ML20138C587

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Insp Repts 50-369/85-45 & 50-370/85-46 on 851221-860127. Violation Noted:Inadequate post-trip Review of Unit 1 Reactor Trip & Safety Injection on 851102
ML20138C587
Person / Time
Site: Mcguire, McGuire  
Issue date: 03/20/1986
From: Brownlee V, William Orders, Pierson R
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
Shared Package
ML20138C563 List:
References
50-369-85-45, 50-370-85-46, NUDOCS 8604020538
Download: ML20138C587 (9)


See also: IR 05000369/1985045

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UNITED STATES

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NUCLEAR REGULATORY COMMISSION

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REGION li

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101 MARIETTA STREET.N W.

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ATL ANT A. GEORGI A 30323

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Report Nos.: 50-369/85-45 and 50-370/85-46

Licensee: Duke Power Company

422 South Church Street

Charlotte, NC 28242

Facility Name: McGuire Nuclear Station

Docket Nos.: 50-369 and 50-370

License Nos.: NPF-9 and NPF-17

Inspection Conducted:

December 21, 1985 - January 27, 1986

Inspectors: b.

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W. Orders ~, SenTor fdent Jfisptor

(Tate Signed

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R. Pfe'rion, Resid

Inspectpf'

fate 41gned

Virgil Sr6wnfte,' Section Chief ( Acting)

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Approved by:

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Ofte Signed

Division of Reactor Projects

SUWARY

Scope: This routine unannounced inspection involved 176 hours0.00204 days <br />0.0489 hours <br />2.910053e-4 weeks <br />6.6968e-5 months <br /> on site in the

areas of operations, surveillance testing and maintenance activities.

Results: Of the three areas inspected, one violation was identified concerning

an inadequate post trip review relative to the reactor trip and safety injection

on unit one of November 2, 1985 (50-369/85-45-01).

8604020538 860324

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ADOCK 05000369

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REPORT DETAILS

1.

Persons Contacted

Licensee Employees

  • T

McConnell, Plant Manager

  • B. Travis, Superintendent of Operations

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  • D. Rains, Superintendent of Maintenance
  • B. Hamilton, Superintendent of Technical Services

L. Weaver, Superintendent of Administration

  • M. Sample, Superintendent of Integrated Scheduling
  • E. McCraw, License and Compliance Engineer
  • D. Mendezoff, License and Compliance Engineer
  • D. Marquis, Performance Engineer

R. White, IAE Engineer

  • G. Vaughn, General Manager, Nuclear Stations

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~*M. McIntosh, General Manager, Nuclear Support

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  • Dr. W. Haller, Manager, Technical Services
  • G. Cage, Systems Engineer, General Office Operations

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  • M. Geddie, General Office, Nuclear Operations

Other licensee employees contacted included construction craf tsmen, tech-

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nicians, operators, mechanics, security force members, and office personnel.

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  • Attended exit interview.

2.

Exit Interview

The inspection scope and findings were summarized on January 31, 1986, with

those persons indicated in paragraph I above. The licensee did not identify

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as proprietary any of the materials provided to or reviewed by the inspectors

during this inspection.

3.

Licensee Action on Previous Enforcement Matters

Previous enforcement matters were not evaluated in this report.

4.

Unresolved Items

Two unresolved items were identified during this report period.

They are

discussed in paragraphs 7 and 8.

5.

Plant Operations

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The inspection staff reviewed plant operations during the report period, to

verify conformance with applicable regulatory requirements.

Control room

logs, shift supervisors logs, shift turnover records and equipment removal

and restoration records were routinely perused.

Interviews were conducted

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with plant operations, maintenance, chemistry, health physics, and perfor-

mance personnel.

~ Activities within the control room were monitored during shifts and at shift

changes. Actions and/or activities observed were conducted as prescribed in

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applicable station administrative directives. The complement of licensed

personnel on each shift met or exceeded the minimum required by technical

specifications.

Plant tours taken during the reporting period included but were not_ limited

to the ~ turbine buildings, auxiliary building, units 1 and 2 electrical

equipment rooms, units 1 and 2 cable spreading rooms, and the station yard

zone inside the protected area.

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During the plant tours, ongoing activities, housekeeping, security, equip-

ment status and radiation control practices were observed.

Unit 1 Operations

McGuire 'Jnit 1 began the reporting period operating at 100% power and

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remained at this power until Sunday December 22 when a reactor trip occurred

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from 100% power. The trip was determined to have been initiated by arcing

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on the 18 generator breaker on the transformer side Y phase motor operated

disconnect. The generator breakers opening caused the turbine to trip on

over speed which subsequently caused the reactor to trip.

All systems

responded normally.

Reactor startup was commenc3d .t 10:00 a.m., on December 23, 1985, with the

reactor reaching criticality at 10:20 a.m.

The unit was placed on line at

2:15 p.m., but was limited to 50% rower pending completion of repairs to

the IB generator breaker.

Follnwing repairs to the generator breaker at

10:57 a.m., on December 24,1985, power was subsequently increased to 100%

power and remained at or about 100% power until 5:31 p.m., January 5,1986,

when a reactor trip / turbine trip occurred on "0" steam generator lo-lo

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level. All systems responded normally.

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During investigation of the reactor trip, it was determined that the "0"

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steam generator feed regulator valve failed closed due to a faulty driver

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card in the 7300 cabinets. This was subsequently repaired and a reactor

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start-up was commenced at 4:45 a.m., on January 6th.

The reactor reached

criticality at 5:04 a.m.,

and the unit went on line at 7:20 that morning.

Power was raised to 100% and the unit remained at or about 100% throughout

the reporting period.

Unit 2 Operations

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McGuire Unit 2 began the reporting period shutdown recovering from an outage

to effect repairs to the D steam generator which is discussed in report

50-369/85-41 and 50-370/85-42.

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Reactor startup was ccmmenced on December 25, 1985, with the reactor reaching

criticality at 2:35 a.m., that morning. The unit was subsequently paralleled

to the gr'd at 4:34 a.m., and power was increased to 100% where it remained

until December 30, 1985, when power was redaced to 15% to effect repairs to

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"B" Steam Generator feed regulator valve.

Following repairs to this

valve, power was increased to 100% and remained at or about 10W% until

11:49 a.m.,

January 15 when a reactor trip / turbine trip occurred on "A"

steam generator 10-10 level. This trip was precipitated by a load rejection

due to a vacuum trip on "A" condensate feed pump.

All safety systems

responded normally.

A reactor start-up was commenced that evening and the unit reached criti-

cality at 10:15 p.m.,

and entered Mode 1 at 11:16 p.m.

While attempting

to place the main generator on line, #4 Governor Valve was determined to be

inoperable.

Consequently when the unit was placed on line, it was operated

at a reduced power level of 92%.

Following changes in the secondary side

the plant power was increased to 100% with #4 Governor Valve closed and

remained at this power in this condition until January 23, 1986.

At 4:00 a.m., that morning an unidentified leak of 1.5 gallons per minute

was declared. Unit shutdown commenced at 10:00 a.m., and an Unusual Event

was declared. At 1:06 p.m.,

when the unit was still at approximately 10%

power a reactor trip from Intermediate Range High Flux occurred. This trip

is discussed in paragraph 7.

The Unusual Event was terminated when the source of the leak was stopped

at 11:54 a.m.,

on January 24th.

Unit startup subsequently followed and

the unit was critical at 12:54 a.m. , on January 25th. The generator was

paralleled to the grid at 2:25 a.m., and the unit reached 100% that af ter-

noon at 5:00 p.m. , and remained at 100% throughout the reporting period.

The #4 Governor Valve remained closed and inoperable pending repair at the

next refueling outage.

6.

Degraded Pressurizer Heater Group

McGuire Nuclear Station Directive 3.1.10 definas the action to be taken in

investigating reactor trips to ensure full understanding of the cause of the

trip; the plant transient behavior before and af ter the trip; the trip's

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impact on nuclear safety, power production and performance; and to identify

necessary corrective action.

In addition, this directive prescribes the

criteria that must be satisfied in order to restart the unit.

A post-trip review is performed immediately following a reactor trip and

completed prior to restart of the unit.

The purpose of the post-Trip Review is to:

a.

Determine the immediate cause of the reactor trip.

It is not required

that the root cause (e.g., the cause of a component failure leading to

a trip) be determined at this time.

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b.

Identify other-than-expected performance of operators, systems, and

equipment and assess its impact on safe plant operation.

In addition, any deviations from expected behavior are to be investigated in

depth as appropriate.

The Post-Trip Review is performed by the Reactor Engineer with assistance as

needed from other personnel. The results of the review are documented and

provided to personnel performing a subsequent investigation.

Written guidelines are used in performing the Post-Trip Review.

These

guidelines describe the various aspects of the trip event that should be

considered in order to ensure that any impact on safe operation is identi-

fied and resolved.

It also orovides criteria and guidelines defining the

range of expected plant responses.

Prior to restart of the unit. Operations ensures that the following criteria

are met:

a)

The immediate cause of the reactor trip is known or has been investi-

gated to the fullest extent possible while remaining in the shutdown

condition.

b)

The plant transient behavior, immediately preceding and until stabili-

zation following the trip .does not identify any unresolved problems

that impact the ability of the unit to be safely restarted and operated.

c)

Any malfunctions or failure in equipment or components subject to

technical specification LCO requirements are evaluated and corrected as

required prior to restart.

Operations further ensures that the Reactor Engineer's recommendations are

resolved prior to restart and obtains his or her concurrence with restart.

This concurrence is indicated by the Reactor Engineer's signature on the

trip recovery operating procedure.

Additionally, Station Directive 3.1.10 requires that a review of performance

of safety systems be performed in order to identify other than expected

performance. Abnormal behavior requires in depth evaluation and resolution

prior to restart. If performance in all areas was as expected, the unit may

be safely restarted.

In the Post-Trip Review conducted for the reactor trip of November 2, 1985,

discussed in Report 50-369/85-40 and 50-370/85-41. it was noticed in the

list of performance anomalies that one group of heaters in pressurizer

heater bank A was out for 1.5 minutes during the transient.

This was not

evaluated prior to restarting the unit and the reason for the heater failing

was not determined.

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After subsequent questioning by the resident inspection staff, it was

determined that the alarm was not erroneous but was caused by a blown fuse

to one group of heaters in pressurizer heater bank A.

As a result, the

decrease in load caused the current drawn for the remaining banks to be

approximately the same as the alarm setpoint for the pressurizer heater

bank A.

Since the alarm was intermittent the operators and the post trip

reviewing personnel did not realize that it was a problem and did not pursue

it to resolution.

Although the personnel involved with the post trip review, and subsequent

decision to restart the unit, did not feel at the time that there was any

question that the Unit could be safely restarted and operated, it is the

intent of a Post Trip Review to identify potential problems.

In this

particular instance, *he fact that the pressurizer heater bank A was indi-

cating that it was not fully operable should have prompted further investi-

gation prior to reactor startup.

Consequently, during this Post Trip

Review, Station Directive 3.1.10 was not fully implemented, an adequate Post

Reactor Trip Review was not conducted, in that Operations did not ensure

that malfunctions or failure in equipment or components subject to Technical

Specification LCO requirements were evaluated and corrected as required

prior to restart.

Technical Specification 6.8.1 requires that written procedures shall

be established, implemented, and maintained covering the activities

referenced

in

Appendix A

of

Regulatory

Guide

1.33,

Revision 2,

February 1978.

Section 2 of this Appendix requires that General Plant

Operating Procedures be implemented and used for recovery from Reactor Trip.

McGuire Nuclear Plant Operations Procedures specify that an engineering

evaluation be performed prior to entering Mode 2.

This engineering eval-

uation is the Post Trip Review Report performed in accordance with Station

Directive 3.1.10 which states that prior to restart of a unit, Operations

shall ensure specific criteria including the following are met:

(1) The plant transient behavior immediately preceding and until stabill-

zation following the trip, does not identify any unresolved problems

that impact the ability of the unit to be safely restarted and operated.

(2) Any malfunctions or failures in equipment or components subject to

Technical Specification LCO requirements are evaluated and corrected as

required prior to restart.

It further requires, in Enclosure 4.1,

that a review of performance of

safety systems, be performed to identify other than expected performance.

Abnormal behavior requires in-depth evaluation and resolution prior to

restart.

The post trip review for Unit 1 preceding the reactor startup of

November 2,1985, did not evaluate and resolve the abnormal behavior noted

on Pressurizer Heater Bank A prior to restart.

This is a violation

(369/85-45-01).

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7.

Intermediate Range Neutron Detectors

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A reactor trip occurred on January 23, 1986, when unit 2 was at approxi-

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mately 10% power during shutdown following a determination that unidentified

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leakage was about 1.5 gallons per minute. The reactor trip was caused by an

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improperly set intermediate range high flux trip set point. When the P-10

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block permissive value decreasing power re-set point was met the inter-

mediate range high flux trip was unblocked and a reactor trip occurred.

The licensee had replaced the source and intermediate range detectors on

December 18, 1985.

Technicians had determined through troubleshooting

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following implementation of a Nuclear Station Modification (NSM MG-2-496

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Rev. 0 -- changing out existing source range channel N31 and N32 preampli-

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fiers with new low noise pre-amplifiers) that excess noise and ringing were

present.

Replacing the source and intermediate range detectors corrected

this problem.

The unit was in Mode 5 at the time.

The unit was started

up on December 25, 1985, and was operated at or about 100% power until

January 15, when it experienced a reactor trip as discussed in Paragraph 5.

Following this trip the unit was again restarted and operated between 92 and

100% until January 23, when the intermediate range high flux trip occurred

at approximately 10% power during plant shutdown.

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The intermediate range had not been calibrated during this time. Following

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installation, licensee personnel had subjectively determined that the new

detector was more sensitive than the detector it replaced and as result a

channel calibration was not performed and the intermediate low power reactor

set points were not verified. Procedures exist to perform a channel cali-

bration per Technical Specification requirements following core refueling

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or modification.

Procedures to perform a channel calibration following

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intermediate detector replacement do not appear to exist.

Pending the

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completion of the ongoing investigation, this item will be carried as an

Unresolved Item (50-370/85-46-01).

8.

Volume Control Tank Isolation Valves

On January 6,1986, during a review of the circumstances surrounding the

safety injection which occurred on McGuire Unit 1 on November 2,1985, the

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inspector determined that the un.it had been operated in modes where valves

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1-NV-141 and 1-NV-142 were required, with both valves inoperable. Valves

1-NV-141 and 1-NV-142 are the isolation valves of f the Volume Control Tank

(VCT) supplying a common suction to the charging pumps (NV).

The NV pumps

also serve as the high head safety injection pumps. The concerns associated

with operating the unit with valves 141 and 142 inoperable are entailed in

Report 369/86-04.

Detailed herein are concerns associated with why the valve operators for

both valves failed during the aforementioned transient.

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At 6:40 a.m., on Novembrr 2,1985, both valves 141 and 142 closed during

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the safety injection as designed. When terminating the safety injection,

operators were unable to open valves 141 and 142 from the control room, but

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succeeded in manually cranking the valves open locally, thus re-establishing

the normal make-up flow path.

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By 6:00 p.m.,

that evening, it was determined that the motor operator for

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142 had burned up and by 10:00 p.m., it was known that 141 was also burned

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up.

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Efforts to ascertain the facts concerning the failure mode of these operators

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are inconclusive at the end of the report period. For that reason this area

of concern will be carried forward as an Unresolved Item (50-369/85-45-02).

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9.

Surveillance Testing

The surveillance tests categorized below were analyzed and/or witnessed by

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the inspector to verify procedural and performance adequacy and conformance

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with applicable Technical Specifications. The selected tests witnessed were

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examined to ascertain that current written approved procedures were avail-

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able and in use, that test equipment in use was calibrated, that test

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prerequisites were met, system restoration completed and test results were

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adequate.

PT/0/A/4350/11

Reactor Coolant Pump Undervoltage and Underfrequency

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Functional Test

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PT/1/A/4208/01A

Containment Spray Pump 1A Performance Test

PT/1/A/4208/01B

Containment Spray Pump 1B Performance Test

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PT/1/A/4208/03A

Containment Spray Heat Exchanger Performance Test

PT/1/A/4252/01A

CA Pump 1A Performance Test

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PT/1/A/4252/018

CA Pump 1B Performance Test

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PT/1/A/4252/01

Turbine Driven CA Pump Test

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PT/1/A/4401/01A

KC Pump 1A Performance Test

PT/2/A/4206/12

UHI Valve Stroke Timing Test

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PT/2/A/4206/01A

NI Pump 2A Performance Test

PT/2/A/4601/07A

Reactor Trip Breakers Response Time Testing

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PT/2/A/4601/08A

SSPS Train A

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PT/2/A/4252/01A

CA Pump 2A Performance Test

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PT/2/A/4252/01B

CA Pump 2B Performance Test

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Turbine Driven CA Pump Test

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10. Maintenance Observations

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The maintenance activities categorized below were analyzed and/or witnessed

by the resident inspection staff to ascertain procedural and performance

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adequacy and conformance with applicable Technical Specifications.

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selected activities witnessed were examined to ascertain that where

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applicable, current written approved procedures were available and in use,

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that prerequisites were met, equipment restoration completed and maintenance

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results were adequate.

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93725 IAE.

Implement NSM MG-2-496 Rev. 0

65534 IAE

Repair Pressurizer Heater Group B

11. Open Items Review

The following items were reviewed in order to determine the adequacy of

corrective actions, the implications as they pertain to safety of opera-

tions, the applicable reporting requirements, and licensee review of the

event.

Based upon the results of this review, the items are herewith

closed.

50-369

LER 85-27

LER 85-28

50-370

LER 85-36