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Category:LICENSEE EVENT REPORT (SEE ALSO AO RO)
MONTHYEARML20235X0861987-07-20020 July 1987 Ler:On 870618,in-core Detector Computer Points Inadvertently Removed from Scan.Caused by Personnel Error.Operator Removed Points While Intending to Restore Computer to Normal operation.In-core Detectors Returned to Scan 05000346/LER-1987-001, Errata to LER 87-001-00,correcting Incomplete Sentence on Page 21987-01-21021 January 1987 Errata to LER 87-001-00,correcting Incomplete Sentence on Page 2 ML20203L0281986-04-25025 April 1986 Informs of Planned Site Visit to Obtain Info Supporting Implementation of Emergency Response Data Sys,Including Availability of PWR or BWR Parameters in Digital Form & Characterization of Available Data Feed Points 05000346/LER-1984-003, Revised LER 84-003-01:on 840302,MSIV 2 Closed,Isolating Steam Side of Steam Generator 2.Caused by Failed Relay in Safety Instrumentation Channel.Msiv Replaced.Failed Relay Circuit Repaired1984-07-26026 July 1984 Revised LER 84-003-01:on 840302,MSIV 2 Closed,Isolating Steam Side of Steam Generator 2.Caused by Failed Relay in Safety Instrumentation Channel.Msiv Replaced.Failed Relay Circuit Repaired 05000346/LER-1984-001, Revised LER 84-001-01:on 840108,core Imbalanced Positively & Axial Power Shaping Rods Automatically Inserted.Caused by Large Difference in Amount of Xenon in Top of Core & Failed Integrated Circuit Gate,Respectively1984-03-29029 March 1984 Revised LER 84-001-01:on 840108,core Imbalanced Positively & Axial Power Shaping Rods Automatically Inserted.Caused by Large Difference in Amount of Xenon in Top of Core & Failed Integrated Circuit Gate,Respectively 05000346/LER-1982-045, Revised LER 82-045/03X-2:on 820904 & 1203,operator Observed Auxiliary Feedwater (AFW) Pump 1-1 Suction Valve FW786 Closed for No Apparent Reason.Valve Immediately Reopened1983-12-29029 December 1983 Revised LER 82-045/03X-2:on 820904 & 1203,operator Observed Auxiliary Feedwater (AFW) Pump 1-1 Suction Valve FW786 Closed for No Apparent Reason.Valve Immediately Reopened 05000346/LER-1981-061, Revised LER 81-061/03X-2:on 811003 & 20,absolute Position Indication on Group 4,rod 7 Became Erratic,Fluctuating 5-10% of Full Range.Caused by Loss of Electrical Penetration Module Signal.Module Replaced1983-12-29029 December 1983 Revised LER 81-061/03X-2:on 811003 & 20,absolute Position Indication on Group 4,rod 7 Became Erratic,Fluctuating 5-10% of Full Range.Caused by Loss of Electrical Penetration Module Signal.Module Replaced 05000346/LER-1983-036, Revised LER 83-036/03X-1:on 830715 & 21,safety Features Actuation Sys Channel 4 Containment Radiation Monitor RE2007 Failed Low.Caused by Detector failure.RE2007 Replaced1983-10-28028 October 1983 Revised LER 83-036/03X-1:on 830715 & 21,safety Features Actuation Sys Channel 4 Containment Radiation Monitor RE2007 Failed Low.Caused by Detector failure.RE2007 Replaced 05000346/LER-1982-059, Revised LER 82-059/03T-1:on 821108,containment post-accident Radiation Monitor Re 4597AA Channel 2 Discovered Reading Low.On 821116 & 22,equipment Fail Alarm Received on Re 4597AA.Caused by Failed High Voltage Power Supply Boar1982-12-15015 December 1982 Revised LER 82-059/03T-1:on 821108,containment post-accident Radiation Monitor Re 4597AA Channel 2 Discovered Reading Low.On 821116 & 22,equipment Fail Alarm Received on Re 4597AA.Caused by Failed High Voltage Power Supply Board 05000346/LER-1982-060, Revised LER 82-060/03T-1:on 821111,during Steam & Feedwater Sys (SFS) Rupture Control Monthly test,48-volt Dc Power Supply in SFS Channel 2 Failed.Caused by Component Failure. Channel 2 re-energized1982-12-15015 December 1982 Revised LER 82-060/03T-1:on 821111,during Steam & Feedwater Sys (SFS) Rupture Control Monthly test,48-volt Dc Power Supply in SFS Channel 2 Failed.Caused by Component Failure. Channel 2 re-energized ML20063K1681982-08-25025 August 1982 LER 77-ZZZ/01T-3:on 770805,3-inch Pressurizer power-operated Relief Valve Opened & Severe Movement of 8-inch Discharge Piping Observed.Caused by Failure to Maintain Relief Inlet Loop Seal Temp to Ensure Complete Water to Steam Flashing 05000289/LER-1977-016, Supplemental LER 77-016/01T:on 770924,emergency Core Cooling Actuation Occurred.Caused by Full Open Pressurizer Power Relief Valve.Valve Closed1977-02-14014 February 1977 Supplemental LER 77-016/01T:on 770924,emergency Core Cooling Actuation Occurred.Caused by Full Open Pressurizer Power Relief Valve.Valve Closed 1987-07-20
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217K1231999-10-14014 October 1999 Revised Positions for DBNPS & Pnpp QA Program ML20217D5441999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Davis-Besse Nuclear Power Station.With ML20211R0811999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20211B0271999-08-13013 August 1999 SER Accepting Second 10-year Interval Inservice Insp Requests for Relief RR-A16,RR-A17 & RR-B9 for Plant, Unit 1 ML20210Q8541999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20209E6231999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20195K2871999-06-16016 June 1999 Safety Evaluation Accepting Licensee Response to GL 95-07, Pressure Locking & Thermal Binding of Safety-Related Power-Operated Gate Valves ML20195F4871999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20207E8011999-05-19019 May 1999 Non-proprietary Rev 2 to HI-981933, Design & Licensing Rept DBNPS Unit 1 Cask Pit Rack Installation Project ML20207F4351999-05-0404 May 1999 Rev 1 to DBNPS Emergency Preparedness Evaluated Exercise Manual 990504 ML20206M6341999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Davis-Besse Nuclear Station,Unit 1.With ML20205M2931999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Davis-Besse Nuclear Power Station.With ML20207J1461999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20199H5931999-01-20020 January 1999 Safety Evaluation Accepting Thermo-Lag Re Ampacity Derating Issues for Plant ML20204J6751998-12-31031 December 1998 1998 Annual Rept for Dbnps,Unit 1,PNPP,Unit 1 & BVPS Units 1 & 2 ML20199E2501998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20206B0101998-12-31031 December 1998 1998 Annual Rept for Firstenergy Corp, for Perry Nuclear Power Plant & Davis-Besse Nuclear Power Station.Form 10-K Annual Rept to Us Securities & Exchange Commission for Fiscal Yr Ending 981231,encl ML20205K5781998-12-31031 December 1998 Waterhammer Phenomena in Containment Air Cooler Swss ML20197J3441998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20195D0001998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20155B6781998-10-28028 October 1998 Safety Evaluation Accepting Proposed Reduction in Commitment Changes in QA Program Matl Receipt Insp Process ML20154H5801998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20151W1611998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Dbnps.With ML20237E3171998-08-21021 August 1998 ISI Summary Rept of Eleventh Refueling Outage Activities for Davis-Besse Nuclear Power Station ML20237B1681998-07-31031 July 1998 Monthly Operating Rept for July 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20236U5011998-07-23023 July 1998 Special Rept:On 980624,Unit 1 Site Damaged by Tornado & High Winds.Alert Declared by DBNPS Staff,Dbnps Emergency Response Facilities Activiated & Special Insp Team Deployed to Site by Nrc,As Result of Event ML20236R1441998-07-15015 July 1998 SER Related to Quality Assurance Program Description Changes for Davis-Besse Nuclear Power Station,Unit 1 ML20236N7451998-06-30030 June 1998 Monthly Operating Rept for June 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20236K3981998-06-30030 June 1998 SER Accepting in Part & Denying in Part Relief Requests from Some of ASME Section XI Requirements as Endorsed by 10CFR50.55a for Containment Insp for Davis-Besse Nuclear Power Station,Unit 1 ML20236K5131998-06-29029 June 1998 Safety Evaluation Accepting Proposed Alternate Emergency Operations Facility Location for Davis-Besse Nuclear Power Station,Unit 1 ML20248F7441998-05-31031 May 1998 Reactor Vessel Working Group,Response to RAI Regarding Reactor Pressure Vessel Integrity ML20249A4121998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20196B5221998-05-23023 May 1998 10CFR50.59 Summary Rept of Facility Changes,Tests & Experiments Dbnps,Unit 1 for 960602-980523 ML20236E7581998-05-19019 May 1998 Rev 0 to Davis-Besse Unit 1 Cycle 12 Colr ML20236N7501998-04-30030 April 1998 Rev 2 to Monthly Operating Rept for Apr 1998 for Davis-Besse Nuclear Power Station,Unit ML20247F6721998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for Davis-Bess Nuclear Power Station,Unit 1 ML20249A4141998-04-30030 April 1998 Revised Monthly Operating Rept for Apr 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20217P8041998-04-0707 April 1998 11RFO OTSG ECT Insp Scope ML20216B4041998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20216C5131998-02-28028 February 1998 Monthly Operating Rept for Feb 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20202D3721998-01-31031 January 1998 Monthly Operating Rept for Jan 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20199G6321998-01-26026 January 1998 Rev 1 to Davis-Besse Unit 1,Cycle 11,COLR ML20198R4771998-01-13013 January 1998 SER Approving Second 10-year Interval Inservice Inspection Program Plan Requests for Relief for Davis-Besse Nuclear Power Station,Unit 1 ML20198K7931997-12-31031 December 1997 Monthly Operating Rept for Dec 1997 for Davis-Besse Nuclear Power Station,Unit 1 ML20217K6401997-12-31031 December 1997 1997 Annual Rept First Energy ML20203A3931997-11-30030 November 1997 Monthly Operating Rept for Nov 1997 for Davis-Besse Nuclear Power Plant,Unit 1 ML20198S5371997-10-31031 October 1997 Monthly Operating Rept for Oct 1997 for Davis-Besse Nuclear Power Station ML20217H7701997-09-30030 September 1997 Monthly Operating Rept for Sept 1997 for Davis-Besse Nuclear Power Station,Unit 1 ML20216H3261997-08-31031 August 1997 Monthly Operating Rept for August 1997 for DBNPS ML20217K0241997-07-31031 July 1997 Monthly Operating Rept for Jul 1997 for Davis Besse Nuclear Power Station,Unit 1 1999-09-30
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APPROVED OMS 8s0. 3150-0104 LICENSEE EVENT DEPORT (LER) **""'""
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- Ass a Davis-Besse Unit 1 0 l510 [0 l 0131416 1 lOFl n l q f tTLE 448 Incore Detectors and Associated Alarm Rendered Inoperable Due to Operator Error.
gVENT DATE (4) LER NUMBER is) REPORT DATE 17) OTHER FACILITIES INVOLVED (8) 8 #* F ACluTY NAMES MONTH DAY YEAR YEAR h" : uue MONTre DAY YEAR DOCKET NUMBER {$)
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, THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF to CFR 5: Icase* *ae er =* s' '** ""****' i' >
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20.40 4.niHi.) s0.naH2nal s0.nw2H.mHs> Voluntary Report 20.406(aH1Hel 50.73(a)(2HIH) 60.73(aH2Hal LICENSEE CONTACT POR TH18 LER 412) gg TELEPHONE NUMBER AREA CODE Jan Stotz, Associate Nuclear Engineer 411 l 9 2 l 419 I- 15 l 01010 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRISED IN THIS REPORT (13)
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EXPECTED YES lif ver. conephew IXDfCTED SUOMISSION DATE] NO l l l AeS,RACT waar u, uoo anc.u . on w.wr os " anremo umr=" sn=1 <w An operator inadvertently removed the incore detector computer points from scan, causing the computer to terminate the periodic updating of the incore detector values. Since the operator did not realize the points were removed from scen, the increased surveillance was not performed as required by Surveillance Requirements 4.2.1 and 4.2.4 The incore detectors were returned to scan approximately 17 hours1.967593e-4 days <br />0.00472 hours <br />2.810847e-5 weeks <br />6.4685e-6 months <br /> after their deletion from scan, restoring the incores to normal operation.
This condition resulted from personnel error. A procedure will be developed and training will be conducted on the sequence to be used when deleting or adding computer points to or from scan and a verification of proper computer restoration. The computer operating procedure will be revised to ensure the necessary precautions are taken to prevent inadvertently deleting essential computer points from scan. Also a software change is being initiated to prevent the incore detectors from being removed from scan from the control room terminal, thereby preventing a recurrence of this event.
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LERNUM862(g PAGE13)
VEAR SE EN ak! af S N Davis-Besse Unit 1 j TEXT M more spece e mrvaud, use emfroonst MC Form J85A's/1171 015 l0 l0 l0 l3 l4 l 6 8l7 -
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l 0l2 OF 0 l3 j Description of Occurrence:
On June 18, 1987, an operator was restoring the station computer to normal operation following a computer failure. The unit was in Mode 1 with reactor power at 99 percent.
At 2122 hours0.0246 days <br />0.589 hours <br />0.00351 weeks <br />8.07421e-4 months <br /> the operator inadvertently deleted the incore detector computer points from scan. The computer had, as designed, returned those points to scan automatically upon system restoration. With the points deleted from scan, periodic updating of the incore detector values would not occur. The incore detectors were therefore inoperable, as was the associated control room annunciator alarm. Technical Specifications only require incore detector operability when incore detectors are being used to monitor core parameters per ST 5033.01. The surveillance requirement specifies that, in the event the annunciator alarm is inoperable, more frequent surveillance tests must be conducted.
Since the operator did not realize the incore detectors were inoperable, the manual ,
calculations of Axial Power Imbalance and Quadrant Power Tilt were not completed as '
required by Surveillance Requirements 4.2.1 and 4.2.4.
At 1345 hours0.0156 days <br />0.374 hours <br />0.00222 weeks <br />5.117725e-4 months <br /> on June 19, 1987 it was discovered during the performance of ST 5033.01, "Incore Detector Channel Check", that the incore detectors were not on scan. The points were immediately returned to scan. This restored the incore detectors to normal operation and removed the requirement for manual calculations per Surveillance Requirements 4.2.1 and 4.2.4.
The inoperability of incare detectors and the associated quadrant power tilt and imbalance alarm neither involved a Limiting Condition for Operation (LCO) nor constituted a violation of Technical Specifications.
Designation of Apparent Cause of Occurrence:
The cause of this occurrence is primarily a personnel error. The operator inadvertently i deleted the incore detectors from scan while intending to restore the computer to normal i operation. The root cause of this occurrence can also be partially determined to be a l design deficiency. The control room computer terminal does not require the capability to l remove the incore detector group from scan. This error was discovered the next day during j the performance of ST 5033.01, resulting in failure to meet the more frequent surveillance j testing required when the annunciator alarm is inoperable. l l
Analysis of Occurrence:
Incore neutron detectors provide o history of power distribution and fuel burnup, which is useful for fuel management purposes. Incore detectors provide no automatic safety functions and are not required to show reactor protection. The Nuclear Instrumentation !
System (out-of-core detectors), which continuously provides information to the Reactor l Protection System (RPS) to protect the reactor core, remained operable and tilt and !
imbalance data were automatically calculated and displayed throughout the time period the l l
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"** " M W ." **;2.D Davis-Besse Unit 1 0isl0l0l0l3l4l6 8l7 ,j l -10l 3 OF 0 l 3, TEXT w more spece a reeureer, use ed* tenet NRC Form 306A'st (1h incore detectors were unavailable. Core parameters were at all ti'res monitored by the out-of-core detectors and the functioning of the RPS was in no way offected.
This report is submitted to document the inoperability of iricore detectors and their associated annunciator alarm for tilt and imbalance for approximately 17 hours1.967593e-4 days <br />0.00472 hours <br />2.810847e-5 weeks <br />6.4685e-6 months <br />. During the time the incores were off scan, data from the out-of-core detectors verified that no core anomalies occurred.
Corrective Action:
A procedure will be developed by September 17, 1987 to include steps for verification of proper computer functioning after returning the computer to operation and training will be corducted on the sequence to be used when deleting or adding computer points to or from scan. The computer operating procedure will be revised to ensure the necessary precautions are taken to prevent inadvertently deleting essential computer points from scan. Also a software change is being initiated to prevent the incore detectors from being removed from scan from the control room terminal, thereby preventing a recurrence of this event.
Failure Data:
This is the first report since a similar situation was noted in 1983. No Licensee Event {
Report was required in that case. Corrective action involved developing the Surveillance l l Test to check the associated alarm. This periodically scheduled Surveillance Test was used to discover this inoperable condition.
l f REPORT NO: NP-33-87-ll PCAQ N0(s): 87-0312 I
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%ms EDISON July 20, 1987 EDISON PLAZA 300 MADISON AVENUE TOLEDO. OHIO 43652-0001 Log No.: KA87-0244 File: (NP-33-87-11)
Docket No. 50-346 License No. NPF-3 U. S. Nuclear Regulatory Commission Document Control Desk Washington, D. C. 20555 Gentlemen:
Davis Besse Nuclear Power Station Unit No. 1 Date of Occurrence June 18, 1987 Enclosed is a Voluntary Report which is being submitted per NUREG 1022 Supplement 1.
Yours truly, l .a O
&CWrO '
Louis F. Storz Plant Manager Davis-Besse Nuclear Power Station LFS/ed l Enclosure cc: Mr. A. Bert Davis -
Regional Administrator I USNRC Region III i 4
i Mr. Paul Byron DB-1 NRC Resident Inspector ,
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