:on 950118,deficiency in Understanding of Technical Requirements Led to Nonconservative Safety Sys Setpoint & Violations of Improved Ts.Caused by Personnel Error.Implemented Setpoint Action Plan| ML20137N771 |
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| Site: |
Crystal River  |
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| Issue date: |
03/26/1997 |
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| From: |
Frijouf J FLORIDA POWER CORP. |
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| To: |
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| Shared Package |
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| ML20137N763 |
List: |
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| References |
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| LER-94-006-01, LER-94-6-1, NUDOCS 9704090050 |
| Download: ML20137N771 (2) |
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text
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i NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150-0104 4
$921 EXPIRES 5/31/93 i
ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS I
, LICENSEE EVENT REPORT (LER)
$%7E"ReGS$'S!"RU#fSEATMOTE iNrl2u"*^2 1
AND FIECORDS MANAGEMENT BRANCH (MNBB 7714), U.S. NUCLEAR i
REGULATORY COMMISSJON, WASHINGTON, DC 20555 0001, AND TO THE PAPERWORK REDUCTION PFiOJECT (31504104). OFFICE OF
)
l (see reverse for required number of digits / characters for each block)
MANAGEMENT AND BUDGET, WASHINGTON, DC E0503.
F ACILITY NAME (1) j CRYSTAL RIVER UNIT 3 (CR-3)
DOCerET NUMBER (2)
PAGE 05000 1OF 0
"'N Deficiency in Understanding of Technical Requirements Leads to Nonconservative Safety Systems Setpoint and Violations of Improved Technical Specifications EVENT DATE (5)
LER NUMBER (6i REPORT NUMBER (7)
OTHER FACILITIES INVOLVED (8)
MONTH DAY YEAR YEAR MONTH DAY YEAR g
01 18 95 94
- - 006 06 03 26 97 T3oy"""
OPERATING y
THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR 6: (Check one or more) (11) i MODE (9) 20.402(b) 20.405(c) 50.73(a)(2)(iv) 73.71(b)
POWER 20 405(a)(1)(i) 50.36(c)(1) 50.73(a)(2)(v) 73 71(c) l
]
LEVEL (10) 100 20.405(a)(1)(ii) 50.36(c)(2) 50.73(a)(2)(vii)
OTHER
)
20.405(a)(1)(di)
)( 50.73(a)(2)(i) 50.73(a)(2)(viii)(A)
WP'cdY
- Ab'"*c' 20 405(a)(1)(iv) 50 73(a)(2)(ii) 50.73(a)(2)(viii)(B)
Eo Al
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20 405(a)(1)(v) 50.73(a)(2)(iii) 50 73(a)(2)(x)
LICENSEE CONTACT FOR THIS LER (12)
James A. Frijouf. Sr. Nuclear Regulatory Specialist
""""' *""*"""'T57f '563-4754 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCmBED IN THIS REPORT (13)
^ LE
CAUSE
SYSTEM COMPONENT MANUFACTURER
CAUSE
SYSTEM COMPONENT MANUFACTURER RDS i
il 1
l i
k SUPPLEMENTAL REPORT EXPECTED (14)
EXPECTED
DAV
" A" vEs SUBMISSION
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pi y. compici. EXPECTED SUBMrSSION DATE:
DATE (15) i ABSTRACT (Limit to 1400 spaces, i e., approximately 15 single spaced typewritten lines) (16)
J On October 6,1994. Florida Power Corporation's (FPC) Crystal River Unit 3 (CR-
- 3) was in MODE ONE (POWER OPERATION). operating at 100% power.
It was determined that the potential existed for CR-3 to have operated outside plant l
Improved Technical Specifications (ITS) relative to the Reactor Protection System (RPS) setpoints.
FPC personnel were reviewing a revised calculation when
[
it was discovered that RPS setpoints may not be conservative relative to ITS.
A further review of RPS setpoints determined that the Variable Low Pressure Trip 2
i (VLPT) setpoint was set at the ITS limit without provision for instrument error.
The Shutdown Bypass trip setpoint was also found to be set at its ITS limit.
This condition is reportable in accordance with 10 CFR 50.73(a)(2)(i)(B). The remainder of the RPS trip setpoints were determined to be in compliance with ITS requirements.
Subsequent evaluations determined that one Emergency Feedwater j
Initiation and Control System (EFIC) setpoint, two Engineered Safeguards Actuation System Bypass bistable setpoints, and instruments used to monitor Reactor Coolant System (RCS) total flow were also potentially non-conservative relative to ITS.
The cause of these events was personnel error.
Corrective actions include: implementation of a setpoint action plan encompassing recalibration, procedure changes, and assuring adequate setpoints for other actuation systems.
i' 9704090050 970404 PDR ADOCK 05000302
]
S PDR
4 REQUIRED NUMBER OF DIGITS, WARACTERS FOR EACH BLOCK BLOCK NUMBER OF ITLE NUMBER DIGITS / CHARACTERS 1
UP TO 46 FACILITY NAME 2
DOCKET NUMBER 3 IN ADDITION TO 05000 3
VARIES PAGE NUMBER 4
UP TO 76 TITLE 5
ENT DATE 2 PER BLOCK 7 TOTAL
^
6 LER NUMBER 3 FOR SEQUENTIAL NUMBER 2 FOR REVISION NUMBER 7
REPORT DATE 2 PER BL CK UP TO 18 - FACILITY NAME 8
^'
8 TOTAL - DOCKET NUMBER 3 IN ADDITION TO 05000 9
1 OPERATING MODE 10 3
POWER LEVEL Il REQUIREMENTS OF 10 CFR CHECK BOX THAT APPLIES 0 50 M NAME 12 LICENSEE CONTACT 14 FOR TELEPHONE CAUSE VARIES 2 FOR SYSTEM 13 4 FOR COMPONENT EACH COMPONENT FAILURE 4 FOR MANUFACTURER NPRDS VARIES
'4 NA R
ECTED CHECK BOX THAT APPLIES 15 EXPECTED SUBMISSION DATE 2 PER BL CK
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| | | Reporting criterion |
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| 05000302/LER-1994-001, :on 940315,performance of Procedure to Return Makeup Pump 1C to Operability Results in Entry Into LCO 3.0.3.Caused by Lack of self-checking.Personnel Trained & TS 3.5.2 Bases Evaluated for Clarification |
- on 940315,performance of Procedure to Return Makeup Pump 1C to Operability Results in Entry Into LCO 3.0.3.Caused by Lack of self-checking.Personnel Trained & TS 3.5.2 Bases Evaluated for Clarification
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000302/LER-1994-002, :on 940404,performance of Surveillance Check Power Distibution Breaker Alignment & Power Availability Verification Resulted in Entry Into LCO 3.0.3.Caused by Procedure Error.Procedures Revised |
- on 940404,performance of Surveillance Check Power Distibution Breaker Alignment & Power Availability Verification Resulted in Entry Into LCO 3.0.3.Caused by Procedure Error.Procedures Revised
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000302/LER-1994-003, :on 940615,contract Employee Auxiliary Building Triangle Room,Without a Dose Rate Meter or an Alarming Dosimeter.Caused by Isolated Personnel Error.Counseled & Reviewed Event W/Individual |
- on 940615,contract Employee Auxiliary Building Triangle Room,Without a Dose Rate Meter or an Alarming Dosimeter.Caused by Isolated Personnel Error.Counseled & Reviewed Event W/Individual
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(1) | | 05000302/LER-1994-004, :on 940701,noticed That ATWS Turb AMSAC Low Flux Bypass Annunciator Began to Alarm Every Few Seconds Due to Personnel Error.Setpoints for ATWS-AMSAC Arming Reset & Surveillance Performed |
- on 940701,noticed That ATWS Turb AMSAC Low Flux Bypass Annunciator Began to Alarm Every Few Seconds Due to Personnel Error.Setpoints for ATWS-AMSAC Arming Reset & Surveillance Performed
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition | | 05000302/LER-1994-005, :on 940928,failure to Perform Reactor Coolant Pump Motor Flywheel Occurred.Caused by Cognitive Personnel Error.Personnel Counselled & Regulatory Review Will Be Conducted to Determine Further Actions |
- on 940928,failure to Perform Reactor Coolant Pump Motor Flywheel Occurred.Caused by Cognitive Personnel Error.Personnel Counselled & Regulatory Review Will Be Conducted to Determine Further Actions
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(1) | | 05000302/LER-1994-006-01, :on 950118,deficiency in Understanding of Technical Requirements Led to Nonconservative Safety Sys Setpoint & Violations of Improved Ts.Caused by Personnel Error.Implemented Setpoint Action Plan |
- on 950118,deficiency in Understanding of Technical Requirements Led to Nonconservative Safety Sys Setpoint & Violations of Improved Ts.Caused by Personnel Error.Implemented Setpoint Action Plan
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2)(iii) 10 CFR 50.73(a)(2)(viii)(A) 10 CFR 50.73(a)(2)(viii)(B) | | 05000302/LER-1994-006-06, Forwards Corrected Page One of LER 94-006-06 Which Had Typo in Block 7, Rept Number | Forwards Corrected Page One of LER 94-006-06 Which Had Typo in Block 7, Rept Number | 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2)(iii) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(viii)(A) | | 05000302/LER-1994-006-03, Forwards LER 94-006-03 & Discusses Expanded Corrective Action Plan | Forwards LER 94-006-03 & Discusses Expanded Corrective Action Plan | | | 05000302/LER-1994-007, :on 941012,failure to Perform Surveillance Resulting in Violation of Ts.Caused by Cognitive Personnel Error.Standardized MAR Review Program Has Been Included in Sys Engineering Manual |
- on 941012,failure to Perform Surveillance Resulting in Violation of Ts.Caused by Cognitive Personnel Error.Standardized MAR Review Program Has Been Included in Sys Engineering Manual
| 10 CFR 50.73(a)(2)(i) | | 05000302/LER-1994-008, :on 941011,inattention to Detail Caused Incompleted Surveillance Test within Designated Time Period & Resulted in Violation of Ts.Conducted Presentation on Attention to Detail,Communication & Teamwork |
- on 941011,inattention to Detail Caused Incompleted Surveillance Test within Designated Time Period & Resulted in Violation of Ts.Conducted Presentation on Attention to Detail,Communication & Teamwork
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000302/LER-1994-009-02, Forwards LER 94-009-02 Re Unauthorized Tests on Makeup Tank Level/H Pressure.Suppl Identifies 940904 Test,Incorporates Root Causes of Related Concerns Along W/Associated CAs & Provides Update to Previously Described Actions | Forwards LER 94-009-02 Re Unauthorized Tests on Makeup Tank Level/H Pressure.Suppl Identifies 940904 Test,Incorporates Root Causes of Related Concerns Along W/Associated CAs & Provides Update to Previously Described Actions | | | 05000302/LER-1994-010, :on 941114,discovered That Door Between Control Complex & Bldg Roof Blocked Open for Roofing Work,Resulting in Operation Outside Design Basis.Caused by Personnel Error. Door Immediately Closed |
- on 941114,discovered That Door Between Control Complex & Bldg Roof Blocked Open for Roofing Work,Resulting in Operation Outside Design Basis.Caused by Personnel Error. Door Immediately Closed
| | | 05000302/LER-1994-011, :on 941115,personnel Error Leads to Missed Surveillance Resulting in Violation of Ts.Surveillance for BSV-11 & BSV-12 Was Performed by Verifying Valve Position Locally at Each Valve |
- on 941115,personnel Error Leads to Missed Surveillance Resulting in Violation of Ts.Surveillance for BSV-11 & BSV-12 Was Performed by Verifying Valve Position Locally at Each Valve
| 10 CFR 50.73(a)(2)(1) | | 05000302/LER-1994-012, :on 941128,personnel Error Led to Incomplete Surveillance Resulting in Violation of Ts.Performance of Flur Surveillance to Ensure That All Relays in Tolerance |
- on 941128,personnel Error Led to Incomplete Surveillance Resulting in Violation of Ts.Performance of Flur Surveillance to Ensure That All Relays in Tolerance
| 10 CFR 50.73(a)(2)(1) | | 05000302/LER-1994-013, :on 940913,marine Organism Biofouling Caused HX Partial Blocking & Potential for Operation Outside Design Basis.Frequency of RW Pit Insp & Cleaning Has Been Increased |
- on 940913,marine Organism Biofouling Caused HX Partial Blocking & Potential for Operation Outside Design Basis.Frequency of RW Pit Insp & Cleaning Has Been Increased
| 10 CFR 50.73(a)(2) | | 05000302/LER-1994-014, :on 941031,determined That RB Fan/Cooler Operation Develops Cooling Sys Flow Imbalance Due to Personnel Error.Design Basis Configuration Document Will Be Revised |
- on 941031,determined That RB Fan/Cooler Operation Develops Cooling Sys Flow Imbalance Due to Personnel Error.Design Basis Configuration Document Will Be Revised
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