ML20148R448

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Discusses 871214 Enforcement Conference Re Findings Noted in Insp Rept 50-458/87-28 on 871101-21.Meeting Summary & Related Documents Encl
ML20148R448
Person / Time
Site: River Bend Entergy icon.png
Issue date: 01/29/1988
From: Callan L
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To: Deddens J
GULF STATES UTILITIES CO.
References
EA-87-229, NUDOCS 8802020181
Download: ML20148R448 (28)


See also: IR 05000458/1987028

Text

{{#Wiki_filter:jo "%g UNITED ST ATES

               '
 /...
             ..              NUCLEAR REGULATORY COMMISSION
       >'"       $                              REGION IV
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           ,
                                  611 RY A *4 rt AZA DRIVE. SUITE 1000
                                       ARLINGTON, TEX AS 76011
                                             JAN 2 91933
      Docket No. 50-458
      License No. NPF 47
      EA No. 87-229
      Gulf States Utilities
      ATTH: Mr. James C. Deddens
              Senior Vice President, (RBNG)
              Nuclear Licensing
      P. O. Box 220
      St. Francisville, LA 70775
      Gentlemen:
      This refers to the Enforcement Conference conducted in the NRC Region IV Office
      on December 14, 1987, with you and other members of your staff, and Region IV
      and Office of Nuclear Reactor Regulation personnel. This conference was
      related to the findings of the NRC inspection conducted during the period
      November 1-21, 1987, which were documented in our NRC Inspection
      Report 50-458/87-28, dated December 7, 1987
      The subjects di* cussed at this meeting are described in the enclosed Meeting
      Suma ry.
      In accordance with Section 2.790 of the NRC's "Rules of Practice," Part 2
      Title 10, Code of Federal Regulations, a copy of this letter will be placed in
      the NRC's Public Document Room.
      Should you have any questions concerning this matter, we will be pleased to
      discuss them with you.
                                                        Sincerely,
                                                                 /      pf
                                                                     G A X CL'
                                                        L[.J.Fallan, Director
                                                        Divi i n of Reactor Projects

! ! Enclosure:

      Meeting Summary

I

      cc w/ encl: (see next page)

1

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                                                            JM 2 91983
Gulf States Utilities                -2-
 cc w/ enclosure:
Gulf States Utilities
ATTN:   J. E. Booker, Manager-
           River Bend Oversight
P. O. Box 2951
Beaumont, Texas 77704
Louisiana State University,
   Government Documents Department
Louisiana Radiation Control Program Director

'bec to DMB (IE45)

bec distrib. by RIV:
DRP                                Resident Inspector
R. D. Martin, RA                   Section Chief (DRP/C)
Lisa Shea, RM/ALF                  RIV File
RPSB-DRSS
Project Engineer, DRP/C
W. Paulson, NRR Project Manager
DRS
D. Powers
                                                                       l
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                                                                       I
RIV:C:DRP/C           Lu M          ... .           -
Eholler:vsa           DAPowers     LJCallan        RCMartin
1/ 1/88                            1/L9/88         1/ /88
                      1/Gf/88
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                                                                                                                                                              i
                                                                                                                                                              -
                                                                        ATTACHMENT

'

                                                                                                                                                              '
                                                      GULF STATES UTILITIES
                                                                                                                                                              '
                                                             DECEMBER 14, 1987

l !

                                                                MEETING SUMMARY
                                                                                                                                                              ,
                                                                                                                                                              '
     Licensee:                     Gulf States Utilities (GSU)
     Facility:                     River Bend Station (RBS)
                                                                                                                                                              .
     License No.:                  NPF-47
     Docket No.:                   50-458                                                                                                                     ,
     SUBJECT:                      ENFORCEMENT CONFERENCE CONCERNING NRC INSPECTION FINDINGS
                                   (INSPECTION REPORT 50-458/87-28)
     On December 14, 1987, representatives of Gulf States Utilities, met in
     Arlington, Texas, with NRC Region IV and NRR personnel to discuss the findings
     documented in the NRC Inspection Report dated December 7, 1987. The attendance
     list and licensee presentation are attached. The meeting was held at the
     request of NRC, Region IV.
     The NRC discussed its concern regarding a mispositioned process isolation root                                                                           '
     valve for one channel of high drywell pressure instrumentation. The licensee
     discussed the cause for the mispositioned valve, how the problem was                                                                                     !
     discovered, the safety significante of the matter, and corrective actions taken                                                                          ,
     by the licensee.                                                                                                                                         }
                                                                                                                                                              l
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     Enclosures:
     1.              Attendance List
     2.              GSU Presentation
                                                                                                                                                               l
                                                                                                                                                               l
                                               .. - - - - - -, . -                 -
                                                                                       -
                                                                                         - . _ _ _ . _ - - _ _ - _ - _ _ . _ . _                       -
                                                                                                                                                         - .;
      . _ - _ _ .                            -_
                                                     -
                                                            - . _ - . . _ . _ _ .          .-_ ~ . - ._--. . - - . -.

. .

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                                                                                                                      !

j ENCLOSURE 1 l

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                                        ENFORCEMENT CONFERENCE ATTENDANCE LIST - REGION IV                            i
                                                                                                                      ?
                                                            GULF STATES UTILITIES                                     .
                                                                                                                      l

I NRC Attendees: J. Montgomery, Deputy Regional Administrator

J. Callan, Director, Division of Reactor Projects
                                                A. Beach, Deputy Director, Division of Reactor Projects
:                                               J. Milhoan, Director, Division of Reactor Safety
                                                D. Powers, Enforcement Officer
!                                               J. Jaudon, Chief, Projects Section A
!                                               D. Hunter, Chief, Technical Support Section

'

                                                W. Seidle, Chief, Operational Programs Section

l G. Madsen, Acting Chief, Projects Section C  !

D. Chamberlain, Senior Resident inspector  ;

, W. Paulson, Project Manager, NRR ' ,

                                                H. Scott, Enforcement Staff

i i

   Licensee Attendees:                                 J. C. Deddens, Senior Vice President, River Bend
.
                                                          Nuclear Group

l J. E. Booker, Manager Oversight

'
                                                       E. R. Grant, Director, Nuclear Licensing
                                                       T. F. Plunkett, Plant Manager
M. Sankovich, Manager Engineering .

I D. Williamson, EPS Supervisor j l J. Schippert, OPS ENG i i

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                                         not.a Utu 131987 lywt
                                           Deceber 14, 1987
                              RIVER Ba'D
                                                 Page
        HERDIXITIQ1        u,
                                                   1
        SDKU4CE OF EVDES                        2,3,4
        SYS'1Hi 1DGIC                        5,6,7,8,9
        SAITIY SIGEFICMiCE                10, 11, 12, 13, 14
        CDRRECTIVE 4CTIQi                       15, 16
        SlWARY                                  17, 18
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                                        _ _ _ _ _ _ _ _ _ - -
                           INIFODUCTION

August 29, 1985: River Bend receives its Irv Power License October 31, 1985: River Bend enters !bde 2 and reaches initial

                  criticality

tbvenber 20, 1985: RBS receives Full Pcuer License Decmber 3, 1985: Initial Generator Synchronization Septmber 14, 1987: RBS shut dcm for first re.#ueling outas;e Novecber 17, 1987: Poutine refueling outage Limtps on thiclear Boiler l

                                                                      l
                  Instn:vntation (SOP-001) were being perfonvd when
                  operators identified the as found condition of
                  1RCS*V122 closed. They immediately identified this
                  condition to their supervisors, the !RC, and the
                  Plant !bnager, and initiated a Condition Peport,
                                                                     i
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                             SEQUENCE                   OF                              EVENTS
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                                             _
                                                                                                ;
                                         SEQLTNCE OF EVDirS
  July 5, 1985:                S'R 04128 written on valve RCS*V122 identifying
                               missing valve packing bolts.
  August 13, 1985:              SOP-001        (Nuclear Boiler Instnrentation)            valve
                                 lineup perforned. RCSM'122 not signed off - noted
                               need to repair.
                                                    !UIE
      he lineup had been revised via Tmporary Change !;otice imi)
      to renwe every other itctn (they were being transferred to a
      separate I&C attachment).
  August 15, 1985:             Shift        Supen*isor        reviewed     the     lineup   for
                               ecnpletien, overicoki'u the failure to ccrplete
                              RCSME 2,
  August 29, 1985-            PSS re eives 1cu pcuer license. Unit enters Mode 5
                               the fv11cving day.              I.6stnrvnts from RCS%r122 !Ur
                               required cperable.
  Septaber 6, 1985:          !KR 04128 released for wrk                -
                                                                          No "Tracking IID"
                            written.
                                                    !UIE
      We "Tracking 100" syst.czn was written into procedures 8/31/85.
      Review and approval received 9/10/85. Distribution to muual
      holders was made 9/12/85.

j October 25, 1985 SR 04128 signed off cocplete. !b work ) instnictices to check writion of valve. 1 October 31, 1985 Unit enters Pode 2. Instnrents off of RCS%'122 ] required operable for first tire.

                                                    !UTE
      We Dryw11 Press instn:vnts are unique in that the process
      ptuvides a : ero reading "at all tires - as would an isolated
      instnrent. Werefore, channel checks" throudrut the cycle

.! w uld not identify this condition as they would for other

      instnrents.
                                                                                                I

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                           NUMBER                            (OR DESCR!."7 TON)
                                                      Upstream Root
                                                                                                               POSIT 10Nl1st!2nd                               I
                                                                                                                                                                   POSITION             '
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                                                                                                                                                                 -
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                         1RCS-V84                     Low Side Root for the Folicwing                                            qf                           '                        '
                                                      Instruments                                                 OPEN
                !                                     1821 t.T-N095A          . IC33.Li-N004A                                      ;                               ' 4g
                                                                                                                                                                   ,-                           :

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                         1RCS V85                                                                                                                                                         ~~c d
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                                                     Downstream Root                                              OPEN
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                                                     Upstream Root
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                         1RCS-V80                    Hi Side Root for the Follcwing

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                                                     1821-LT h080C               1821-LT-N081C
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                                                     1C33-LT-N004C
                                                     1821-LT-N044C
                                                                                 1821 LT-N073C                   OPEN                (,%,
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             I                                                                   1821-LT-N073G
             I Se, aC,                               Root for the following instrument
                                                     1821-PT-N078C
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                        1RCS-v81                    Downstream Root                                                                                                                   Teel
           !                                        Same description as IRCS-V80
                                                                                                                 OPEN                                                                 85 ift
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                        1RCS V82                   Low Side Root for the Following                           I
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                                                    IB21-LT N080C
                                                                                                                OPEN           <h M4h[jcPOJ
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         j              1RCS-V83                   Downstream Root                                              CFEN
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                                                   Same description as 1RCS V82                                             ,
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                       1RC5.V87                                                                            '                                  I           I                       Ip.
      !                                 I'DownstreamRoot
                                                   Same description as 1RCS-V86                            I
                                                                                                                OPEN                                                                Br 4 8.
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     I 'i:C5.V122                       I                                                                 j                j                  j          j                                   r

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                                                   1821-PT-N067G               1C71-PT-h050C
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    l1RCS-V123                                ~ 1821 PT-N094A                                                             !'l
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                                                                              1C71 PT N050A
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                                                                                                               CFEN
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! isCS-V120 Root for the Folicwing Instruments l I..! I I

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                                                  1521-PT-NC948               1C71 PT N0508             :      OFEN
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                                                 a21-,T.NC,u                  n n -PT N050B            ;                ;                 ;7%hd,                    usa./l     ,

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       I           m '.tC E R                 (OR DESCR!PTION)                                                          P05tTION         1st ' 2nd            POSITION
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                                                  ' aments                1833.FT.N037M
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       l                               1833.FT.N0370                      1833 FT.M037P                                    OPEN        L
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      i                               1833.FT.NO37F                       1F33.FT.N0375                                                  D               '
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               .                     Downstream Root                                                                      CPEM                                                    gr. ig:
                                     Same description as 1RCS.V118
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               U ' .Y20              Upstream Orain Yalve Above Core                                                    CLOSED                               o n s,c
     5-.            ..
                                     Plate Pressure Instrument Line
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                    DRYW:LL ~3RESSUR B TRANSk:IT"ERS
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             INSTRUMEtJTATIOtJ---                          CONTAltJMEtJT            O !!JSTRUMEllTATIOt1 LO
         ROOT VALVE (IYP)                                   <               m
        RPS         HPCS       HPCS                                                            HPCS   HPCS   RPS
                                  PT                  7-- -                         _-
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                    LPCl C LPCI C                                            V! ELL            LPCI A LPCI A
        RPS         ADS B ADS B                                                                ADS A ADS A   RPS
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                                                                                             LOST 'i/4 OF THE LOCiC !!Jr'UT
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                                                                                   g             g                     DRWE! L PRESSURE HI
                                                                                    i             T                    RF ACTOR 1 EVEL LOW
                                                                                        OR          ~
                                                                                                                       RiACIOR LEVEL HI
                                                            RPS
                                                                                   j             )                     REACTOR PRESSURE HI
                                                                                                                       TiiERMAL FLUX HI
                                                                                                                       APRM FLUX HI
                                                          CP5'N
                                                             D ,/                                                      1RM Fl UX HI
                                                                                                                       SRM FLUX HI
                                                                                                                       STE AMLINE RADIATION H!
                                                                                                                       STE AutiNE ISOLA TlOfJ VALVES Cl OSED

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                                                                                                                       TURBINE STOP VisLVES CLOSED

! TURBiUL CONTROL VALVES CLOSED

                                                                                                                       SCRAM DISCHARGE VOLUME LEVEL HI

! MANUAI

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                                               3                  3
                                                        OR          -
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                            @
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                            tiPCS                                                         tiPCS

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                                                                                   HPCS INITIATION SIGNAIS
                                               T                                   ORYWELL PRESSURE fil
                                                   1
                                                                                   REACIOR LEVEL LOW
                                                        OR          ^
                                                                                   MANUAL
                            liPCS

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 . -   _                                            .   _          _            _                                        _
     CON"AIXYEN" ISOLAT:0X / DIVIS 0NAL INIT:AT:0N
                                                  LOGIC        -
                                                                                DRYWEL1 PRESSUR3 HI
                                                               LOST 1/2 OF THE LOGIC               -
      RPS
                                                                                               CONTAINMENT ISOLATION
                                                                                                27 VALVES AND DAMPERS AFFECTED
      OPT
       A
                                                                                     ISOLATE
                                                                                              NOTE: MSIV RCIC, RWCU, RHR-SDC
                                                                                  OUTBOARD
                                                                                              ISOLATIONS ALWAYS REMAIN FULLY
                                                      AND                                     FUNCTIONAL.
      RPS                                                                            INITIATE  DIVISIONAL INITIATION

, DIV 1 T STANDBY GAS TREATMENT

                                                                                              ANNULUS MIXING
                                                                                              FUEL BUILDING EXHAUST FILTRATION
      pps                                                                                     CONTAINMENT HYDROGEN ANALYZER
                                                                                              LOAD SHED
                                                                                              SYSTEM VALVES
       B
                                                                                    ISOLATE
                                                                                   INBOARD
                                                                     l
                                                      AND        ~
                                                                                              ISOLATION / INITIATION SIGNALS
      RPS                                                                           IN TIATE
                                                                                              DRYWELL PRESSURE HI
                                                                                              REACTOR LEVEL LOW
                                                                                              MANUAL
                                                                                                                .
                                                                                                                           -
          _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _         __ _        _ _ _ _ _            -  -       --
   --_        _ _ _ - - - _-_ -                                              _             _-   _              _.                  -        ..       ..
                                                                                                                                                                             L
              TYPICAL ISOLATEON VALVES AND DAMPERS
                                                                                                                  LOST DRYWELL PRESSURE HI AUTO ISOLATION
                                            CONTAINMENT                                                                           b
                                                                                                                                     I   I
                                                                                                                                                 ,       SECONDARY
                                                                                                                                       b-
                                                                                                         AUXILIARY                                       CONTAINMENT
                                                      PURGE                                               BUILDING                                       ISOLATION

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              DRYWELL
                                                        ~
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                                                  M                                      M      S                   0 0_ l 0
                                                                                                                    ._,         _,         ._,
                                                                                                                                                           --
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                                                                                          tIa [ pq             - 4 4 } - 4}--{ SZciS D v[P                 _    f        ---
                                                                                                                   ^
                                                            - DRYWELL                                             ^
                                                                                                                            *
                                                                                                                                           O
                                                   /                      ISOLATION                                                    l   irJ
                                                 -                                                                                         4 {SgrS ev e----
                                                                                                                                                            - -
                                                                                                                                       '-
                                ~~",
                                 2                    1                                   2          1.P         P              PVLCS
                                                                                                      r        pa [s
                                  -                --                                   -
                                                                                              _
                       s_t 3                       43                      -
                                                                                 -- p.3              s3
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                                                                               PROCESS
1
                                                                               LINE (IYP)
                                         ~~ ~~                                       ~~
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                                                                                                                DIVISION 2 ISOLATION LOST:
j                                                                                                              8 DRYWELL ISOLATION VALVES
:                                                                                                              11 CONTA!NMENT ISOLATION VALVES
i                                                                                                              6 SECONDARY CONTAINMENT ISOLATION DAMPERS
j                                                                                                              2 PVLCS VALVES
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                       SAITIY SINITIGNCE ANALYSIS                                       '
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                      High Drywell Pressure Autcmatic                                   !
                    Safety Functicus Not Available with                                 ;
                     Process Fat Valve PCS*V122 Shut                                    ;
                                                                                        !
                                                                                        !
                                                                                        ;
         Function                   Duration               Cause

Reactor Scram 45 min /conth Required Testing HPCS Initiation 90 min /conth Bequired Testing

                                                                                        i

Group of Contaiment 90 min /conth Required Testing  ! Isolation Valves j

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                                                                                        i

STBY Gas Treat Initiation (*) 2 days 22 hrs (.4 Div 1 Train Incp  !

                                  90 min /conth       Required Testing                  l
                                                                                        !

Amulus Mixing Initiation (*) 10 hrsN Div 1 Train Inop

                                  90 edn/ month       Required Testing
                                                                                        l
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                                                                                        1

Fuel Bldg. Exh. Filt.(*) 10 days 18 hrs (') Div 1 Train Inap

  Initiation                      90 min /conth       Required Testing                   ,

H2 Analyzers Initiation 5 days 5 hrs Div 1 Train Incp l

                                  90 min /conth       Required Testirg

Group of Ioad Shed Breakers 90 min /nonth Required Testing (*) The Division I isolation of the normal ventilation cm High Drwell

    Pressure would have still initiated Division II of these systans even
    den Division I was inoperable.
                                  -10-
                      SAFEIY SIGNAIE/SY5' IDS AVAIIABLE
  • RPS actuation (scram) cm Dryw11 Pressure High was available via "A" and
  "B or D" chamels.
  • HPCS initiation on Dave 11 Pressure High was available via "R and L"
  chamels.
  • Contaiment isolation on Drywell Press Fich was available via "A and D"
  channels to outboard isolation valves.
                                   !UTE
    MSIV RCIC steam supply, LEU, and RHR-SDC isolations remained
    fully functional.
  • Division I ventilation rmained available fuc auto start on Dnwil ~
  Pressure High via "A and D" isolation logics.
  • Division II SBGT, Amulus Mixing, and Fuel Be'1 ding Exhaust Filtration
 wuld have received an auto start on nomal ventilation icv ficv frm its
 Division I isolation on High Drwell Pressure.
  • During loss of Offsite Pcver event, all initiatims, isolations, and lead
  sheds (prior to D/G tie to the bus) will occur m both divisicus due to
  failed safe logic.
  • At all tires cultiple redundant indication of actual Dow11 Pressure
  existed.
  • '1% separate independent amunciators on Dnvell Pressure High (belcv the
  1.68 psi trip) were available at all tires.
  • 14 annunciators signaling one of four (typically - sm e vere one out of
  tm) Dnwil Pressure High instnrvnts tripped (at > 1.68 psi) were
 available at all tirus.
                                  -11-
                   OWm0L R0ct4 MRE; CIA 10RS

Alam Panel Windcv Title Setpoint

   P601   16-B05 HPCS Initiation D:'sull Pressure
                                      ,
                                                     1.68 psid
                 High
   P601   17-E01 1.PCI & Div I! D/G Initiation High
                 IM Preemre                         1.68 psid
   P601   17-E03 ITCI & Div II D/G Initiation Auto
                 or !Snual                          1.68 psid
   P601   19-A09 Div II ADS logie High Dasv11
                 Press Scaled In                    1.68 psid
   P601   19-B02 Div I ADS logic High Dr sell
                 Press Scaled In                    1.68 psid
                                                                t
   P601   20-E06 Div I MR Systm Actuated            1,68 psid
   P601   21-B08 LPCS Syst m Activated              1.68 psid
  P601    21-E07 Div I ITCS Init D:'.sv11
                                     '
                 Pressure High                      1.68 psid   .
                                                                !
   P680   04-B01 HPU A IV High Press Interlock      1.68 psid
  P380    04-B07 HPU B IM High Press Interinch      1.68 psid   ;
   P680   05-B02 Desv11 High/Im Pressure            + 1,2,
                                                    - 0.3 psid  L
   P680   06-E02 !!SSSS Init Dt,wil High Pressure   1,68 psid
   P808   83-G04 CIPr/Dt'wll Diff Press High/Im     + 1.08,     4
                                                    - 0.18 psid l
   P808   84-004 Cair/Dnwil Diff Press High/Im      * 1.08,      !
                                                    - 0.18 psid  l
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                           -12-
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                 QWGOL RtXH INDICNIURS                   I
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            P808                  OG-PP2A               -

l Q S-PP2B

           P819                   OS*ESX29A

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           P842                   OS*EST.29B
                                                        !
           P625                   B21*N667G )  PfS*V122

] B21*t:667C ) isolated

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           P618                  B21ft 694B

! B2Dt;694F ) P629 B21*N694A

B211N694E
           P693                  C71M;650C )   RCS*V122
                                               isolated

j P691 C71*S650A

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           P692                  C71*t:65CB

i l P694 C7111:650D

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                                           _ _ _ _ _ _
                           COFSICnVE ACn0t3
                            HARDWAFI FIIATED
  • Valve IRCS*V122 correctly positioned epen.
  • 100% of all Safety Polated systm valve lity.ups (a total of 11,708 safety
 related valves) are being perfonmd prier to start-up. This includes an
 independent verificatien of preper valve position.
  • All M,0 job plus for work en any valve require positiening prior to
 ccepletien.
  • All process root valves supplying instn:mnts which nomally read aero
 vill ncv be sealed open and verified open at each refueling cutage.
  • All fcur Dryw11 Pressure instnnmt penetratiens and instnnmt tubirs,
 wre verified open and free of obstniction during the Dnwil Bypass
 Test.
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                                  -15-
                                                                           J
                            COPRECTIVE ACTICt?S
                          ADENIS"GATIVE O2TEOL
  • The "Tracking 140" systm was inp1(wnted to ensure this t'ge of kncun
 probim is not overlooked.
                                                                          ,
   * Initially inpimented in Sept (rter,1985.
   * Has worked very effectively since then.
  • Operations perfotrs lineup verification en ECCS and DG systms wekly, as ,
 epposed to the Tech Spec required renthly frequency. QA is continuing to
 randmly audit these system lineups.
                                                                          ;
                                                                          1
  • khen rajor work is perforced on systms, cceplete lineups are donc prior l
 to return to service . Each cycle,100% of all saferv related systms'
 lineups are performd.
  • Additional Operations ranagctrnt reviw of ecvpleted valve lineups
 .    ired to assure adequacy of problem disysition. Also serves as
 i     endent check on cctpletion.
  • QA is auditing 100% or the ccepicted cafety related systes' lineup
 sheets.                                                                  .
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                                                                               _____
           _ _           _    _               _        _.
                                        S11tuRY
  * Foot cause of occurrence is personnel overs.pht.
     * Contributing cause was inadequate Klintenance wort job plan.
  * nis event is distinctly different frce other "mispositioned valve"
    events previcualy reported:
     * Operations personnel involved, not ISC.                                       '
     * In previous events, &>ctrentation indicated the valve was independently
        verified open.     Corrective action addressed inadequate indepedent

i verification practices. In this event, doctrentation was inemplete

;       and did not support the valve being epen. Corrective action adds an
        independent revis of doctrentation for empletion.
  * B e safety significance of this event was

4

* loss of a group of isolaticus on High Dnsvil Pressure for brief

j periods of surveillance testing

)    ' loss of scram signal en High Dow11 Pressure for brief priods of
'
        su:veillance testing
     * loss of HPCS initiation en High Dnw11 Pressure for brief periods of           i
        su:ve111ance testirg                                                         ,
                                                                                     '
     * loss of Divisim II Contaitrent Hydrogen ronitor initiation en High
)       Daw 11 Pressure
     * Ioss of Divisicu II load shed of non-safety related loads                     ,
  ' h is was mitigated by:
     * All outboard isolaticus were operable.
     * All MSIV, FKU, RCIC stean supply, and FNsbutdcsn ecoling isolations           ;
        vere operable.                                                               <
l    ' Several other autcratic signals existed for these systms.                     l'
l    * Manual initiaticn/ isolation capability was available.
* thitiple, diverse indication and alam ftmetions en Dnvell Pressure '
        vere available.
     * Operator action is clearly required by ARP, AOP, E0P, to initiate
appropriate actiens in the event of High Dryw11 Pressure event.

1 * Corrective acticns included: )

     * Additicnal reviws of ccepleted lineups (including OA audits)

i

l    * Scaling all process root valves to norcully zero reading instnrents
'
     * Irp1mentatico of a "Tracking ID7' systm

i l * Ccmwisticn of cperators involved in identifying the probim will ensure

    no negative feedback which cculd prmrte a less than emplete acccunting

j of these types of events. It is our goal to raintain the highest level

of professicnalism. To attain this, cceplete inhindered access to and

j solution of even the scullest of prob 1ms is a rust. '

     * To      further  this    goal, River Pend Operaticus is develepirg a             I
        Professicnal Code of Cenduct.

! -17- ! l l

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                                                                                                                                                     !
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                                                               MEMORANDUM

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                                                                                                                                                    !

< , l T0: Gr.o Push Scw rber 19, 1987 '

                                     Dave Iccrey

) I?Cfi D. W. Willi cscn J j SLW: Cctrendaticn for Professicnal Attitudes a

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                            Curing the perfen ance of the systcra liro up fer SCP-0001 ycu disc 7/ered cles(d                                        I
                            the pmmss rcct valvo fer             eno      channel     of       Crf. ell High Pressure

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                            instruvntatien.            Uren disccver/ ycu ccrrectly repcsitiened the valve,
                            imodistely notificd ycur supervisicn and initiatcd a Ccnditicn Fcycrt.
                            Se disccvery of this risicsiticr.ed valve eculd Pave                                easily        rcra ir.ed

j "urdisce/ercd" by repositiening and not rescrting it. Mcw ver, the actiens you a trek are wrthy of crrrendation in that ttey enrplify the professieralim, '

                            integrity and attentien to detail rccessar/ to bring the quality of cperations                                           ,
                            at River Bend to the highest stardards.                                                                                 ;
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                                                                     -18-                                                                            I
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