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LICENSEE EVENT REPORT (LER)
FACILITY NAME 30CKET NUMBER PAGE 0l5l0l0l0l2l9l5 1 l0F l 0 l 4 ZION NUCLEAR POWER STATION UNITS 1 and 2 TITLE Air Filters Containing Aluminum Inadvertently Installed in Containment. Caused By Faulty Parts Selection Process.
Resulting In Exceeding The Design Basis.
j EVENT DATE LER NUMBER REPORT DATE OTHER FACILITIES INVOLVED MONTH DAY YEAR YEAR SEO.
REVISIC MONTH DAY YEAR FACILITY NAMES DOCKET NUMBER (5) 710N UNIT 2 0 l 5 l 0 l 0 l 0 l 3 l 0 l4 ni, 211 9
7 ol7 nInle n10inI4 2li oI7 I I I I I I I THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR S: (CHECK ONE OR MORE OF THE FOLLOWING)
OPERATING MODE 5
20.402(b) 20.405(e) 50.73(a)(2)(1v) 73.71(b)
POWER 20.405(a)(1)(1) 50.36(c)(1) 50.73(a)(2)(v) 73.71(c) 0l0l0 LEVEL 20.405(a)(1)(ii) 50.36(c)(2) 50.73(a)(2)(vii)
OTHER (Specify in 20.405(a)(1)(iii) 50.73(a)(2)(1) 50.73(a)(2)(viii)(A)
Abstract below 20.405(a)(1)(iv)
X 50.73(a)(2)(11) 50.73(a)(2)(viii)(B) 36 )
20.405(a)(1)(v) 50.73(a)(2)(iii) 50.73(a)(2)(x)
LICENSEE CONTACT FOR THIS LER NAME TFlEPHnNF NUMBFR Neil Brennan. extension 2380 alalv 71aleI-12lnlal4 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIs REPORT
CAUSE
SYSTEM COMPONENT MANUFACTURER
CAUSE
SYSTEM COMPONENT MANUFACTURER N
I I I I I I I l
l l l l l l
)
l I I I I I I I
I I I I I I SUPPLEMENTAL REPORT EXPECTED EXPECTED MONTH DAY YEAR SUBMISSION l Yfs (If yes. cnmolete EXPECTED SUBMISSION DATE)
NO DATE l
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ABSTRACT (Limit to 1400 spaces. i.e.
approximately fifteen single-space typewritten lines).
On March 21. 1997, while investigating applicability of a vendor notification letter. Station Maintenance Engineering discovered High Efficiency Particulate Air (HEPA) filters containing aluminum were installed in unit 1 i
and 2 reactor containment buildings. The surface area of aluminum installed as a result of these HEPA filters exceeded the 915 square foot limit established by the Updated Final Safety Analysis (UFSAR). This condition can cause excessive Hydrogen gas concentrations during the Design Basis Loss of Coolant Accident (LOCA) as a result of the reaction between the aluminum and the sodium hydroxide solution in the containment spray fluid. The originally installed HEPA filters were certified by the manufacturer on 16-0CT-73 to comply with the non-aluminum requirement of the design specification. The original filters were in place in the Containment Charcoal Filter Units (CCFU). two in unit 1 and two in unit 2. until replaced as corrective work to address decreasing filter efficiencies. The plant's four CCFU HEPA filters were replaced in the period between April 1992 and January, 1994. This event was caused by failure to verify the parts were correct. Public nfety was not adversely affected during this period. The assessment of safety consequences shows the lower fiammcbility limit for hydrogen would not have been reached within 30 days of the LOCA. and venting the containmer t to a leviate excess hydrogen would not have been necessary. Therefore. 10CFR100 limits would not have been impa:ted due to this event.
Corrective actions for this event are removing or replacing the aluminum containing HEPA filters. strengthening standards and control of part specification practices in work package preparation and training appropriate personnel.
(NUREG 1022 CODE E) 9704280005 970421 PDR ADOCK 05000295 g
PDR
LICENSEE EVENT REPORT (LER) TEXT CONTINVATION FACILITY NAME DOCKET NUMBER LER NUMBER NE YEAR sEO.
REVIs1 ZION NUCLEAR POWER STATION UNITS 1 and 2
=
0l5l0l0l0l2l9l5 9l7 0l0l8 0l0 O f l0F 0l4 TEXT Energy Industry I n ntification System (Ells) codes are identified in the text as [XX)
A.
PLANT CONDITIONS PRIOR TO FVENT Unit 1 MODE 5 - Cold Shutdown Rx Power 0% RCS [AB] Temperature / Pressure 86DeqF/33 PSIA Unit 2 MODE 5 - Cold Shutdown Rx Power.01 RCS [AB] Temperature / Pressure 74DeqF/51 PSIA B.
DFSCRIPTION OF FVENT On March 21, 1997, while investigating applicability of a vendor notification letter. Station Maintenance Engineering discovered High Efficiency Particulate Air (HEPA) filters containing aluminum were installed in unit 1 and 2 reactor containment buildings. The design specification (Sargent & Lundy {S&L} X 2284) for HEPA filters in the Containment Charcoal Filter Units (CCFU) [VA] requires non-aluminum containing filter units. The CCFUs are non-safety related and their purpose is to reduce radioactive particulate and iodine in the containment shortly after unit shutdown thereby reducing delay time to start outage work. There two CCFUs per unit consisting of floor mounted housing units each containing dampers, a fan and pre-filter. HEPA filter and charcoal filter banks. The CCFUs are not used after a loss of Coolant Accident (LOCA). Originally installed HEPA filters were certified by the manufacturer on 16-0CT-73 to comply with the S&L design specification. The original filters were in place in the CCFU until replaced as follows: Installation of the aluminum containing HEPA filters in the 1A CCFU was completed on 11-APR-92, in the IB CCFU on 30-APR-94, in the 2A CCFU on 23-DEC-93 and in the 2B CCFU on 4-JAN-94. In all cases, the filters were changed as corrective work to address decreasing filter efficiencies. During preparation of work packages for replacement of the subject filters.
Work Analysts used informal guidance from the System Engineer which contained the incorrect part recommendations. Station procedures had not specified the process for determining parts, The informal guidance provided by engineering was not verified to be accurate against controlled documentation. Consequently, the incorrect parts were specified by the work packages drawn from stores, and installed in the plant.
C.
CAUSE OF FVENT The event was caused by failure to verify the parts were correct. The parts selection process for filter replacement did not require the work order preparer (work analyst) to use replacement part specifications determined from controlled documents. Although the work order preparer is not available for interview, current work analyst practices indicate that informal references are used by work analysts to identify parts for air filter replacements.
D.
SAFETY ANALYS15 This event is being reported pursuant to 10CFR50.73(a)(2)(ii)(B): 10CFR50.73(a)(2)(ii)"Any event or condition that resulted in the condition of the nuclear power plant, including its principal safety barriers. being seriously degraded, or that resulted in the nuclear power plant being: (B) In a condition that was outside the design basis of the plant." Following a LOCA. hydrogen gas may accumulate within containment [NH] as a result of:
1 Metal-water reaction involving the zirconium fuel cladding [AC) and the reactor coolant [AB).
2 Radiolytic decomposition of the post-accident emergency cooling [BP] [BQ] solutions.
3 Corrosion of metals (aluminum) by solutions used for emergency cooling or containment spray [BE].
Aluminum use inside containment is restricted due to the reaction with the sodium hydroxide (NaOH) spray additive, which is used for post-accident fission product or corrosion control. The rapid chemical reaction occurs between the alkaline spray solution and aluminum resulting in copious quantities of hydrogen, which could present a combustion or explosion hazard if allowed to accumulate.
9:\\zler\\971460.ler(2)
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILITY NAME DOCKET NUMBER LER NUMBER PAGE YEAR sE0.
REVIsl ZION NUCLEAR POWER STATION UNITS 1 and 2 0lSl0l0l0l2l9l5 9l7 0l0l8 0l0 0l3 0l4
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0F TEXT Energy Industry Identification system (Ells) codes are identified in the text as (XX)
D.Calculation 22S-B-018M-038 was prepared to provide results expected for the case of post LOCA hydrogen generation with additional aluminum due to the subject High Efficiency Particulate Air (HEPA) filters being i
installed. (The HEPA filters contained media separators made of aluminum and will be removed entirely prior to unit start up.) The methodology used in the calculation removed conservatism explicitly defined by the Updated Final Safety Analysis (UFSAR). Standard Review Plan (SRP) 6.2.5: "Cocbustible Gas Control in Containment", and
)
Regulatory Guide 1.7 (R/2) " Control of Combustible Gas Concentrations in Containment Following a Loss of Coolant Accident," and does not use the hydrogen recombiner. This methodology is intended to provide expected results and is not intended to replace the design basis analysis found in the UFSAR. The following is a summary of calculation 22S-B-018M-038 results:
I Hydrogen Generation Due to 71rconium Water Reaction The quantity of zirconium which reacts with the core cooling solution will depend on the functioning of the Emergency Core Cooling System (ECCS) [BP] [BQ]. Per the UFSAR section 15.6.5.6.2.1. system analysis has shown that core cooling initialization is sufficiently rapid to limit the zirc-water reaction to a maximum 0.1%. The UFSAR analysis assumed 5% of the fuel cladding reacts and is immediately released to containment atmosphere.
This calculation uses the 0.1% value.
Hydrogen Generation Due to Corrosion of Metals (Aluminum and Zinc):
Corrosion of Aluminum The hydrogen production rate from corrosion of metals within containment depends on such factors as coolant chemistry, the coolant pH the metal and coolant temperatures, and the surface area exposed to the attack by the coolant. Calculation 22$-B-018M-038 determined the corrosion due to the high pH (10.5) for the first 50 minutes following the LOCA and a lower pH for the remaining time. It is unlikely that the entire surface area of the HEPA filter aluminum separators would be exposed to NaOH spray. Although the Containment Charcoal Filter Unit (CCFU) dampers fail open the CCFUs are not used post-LOCA and the separators are protected by prefilters on one side and char: al filters on the other side. For conservative purposes, the calculations assume all the aluminum is exposed tjardirs the aluminum source in containment paint, corrosion of all the aluminum in the paint is included irl this analysis and is assumed to be immediate. Galvanized carbon steel is not considered an important source of hydrogen per the UFSAR and is not included in the analysis nor is it included in UFSAR Table 15.6-37.
Corrosion of Zinc in Containment Coatinos Hydrogen generation resulting from the zinc-based containment coating is not considered in Safety Guide 7.
therefore the UFSAR does not include this corrosion in the results given in Table 15.6-37. This calculation is intended to provide expected results of hydrogen due to the HEPA aluminum, therefore the zinc contribution was included and assumed to be released in the first day (similar to the aluminum in the paint). The UFSAR states that hydrogen production from zinc is 7,250 SCF. Although a thicker topcoat was identified in UFSAR Change 97-001, and it is expected that this topcoat would result in less hydrogen generation, the hydrogen production was not reduced in this calculation.
Hydroaen Generation Due to Radiolysis in the Core There are two radiolytic environments which exist in containment at LOCA conditions. The first results from the core cooling solution flow through the core exposed to gamma radiation. The energy absorption results in solution radiolysis and the production of molecular hydrogen and oxygen. This radiolysis has been studied extensively by Westinghouse (W) and Oak Ridge National Laboratory (ORNL). The (W) and ORNL results show only 7.4% (maximum) gamma energy will be absorbed by the cooling solution. The UFSAR assumed 10%. (W) and ORNL results show hydrogen yields much lower than the maximum 0.44 molecules per 100 ev. The UFSAR uses 0.5 molecules per 100 ev and assumes no back reaction to reform water. Back reaction to water could reduce the hydrogen value to near zero. This calculation analysis assumes 0.44 molecules per 100 ev.
g:\\zler\\9M460.ler(3)
e 4
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILITY NAME DOCKET NUMBER LER NUMBER PAGE YEAR sEO.
REVIs!
ZION NUCLEAR POWER STATION UNITS 1 and 2
,0l5l0l0l0l2l9l5 9l7 0l0l8 0l0 0l4 0l4
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0F TEXT Energy Industry identification system (EllSi codes are identified in the text as [XX]
D.Hydroqen Generation Due to Radiolysis in the Sumo Another important source of hydrogen arises from water contained in the reactor sump being subjected to radiolytic decomposition by dissolved fission products (similar to the core). The UFSAR assumed 50% of the core halogens are released to the sump solution. In addition, sump depth and temperature and resulting back reaction were not considered. The UFSAR used 0.5 molecules per 100 ev. The expected yield is 0.1 molecules per 100 ev.
Therefore radiolysis in the sump for this calculation is reduced by the ratio (0.1/0.5 - 0.2).
Hydronen Recombiner Removal fVAl Rate The hydrogen recombiner is capable of procezing a post-LOCA containment atmosphere with a hydrogen concentration of 0.5 to 5 percent hydrogen by volume. The recombiner process gas flow capability is 50 to 70 SCFM. removing all but 0.1% hydrogen. if measured in the effluent. Therefore the recombiner removal rate with 3.05% hydrogen is 50(.0305.001) - 1.475 SCFM and with 4.04% hydrogen is 50(.0404.001) - 1.97 SCFM.
Conclusion The results of the calculation show that the hydrogen recombiner removal rate on the 30th day post-LOCA would have been able to keep up with the hydrogen generation rate and therefore maintain the hydrogen concentration below the flammable limit of 4.1%.
Consequently. venting the containment to alleviate excess hydrogen would not have been required, and offsite exposures would have been unaffected by this event (below 10CFR100 limits).
Therefore, the safety significance of the event is minimal.
E.
CORRECTIVE ACTIONS
1.
HEPA filters containing aluminum will be removed or replaced with non-aluminum containing HEPA filters before the respective unit increases MODE of Operation.
2.
We will review work performed since 1994, when we completed an inventory of aluminum in the reactor containment buildings, to verify non-modification related parts were properly specified for containment prior to unit start-up.
3.
The Station will specify a formal method to ensure parts for preventive and corrective maintenance replacement are in accordance with controlled documents.
4 For the period until the formal method is implemented, Engineering and Work Analyst personnel have been directed to ensure parts specified for preventive and corrective maintenance are in accordance with controlled documents.
5.
Appropriate personnel will be trained on the formal parts identification process.
F.
PREVIOUS EVENTS SEARCH AND ANALYSl$
No previous events were identified.
l G.
COMPONENT FAILURE DATA
l This event did not involve component failure.
g:\\zler\\971460.ler(4) i
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| 05000295/LER-1997-001-01, Forwards LER 97-001-01,which Clarifies Info on Root Cause,Safety Analysis & Event Description.Corrective Actions Updated to Show Status of Items | Forwards LER 97-001-01,which Clarifies Info on Root Cause,Safety Analysis & Event Description.Corrective Actions Updated to Show Status of Items | 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition | | 05000295/LER-1997-001, Forwards LER 97-001-00 Which Involved Discovery of Lack of Sump Cover Plate Holes Contrary to Plant Structural Drawing Details,Per 10CFR50.73(a)(2)(ii)(B) | Forwards LER 97-001-00 Which Involved Discovery of Lack of Sump Cover Plate Holes Contrary to Plant Structural Drawing Details,Per 10CFR50.73(a)(2)(ii)(B) | 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition | | 05000295/LER-1997-001-14, :on 970110,recirculation Sump Cover Plate Holes Were Not Installed at Original Construction.Caused by Construction Error.Holes Installed IAW Emergency Exempt Change Prepared Prior to Ramp Down |
- on 970110,recirculation Sump Cover Plate Holes Were Not Installed at Original Construction.Caused by Construction Error.Holes Installed IAW Emergency Exempt Change Prepared Prior to Ramp Down
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) 10 CFR 50.73(e)(2) | | 05000295/LER-1997-001-03, :on 970110,recirculation Sump Covers Were Not Installed at Original Construction.Cause Is Unknown & Impact on Plant Operation Is Unknown.Sump Cover Was Removed,Holes Were Drilled & Cover Replaced Prior to Expiration of LCO |
- on 970110,recirculation Sump Covers Were Not Installed at Original Construction.Cause Is Unknown & Impact on Plant Operation Is Unknown.Sump Cover Was Removed,Holes Were Drilled & Cover Replaced Prior to Expiration of LCO
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000304/LER-1997-001-11, :on 970902,Unit 2 Instrument Bus Perturbation Occurred.Caused by Insufficient Policy/Guidelines. Development of Policy for Proper Use of Protective Gear, Equipment & Tools |
- on 970902,Unit 2 Instrument Bus Perturbation Occurred.Caused by Insufficient Policy/Guidelines. Development of Policy for Proper Use of Protective Gear, Equipment & Tools
| 10 CFR 50.73(a)(2)(1) | | 05000304/LER-1997-001, Forwards LER 97-001-00 Per 10CFR50.73(a)(2)(iv) Which Requires Written Rept Using NRC Form 366, License Event Rept, within 90 Days of Discovery of Event.Attachment a Contains Commitments Associated W/Ltr | Forwards LER 97-001-00 Per 10CFR50.73(a)(2)(iv) Which Requires Written Rept Using NRC Form 366, License Event Rept, within 90 Days of Discovery of Event.Attachment a Contains Commitments Associated W/Ltr | 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000295/LER-1997-002, Forwards LER 97-002-00.Commitments Made by Util Listed | Forwards LER 97-002-00.Commitments Made by Util Listed | 10 CFR 50.73(a)(2)(1) | | 05000295/LER-1997-002-01, :on 970117,containment Isolation Valves Were Not Tested Prior to Leaving Cold Shutdown.Caused by Mgt Deficiencies in TS Implementation Process.Containment Isolation Valves Will Be Verified Tested Prior to Mode 4 |
- on 970117,containment Isolation Valves Were Not Tested Prior to Leaving Cold Shutdown.Caused by Mgt Deficiencies in TS Implementation Process.Containment Isolation Valves Will Be Verified Tested Prior to Mode 4
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000304/LER-1997-002-09, :on 971012,inadvertent Isolation of Svc Water Cooling to 2B DG During Sys Alignment,Occurred.Caused by Shift Mgt Not Ensuring All Operability Requirements Met. Valve 2MOV-SW0023 Opened to Restore Flow to 2B EDG |
- on 971012,inadvertent Isolation of Svc Water Cooling to 2B DG During Sys Alignment,Occurred.Caused by Shift Mgt Not Ensuring All Operability Requirements Met. Valve 2MOV-SW0023 Opened to Restore Flow to 2B EDG
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000304/LER-1997-002, Forwards LER 97-002-00,per 10CFR50.73(a)(2)(v)(B),which Requires 30 Day Written Rept.Commitments Associated W/Correspondence,Encl | Forwards LER 97-002-00,per 10CFR50.73(a)(2)(v)(B),which Requires 30 Day Written Rept.Commitments Associated W/Correspondence,Encl | 10 CFR 50.73(a)(2)(v)(B), Loss of Safety Function - Remove Residual Heat | | 05000295/LER-1997-003, :on 970117,determined That EDG Tests Completed in Previous Refueling Outages Failed to Meet TS Requirement. Caused by Programmatic Deficiencies.Corrected Deficient Procedures & Completed Tests on Operating Unit |
- on 970117,determined That EDG Tests Completed in Previous Refueling Outages Failed to Meet TS Requirement. Caused by Programmatic Deficiencies.Corrected Deficient Procedures & Completed Tests on Operating Unit
| 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)(x) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000304/LER-1997-003, Forwards LER 97-003-00 Re Unit 2 RHR Sys Declared Inoperable,Per 10CFR50.73(a)(2)(v)(B) | Forwards LER 97-003-00 Re Unit 2 RHR Sys Declared Inoperable,Per 10CFR50.73(a)(2)(v)(B) | 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2) | | 05000304/LER-1997-003-10, :on 971014,unit 2 RHR Sys Declared Inoperable. Caused by Oil Leak from Oil Bulb.Leak Coming from Oil Bulb on Ob CC Pump Stopped by Removing Bulb & Inspected |
- on 971014,unit 2 RHR Sys Declared Inoperable. Caused by Oil Leak from Oil Bulb.Leak Coming from Oil Bulb on Ob CC Pump Stopped by Removing Bulb & Inspected
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2) | | 05000304/LER-1997-004-08, :on 971015,small Bore Containment Penetration Line Inadequately Supported Since Plant Construction Was Noted.Cause Cannot Be determined.Non-destructive Exams Performed to Determine Condition & Integrity of Pipe |
- on 971015,small Bore Containment Penetration Line Inadequately Supported Since Plant Construction Was Noted.Cause Cannot Be determined.Non-destructive Exams Performed to Determine Condition & Integrity of Pipe
| 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) | | 05000304/LER-1997-004, Forwards LER 97-004-00,per 10CFR50.73(a)(2)(i).Commitments Associated W/Correspondence,Encl | Forwards LER 97-004-00,per 10CFR50.73(a)(2)(i).Commitments Associated W/Correspondence,Encl | 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition | | 05000295/LER-1997-004, Forwards LER 97-004-00 Re Failure to Start Pump in Required Time & Led to Declaring 1C Containment Spray Pump Inoperable | Forwards LER 97-004-00 Re Failure to Start Pump in Required Time & Led to Declaring 1C Containment Spray Pump Inoperable | | | 05000295/LER-1997-004-04, :on 970221,identified Failure to Start Pump in Required Time & Led to Declaring 1C Containment Spray Inoperable.Caused by Clogged Fuel Filter & Defective components.1C Containment Spray Pump Fuel Drained & Flushed |
- on 970221,identified Failure to Start Pump in Required Time & Led to Declaring 1C Containment Spray Inoperable.Caused by Clogged Fuel Filter & Defective components.1C Containment Spray Pump Fuel Drained & Flushed
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2)(i)(A), Completion of TS Shutdown 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000295/LER-1997-004-01, :on 970221,reactor Was Shutdown,Per LCO 3.6.1 Due to One Inoperable Containment Spray pump.1C CS Pump Day Tank Was Drained,Flushed,Refilled w/biocide-added Fuel from Different Source |
- on 970221,reactor Was Shutdown,Per LCO 3.6.1 Due to One Inoperable Containment Spray pump.1C CS Pump Day Tank Was Drained,Flushed,Refilled w/biocide-added Fuel from Different Source
| 10 CFR 50.73(a)(2)(i)(A), Completion of TS Shutdown | | 05000295/LER-1997-005, Forwards LER 97-005-00 IAW 10CFR50.73(a)(2)(i)(B).Actions Listed | Forwards LER 97-005-00 IAW 10CFR50.73(a)(2)(i)(B).Actions Listed | 10 CFR 50.73(a)(2)(1) | | 05000304/LER-1997-005, Forwards LER 97-005-00 Which Documents Event That Occurred at Zion Nuclear Power Station,Unit 2.Commitment Made within Ltr,Encl | Forwards LER 97-005-00 Which Documents Event That Occurred at Zion Nuclear Power Station,Unit 2.Commitment Made within Ltr,Encl | 10 CFR 50.73(a)(2)(1) | | 05000304/LER-1997-005-07, :on 971021,failed to Test 2A SI Pump Suction Valve in Prescribed Periodicity.Caused by Inadequate Program to Ensure That TS IST Requirements for Each Component Are Met.Ist Group Will Include Second Check in Review |
- on 971021,failed to Test 2A SI Pump Suction Valve in Prescribed Periodicity.Caused by Inadequate Program to Ensure That TS IST Requirements for Each Component Are Met.Ist Group Will Include Second Check in Review
| 10 CFR 50.73(a)(1), Submit an LER 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2) | | 05000295/LER-1997-005-03, :on 970221,supplement to Unapproved Mode Change W/Ts Required Equipment Inoperable Were Noted.Caused by Inadequate Planning & Briefing.Both Units Have Been Placed in Cold Shutdown W/Rcs at Atmospheric Pressure |
- on 970221,supplement to Unapproved Mode Change W/Ts Required Equipment Inoperable Were Noted.Caused by Inadequate Planning & Briefing.Both Units Have Been Placed in Cold Shutdown W/Rcs at Atmospheric Pressure
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(viii)(B) | | 05000304/LER-1997-006-07, :on 971028,informed of Potential to Exceed 10CFR50.46 ECCS Acceptance Criteria.Caused by Fuel Clad Gap re-opening & 17% Maximum Cladding Oxidation Limit.Performed Conservative Corrosion Calculations |
- on 971028,informed of Potential to Exceed 10CFR50.46 ECCS Acceptance Criteria.Caused by Fuel Clad Gap re-opening & 17% Maximum Cladding Oxidation Limit.Performed Conservative Corrosion Calculations
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2) | | 05000304/LER-1997-006, Forwards LER 97-006-00 Per 10CFR50.73(a)92)(ii)(B) Which Requires 30 Day Written Rept When Any Event or Condition Occurs That Resulted in Condition of Nuclear Power Plant. Regulatory Commitments Encl | Forwards LER 97-006-00 Per 10CFR50.73(a)92)(ii)(B) Which Requires 30 Day Written Rept When Any Event or Condition Occurs That Resulted in Condition of Nuclear Power Plant. Regulatory Commitments Encl | 10 CFR 50.73(a)(2) | | 05000295/LER-1997-006, :on 970222,Zion Station Exceeded Limiting Condition for Operation Due to Inadequate Procedure Controls.Standing Order to Require Review of TS During OOS Procedure Implementation,Was Issued |
- on 970222,Zion Station Exceeded Limiting Condition for Operation Due to Inadequate Procedure Controls.Standing Order to Require Review of TS During OOS Procedure Implementation,Was Issued
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(viii)(B) 10 CFR 50.73(a)(2)(1) | | 05000304/LER-1997-007-06, :on 971030,failure to Maintain Required Number of Svc Water Pumps Operable Was Identified.Caused by Failure of Mgt Personnel to Adhere to Requirements for Reviewers to Use Applicable Drawings.Procedure Rev to Provide Guidanc |
- on 971030,failure to Maintain Required Number of Svc Water Pumps Operable Was Identified.Caused by Failure of Mgt Personnel to Adhere to Requirements for Reviewers to Use Applicable Drawings.Procedure Rev to Provide Guidance
| 10 CFR 50.73(a)(2)(v)(B), Loss of Safety Function - Remove Residual Heat 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000295/LER-1997-007-02, :on 970311,operator Opened Local Sys Auxiliary Transformer Panel.Cause of Sys Auxiliary Transformer Trip Could Not Be Conclusively Determined.Unit 2 Sys Auxiliary Transformer Tested for Damage |
- on 970311,operator Opened Local Sys Auxiliary Transformer Panel.Cause of Sys Auxiliary Transformer Trip Could Not Be Conclusively Determined.Unit 2 Sys Auxiliary Transformer Tested for Damage
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2)(iii) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) 10 CFR 50.73(a)(7)(ii) | | 05000295/LER-1997-007, Forwards LER 97-007-00 Re Automatic Actuation of Esf. Submitted Table Identifies Actions Committed to by Util | Forwards LER 97-007-00 Re Automatic Actuation of Esf. Submitted Table Identifies Actions Committed to by Util | 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000304/LER-1997-007, Forwards LER 97-007-00 Per 10CFR50.73(a)(2)(v)(B) Which Requires Written Rept for Any Event or Condition That Could Prevent Fulfillment of Safety Function of Structures or Sys Needed to Remove Residual Heat.W/Commitments Attach | Forwards LER 97-007-00 Per 10CFR50.73(a)(2)(v)(B) Which Requires Written Rept for Any Event or Condition That Could Prevent Fulfillment of Safety Function of Structures or Sys Needed to Remove Residual Heat.W/Commitments Attached | 10 CFR 50.73(a)(2)(v)(B), Loss of Safety Function - Remove Residual Heat | | 05000295/LER-1997-008, :on 970321,air Filters Containing Al Were Inadvertently Installed in Containment Due to Faulty Parts Selection Process.Hepa Filters Containing Al Will Be Removed or Replaced w/non-Al Containing Filters |
- on 970321,air Filters Containing Al Were Inadvertently Installed in Containment Due to Faulty Parts Selection Process.Hepa Filters Containing Al Will Be Removed or Replaced w/non-Al Containing Filters
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 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)(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) 10 CFR 50.73(a)(2)(viii)(B) 10 CFR 50.73(a)(2)(1) | | 05000304/LER-1997-008-07, :on 971122,safety Related Snubber Not in Snubber Program & Subsequently Was Not Inspected Per Ts. Cause Unknown.Procedure TSS 15.6.48 Revised to Incorporate Unit 2 Snubber |
- on 971122,safety Related Snubber Not in Snubber Program & Subsequently Was Not Inspected Per Ts. Cause Unknown.Procedure TSS 15.6.48 Revised to Incorporate Unit 2 Snubber
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(viii)(A) 10 CFR 50.73(a)(2)(1) | | 05000304/LER-1997-008, Forwards LER 97-008-00 Per 10CFR50.73(a)(2)(i)(B),which Requires 30 Day Written Rept.Attachment a Provides Commitments Associated W/Correspondence | Forwards LER 97-008-00 Per 10CFR50.73(a)(2)(i)(B),which Requires 30 Day Written Rept.Attachment a Provides Commitments Associated W/Correspondence | 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000295/LER-1997-009-01, :on 970114,1FCV-CS0002 Was Inoperable Between 970115 & 0208.Caused by Failure to Verify That Acceptance Criteria for Return to Service Was Met.Disciplined Unit Supervisor & Will Cover Event in Licensed Operator Training |
- on 970114,1FCV-CS0002 Was Inoperable Between 970115 & 0208.Caused by Failure to Verify That Acceptance Criteria for Return to Service Was Met.Disciplined Unit Supervisor & Will Cover Event in Licensed Operator Training
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2)(iii) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(viii)(A) 10 CFR 50.73(a)(2)(1) | | 05000295/LER-1997-009, Forwards LER 97-009-00 IAW 10CFR50.73(A)(2)(i)(B) Which Requires Listed Corrective Actions | Forwards LER 97-009-00 IAW 10CFR50.73(A)(2)(i)(B) Which Requires Listed Corrective Actions | | | 05000304/LER-1997-009-08, :on 971202,test Relay SIX1-AX Did Not Unlatch as Required During Restoration of PT 10-3.Caused by Failure to Follow Procedures.Rewired Test Relay SIX1-AX |
- on 971202,test Relay SIX1-AX Did Not Unlatch as Required During Restoration of PT 10-3.Caused by Failure to Follow Procedures.Rewired Test Relay SIX1-AX
| 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)(x) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000304/LER-1997-009, Forwards LER 97-009-00,re Event Which Occurred at Zion Nuclear Power Station,Unit 2.Commitments Made within Ltr Also Encl | Forwards LER 97-009-00,re Event Which Occurred at Zion Nuclear Power Station,Unit 2.Commitments Made within Ltr Also Encl | 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000295/LER-1997-010, :on 960316,reactor Trip Due to Equipment Failure Occurred.Caused by New But Defective Pneumatic Vol Booster on Valve.Pneumatic Vol Booster for 1C Main FW Regulating Valve Replaced |
- on 960316,reactor Trip Due to Equipment Failure Occurred.Caused by New But Defective Pneumatic Vol Booster on Valve.Pneumatic Vol Booster for 1C Main FW Regulating Valve Replaced
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000295/LER-1997-010-01, :on 970404,radiation Area Surveys Were Missed. Caused by Inadequate TS Review.Nso,Unit Supervisor & Shift Engineer,Counseled |
- on 970404,radiation Area Surveys Were Missed. Caused by Inadequate TS Review.Nso,Unit Supervisor & Shift Engineer,Counseled
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 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) 10 CFR 50.73(a)(2)(viii)(B) | | 05000295/LER-1997-012-02, :on 970423,determined That Test Criteria for H Recombiner Was Inappropriate.Caused by Low Std for for Documentation of Changes to Vendor Recommendations. Will Review Results of 1995 TS Compliance Self Assessment |
- on 970423,determined That Test Criteria for H Recombiner Was Inappropriate.Caused by Low Std for for Documentation of Changes to Vendor Recommendations. Will Review Results of 1995 TS Compliance Self Assessment
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2)(iii) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(viii)(A) 10 CFR 50.73(a)(2)(viii)(B) 10 CFR 50.73(a)(2)(1) | | 05000295/LER-1997-012, Forwards LER 97-012-00,which Documents 970423 Event That Occurred at Zion Generating Station.Commitments Made by Util,Listed | Forwards LER 97-012-00,which Documents 970423 Event That Occurred at Zion Generating Station.Commitments Made by Util,Listed | 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000295/LER-1997-013-02, :on 970412,VT-3 Insp Requirements of Relief Request CR-13 for Reactor Head Bolting Were Not Performed. Caused by Failure to Revise ISI Database After SER Received from Nrc.Procedure Revised |
- on 970412,VT-3 Insp Requirements of Relief Request CR-13 for Reactor Head Bolting Were Not Performed. Caused by Failure to Revise ISI Database After SER Received from Nrc.Procedure Revised
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000295/LER-1997-014-02, :on 970502,TS Surveillances on Radiation Monitors Were Missed Because Technical Interpretation That Kept 1(2)RT-PR15 Operable Was Inoperable.Revised Station Procedures |
- on 970502,TS Surveillances on Radiation Monitors Were Missed Because Technical Interpretation That Kept 1(2)RT-PR15 Operable Was Inoperable.Revised Station Procedures
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 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)(x) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000295/LER-1997-015-01, :on 970724,Unit 1 EDGs & Unit 2 RHR Sys Was Declared Inoperable Which Resulted in Inadvertent ESF While Performing TS Related Surveillance.Caused by Unclear Expectations.Declared EDG Operable on 970729 |
- on 970724,Unit 1 EDGs & Unit 2 RHR Sys Was Declared Inoperable Which Resulted in Inadvertent ESF While Performing TS Related Surveillance.Caused by Unclear Expectations.Declared EDG Operable on 970729
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2)(iii) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(viii)(A) 10 CFR 50.73(a)(2)(viii)(B) | | 05000295/LER-1997-015-02, :on 970724,Unit 1 EDGs & Unit 2 RHR Sys Were Declared Inoperable & Inadvertent Esg Actuation Was Noted While Performing TS Related Surveillances.Cause Is Under Investigation.Restored ESF Equipment |
- on 970724,Unit 1 EDGs & Unit 2 RHR Sys Were Declared Inoperable & Inadvertent Esg Actuation Was Noted While Performing TS Related Surveillances.Cause Is Under Investigation.Restored ESF Equipment
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2) | | 05000295/LER-1997-016-01, Forwards LER 97-016-01,which Clarifies Info on Event Description,Root Causes & Safety Analysis.Cas Have Been Updated.Attachment a Provides Commitments Associated W/ Correspondence | Forwards LER 97-016-01,which Clarifies Info on Event Description,Root Causes & Safety Analysis.Cas Have Been Updated.Attachment a Provides Commitments Associated W/ Correspondence | | | 05000295/LER-1997-016, Forwards LER 97-016-00 Re Failure to Recognize That 125 Vdc Buses Were Inoperable During Inter Unit cross-tie.Event Investigation Is Ongoing & Corrective Actions Will Be Provided in Supplemental LER | Forwards LER 97-016-00 Re Failure to Recognize That 125 Vdc Buses Were Inoperable During Inter Unit cross-tie.Event Investigation Is Ongoing & Corrective Actions Will Be Provided in Supplemental LER | | | 05000295/LER-1997-016-02, :on 970905,failed to Recognize That 125 Vdc Buses Were Inoperable During Inter Unit cross-tie.Cause Indeterminate.Corrective Actions Will Provided in Supplemental Response to LER |
- on 970905,failed to Recognize That 125 Vdc Buses Were Inoperable During Inter Unit cross-tie.Cause Indeterminate.Corrective Actions Will Provided in Supplemental Response to LER
| 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability 10 CFR 50.73(a)(2)(1) | | 05000295/LER-1997-017-02, :on 970806,TS Surveillance on Containment Isolation Valve Operability Was Missed After Maint.Cause Undetermined.Revised & Performed PT-306 for Affected Valves Prior to Units 1 & 2 Reaching Mode 4 |
- on 970806,TS Surveillance on Containment Isolation Valve Operability Was Missed After Maint.Cause Undetermined.Revised & Performed PT-306 for Affected Valves Prior to Units 1 & 2 Reaching Mode 4
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000295/LER-1997-017, Forwards LER 97-017-00,informing That TS Surveillance Containment Isolation Valve Operability Was Missed After Maint.Commitments Made within Ltr,Encl | Forwards LER 97-017-00,informing That TS Surveillance Containment Isolation Valve Operability Was Missed After Maint.Commitments Made within Ltr,Encl | | | 05000295/LER-1997-017-01, :on 970806,TS Surveillance on Containment Isolation Valve Operability After Maint Was Missed.Caused by Personnel Error.Procedure Writer Who Failed to Identify Remaining Procedures by 1993 UFSAR Rev Has Been Counseled |
- on 970806,TS Surveillance on Containment Isolation Valve Operability After Maint Was Missed.Caused by Personnel Error.Procedure Writer Who Failed to Identify Remaining Procedures by 1993 UFSAR Rev Has Been Counseled
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