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Category:ABNORMAL OCCURRENCE REPORTS (SEE ALSO LER & RO)
MONTHYEARML20086D3171975-09-0202 September 1975 AO 75-018:on 750901,steam Supply Valve 13-15 Failed to Close When Control Switch Placed in Closed Position.After Repeated Attempts,Valve 13-15 Responded & Cycled Closed.Valve Stroked,Timed to Ensure Operability & Declared Inoperable ML20086D3671975-07-25025 July 1975 Telecopy AO 75-014:on 750725,head Gasket on Gland Seal Exhaust Condenser Failed.Replacement of Failed Gasket Initiated Immediately.Condenser Repaired & HPCI Sys Tested & Verified Operable ML20086D3751975-07-0808 July 1975 Telecopy AO 75-013:on 750707,injection Valve CS-11B Failed to Open When Control Switch Placed in Open Position.Valve Immediately Opened Manually to Full Open Position.Sys Aligned to Normal Standby Mode ML20086E0451975-06-0909 June 1975 AO 75-12:on 750609,standby Liquid Control Pump B Delivered High Flow Rate.Cause Under Investigation ML20086E0721975-05-12012 May 1975 AO 75-11:on 750511,intermediate Range Monitor Channel E Failed to Respond to Increasing Neutron Flux Level.Cause Not Stated.Reactor Protection Sys Trip Sys a Manually Tripped ML20086E1451975-04-30030 April 1975 AO 75-10:on 750429,low Water Level Switch Associated W/ Differential Pressure Indicating Sensor 2-3-58B Actuated Low.Switch Adjusted ML20086E1551975-04-0808 April 1975 AO 75-08:on 750408,air Ejector Suction Valve Isolation Time Delay Relay Timer 17-157A Actuated Slow.Cause Not Stated. Timer Reset ML20086E2221975-02-21021 February 1975 AO 75-05:on 750220,sample Accumulator Isolation Valve to Condenser OG-9069 Found Shut,Rendering Radiation Monitors Inoperable.Cause Not Stated.Valve Immediately Opened ML20086E2441975-02-0505 February 1975 AO 75-04:on 750204,gradual Flow Reduction Discovered in Air Ejector Offgas Monitoring Sys.Caused by Removal of 3-way Solenoid Valve for Cleaning & Repair.Valve Replaced ML20086E3461975-02-0505 February 1975 AO 75-03:on 750204,spray Sys Pump Discharge Pressure Sensor PS-14-44A Actuated at 82 Psig,Below Tech Spec Min. Sensor Replaced & Calibr ML20086E3881975-01-0909 January 1975 AO 75-01:on 750108,LPCI Low Reactor Pressure Permissive Switches on Instrument 2-3-52D Actuated High.Caused by Improper Calibr Technique.Switch Reset ML20086E3851975-01-0909 January 1975 AO 75-02:on 750108,personnel Discovered That Carbon Filter Beds Changed on Standby Gas Treatment Sys Train a Instead of Planned Train B.Carbon Beds in Train B Replaced ML20086E4071974-12-20020 December 1974 AO 74-17:on 741219,suppression Chamber Outboard Sample Valve Stuck in Open Position.Caused by Accumulation of Dirt Causing Binding of Solenoid Piston.Valve Cleaned ML20086E4001974-12-16016 December 1974 AO 74-16:on 741214,containment Air Sampling Sys Found Inoperable.Caused by Nonfunctioning Heat Tracing Circuit.Sys Repaired ML20086E4081974-12-0303 December 1974 AO 74-15:on 741202,scram Discharge Vol High Level Scram Switch 3-231A Would Not Actuate Respective Scram Relay. Caused by Fissure in Switch Casement.Switch Replaced ML20086E4111974-10-16016 October 1974 AO 74-14:on 741015,primary Containment Leak Discovered. Caused by Missing 1/2-inch Test Connection Plug on Drywell Penetration X-16A.Plug Installed ML20086E4181974-07-15015 July 1974 AO 74-11:on 740705,08 & 09,both Plant Stack Monitoring Sys Failed.Caused by Direct Lightning Strikes to Ventilation Stacks During Electrical Storms.Radiation Exposure to Personnel Negligible ML20086E4281974-07-0808 July 1974 AO 74-11:on 740705,both Plant Stack Monitoring Sys Failed Following Direct Lightning Strike During Severe Electrical Storm.Generator Turbine Tripped Causing Reactor Scram.Repair of Damaged Equipment Complete ML20086E4601974-07-0303 July 1974 AO 74-09:in 740625,movements of LPCI Loop Break Detection Logic Differential Pressure Indicating Switches 2-129B & 2-129C Found Sticking,Causing Pointer to Log Input Pressure. Caused by Frequent Switch Actuation ML20086E4321974-07-0303 July 1974 AO 74-10:on 740626,HPCI Inverter Tripped,Rendering HPCI Sys Inoperable.Caused by Poor Connection Between Printed Circuit Board & Companion Jack.Connections Cleaned ML20086E4371974-06-27027 June 1974 AO 74-10:on 740626,HPCI Inverter Tripped,Rendering HPCI Sys Inoperable.Cause Not Stated.Inverter Replaced ML20086E4731974-06-26026 June 1974 AO 74-09:on 740625,movements of LPCI Loop Break Detection Logic Differential Pressure Indicating Switches 2-129B & 2-129C Sluggish,Causing Pointer to Lag Input Pressure.Switch 2-129B Replaced & 2-129C Placed in Trip Condition ML20086E5001974-06-13013 June 1974 AO 74-08:on 740525,water Discovered in Ventilation Ducting & in Instrument Penetrations at Biological Shield.Caused by Leak on Control Rod Drive Hydraulic Sys Return Line to Reactor Vessel,Due to Stress Corrosion Cracking ML20086E5761974-06-0404 June 1974 AO 74-08:detailed Rept & Analysis Including Appropriate Corrective Measures Taken Re 740526 Incident Will Be Submitted within 20 Days of Occurrence ML20086E5831974-05-28028 May 1974 AO 74-08:on 740525,water Leakage Discovered Along Reactor Vessel Wall.Caused by Leak on Control Rod Drive Hydraulic Sys Return Line to Reactor Vessel.Engineering Review & Assessment Underway ML20086E6361974-05-15015 May 1974 AO 74-07:on 740509,spike Observed on Plant Stack Gas Recorder,Resulting in Stack Release Peak Greater than Allowed by Tech Specs.Caused by Steam Packing Exhauster Operation ML20086E6391974-05-10010 May 1974 AO 74-07:on 740509,spike Observed on Plant Stack Gas Recorder,Resulting in Stack Release Peak Greater than Allowed by Tech Specs.Cause Not Stated ML20086E6521974-04-25025 April 1974 AO 74-06:on 740418,both Access Doors to North Entrance to Reactor Bldg Found Partially Open.Caused by Personnel Failing to Verify Closure.Design Adequacy Under Review ML20086E6641974-04-19019 April 1974 AO 74-06:on 740418,both Access Doors to North Entrance to Reactor Bldg Found Open.Caused by Personnel Failure to Verify Closure.Methods to Assure Closure Underway ML20086E6771974-03-11011 March 1974 AO 74-05:on 740304,LPCI Loop a Valve V10-25A Failed to Open When Control Switch Placed in Open Position.Caused by Burned Out Valve Motor.Motor Replaced ML20086E6961974-03-0505 March 1974 AO 74-05:on 740304,LPCI Valve V10-25A Failed to Open When Control Switch Placed in Open Position.Caused by Tripped Motor Breaker & Unusually Warm Motor.Motor Replaced ML20086E7131974-03-0101 March 1974 AO 74-04:on 740223,MSIV Rv 2-71B Failed to Open at Required Setpoint.Indirectly Caused by Approved vendor-recommended Mods to Certain Relief Valve Internals.Procedure Revised ML20086E7241974-02-25025 February 1974 AO 74-04:on 740223,MSIV Rv 2-71B Failed to Open at Required Setpoint.Cause Under Investigation ML20086E7321974-02-11011 February 1974 AO 74-03:on 740204,LPCI Differential Pressure Indicating Switch 2-137B Failed to Indicate Properly Upon Isolation from Normal Sys Pressure W/Bypass Valve Open.Caused by Improper Sensor over-range Stop Setting.Sensors Calibr ML20086E7541974-02-0707 February 1974 AO 74-02:on 740131,core Spray Sys Valve CS-11A Failed to Open When Control Switch Placed in Open Position.Caused by burned-out Valve Motor.Motor Replaced ML20086E7471974-02-0404 February 1974 AO 74-03:on 740204,LPCI Differential Pressure Indicating Switch 2-137B Failed to Indicate Properly Upon Isolation from Normal Sys Pressure W/Bypass Valve Open.Cause Not Stated.Sensor Replaced ML20086E7631974-02-0101 February 1974 AO 74-02:on 740131,core Spray Sys Valve CS-11A Failed to Open When Control Switch Placed in Open Position.Cause Not Stated.Surveillance Testing Completed & Sys Aligned to Standby Mode ML20086E7821974-01-31031 January 1974 AO 74-01:on 740124,reactor Scrammed,Resulting from Turbine Trip Causing Automatic Closure of All But One Msiv.Valve 2-80C Failed to Close Due to Failure of Pneumatic Pilot Valve to Actuate.Valve Assembly Returned to Vendor for Insp ML20086E7901974-01-25025 January 1974 AO 74-01:on 740124,reactor Scrammed Due to Turbine Trip, Causing Automatic Closure of All But One Msiv.Cause of Valve 2-80C Failure Not Stated ML20086E8351973-12-27027 December 1973 AO 73-34:on 731217,station Svc Water Pump a 4-kV Breaker Stationary Auxiliary Switch Assembly Rear Mounting Tie Bolt Found Disengaged from Mounting Plate.Caused by Improper Bolt Tightening During Factory Assembly ML20086E8131973-12-26026 December 1973 AO 73-35:on 731219,MSIV Relay 5A-K3C Failed to Energize During Monthly MSIV Functional Test.Caused by Limit Switch Actuating Arm Being in Wrong Position.Arm Manually Reset ML20086E8261973-12-20020 December 1973 AO 75-35:on 731219,MSIV Relay 5A-K3C Failed to Energize During Monthly MSIV Functional Test.Caused by Mispositioned Limit Switch Actuating Arm.Arm Manually Reset ML20086E8401973-12-19019 December 1973 AO 73-34:on 731217,station Svc Water Pump a 4-kV Breaker Stationary Auxiliary Switch Assembly Rear Mounting Tie Bolt Found Disengaged.Bolt Tightened ML20086D6151973-12-12012 December 1973 Updated AO 73-33:on 731204,pressure Switch Ps 14-44B Failed to Actuate at Required Setpoint,Resulting in Failure of B Core Spray Subsystem.Caused by Setpoint Drift.Switch Reset & B Core Spray Subsystem Declared Operable ML20086D6031973-12-0505 December 1973 AO 73-33:on 731204,pressure Switch Ps 14-44B Failed to Actuate at Required Setpoint,Resulting in Failure of B Core Spray Subsystem.Switch Reset & B Core Spray Subsystem Declared Operable ML20086D6271973-11-28028 November 1973 Updated AO 73-32:on 731120,during Monthly HPCI Sys Pump Operability Surveillance Test,Both Gaskets on Gland Seal Exhaust Condenser Failed.Caused by Overpressurization of Condenser.Cooler Repaired & HPCI Verified Operable ML20086D6231973-11-20020 November 1973 AO 73-32:on 731120,during Monthly HPCI Sys Pump Operability Surveillance Test,Both Gaskets on Gland Seal Exhaust Condenser Failed.Cooler Repaired & HPCI Tested & Verified Operable ML20148U1341973-11-14014 November 1973 AO 73-31:on 731107,reactor Scram Occurred During Control Rod 26-23 Friction Test.Caused by Inadequate Implementation of Administrative or Procedural Controls.Control Rod 30-23 Was Fully Withdrawn,While 26-23 Was Being Withdrawn ML20086D7391973-11-14014 November 1973 Updated AO 73-31:on 731107,reactor Scram Occurred,Initiated by high-high Flux Signal from Intermediate Range Neutron Monitoring Sys.Rod 30-23 Fully Withdrawn & Rod 26-23 Being Withdrawn for Friction Test ML20086D8991973-11-0808 November 1973 AO 73-31:on 731107,reactor Scram Occurred Based Upon High Flux Signal from Intermediate Range Neutron Monitoring Sys. Investigation Revealed Rod 30-23 Fully Withdrawn W/Rod 26-23 Withdrawn for Friction Test 1975-09-02
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217L8831999-10-21021 October 1999 Safety Evaluation Supporting Proposed Alternatives to Code Requirements Described in RR-V17 & RR-V18 ML20217G2041999-10-13013 October 1999 Safety Evaluation Supporting Amend 179 to License DPR-28 BVY-99-127, Monthly Operating Rept for Sept 1999 for Vermont Yankee Nuclear Power Station.With1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Vermont Yankee Nuclear Power Station.With ML20212C2551999-09-17017 September 1999 Safety Evaluation Supporting Amend 175 to License DPR-28 BVY-99-112, Monthly Operating Rept for Aug 1999 for Vermont Yankee.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Vermont Yankee.With BVY-99-109, Ro:On 990812,stack Ng Effluent Instrumentation for PAM Was Declared Oos.Caused by Instrument Drift Due to Electronic Components Based on Insps by Instrumentation & Controls Dept.Detector & Preamplifier Will Be Replaced on 9908311999-08-19019 August 1999 Ro:On 990812,stack Ng Effluent Instrumentation for PAM Was Declared Oos.Caused by Instrument Drift Due to Electronic Components Based on Insps by Instrumentation & Controls Dept.Detector & Preamplifier Will Be Replaced on 990831 BVY-99-102, Monthly Operating Rept for July 1999 for Vermont Yankee. with1999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Vermont Yankee. with ML20209J0081999-07-14014 July 1999 Special Rept:On 990615,diesel Driven Fire Pump Failed to Achieve Rated Flow of 2500 Gallons Per Minute.Pump Was Inoperable for Greater than 7 Days.Corrective Maint Was Performed to Reset Pump Lift Setting BVY-99-090, Monthly Operating Rept for June 1999 for Vermont Yankee Nuclear Power Station.With1999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Vermont Yankee Nuclear Power Station.With ML20196G5071999-06-23023 June 1999 Vynp Assessment of On-Site Disposal of Contaminated Soil by Land Spreading BVY-99-077, Monthly Operating Rept for May 1999 for Vermont Yankee Nuclear Power Station.With1999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Vermont Yankee Nuclear Power Station.With BVY-99-068, Monthly Operating Rept for Apr 1999 for Vynp.With1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Vynp.With ML20206E8741999-04-29029 April 1999 SER Determined That Flaw Evaluation Meets Rules of ASME Code & Assumed Crack Growth Rate Adequate for Application ML20206D9301999-04-27027 April 1999 1999 Emergency Preparedness Exercise 990427 Exercise Manual (Plume Portion) ML20205S4211999-04-16016 April 1999 Non-proprietary Version of Revised Page 4-3 of HI-981932 Technical Rept for Vermont Yankee Spent Fuel Pool Storage Expansion ML20205K7581999-04-0707 April 1999 Safety Evaluation Supporting Alternative Proposal for Reexamination of Circumferential Welds with Detected Flaw Indications in Plant RPV BVY-99-046, Monthly Operating Rept for Mar 1999 for Vermont Yankee Nuclear Power Station.With1999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Vermont Yankee Nuclear Power Station.With ML20205F6631999-03-0404 March 1999 Jet Pump Riser Weld Leakage Evaluation BVY-99-035, Monthly Operating Rept for Feb 1999 for Vermont Yankee Nuclear Station.With1999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Vermont Yankee Nuclear Station.With ML20205P8241999-02-28028 February 1999 Rev 2 to Vermont Yankee Cycle 20 Colr ML20203H9881999-02-18018 February 1999 SER Accepting Alternative to 10CFR50.55a(g)(6)(ii)(A) Augmented Reactor Vessel Exam at Vermont Yankee Nuclear Power Station.Technical Ltr Rept Encl ML20203A6951999-02-0404 February 1999 Revised Rev 2,App B to Vermont Yankee Operational QA Manual (Voqam) ML20199K7151999-01-21021 January 1999 Corrected Safety Evaluation Supporting Amend 163 Issued to FOL DPR-28.Pages 2 & 3 Required Correction & Clarification ML20199K6991999-01-20020 January 1999 Safety Evaluation Concluding That Request to Use YAEC-1339, Yankee Atomic Electric Co Application of FIBWR2 Core Hydraulics Code to BWR Reload Analysis, at Vermont Yankee Acceptable ML20199L5951999-01-14014 January 1999 Safety Evaluation Accepting Licensee Proposed Alternative to Code Requirement,Described in Rev 2 to Pump Relief Request RR-P10 Pursuant to 10CFR50.55a(a)(3)(i) BVY-99-071, Corp 1998 Annual Rept. with1998-12-31031 December 1998 Corp 1998 Annual Rept. with BVY-99-001, Monthly Operating Rept for Dec 1998 for Vermont Yankee Nuclear Power Station1998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Vermont Yankee Nuclear Power Station ML20198H5481998-12-23023 December 1998 Rev 2 to Vermont Operational QA Manual,Voqam ML20196H8641998-12-0101 December 1998 Cycle 19 Operating Rept BVY-98-163, Monthly Operating Rept for Nov 1998 for Vermont Yankee Nuclear Power Station.With1998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Vermont Yankee Nuclear Power Station.With ML20195C4161998-11-0909 November 1998 SER Accepting Request That NRC Approve ASME Code Case N-560, Alternative Exam Requirement for Class 1,Category B-J Piping Welds BVY-98-154, Monthly Operating Rept for Oct 1998 for Vermont Yankee Nuclear Power Station.With1998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Vermont Yankee Nuclear Power Station.With ML20155B6471998-10-26026 October 1998 Safety Evaluation Accepting Jet Pump Riser Insp Results & Flaw Evaluation,Conducted During 1998 Refueling Outage ML20154N0891998-10-16016 October 1998 Rev 1 to Vermont Operational QA Program Manual (Voqam) ML20154B6951998-10-0101 October 1998 SER Re Licensee Response to GL 95-07, Pressure Locking & Thermal Binding of Safety-Related Power-Operated Gate Valves, for Vermont Yankee Nuclear Power Station BVY-98-149, Monthly Operating Rept for Sept 1998 for Vermont Yankee Nuclear Power Station.With1998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Vermont Yankee Nuclear Power Station.With ML20239A1361998-09-0202 September 1998 SER Re License Request for NRC Review & Concurrence W/Changes to NRC-approved Fire Protection Program BVY-98-135, Monthly Operating Rept for Aug 1998 for Vermont Yankee Nuclear Power Station.With1998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Vermont Yankee Nuclear Power Station.With ML20151U0361998-08-28028 August 1998 Non-proprietary Rev 1 to Holtec Rept HI-981932, Vermont Yankee Nuclear Power Station Spent Storage Expansion Project ML20237E9221998-08-20020 August 1998 Vynp 1998 Form NIS-1 Owners Summary Rept for ISI, 961103-980603 BVY-98-122, Monthly Operating Rept for July 1998 for Vermont Yankee Nuclear Power Station1998-07-31031 July 1998 Monthly Operating Rept for July 1998 for Vermont Yankee Nuclear Power Station ML20205F6491998-07-31031 July 1998 Rev 1 to GE-NE-B13-01935-02, Jet Pump Assembly Welds Flaw Evaluation Handbook for Vermont Yankee ML20236G0011998-06-30030 June 1998 Individual Plant Exam External Events BVY-98-098, Monthly Operating Rept for June 1998 for Vermont Yankee Nuclear Power Station1998-06-30030 June 1998 Monthly Operating Rept for June 1998 for Vermont Yankee Nuclear Power Station ML20248C5081998-05-31031 May 1998 Rev 2 to 24A5416, Supplemental Reload Licensing Rept for Vermont Yankee Nuclear Power Station Reload 19 Cycle 20 ML20248C4951998-05-31031 May 1998 Rev 1 to Vermont Yankee Nuclear Power Station Cycle 20 Colr BVY-98-081, Monthly Operating Rept for May 1998 for Vermont Yankee Nuclear Power Station1998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Vermont Yankee Nuclear Power Station ML20247J8341998-05-31031 May 1998 Peak Suppression Pool Temp Analyses for Large Break LOCA Scenarios, for May 1998 ML20247G4001998-05-12012 May 1998 Interview Rept of Ej Massey ML20247E6351998-04-30030 April 1998 Rev 1 to GE-NE-B13-01935-LTR, Jet Pump Riser Welds Allowable Flaw Sizes Ltr Rept for Vermont Yankee 1999-09-30
[Table view] |
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SCVcNTY SCVCN GHOVC STRCCT RurLAxo, Vt:im'ONT 0 5'/01 HCPLY TO VYV-3071 e. o. uox 157 4ERNON. VERMONT o'M .54 November 14, 1973 ,
i Director Directorate of Licensing United States Atomi c Energy Commission h'ashington, D.C. 20545
REFERENCE:
Operating License DPR-28
- Docket No. 50-271 Abnormal Occurrence No. A0-73-31 Gentlemen:
As defined in Section 6.7.B.1 of the Technical Sjiccifications for the Vermont Yankee Nuclear Power Station, we are reporting the following Abnormal Occurrence as A0-73-31. -
On November 7, I973, at 2101, while the plant was in a shutdown condition and while the reo,uired Control Rod Friction testing was being perforned on control rod 26-23, a reactor scram otenrred initiated by a high-high flux signal from the Intermediate Range Neutron Monitoring System.
An immediate investigation revealed that rod 30-23 was in the fully withdraun position while rod 26-23 was being withdrmen for its friction
. test., This situation was a result of inadequate implementation of administrative or procedural controls and constitated a violation of Section 1. A.8 of the Technical Specifications. l l
I Section 14.5.3.2 o.f the Vermont Yankee FSAR deals with control rod withdrawal errors when the reactor is at power IcVels below the power range. The most severo case occurs when the reactor is just c2 i ti ca l at room temperature and an out-of-sequenc:e rod is continuously wi* hdrawn.
The results of these analyses indicate that no fuel damage will o eur due to the rod withdrawal, ,
.THIS DOCUMENT CONTAINS t P00R QUAUTY PAGES , ,
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iDirectorate'of Licensing ~j
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' M November ' 14, 1973 '
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i j . 7the' station. had been in n' planned shutdown condition s nce September -28, .1973, in order to perform core reconstitution and
- is bonnection of the Advanced Off-Gas. System. On November 7, -
U 1973, wolk had progressed to the point where final core loading
' had been : coupleted. At that point ,. it' became desirabic to, perform .1 final core verification concurrent with. control rod timing and friction' tests. In order to accomodate both reqairements, it was E inecessary. to-install. jumpers to the refuci interlock portion of the Reactor' Manual Control System in order .to allow traversing of the. 1 television camera mounted on the fuel grappic while' performing control 1, rod friction and timing tests. . Although the intent of installing
.the jumpers was reasonabic and proper, the ensuing impicmentation of
- this pronram went beyond the scope of original ~ intent. 'lhe reasons i
' for this were the inadequacy of interdepartmental communications; in addition, certain procedures demonstrated inadequacies, specifically
= AP 504,1,if ted Leads. Log, OP 408, Control llod Drive System. . Further,
'the. control rod friction testing was being performed in accordance with p' a Startup. Test'Procedurc; an approved operating procedure did not exist.
' Ihe result of the jurper installation was a condition of interlocks.
((
E j which:did not prevent withdraual of nore than one control rod at a time.
Th'c operating personnel were not adequately inforned of the jumpered .]
' interlock status; control. rod testing was resumed concurrent with core {
i
. veri fi cati on . As control rod testing progressed, rod 30-23 was After core verification inadvertantly Icft in the fully withdrawn position.
was completed, and since the reactor operator was not cognizant that control j rod 30-23 was still withdraun, an adjacent lateral contro! rod 26-23 was j selected and its continuous withdrawal begun in preparation for the friction test. Detween notch position 20 and 26, the operator noticed rapid source range monitor response, lie immediately initiated control rod insertion.
At thjt tinc a full rod scram was initiated by the . ntermediate
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monitor hi gh-high. flux. si gnals . It was later de aonstrated that control rod 30-23 digital position display was functioning properly. The reactor operator could not explain his failure to observe the indication of control rod" 30-23 being fu'))y withdrawn.
The immediate action of the Shift Supervisor on duty was to notify higher' plant canagement and, to det ermine if personnel were on the refueling l
. floor- during the incident and to rgquest desincter readings of all perronne k, at that lo':ation on the conservative ansubplan that a criticality may heve L
. occurreC Five personnel were on the refueling floor at the time in areas not adjacent t o t he open vessel . The maxinum dosineter reading of the h' pers6nnel-involyc0 was 25 nr; however, thir total was accouplated over a 11 W3S
. five hour work. period and not 311 T.il'ut able 1 o t hi S i n e.i de nt alone.
air uenitor on alho; veri [Ied 'that the lecal area MOHitDTs , the cont inhouS the refuelinh floor, as well an the Henetor I:uilding i'ent ilation fixhaust - '
monit ors showed no increar.ed le m) of radinfion.
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- VERMONT YANKCC NUCLCAR POWCR CORR'OMAT:C y;
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? November 14,;1973 '
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- Fo11' o wing the arrival on site of the .Ansistant' Plant Superinten ent and the Reactor Engineer, furthet cvaluation determined that the' scope of' installed jumpers was beyond;the origina1Lintent. 1hc jumpers ucre
. removed and it was decided to perform a subcriticality test 'on cach of the.
. two: involved' control rods which verified their proper effectiveness .
. Based upon the above evaluations,'it was determin,d that no fuel failure
-had ' occurred 'and no radiation problem existed. The installed interlock. -'
. jumpers were removed and u. verification test conducted to determine that the rod block interlock was restored.
On Novenber 8,1973, consultation with off-site higher. management and engineering personnel resulted in .the removal of the . involved fucI
- assemblics .from the core for sipping and. visual inspection. No evidence
'of Icakage or visual degradation was observed; The following is :a listing
' of the assemblics examined and their location-Assembly Number Core Location i
VT 164* 27-22 ,
- Y1' 171 * - 29-22~
.VT 167 27-24 , '
.VT 175 29-24 Vf 049 31-32 In addition, a two rod critical test was conducted utilizing control rods 30-23 and 26-23. As a result of this test, it was deternined that with control rod 30-23 in the fully withdrawn position, criticality was achieved when control rod 26-23 was withdrain to notch 16.
The film badges ansigned to personnel on the refueling floor at the time M the incident ucre sent out for proecssing. 1hc results of the ,
badge bearing neutron senning indicated a t ot al of 50 mr bet a-garna and zero neutron exposure. This tot al badge exposure wa's accomlated over a two day wor 1. period. The results of the remain. inn, four badges indicated that two badr.cs measured 20 mr beta-gamma and tuo badges neasured 0 mr .; .
bet a- p.amda .
Subsequent ; calculat ions by General E1cet rie Co. ver.i fled crit i cali t y at not ch 10 on : rod 26-23 Wi1h rod 50-23 fully ei1hdraun. Further ca) cult. tion
-by General Elect ric Co. dct ermined t hat with red 30-23 fully withdre.cn and rod 26-23 at. notch 26. the excess reactivity was 0.07% /1, and had rod 20-23 l'
~ been' fully T:i thdrawn, t he cxcess react ivity would have been 0.970 4K. >
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- These. assenblies were visually i ntpect ed. ,
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VERMONT YANKEC NUCLCAR POWCN CORI'OR AT: .*. 1 a . ;
O Directorate of Licensing -
November.14, 1973.
- Page 4 .
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- General Electric personnel with recognized competency in the area 'of core kinetics, and. inL particular control rod drop. accidents , uncontrolled withdrawal incidents,. ctc. , did a qualitative. evaluation of what transpired based .on the aboycL statistical information. An estimate based upon many
- previous calculations. of. a- similar nature, was that the bounding results
- werelas follows. , The peak fuel- conter.line temperature would have :
increased ^no more than 500*F and the: peak clad temperature would have :
increased no more than 50 F-from the starting conditions. Therefore, the fuel centerc line temperature l was no higher than 585*F and the peak clad i temperature was no higher than 135*F.
~ Plant management.has discussed at length.with all involved personnel the significance of this incident.and stressed the arcas of inadequate personnel performance. Further, a review has been nade of the past and-present performance of the employces directly' involved in this incident.
Thisssessment a
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htis determined' that tijese employees are capabic, sincere, and conscientous and that crory reasonable assurance exists-that they are
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adequately qualified in al1~ respects to continue in their present assigned
- job responsibilities.
Upon completion of an indeptl$ evaluation of the total' inci, dent and
, tho various now apparent inadequacies, it is concluded that no singular outstanding arca was predominant.
The Plant Operations lieview Committec (PORC), uct to review the incident and made the following recommendations and/or conclusions:
- 1. The original int ent of the jumpern was reasonnble; however,
-the final condition obtained was improper and the applied jumpers should have been removed immediately following the comnletion 'of core verificalion. ,
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- 2. The results obtained from the fuel assemblies sipped and inspected on Novei.her 8,1973, showed no observed indications j
-which would preclude plant startup.
The Plant Operati ons McVi ew C(n.'.mit t ee quest ioned t;hether adequat e ,
sensitivity to sipping still c.sinted considering the elapsed !
shutdoun tira and recoauended t aking tuo knoien leal,ers previum.ly reuoved during this shutdoun and sippiny. t o dat eruine if adequnt e '
sen5.Itivily Still e.\ibled. On IovemhcT 1*l, 1973. tu0 fuel '
assemblics were si; sped in an at tempt to prove 1 131 and 1 132 4 ' sensitivity. The positive jesu11a obtainql verify the adequacy of. s' pping sennit ivit ics ohne rved on !!oveLber 8, 1973.
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l, ,, VCRMONT YANKCE NUCLt2\n POWER CORl'OR.V;'.c.
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Directorate of Licensing i November 14, 1973 Page 5 4
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- 3. Suberitical testing results of the two involved control rods and the management evaluction of the plant condition on November 7, l'J73, were deemed suff.icient to permit fu rt h er control rod friction testing following the incident.
- 4. Administrative Procedure AP 504 " Lifted Lead Log" was not adhered to. Jumper installation was not recorded in the general plant log.
- 5. All plant procedures relating to control rod movement shall be modified to reficct interlock requirements imposed by the reactor mode switch position.
- 6. Specific operating procedures addressing control rod friction and settling test s shall be developed.
- 7. The present AP 501, Lifted Leads Log procedure, is inadequate and a PO!1C sub-comittee has been appointed to rev.iew and/or revise the current procedure.
- 8. Until the above appointed PORC sub-comm.itt es performs its task, no innt.n)]ation of jua.pers or lifted 1 cads shall be perforued on thi: circuitry associated with the Reactor Protection System, the Primary Contair.::.cnt Isolation System, any ECC System, the Reactor t!anual Control System and any refuel interlock until approved by PORC.
- 9. No further two (2) rod critical testing shall be performed on sido by side rods.
- 10. The follerine,- ite: contributed to the incident ;
co
- a. A lack of definition on the interfacing of responsjhilities on an interdcparunent al level.
$ b. Failtire by plant supervision t o exercine rigorotu slept i ci r:
relat ive to abnorm 1 or inadequate plant conditions that are encount eveJ.
- c. Operator error -
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's VCRMONT YANKCC NUCLEAR POWER CORPOR,VT :c '
Directorate of Licensing November 14, 1973 ,
Page 6 At the request of the Manager of Operations, the Nuclear Safety Audit and Review Committee met in a special meeting on November 14, 3973, to review the incident. The NSAR returned the following conclusions:
- 1. No unreviewed safety question was involved.
- 2. The health and safety of the public and plant personnel was not impaired.
- 3. There is no undue rish to the health and safety of the public if the plant is started up and operated in accord with the
, proposed schedule. .
Sincerely, YERMOST YANKEE NUCLEAR POWER CORPORATICS
, 'O s bU c=. -1 O B . l'! . Ri l ey Plant Superintendent P,WR/llFC/Lbd .
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