STATION ROUTING 0F CONTROL WIRING COULD RENDER BOTH EMERGENCY DIESEL GENERATORS INOPERABLE SALEM, UNIT 2 FAILURE OF CONTROL ROOM OVERNEAD ANNUNCIATORS (AIT - UPDATE)

SEQUOYAH, UNITS 1 AND 2 UNDERWEIGHT LOADING OF ICE IN ICE CONDENSER

93-01 COOPER STATION ROUTING 0F CONTROL WIRING COULD RENDER BOTH EMERGENCY DIESEL GENERATORS INOPERABLE DECEMBER 30, 1992 PROBLEM DURING A DESIGN BASIS RECONSTITUTION, IT WAS DETERMINED THAT A SEISMIC, TORNADO, OR INTERNAL MISSILE EVENT COULD RENDER BOTH EMERGENCY DIESEL GENERATORS INOPERABLE.

CAUSE A PORTION OF THE ESSENTIAL AC BUS TIE BREAKER CONTROL WIRING IS LOCATED IN HON-SEISMIC STRUCTURES.

SAFETY SIGNILICANCE LOSS OF 0FFSITE POWER WITH BOTH EDGs IN0PERABLE WOULD RESULT IN A STATION BLACK 0UT.

DJSCUS_Sl0B e LICENSEE lici f RED AN UNUSUAL EVENT AND COMMENCED A POWER REDUCTION WHEN BOTH EDGs WERE DECLARED INOPERABLE.

  • THE TRIP CONTROL WIRING FOR THE SAFETY RELATED TIE BREAKERS (IFA & 1GB) WAS ROUTED FROM THE CLASS 1E SWITCHGEAR, THROUGH NON-CLASS 1E SWITCHGEAR, AND BACK TO TllE CLASS 1E SWITCHGEAR TO PICK UP THE UNDERV0LTAGE CONTACTS.

CONTACT: D. SKEEN, NRR/ DORS AIT: R0

REFERENCE:

10 CFR S0.72 #24810 SIGEVENT: TBD

COOPER STATION 93-01 e IF THIS CONTROL WIRING WERE TO OPEN BECAUSE OF A SEISMIC EVENT OR TORNADO, ETC, THE TIE BREAKERS WOULD NOT TRIP OPEN ON AN UNDERVOLTAGE CONDITION.

  • THE EDG OUTPUT BREAKERS (EG1 & EG2) WILL NOT CLOSE IF THE TIE BREAKERS ARE CLOSED, THUS, THE SAFETY RELATED POWER SOURCE WOULD BE UNAVAILABLE AND THE PLANT WOULD BE IN A STATION BLACK 0UT CONDITION.

e THE UNUSUAL. EVENT WAS TERMINATED ABOUT FOUR AND ONE HALF HOURS LATER AND THE POWER REDUCTION STOPPED AT 65%

POWER WHEN MODIFICATIONS TO THE CONTROL WIRING FOR ONE OF THE TIE BREAKERS WAS COMPLETED AND THE EDG WAS DECLARED OPERABLE. .

o THE LICENSEE INSTALLED JUMPERS TO PROVIDE A PARALLEL PATH FOR THE TRIP CIRCUIT SUCH THAT THE OPENING 0F THE CIRCUIT IN THE NON-CLASS 1E SWITCHGEAR WILL NOT DISABLE THE CLASS 1E PORTION OF THE CIRCUIT.

EQLLOWUP e HAD THE DESIGN BASIS EVENT OCCURRED, THE CONTROL ROOM WOULD HAVE HAD THE FOLLOWING INDICATIONS:

N0 AC POWER AVAILABLE EDGs RUNNING EDG OUTPUT BREAKERS (EG1 & EG2) NOT CLOSED LOSS OF INDICATION FOR TIE BREAKERS 1FA & 1GB e WITH THE EDGs RUNNING AND THE OUTPUT BREAKERS NOT CLOSED, THE EDGs WOULD NOT HAVE SERVICE WATER FOR COOLING. THE EDGs CAN RUN ABOUT 10 MINUTES WITHOUT OVERHEATING WHEN UNLOADED.

93-01 COOPER STATION e AN OPERATOR WOULD BE DISPATCHED TO THE SWITCHGEAR ROOM TO DETERMINE THE POSITION OF THE TIE BREAKERS AND ENSURE THEY WERE IN THE OPEN POSITION.

  • ONCE THE TIE BREAKERS WERE TRIPPED, THE EDG OUTPUT BREAKERS WOULD AUTOMATICALLY CLOSE AND THE EDGs WOULD POWER THE ESSENTIAL AC BUSES.
  • A CHECK OF OTHER PLANTS BUILT BY THE SAME A&E FOUND NO SIMILAR CABLE ROUTING PROBLEM.

o REGION IV IS CONDUCTING AN ENGINEERING AND TECHNICAL SUPPORT INSPECTION THIS WEEK AND IS REVIEWING THIS EVENT.

l l

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93-01 SALEM, UNIT 2 FAILURE OF CONTROL ROOM OVERHEAD ANNUNCIATORS (AIT - UPDATE)

DECEMBER 13, 1992 PR0RLEM PLANT OVERHEAD ALARMS (OHA) WERE FR07,EN FOR APPR0XIMATELY ONE AND A HALF HOURS.

CAUSE DESIGN VULNERABILITIES (HARDWARE AND SOFTWARE), FAILURE TO F0LLOW PROCEDURE AND LACK 0F OPERATOR KNOWLEDGE ON THE NEWLY INSTALLED COMPUTER-BASED OVERHEAD ANNUNCIATOR SYSTEM.

SAFETY _ SIGNIFICANCE POTENTIAL ABNORMALITIES MAY REMAIN UNDETECTED UNTIL THE EFFECTS ARE MAGNIFIED.

BACKGROUND e ON DECEMBER 13 AT 9:26 P.M., OPERATORS HEARD ALARM TYPEWRITER PRINTING ALARM STATUS CHANGE, BUT THE CORRESPONDING OHA (ALARM TYPER TYPING) DID NOT LIGHT.

e OPERATORS OBSERVED THAT THE OHA SYSTEM TIME, DISPLAYED ON THE CONTROL ROOM CRT, REMAINED AT 7:45 P.M.

e THE-0PERATORS REBOOTED THE OHA CPU, RETURNING THE OHA SYSTEM TO NORMAL.

CONTACTS: T. K0 SHY, NRR/ DORS AIT: YES W. RULAND, RI/DRS

REFERENCE:

10 CFR 50.72 #24752 SIGEVENT: TBD

SALEM, UNIT 2 93-01 e THERE WERE NO INDICATIONS OF THIS FAILURE IN THE CONTROL ROOM FRONT PANELS OTHER THAN THE FR0 ZEN CRT.

  • A 50.72 REPORT WAS MADE AT 5:04 P.M. ON DECEMBER 14.
  • AIT INSPECTION WAS COMPLETED ON DECEMBER 23, 1992.

RLSCUSSION o THE NEW OHA SYSTEM WAS PUT INTO SERVICE DURING THE LAST OUTAGE (SUMMER 1992). MANdFACTURER IS BETA PRODUCTS, A DIVISION 0F'HATHAWAY SYSTEMS CORP.

  • THE SYSTEM LOCKUP WAS CAUSED BY AN OPERATOR HITTING THE WRONG KEYS ON A SYSTEM COMPUTER WORKSTATION WITH A SWITCH MISPOSITIONED.
  • THE OHA SYSTEM IS A REAL-TIME, MULTI-TASKING, DISTRIBUTED PROCESSING COMPUTER SYSTEM WITH 35 MICR0 PROCESSORS AND THE ASSOCIATED SOFTWARE.

o THE SYSTEM PERMITTED THE OPERATOR TO INADVERTENTLY PLACE THE CPU IN A DATA TRANSFER MODE WITHOUT THE NECESSARY CONTROL OR WARNING. OVERHEAD ANNUNCIATORS WERE IN0PERABLE AT THIS TIME.

e OPERATORS WERE NOT TRAINED TO RECOGNIZE SYSTEM PROBLEMS. THEY WERE TOLD THAT THEY COULD NOT AFFECT SYSTEM OPERATION FROM THE COMPUTER WORKSTATION.

  • AN ABNORMAL PROCEDURE FOR LOSS OF ANNUNCIATORS WAS NOT AVAILABLE. THERE WAS NO SIGNIFICANT USE OF ANNUNCIATORS IN THE E0Ps.

.l e SALEM, UNIT 2 93-01 e THE LICENSEE DID NOT DECLARE ALERT SINCE THEY HAD RESET THE SYSTEM WITHIN 3 HINUTES OF DISCOVERY.

  • A PUBLIC EXIT IS PLANNED FOR JANUARY 7, 1993.

SJMILAR EXERLS CALLAWAY ON OCTOBER 17, 1992, AND SEVERAL OTHER LOSS OF ALL ANNUNCIATORS.

E0LLDRUE EAB WILL COORDINATE GENERIC IMPLICATIONS.

93-01 SEQUOYAH, UNITS 1 AND 2 UNDERWEIGHT LOADING 0F ICE IN ICE CONDENSER ,

DECEMBER 1, 1992 PROBLEH UNDERWEIGHT OF ICE IN SOME BASKETS OF THE CONTAINMENT ICE CONDENSER OVER SEVERAL CYCLES.

CAUSE FAILURE TO EVALUATE THE SIGNIFICANCE OF "AS FOUND" ICE BASKET WEIGHTS.

SAEETY SIGNIFICANCE POTENTIAL FOR AMOUNT AND DISTRIBUTION OF ICE TO BE INADEQUATE TO ASSURE CONTAINMENT ADEQUACY.

DISCUSSION e SAFETY ANALYSIS BASED ON 1,930,000 POUNDS OF ICE TOTAL (993/ BASKET), UNIFORM DISTRIBUTION, AND UNIFORM MELTING.

  • INITIAL LOADING 2,245,000 POUNDS TO ACCOUNT FOR SUBLIMATION AND WEIGHING ERRORS (1155/ BASKET).

o TECH SPEC REQUIRES WEIGHING A REPRESENTATIVE SAMPLE OF BASKETS EVERY 18 MONTHS.

CONTACT: R. BENEDICT, NRR/ DORS AIT: HQ

REFERENCE:

10 CFR 50.72 #24680 SIGEVENT: YES

SEQUOYAH, UNITS 1 & 2 93-01

  • AFTER PLANT SHUTDOWN, LICENSEE VISUALLY INSPECTED ICE BASKETS AND WEIGHED A SAMPLE TO USE AS INDICATORS FOR NEED TO ADD ICE. THIS "AS FOUND" DATA WAS NOT  !

ROUTINELY ANALYZED.

  • ICE WAS ADDED AS NEEDED.
  • PRIOR TO STARTUP, LICENSEE PERFORMED THE TECH SPEC REQUIRED WEIGHT SAMPLING ("AS LEFT").
  • LICENSEE'S DA AUDIT NOTED THAT "AS FOUND" DATA FOR FOUR PRIOR CYCLES WERE BELOW DESIGN BASIS VALUES.

l FOLLOWQE l REGION II CONSIDERING ACTIONS TO BE TAKEN. WILL PROBABLY REQUEST NRR ASSISTANCE IN ANALYZING LICENSEE'S DATA.

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ATTACHMENT 3 REACTOR SCRAM

SUMMARY

WEEK ENDING 12/27/92 PLANT SPECIFIC DATA )

U 1.

DATE SITE UNIT POWER SIGNAL CAUSE COMPLI 83) YTD YTD YTD CATIONS ABOVE BELOW TOTAL 15% 15%

12/25/92 DRESDEN 3 73 A EQUIPMENT NO 2 0 2 12/27/92 SOUTH TEXAS 2 100 M EQUIPMENT N0 3 0 3 REACTOR SCRAM

SUMMARY

WEEK ENDING 12/31/92*

1. PLANT SPECIFIC DATAU )

DATE SITE UNIT POWER SIGNAL CAUSE COMPL1 '3) YTD YTD YTD CATIONS 'ABOVE BELOW TOTAL 15% 15%

12/29/92 CRYSTAL RIVER 3 100 A EQUIPMENT NO 2 0 2 12/31/92 SEQUOYAH 1 100 A EQUIPMENT N0 4 1 5 12/31/92 - SEQUOYAH 2 100- A EQUIPMENT N0 4 1 5

  • 4-DAY PERIOD

- ,. -. _ _ . - ._..1....____. ._ ._ _.._.____. _ _ _ _ . . _ . _ - _ _ _ ___i

II. COMPARISON OF WEEKLY STATISTICS WITH INDUSTRY AVERAGES SCRAMS FOP WEEK ENDING 12/27/92 NUMBER 1992 1991 1990 1989 1988 0F WEEKLY WEEKLY WEEKLY WEEKLY WEEKLY SCRAM CAUSE SCRAMS AVERAGE AVERAGE AVERAGE AVERAGE AVERAGE POWER GREATER THAN 15%

EQUIPMENT RELATED 2 2.5 2.9 3.4 3.1 3.0 0 0.8 0.6 0.5 1.0 1.0 PERSONNEL RELATED (2) 0 0.0 0.0 0.0 0.1 0.4 OTHER(4)

Subtotal 2 3.3 3.5 3.9 4.2 4.4 POWER LESS THAN 15%

EQUIPMENT RELATED 0 0.5 0.3 0.4 0.3 0.6 PERSONNEL RELATED (2) 0 0.2 0.2 0.1 0.3- 0.4 0 0.0 0.0 0.0 0.0 0.2 OTHER (4)

Subtotal- 0 0.7 0.5 0.5 0.6 1.2 TOTAL 2 4.0 4.0 4.4 4.8 5.6 MANUAL VS AUTO SCRAMS l 1992 1991 1990 1989 1988 NO. OF WEEKLY WEEKLY WEEKLY WEEKLY WEEKLY SCRAMS AVERAGE AVERAGE AVERAGE AVERAGE AVERAGE i TYPE-l (YTD)

MANUAL SCRAMS 1 1.0 0.7 1.2 0.9 1.1 AUTOMATIC SCRAMS 1 3.0 3.3 3.2 3.9 4.5

~ _ . . . . - - _ - _ _ _ _ _ . - . . . - . - . - _ . _ - . - - - - . .. - - - . - . _ _

o i

11. COMPARISON OF WEEKLY STATISTICS WITH INDUSTRY AVERAGES SCRAMS FOR WEEK ENDING 12/31/92*

NUMBER 1992 1991 1990 1989 1988 0F WEEKLY WEEKLY WEEKLY WEEKLY WEEKLY SCRAM CAUSE SCRAMS AVERAGE AVERAGE AVERAGE AVERAGE AVERAGE '

(YTD)

POWER GREATER THAN 15%

EQUIPMENT RELATED 3 2.6 2.9 3.4 3.1 3.0 PERSOHNEL RELATED (2) 0- 0.8 0.6 0.5 1.0 1.0 OTHER (4) 0 0.0 0.0 0.0 0.1 0.4 Subtotal 3 3.4 3.5 3.9 4.2 4.4 POWER LESS THAN 15%

EQUIPMENT RELATED 0 0.4 0.3 0.4 0.3 0.6 PERSONNEL RELATED (2) 0 0.2 0.2 0.1 0.3 0.4 OTHER (4) 0 0.0 0.0 0.0 0.0 0.2 Subtotal 0 0.6 0.5 0.5 0.6 1.2 TOTAL 3 4.0 4.0 4.4 4.8 5.6 MANUAL VS AUTO SCRAMS 1992 1991 1990 1989 1988 NO. OF WEEKLY WEEKLY WEEKLY kEEKLY WEEKLY TYPE SCRAMS AVERAGE AVERAGE AVERAGE AVERAGE AVERAGE (YTD)

ItANUAL SCRAMS 0 1.0 0.7 1.2 0.9 1.1

' AUTOMATIC SCRAMS 3 3.0 3.3 3.2 3.9 4.5

  • 4-DAY PERIOD

_ ~ y .-_ , - - - ,. - ,-:...-

b91U

l. PLANT SPECIFIC DATA BASED ON INITIAL REVIEW 0F 50.7?. REPORTS FOR THE WEEK OF INTEREST. PERIOD IS MIDNIGHT SUNDAY THROUGH MIDNIGHT SUNDAY.

) ':RMS ARE DEFINED AS REACTOR PROTECTIVE ACTUATIONS WHICH RESULT IN R0D W TION, AND EXCLUDE PLANNED TESTS OR SCRAMS AS PART OF PLANNED SHUTDOWN

[h L' ACCORDANCE WITH A PLANT PROCEDURE. THERE ARE 111 REACTORS HOLDING AN OPERATING L'ICENSE.

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2. PERS0fthEL RELATED PROBLEMS INCLUDE HUMAN ERROR, PROCEDURAL DEFICIENCIES, AND RANUAL STEAM GENERATOR LEVEL CONTROL PROBLEMS.

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3. COMPLICATIONS: REC 0VERY COMPLICATED BY EQUIPMENT FAILURES OR PERSONNEL E3PORS UNRELATED TO CAUSE OF SCRAM.
4. "0THER" INCLUDES AUTOMATIC SCRAMS ATTRIBUTED TO ENVIRONMENTAL CAUSES (LIGHTNING), SYSTEM DESIGN, OR UNKNOWN CAUSE. r OEAB SCRAM j)Alf Manual e..d Automatic Scrams for 1967 ------------------ 435 Manual and Automatic Scrams for 1983 ------------------ 291 Manual and Automatic Scrarrs for 1989 ------------------ 252 - -

Manual and Automatic Scrams for 19 9 0 ------------------ 2 2 6 Manual and Automatic Scrams for 1991 ------------------ 206 Manual and Actomatic Scrams for 1992 --(YTD 12/31/92)-- 212 7

- - - - - - - - - ~ -- ___-_ -_ _____ _ _ _

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ATTAC!WENT 4 ,

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OPERATING REACTOR PLANTS SIGNIFICANT EVENTS mo Sort specified QUERY > Event Type SIG & Close out cete n 10/30/92 SIGNIFICANCE BRI FfNG FREst4TER t Y 4 ANT & (MIT fvYNf b6R DESCRIPi!ON OF Evimi WONE CARTER J. IkFORMAL Cont airrnent TRRY 1 03/28/92 23125 THREE OF foUR MSIV PENETRAf!ONS EXHIBITED EXCES$1VE LEACAGE DURING LLRT.

92-17 BENNER E.' ETR 92-038 nfMER - INDICATION MtLAWAY 10/17/92 24453 IMPROPER MAINTENANCF RESULTED IN A CDdPLE1E LCSS l

OF ANNUNCIATORS witch WAS NOT RECOGNIZED BY FLANT l PER$0NNEL. 1

  • PREVIOUSLY IDENTIFIED IN TliE PiRFORMANCE INDICATOR REPORT FOR 2ND QUARTER /1992 SQy 01/07/93 Page:1 ETS-11

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