:on 940118,auxiliary Feed Regulating Valves to Meet Inservice Test Stroke Time,Failed.Caused by Presence of Hydraulic Forces Across Valve Plug.Ist Acceptance Criteria Was Revised| ML20141F484 |
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Millstone  |
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| Issue date: |
06/25/1997 |
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| From: |
Joshi R NORTHEAST NUCLEAR ENERGY CO. |
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| Shared Package |
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| ML20141F469 |
List: |
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| References |
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| LER-94-001-02, LER-94-1-2, NUDOCS 9707020421 |
| Download: ML20141F484 (6) |
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i, NRC FORM 366 U.S. NUCLEAR nEGULATORY COMMisslON" APPROVED BY OMB NO. 3150-o104 EXPIRES 04/30/98 Eo U 'o U oEc"o"I'" U SI o E 5*955 "^
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DOCKET NUMBER (2)
PAGE (3)
Millstone Nuclear Power Station Unit 2 05000336 1OF6 l
nTLE m Failure of Auxiliary Feed Regulating Valves to Meet inservice Test Stroke Time EVENT DATE (5)
LER NUMBER (6)
REPORT DATE (7)
OTHER FACILITIES INv0LVED (8) sE U AL RE $ N MONTH DAY YEAR YEAR MONTH DAY YEAR NU 8 U1 R 01 18 94 94
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01 06 25 97 oPERATINo THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR S: (Check one or rnore) (11) l MODE (9) 20.2201(b) 20.22o3(a)(2)(v)
So.73(aH2)(i)
So.73(a)(2)(viii)
POWER 20.22o3(aH1) 20.2203(a)(3)(i)
So.73(a)(2)(ii)
So.73(aH2)(x)
LEVEL (10) 20.2203(aH2)(i) 20.2203(a)(3)(ii)
So.73(a)(2)(iii) 73.71 20.2203(a)(2)(ii) 20.2203(a)(4)
So.73(a)(2)(iv)
OTHER 20.2203(a)(2Hiii)
So.36(c)(1)
X so.73(a)(2){v)
Specify en Abstract below or en NRC Form 366A
=
20.2203(a)(2)(iv)
So.36(c)(2)
So.73(a)(2Hvii)
I LICENSEE CONTACT FOR THIS LER (12)
PL%IE TELEPHONE NUMBER linclude Area Codel R. G. Joshi, MP2 Nuclear Licensing (860) 440-2080 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
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CAUSE
SYSTEM COMPONENT MANUFACTURER
CAUSE
SYSTEM COMPONENT MANUFACTURER PRO OS l
t l
SUPPLFAENTAL F.LPORT EXPECTED (14)
EXPECTED MONm DAY YEAR l
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SUBMISSloN X
No DATE (15) yes, cornplete ';xPECTED sUBMissl0N DATE).
ABSTRACT (U, nit to 1400 spaces, i.e., approenately 15 single-spaced typewritten lines) (16)
On January 18,1994 at 1518 hours0.0176 days <br />0.422 hours <br />0.00251 weeks <br />5.77599e-4 months <br />, during performance of auxiliary feedwater pump monthly survei!!ance procedure (SP) 2610A " Motor Driven AFPs and Regulating Valves Operability Test', Auxiliary Feedwater Regulating Valve t
l (AFRV) 2-FW-43A and B both famed to open in the In-Service Test required time. At the time of discovery of this l
event, the unit was in Mode 1 at 96% power.
l The original LER submittal concluded that an unidentified blockage of the valve positioners bleed-off port was the cause of this event. Furtherinvestigation concluded that the valves were fully capable of performing their safety function at all times. Therefore, this event is not reportable under the requirements of the LER rule.
l This report is being submitted to provide additionalinformation regarding the recurrence of the event, actual event cause, discrepancies identified during the investigation of this event, and final corrective actions. This revision is a complete revision of the original LER.
WRC FORM 366 d4 95) 9707020421 970625 PDR ADOCK 05000336 S
PDR
'U.s. NUCLEAR REGULAYORY COMMisslOM (4-95)
UCENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1)
DOCKET LER NUMBER 6)
PAGE (3)
SEQUENTIAL REvtsloN YEAR NUMBER NUMBER 2OF6 Millstone Nuclear Power Station Unit 2 05000336 94
- - 001 -
01 TEXT Ut more space is required, use addetional copies of NRC Forrn 366A) (17)
L Description of Event On January 18,1994 at 1518 hours0.0176 days <br />0.422 hours <br />0.00251 weeks <br />5.77599e-4 months <br />, during performance of auxiliary feedwater (AFW) pump monthly surveillance procedure (SP) 2610A " Motor Driven AFPs and Regulating Valves Operability Test *, Auxiliary Feedwater Regulating Valve (AFRV) 2 FW-43A and B both failed to open in the In-Service Test (IST) required time. At the time of discovery of this event, the unit was in Mode 1 at 96% power.
On January 24,1994 a report was made pursuant to the requirements of 50.72(b)(2)(iii),"any event or condition that alone could have prever.ted the fulfillment of the safety function of structures or systems that are needed to mitigate the consequences of an accident." A follow-up report containing additional information was submitted on January 27,1994, which determined that the January 18,1994 event had no safety consequences, since it was believed that the valves would have fulfilled their safety function had a design basis event occurred.
On March 15,1994, after six weeks of performing monthly surveillance procedure SP2610A on a weekly basis, valve 2-FW-43A again failed its stroke time test with a stroke time to open greater than 4 minutes. The valve was immediately declared inoperable and subsequently disassembled, inspected and overhauled. Computer diagnostic testing on the reassembled valve showed that the valve opened smoothly with no sign of resistance.
On September 20,1994, also during performance of the AFW pump IST, valve 2-FW-43A once again failed to open within the time period required by the quarterly valve surveillance test. Subsequent investigation identified that the delay in valve opening was due to excessive hydraulic forces across the valve plug which were present immediately after operation of the AFW pump, and not due to an obstructed vent path as originally believed.
Further analysis concluded that the valves were fully capable of performing their safety function at all times.
Therefore, this event is not reportable under the requirements of the LER rule. This report is being submitted to provide additionalinformation regarding the recurrence of the event, actual event cause, discrepancies identified during the investigation of this event, and final corrective actions.
A detailed chronological description of events follows:
January 18.1994 Failed Surveillance Test As part of SP 2610A, the control room operator secured the AFW pump and cycled one of the two AFRVs (2-FW-43A) in the open direction. The AFRV failed to open for approximately 16 minutes. The operator recognized that the quarterly IST required the valve to open within 60 seconds. The operator re-stroked and timed the valve twice, resulting in normal 45 46 second stroke times. The operator then stroked and timed the other AFRV (2-FW-43B) twice. It also failed its IST criteria with stroke times of 60.3 and 60.4 seconds.
Approximately two hours and ten minutes after the initial failure, adjustments were made to the air supply pressure for both valves. The valves were retested, resulting in stroke times within their IST criteria. As a precaution to ensure valve operability, the monthly pump and regulator valve operability test was rescheduled for weekly performance.
Following the January 18,1994 event, technical support and maintenance personnel initiated an investigation to determine the cause of failure. Initially, the cause of the 16 minute delay observed in 2-FW-43A opening could not be determined, since the failure could not be duplicated. The AFRVs are pneumatically operated, fail open valves, which open by spring force upon loss of air. In the absence of outside effects, failure to stroke could be caused by an internal binding problem, a broken spring, or failure of the valve operator to vent. Since subsequent valve operation tended to discount mechanical problems, the initial investigation focused on the valve operator vent path as the cause of the event.
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.U.s. NUCLEAR REGULATORY COMMisslON 84-90)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1)
DOCKET LER NUMBER i6)
PAGE 13)
SEQUENTIAL REvlSION AR NUMBER NUMBER 3OF6 Millstone Nuclear Power Station Unit 2 05000336 94
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01 TEXT Uf more space is required, use additional copies of NRC Form 366A) (11)
Operations personnel had noted that the AFRVs utilize a different vent path under accident conditions than the path tested during the IST. During normal operation and as tested during the IST, the valve vents air pressure from the actuator dome through the positioner. However, during an accident condition, venting is accomplished through a solenoid dump valve. This latter vent path was not tested by either the monthly AFW pump TS surveillance or the quarterly AFRV IST. Operations considered this information in their original operability assessment and believed that since the venting followed a different path during actual accident conditions, then the potentially obstructed vent path observed during the IST would not affect the valves safety function.
It was also noted that the pneumatic pressure on both valve operators was significantly higher than normal. The inlet air supply regulators for 2-FW-43A and 2-FW-43B were found to be set at 95 and 100 psig, respectively.
Discussion with the valve vendor confirmed that no more than 70 psig should be required to obtain a seal against an AFW design pressure of 1250 psig, and that this value was inclusive of 15 psig to overcome opening spring pressure and 3 psig to compensate for packing friction. A review of AFRV maintenance history revealed that the regulated supply pressure on both the valves had been increased approximately one year prior to the event to provide higher closing force against suspected seat leakage. The investigation found that prior to increasing the regulator pressure, an adequate review had not been performed to document the change and identify any potential impact on the AFRV design function or testing criteria. As a result, the IST stroke time acceptance criteria was never updated to reflect the increased regulator pressure. Subsequent review of the regulator pressure increase verified that the increased pressure, while remaining within the design capability of the operator, resulted in a decrease in the margin between normal stroke time and IST acceptance criteria.
The increase in stroke time resulting from the increased regulator pressure could not account for the 16 minute delay in the opening of 2-FW-43A. The investigation into the delayed stroke time was complicated by the inability to replicate the event such that a detailed analysis of the failure could not be completed. Based on the information available during the first event, it was believed that the most probable cause was a transient obstruction in the positioner bleed-off path.
l On February 24,1994 follow-up diagnostic testing of the AFRVs was performed. This testing identified a slight increase in the opening resistance for 2-FW-43A. However, it was determined that both valves remained within their design parameters and that the sticking forces identified could not account for prolonged stroke time.
Based on the best available information, it was still believed that the delayed stroke problem was related to the positioner pilot valve.
l March 15.1994 Failed IST On March 15,1994, after six weeks of performing SP2610A, a second delayed opening of AFRV 2-FW-43A occurred. The affected AFRV was immediately determined to be inoperable and an investigation was initiated.
Noting that some sticking had been previously identified, the valve was disassembled, inspected and overhauled. Upon reassembly, diagnostic testing was ernployed to verify that the valve operated smoothly and none of the sticking identified on February 24,1994 was observed. In addition, the positioner bleed-off valve was inspected and found to be clean and functioning properly. The investigation discounted the original belief that the positioner vent path was blocked.
September 20.1994 Failed IST On September 20,1994 a repeat of the delayed AFRV opening event occurred during AFW pump IST. The AFRV was immediately declared inoperable and an investigation was initiated. A design review identified the potential for pressure locking to develop under the conditions associated with pump surveillance testing.
Troubleshooting activities following this event included more extensive monitoring, including performance of the PIRC FORM 366A (4-95)
.U.s. NUCLEAR REGULATORY COMMisslON (4 95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1)
DOCKET LER NUMBER i6)
PAGE (3)
SEQUENTIAL REVislON YEAR NUMBER NUMBER 4OF6 Millstone Nuclear Power Station Unit 2 05000336 94 - 001 -
01 TEXT (If more space is required, use additional copies of NRC Form 366A) til) pump surveillance test while diagnostic monitoring equipment was installed on the AFRV, monitoring downstream pressure. These activities helped identify that the delayed valve opening was due to residual hydraulic forces across the valve plug generated during AFW pump operation. These forces develop during pump testing when the AFRV and the bypass valve seat allow leak-by, pressurizing the piping downstream of the AFRVs. When the pump is shutoff, the upstream pressure dissipates (backflow through the pump) quicker than the pressure downstream of the AFRVs. The resulting hydraulic force holds the plug in a closed position. If an attempt is made to stroke the AFRV shortly after securing the pump, the hydraulic force is greater than the operator opening force and the valve remains closed until sufficient equalization can occur. Once the valve begins to stroke, the pressure immediately equalizes and the valve opens normally.
In the current piping configuration, the maximum pressure that can develop on the downstream side of the AFRV plug is equivalent to feed header pressure (approximately 905 psi). Pump pressure above this pressure is relieved through the Auxiliary Feed Water check valve to the feed system. During postulated accident conditions, automatic initiation of the AFW pump would immediately pressurize the upstream side of the plug to the higher pump discharge pressure. The pressure downstream of the AFRVs (steam generator side) cannot be higher than that upstream (AFW pump side), therefore, pressure locking would not be induced, since higher pressure on the upstream side of the plug would help the valves to open, thus allowirig the AFRVs to fulfill their safety function. The pressure lockh.g that results from AFW pump testing will not affect the safety function of the AFRVs during postulated accident scenarios.
An additional concern, identified as a result of the initial event, was the failure to declare both valves as inoperable. A non-conservative philosophy led the operations department to consider the valves operable despite the fact that: (1) operations recognized that the valves did not meet IST criteria, (2) there was no evidence to support the conclusion that the AFRVs would function properly during an accident condition, and (3) although the TS Limiting Condition for Operation only specifies verification of auxiliary feed pump operability, the surveillance requirements for the auxiliary feed pump require testing of components that make up the flow path.
Therefore, it should have been apparent that a verification of an AFW flow path was necessary.
11.
Cause of Event
i The original LER submittal concluded that an unidentified blockage of the valve positioners bleed-off port was the likely cause of these events. Investigation of subsequent events concluded that the cause was the presence of hydraulic forces across the valve plug. These forces develop as a result of AFW pump operation, and dissipate approximately 10 minutes after the pump has been shutoff. This condition is caused by minute leakage through the control and associated bypass valve, and was not accounted for during the development of the surveillance procedure. This condition occurs only during testing of the AFRVs and is not expected to occur during design basis conditions.
Ill. Analysis of Event The Auxiliary Feedwater System provides water for the removal of sensible and decay heat, and to cool the primary system to 300* F in case the main condensate and Steam Generator Feed Pumps are inoperable. The AFRVs regulate the flow of auxiliary feedwater to the steam generators.
AFRVs 2 FW-43A and 2-FW-43B are globe type valves designed to regulate AFW flow. These valves are controlled by an air operator designed to maintain the valves in a closed position against the maximum pressure developed by the AFW pumps. When air pressure is vented from the actuator pressure dome, the valve is opened by a spring that develops approximately 15 pounds of opening force.
WRC FORM 366A U.s. NUCLEAR REGULATORY CoMMisslON (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (H DOCKET LER NUMBER (6)
PAGE (3)
SEQUENTIAL REVislON YEAR NUMBER NUMBER 5 OF 6 Millstone Nuclear Power Station Unit 2 05000336 94 - 001 -
01 TEXT fit more space is required, use additional copies of NRC Form 366A) (11)
The original LER submittal indicated that AFRVs 2-FW-43A and 2-FW-438 were unable to perform their safety function, as demonstrated by their failure to meet lot requirements. Subsequent investigation concluded that the original cause for the delayed stroke time was incorrect. The delayed valve opening was found to occur only when the valves were stroked immediately (less than 10 minutes) after the AFW pumps had been shutoff. In this configuration hydraulic forces are generated against the valve plug on the steam generator side, with no hydraulic forces present on the AFW pump side of the plug. If a pressure as small as 90 psi is present on the steam generator side when the auxiliary feed pump is not operating (i.e., no pressure on the pump side), then the spring is not capable of providing sufficient opening force.
During design basis conditions, automatic initiation of the AFW pump would pressurize the upstream side of the plug to the higher pump discharge pressure. The pressure downstream of the AFRVs (steam generator side) cannot be higher than the upstream (AFW pump side). Therefore, pressure locking would not be induced since the higher pressure on the upstream side of the plug would help the valves to open. The pressure locking that results from AFW pump testing would not affect the safety function of the AFRVs during postulated accident scenarios.
The actual safety significance of this event is low, since there has never been an event that has challenged the AFRVs safety function. The potential safety significance is also low since the investigation concluded that the delayed opening of the valves was the result of hydraulic forces across the valve plug, which are not present during postulated accident scenarios.
IV, Corrective Action immediate corrective actions after the January 18,1994 event included verification of the correct pneumatic supply pressure to the AFRVs and resetting the regulators to that pressure. In addition, a diagnostic test was developed to investigate other possible causes for the delay in valve opening. The testing frequency was also increased to provide additional assurance of continued AFRV performance.
j Corrective actions following the March 15,1994 event included 1) disassembly, inspection and overhaul of 2-FW-43A; 2) disassembly and inspection of the positioner; and 3) post-maintenance diagnostic testing of the i
valve to verify the resistance to opening had been eliminated, j
Subsequent to the September 20,1994 delayed stroke time event, a test package was developed that included a j
design review and an extensive test of the AFW System. The pressure locking phenomenon was identified during these activities.
A TS clarification was issued to ensure the AFW system safety function was assessed during the AFW pump TS surveillance.
The surveillances associated with the AFRVs were consolidated into one new surveillance procedure.
j Programmatic corrective actions included a review of air operated valve applications to identify dual function valves similar to the AFRVs. As a result of this review, four other safety related valve test procedures were revised so that the appropriate vent path was used during testing. These deficiencies were reported under LER 95-020-00. IST acceptance criteria were also revised so that degrading conditions could be identified prior to reaching operability limits.
PRC FORM 366A 14-95)
.U.s. NUCLEAR REGULATo9Y COMMisslON (4-93)
UCENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1)
DOCKET LER NUMBER I 6)
PAGE (3) l 4
SEQUENTIAL REVislON YEAR NUMBER NUMBER 6OF6 Millstone Nuclear Power Station Unit 2 05000336 94 - 001 -
01 l
TEXT lif more space is required, use addotional copies of NRC Form 366A) (11) 1 V.
Additional Information
Similar Events Previous LERs that involve insufficient valve testing:
95-020:
Aucmatic Actuation of an Engineered Safety Feature During Maintenance 023:
Failure to Perform Technical Specifications Surveillances on Certain Containment isolation Valves 96-026:
Incomplete Technical Specification Required Surveillance - Valve Lineups inside Containment Ells Codes SJ - Feedwater System BA - Auxiliary / Emergency Feedwater System 1
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| 05000336/LER-1994-001-02, :on 940118,auxiliary Feed Regulating Valves to Meet Inservice Test Stroke Time,Failed.Caused by Presence of Hydraulic Forces Across Valve Plug.Ist Acceptance Criteria Was Revised |
- on 940118,auxiliary Feed Regulating Valves to Meet Inservice Test Stroke Time,Failed.Caused by Presence of Hydraulic Forces Across Valve Plug.Ist Acceptance Criteria Was Revised
| | | 05000423/LER-1994-001-02, :on 940120,discovered That Overtemp Delta T & Overpower Delta T Channel Checks Not Being Adequately Performed Due to Procedural Deficiency.Channel Check on Four Delta T Channels Performed |
- on 940120,discovered That Overtemp Delta T & Overpower Delta T Channel Checks Not Being Adequately Performed Due to Procedural Deficiency.Channel Check on Four Delta T Channels Performed
| 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)(B) | | 05000336/LER-1994-002-02, :on 940204,failed to Meet Acceptable Isolation Requirements Between Class 1E Protection Instrument Channel. Caused by Personnel Error.Design Changed to Provide Isolation Between Channels in Future |
- on 940204,failed to Meet Acceptable Isolation Requirements Between Class 1E Protection Instrument Channel. Caused by Personnel Error.Design Changed to Provide Isolation Between Channels in Future
| 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2) | | 05000423/LER-1994-002-01, :on 940123,notice That STA Absent Due to Personnel Error.Oncoming Shift Supervisor Reviewed Shift Schedule to Identify STA & Called STA to Report to Work.Sta Position Added to Shift Turnover Rept |
- on 940123,notice That STA Absent Due to Personnel Error.Oncoming Shift Supervisor Reviewed Shift Schedule to Identify STA & Called STA to Report to Work.Sta Position Added to Shift Turnover Rept
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(i) | | 05000423/LER-1994-003-01, :on 940125,outboard Containment Isolation Valve for ILRT Pressurization/Depressurization Line Found Unlocked.Caused by Personnel Error.Control Room Informed & Valves Relocked |
- on 940125,outboard Containment Isolation Valve for ILRT Pressurization/Depressurization Line Found Unlocked.Caused by Personnel Error.Control Room Informed & Valves Relocked
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(i) | | 05000336/LER-1994-003, Application for Amend to License DPR-65,incorporating Addl Requirements Into TS Re non-QA Equipment Utilized to Achieve Feedwater Isolation in Response to MSLB Inside Containment, Per Commitment Made in LER 94-003-00 & Listed I | Application for Amend to License DPR-65,incorporating Addl Requirements Into TS Re non-QA Equipment Utilized to Achieve Feedwater Isolation in Response to MSLB Inside Containment, Per Commitment Made in LER 94-003-00 & Listed Insp Repts | | | 05000423/LER-1994-003, :on 940125,outboard Containment Isolation Valve for ILRT Pressurization/Depressurization Line Was Found Unlocked Due to Procedure Deficiency.Procedures Have Been Revised & Addl Training Has Been Provided |
- on 940125,outboard Containment Isolation Valve for ILRT Pressurization/Depressurization Line Was Found Unlocked Due to Procedure Deficiency.Procedures Have Been Revised & Addl Training Has Been Provided
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(i) | | 05000336/LER-1994-003-02, :on 940218,degration of Sychronizing Capability Between Inverters Potential to Invalidate Assumption for Main Stream Line Break.Adjustments Made to Underfrequency Frequency Limiter Circuit |
- on 940218,degration of Sychronizing Capability Between Inverters Potential to Invalidate Assumption for Main Stream Line Break.Adjustments Made to Underfrequency Frequency Limiter Circuit
| 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2) | | 05000423/LER-1994-004-01, :on 940126,determined FWIV May Not Have Met Design & TS Closure Requirments Prior to 1989.Caused by Program Failure & Inadequate Design of Fwiv.No Corrective Actions Needed |
- on 940126,determined FWIV May Not Have Met Design & TS Closure Requirments Prior to 1989.Caused by Program Failure & Inadequate Design of Fwiv.No Corrective Actions Needed
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(i) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition | | 05000336/LER-1994-004-02, :on 940319,failure to Perform Adequate ASME Leakage Test Discovered.Caused by Personnel Error & Procedural Deficiency.Valve Bypassed & Isolated |
- on 940319,failure to Perform Adequate ASME Leakage Test Discovered.Caused by Personnel Error & Procedural Deficiency.Valve Bypassed & Isolated
| 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) | | 05000423/LER-1994-005, :on 940210,containment Drain Sump Level & Pumped Captivity Monitoring Sys Not Performing in Accordance W/Ts.Caused by Personnel Error.After Design & Procedural Improvements,Original Sump/Pump Back in Svc |
- on 940210,containment Drain Sump Level & Pumped Captivity Monitoring Sys Not Performing in Accordance W/Ts.Caused by Personnel Error.After Design & Procedural Improvements,Original Sump/Pump Back in Svc
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000336/LER-1994-005-01, :on 940401,determined That Both Facilities of Ebfs Had Never Been Tested in Accordance W/Ts.Caused by Program Failure/Personnel Error.Corrective Action: Surveillance Was Completed Satisfactorily |
- on 940401,determined That Both Facilities of Ebfs Had Never Been Tested in Accordance W/Ts.Caused by Program Failure/Personnel Error.Corrective Action: Surveillance Was Completed Satisfactorily
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000336/LER-1994-006-01, :on 940407,plant Did Not Meet Requirements of LCO 3.7.6.1 Re Two Independent Control Room Emergency Ventilation Sys.Caused by Inadequate Work Organization. Corrective Action:Revised OP 2315A |
- on 940407,plant Did Not Meet Requirements of LCO 3.7.6.1 Re Two Independent Control Room Emergency Ventilation Sys.Caused by Inadequate Work Organization. Corrective Action:Revised OP 2315A
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(i) | | 05000423/LER-1994-006, :on 940315,determined That Portions of AFW System Did Not Meet Design Requirements for Normal Use. Caused by Design Error.Afw Line Caution Tagged to Alert Personnel |
- on 940315,determined That Portions of AFW System Did Not Meet Design Requirements for Normal Use. Caused by Design Error.Afw Line Caution Tagged to Alert Personnel
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2) | | 05000423/LER-1994-007-02, :on 940414,determined That Valve Stroke Time Acceptance Criterion Exceeded System Response Time.Caused by Programmatic Error During Initial Startup.Corrective Action: Stroke Time Acceptance Has Been Reduced |
- on 940414,determined That Valve Stroke Time Acceptance Criterion Exceeded System Response Time.Caused by Programmatic Error During Initial Startup.Corrective Action: Stroke Time Acceptance Has Been Reduced
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000336/LER-1994-007-01, :on 940412,CRAC & Ebfs Were Inoperable Due to Previous Charcoal Testing Performed to Industry Std Different than Ts.Corrective Actions:Ts Changed to Reflect Newest Charcoal Testing Procedure |
- on 940412,CRAC & Ebfs Were Inoperable Due to Previous Charcoal Testing Performed to Industry Std Different than Ts.Corrective Actions:Ts Changed to Reflect Newest Charcoal Testing Procedure
| 10 CFR 50.73(a)(2)(i) | | 05000336/LER-1994-008, :on 940329,discovered That Data in OPS Form 2604P-2,was Recorded Incorrectly.Caused by Program Failure, Procedure Deficiencies & Technical Error.Corrective Action: Recalculated ESF Equipment Circuit Response |
- on 940329,discovered That Data in OPS Form 2604P-2,was Recorded Incorrectly.Caused by Program Failure, Procedure Deficiencies & Technical Error.Corrective Action: Recalculated ESF Equipment Circuit Response
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2) | | 05000423/LER-1994-008-01, :on 940505,identified Deficiency in Surveillance Testing for Bypass Relay Cards.Caused by Procedure Deficiency.All Suspected Relay Cards Were Tested & Operability Evaluation Was Performed |
- on 940505,identified Deficiency in Surveillance Testing for Bypass Relay Cards.Caused by Procedure Deficiency.All Suspected Relay Cards Were Tested & Operability Evaluation Was Performed
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000423/LER-1994-009-02, :on 940705,identified Unreliable Control Rod Position Indications.Caused by Failed Instrument Card in Drpi System.Failed Card Was Replaced & Surveillances Were Performed to Ensure System Was Fully Operable |
- on 940705,identified Unreliable Control Rod Position Indications.Caused by Failed Instrument Card in Drpi System.Failed Card Was Replaced & Surveillances Were Performed to Ensure System Was Fully Operable
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2) | | 05000423/LER-1994-010-01, :on 940726,trains of Charging Declared Inoperable.Caused by Overly Restrictive Acceptance Criterion for Cooling Pump Bearing Oil Level.Cooling Pump Level Changed to Provide Appropriate Operability |
- on 940726,trains of Charging Declared Inoperable.Caused by Overly Restrictive Acceptance Criterion for Cooling Pump Bearing Oil Level.Cooling Pump Level Changed to Provide Appropriate Operability
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000336/LER-1994-010, :on 940513,actuation Resulted in Starting of Facility II Charging Pump,Both Boric Acid Pumps.Caused by Spurious Actuation of DG Load Sequencer.Signal Noise Spikes Will Be Added to Quenched W/Stunting Resistor |
- on 940513,actuation Resulted in Starting of Facility II Charging Pump,Both Boric Acid Pumps.Caused by Spurious Actuation of DG Load Sequencer.Signal Noise Spikes Will Be Added to Quenched W/Stunting Resistor
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000245/LER-1994-011, :on 940322,RV Low Level Scram Setpoint & Low Level ECCS Setpoint Were Potentially Nonconservative.Caused by Failure of Plant Design.Setpoint Change Performed for Both Low Level Scram Setpoints |
- on 940322,RV Low Level Scram Setpoint & Low Level ECCS Setpoint Were Potentially Nonconservative.Caused by Failure of Plant Design.Setpoint Change Performed for Both Low Level Scram Setpoints
| 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2) | | 05000336/LER-1994-011-01, :on 940427,review of Cumulative Problems Discovered on B DG Was Performed.Caused by Natural End of Life for O Ring Joint.Three Cylinder Liners Were Replaced |
- on 940427,review of Cumulative Problems Discovered on B DG Was Performed.Caused by Natural End of Life for O Ring Joint.Three Cylinder Liners Were Replaced
| 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition | | 05000423/LER-1994-011-02, :on 940908,manual Reactor Trip Initiated Due to MSIV Failure During part-stroke Test.Solenoid Valve & Number of Pins Replaced & MSIVs Tested Satisfactorily |
- on 940908,manual Reactor Trip Initiated Due to MSIV Failure During part-stroke Test.Solenoid Valve & Number of Pins Replaced & MSIVs Tested Satisfactorily
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000336/LER-1994-012-01, :on 940505,ESAS Undervoltage Modules That Could Have Prevented Automatic Undervoltage Actuation Were Discovered.Caused by Design Deficiency.Modules Will Be Found & Replaced While Still Able to Perform |
- on 940505,ESAS Undervoltage Modules That Could Have Prevented Automatic Undervoltage Actuation Were Discovered.Caused by Design Deficiency.Modules Will Be Found & Replaced While Still Able to Perform
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000245/LER-1994-012, :on 940329,relief Pilot Valves Indicated That All Six Valves Lifted at Pressures in Excess TS Limit.Caused by Oxide Bonding of Pilot Disc to Pilot Seat.Corrective Actions:Valves Refurbished |
- on 940329,relief Pilot Valves Indicated That All Six Valves Lifted at Pressures in Excess TS Limit.Caused by Oxide Bonding of Pilot Disc to Pilot Seat.Corrective Actions:Valves Refurbished
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000423/LER-1994-012-02, :on 940909,leak Was Discovered in Socket Weld on C RCS Loop Flow Instrumentation Line.Caused by Weld Defect.Ts Action Statement 3.4.6.2.a Was Entered.Weld Flaws Repaired |
- on 940909,leak Was Discovered in Socket Weld on C RCS Loop Flow Instrumentation Line.Caused by Weld Defect.Ts Action Statement 3.4.6.2.a Was Entered.Weld Flaws Repaired
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000336/LER-1994-013, :on 940510,discovered That 18 Month Surveillance Sp 2614D Not Performed within Required Surveillance Period.Caused by Personnel Error.Surveillance Performed Immediately |
- on 940510,discovered That 18 Month Surveillance Sp 2614D Not Performed within Required Surveillance Period.Caused by Personnel Error.Surveillance Performed Immediately
| 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2) | | 05000336/LER-1994-013-01, :on 940510,discovered That TS Surveillance Had Not Been Performed within Required Time Level Due to Personnel Error,Supervisory Methods & Work Organization & Planning.Performed Missed Surveillance |
- on 940510,discovered That TS Surveillance Had Not Been Performed within Required Time Level Due to Personnel Error,Supervisory Methods & Work Organization & Planning.Performed Missed Surveillance
| 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2)(1) | | 05000423/LER-1994-013-02, :on 940916,determined That Previous Plant start-ups Conducted W/Several Operability Tests Not Performed Prior to Entry Into Modes 4 & 3.Caused by Misinterpretation of Inconsistency in TS |
- on 940916,determined That Previous Plant start-ups Conducted W/Several Operability Tests Not Performed Prior to Entry Into Modes 4 & 3.Caused by Misinterpretation of Inconsistency in TS
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000423/LER-1994-014-02, :on 941121,TDAFWP Failed to Start During Cold Start Surveillance Test.Caused by Preexisting Conditions of Tdafwp Trip Valve Linkage.Corrective Maintenance Performed on Linkage |
- on 941121,TDAFWP Failed to Start During Cold Start Surveillance Test.Caused by Preexisting Conditions of Tdafwp Trip Valve Linkage.Corrective Maintenance Performed on Linkage
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(1) | | 05000336/LER-1994-014-01, :on 940510,discovered Overstressed Condition in Commom Discharge Line from Vital DC Switchgear Room Coolers, Due to Missing Pipe Support.Installed Missing Support |
- on 940510,discovered Overstressed Condition in Commom Discharge Line from Vital DC Switchgear Room Coolers, Due to Missing Pipe Support.Installed Missing Support
| 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition | | 05000245/LER-1994-014, :on 940408,inadvertent ECCS Actuations Occurred During Performance of Special Procedure.Caused by Procedural Deficiency Due to Lack of Detail.Corrective Action:Guidance on Hfa Relay Was Provided |
- on 940408,inadvertent ECCS Actuations Occurred During Performance of Special Procedure.Caused by Procedural Deficiency Due to Lack of Detail.Corrective Action:Guidance on Hfa Relay Was Provided
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000336/LER-1994-015-01, :on 940519,revealed Automatic Auxiliary Feedwater Initiation Control Circuit Does Not Meet Single Failure Criterion Due to Inadequate Interface of Design & Equipment Condition.Design Change Evaluated |
- on 940519,revealed Automatic Auxiliary Feedwater Initiation Control Circuit Does Not Meet Single Failure Criterion Due to Inadequate Interface of Design & Equipment Condition.Design Change Evaluated
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000423/LER-1994-015-02, :on 941229,CR Day Shift Did Not Have STA for 35 Min.Caused by Personnel Error.Immediate Efforts Made to Determine If Other Qualified STA Individuals on Site Could Fill Position |
- on 941229,CR Day Shift Did Not Have STA for 35 Min.Caused by Personnel Error.Immediate Efforts Made to Determine If Other Qualified STA Individuals on Site Could Fill Position
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(i) | | 05000245/LER-1994-015, :on 940410,during Surveillance Test,Inadvertent Decrease of RPV Water Level Occurred.Caused by Failure to Recognize Interactions.Corrective Action:Restored RPV Water Level & Isolated Leakage |
- on 940410,during Surveillance Test,Inadvertent Decrease of RPV Water Level Occurred.Caused by Failure to Recognize Interactions.Corrective Action:Restored RPV Water Level & Isolated Leakage
| 10 CFR 50.73(a)(2)(v)(B), Loss of Safety Function - Remove Residual Heat | | 05000336/LER-1994-016, :on 940708,SG Blowdown Isolation Valves 2-MS-220A & 2-MS-220B Automatically Closed Due to Spurious High Radiation Signals in SG Blowdon RM,RM-4262.There Were No Similar LER |
- on 940708,SG Blowdown Isolation Valves 2-MS-220A & 2-MS-220B Automatically Closed Due to Spurious High Radiation Signals in SG Blowdon RM,RM-4262.There Were No Similar LER
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000336/LER-1994-016-01, Forwards LER 94-016-01.Original Rept Had Been Erroneously Submitted Ref Millstone Unit 1 License & Docket Number. Rev 1 to LER Reflects Correct Numbers | Forwards LER 94-016-01.Original Rept Had Been Erroneously Submitted Ref Millstone Unit 1 License & Docket Number. Rev 1 to LER Reflects Correct Numbers | 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000336/LER-1994-017, :on 940601,inadvertent ESAS Actuations Occurred.Caused by Deenergizing of Engineered ESAS Facility 2 Actuation Cabinet.Revised Operations Procedure 2384 |
- on 940601,inadvertent ESAS Actuations Occurred.Caused by Deenergizing of Engineered ESAS Facility 2 Actuation Cabinet.Revised Operations Procedure 2384
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(b)(2)(ii) | | 05000336/LER-1994-017-01, :on 940601,EBFAS & Control Room Filter Fan Actuation Occurred.Caused by Fused Contact W/Holder Which Reenergized Circuit.Procedure 2384 Will Be Evaluated.W/ |
- on 940601,EBFAS & Control Room Filter Fan Actuation Occurred.Caused by Fused Contact W/Holder Which Reenergized Circuit.Procedure 2384 Will Be Evaluated.W/
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000336/LER-1994-018-01, :on 940602,filter Fans Crac Appeared to Be Feeding Opposite Supply Train.Caused by Incorrect Installation of Crac Sys.Plant Design Change 2 Was Implemented on 940605 |
- on 940602,filter Fans Crac Appeared to Be Feeding Opposite Supply Train.Caused by Incorrect Installation of Crac Sys.Plant Design Change 2 Was Implemented on 940605
| 10 CFR 50.73(a)(2)(vi) 10 CFR 50.73(a)(2)(i) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition | | 05000336/LER-1994-020, :on 940722,determined That DG Fuel Oil Supply Less than IEEE Std.New Fuel Oil Consumption Calculation Performed Which Determines Length of Time DG Can Be Operated at Full Rated Capacity & TS Change Submitted |
- on 940722,determined That DG Fuel Oil Supply Less than IEEE Std.New Fuel Oil Consumption Calculation Performed Which Determines Length of Time DG Can Be Operated at Full Rated Capacity & TS Change Submitted
| 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition | | 05000245/LER-1994-020-01, :on 940527,SW Sys & ESW Sys Pump Motors Could Not Be Demonstrated to Be Operable During Several Loss of Intake Structure Scenarios.Caused by Inadequate Engineering Evaluation.Hvac Sys Will Be Reviewed |
- on 940527,SW Sys & ESW Sys Pump Motors Could Not Be Demonstrated to Be Operable During Several Loss of Intake Structure Scenarios.Caused by Inadequate Engineering Evaluation.Hvac Sys Will Be Reviewed
| 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) 10 CFR 50.73(a)(2)(iii) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2)(viii) | | 05000336/LER-1994-021-01, :on 940615,determined That Shielding Had Been Installed Without Processing Temporary Shielding Request.Caused by Bricks Installed W/Inadequate Controls & Methods.Shielding Was Removed |
- on 940615,determined That Shielding Had Been Installed Without Processing Temporary Shielding Request.Caused by Bricks Installed W/Inadequate Controls & Methods.Shielding Was Removed
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000336/LER-1994-022-01, :on 940620,second Analyzer Failed Surveillance Test.Caused by Timer Switch Left in Off Position in Accordance W/Operating Procedure.I&C Repaired Defective Unit & Surveillance Sp 2403C Performed |
- on 940620,second Analyzer Failed Surveillance Test.Caused by Timer Switch Left in Off Position in Accordance W/Operating Procedure.I&C Repaired Defective Unit & Surveillance Sp 2403C Performed
| 10 CFR 50.73(a)(2)(vi) 10 CFR 50.73(a)(2) | | 05000336/LER-1994-023-01, :on 940725,Charging Pump B Inadvertently Started Due to Failure of Selector Switch When Operator Changed Switch Position.Switch Will Be Replaced During Upcoming Refueling Outage |
- on 940725,Charging Pump B Inadvertently Started Due to Failure of Selector Switch When Operator Changed Switch Position.Switch Will Be Replaced During Upcoming Refueling Outage
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2) | | 05000336/LER-1994-024, :on 940922,B DG Removed from Svc for Monthly Surveillance Run & a DG Declared Inoperable After Receiving DG Disable Alarms in Cr.Cause of Event Unknown.Alarms Reset, Quick Start Performed & a DG Declared Operable |
- on 940922,B DG Removed from Svc for Monthly Surveillance Run & a DG Declared Inoperable After Receiving DG Disable Alarms in Cr.Cause of Event Unknown.Alarms Reset, Quick Start Performed & a DG Declared Operable
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000336/LER-1994-025-01, :on 940907,seismic Monitor Recorder Inoperable for Greater than 30 Days.Caused by Personnel Error.Recorder Repaired |
- on 940907,seismic Monitor Recorder Inoperable for Greater than 30 Days.Caused by Personnel Error.Recorder Repaired
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000336/LER-1994-026, :on 940825,vital 120 Volt AC Sys Degraded. Caused by Inadequate Design in Coordination of H Analyzer Power Supply.Change Was Implemented to Install Fuses |
- on 940825,vital 120 Volt AC Sys Degraded. Caused by Inadequate Design in Coordination of H Analyzer Power Supply.Change Was Implemented to Install Fuses
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000336/LER-1994-027-01, :on 940903,channel B Linear Range Ni Drawer Opened & Technicians Found Connector J6 Disconnected from Jack.Caused by Personnel Error.Reconnected HV Connector J6 & Ensured Proper Operation of Channel B |
- on 940903,channel B Linear Range Ni Drawer Opened & Technicians Found Connector J6 Disconnected from Jack.Caused by Personnel Error.Reconnected HV Connector J6 & Ensured Proper Operation of Channel B
| 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)(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)(viii) |
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