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 Issue dateTitleTopic
ML20029D02025 April 1994LER 94-007-01:on 931014,high Head Safety Injection Flow Balance Testing Found to Be Below TS Requirement.Caused by Unaccounted for Uncertainties.Cold Leg Safety Injection Leg Throttle Valve adjusted.W/940425 LtrEnforcement Discretion
Loctite
ML20045G9398 July 1993Lr 93-017-00:on 930616,containment Hydrogen Analyzer Heat Trace Channel Calibration Not Performed on Staggered Test Basis Due to Inadequate Implementation of TS Amend.Test Procedure Satisfactorily performed.W/930708 Ltr
ML20044H15927 May 1993LER 93-016-00:on 930509,discovered That Containment Hydrogen Analyzer Pressure Switch PS-3 Sensing Line Disconnected in Local Panel.Caused by Personnel Error. Pressure Switch Calibr & Line reconnected.W/930527 LtrPost Accident Monitoring
ML20044D57114 May 1993LER 93-002-00:on 930416,automatic Reactor Trip Initiated from Turbine Trip Due to Over Excitation of Main Generator. Emergency Procedure 2-E-0 Entered & Individuals Involved in Event Received Remediated training.W/930514 Ltr
ML20044D22812 May 1993LER 93-003-00:on 930424,manual Reactor Trip Initiated Due to Erratic Feedwater Flow Indications to SG C & Excessive Main Feedwater Regulating Valve Oscillations.Caused by Design Instabilities.Secondary Sys secured.W/930512 Ltr
ML20044C9547 May 1993LER 93-015-00:on 930427,discovered That Portions of Containment Pressure Channels That Input to Containment Spray hi-hi Pressure Not Tested Monthly.Caused by Personnel Error.Test Procedures changed.W/930507 LtrMissed surveillance
ML20044C9816 May 1993LER 93-014-00:on 930411,as-found Speed Setting of Steam Driven AFW Pump 1-FW-P-2 Found Below Required TS Limit. Caused by Incorrect Speed Control Setting.Pump Speed Adjusted & Maint Personnel counseled.W/930506 Ltr
ML20024G68418 April 1991LER 91-006-00:on 910403,discovered That Ac Offsite Power Source Surveillance Not Performed Due to Personnel Error. Surveillance Initiated Immediately & Positive Discipline Administered to supervisor.W/910418 LtrMissed surveillance
ML20029B5606 March 1991LER 91-005-00:on 910209,containment Building Penetrations Breached.Caused by Inadequate Procedural Controls.Core Mapping & Cavity Pump Down Activities Secured,Air Hose Removed & Hydrolase Hose capped.W/910306 LtrTime of Discovery
ML20029A64722 February 1991LER 91-004-00:on 910206,sealed Radioactive Source in Storage Not Leak Tested Prior to Use.Caused by Inadequate Procedures for Verifying Leak Testing of Sources.Procedures Revised.W/ 910222 LtrMissed surveillance
ML20028H66818 January 1991LER 90-009-01:on 900719,discovered That Response Time Testing of Pressurizer High Level Reactor Trip Function Not Performed in Accordance W/Tech Spec 3.3.1.1,Table 3.3-2. Caused by Personnel Error.Procedures revised.W/910118 Ltr
ML20043H83222 June 1990LER 90-007-00:on 900523,discovered That Two Sets of Concrete Roof Blocks on Svc Water Pump House Not in Required Safety Position.Caused by Lack of Administrative Controls.Blocks Restored to Required locations.W/900622 LtrTornado Missile
Tornado Missile Protection
ML20043D5804 June 1990LER 90-006-00:on 900504,casing Cooling Pump Not Put Into Alert Status & Surveillance Missed.Caused by Personnel Error.Pump 1-RS-P-3B Placed in Alert status.W/900604 LtrMissed surveillance
ML20012E33027 March 1990LER 90-003-00:on 900228,52 Valves Identified Not Included in Tech Spec Required Monthly Containment Integrity Verification Surveillance Program.Caused by Personnel Error & Inadequate Procedure.Procedure revised.W/900327 LtrStroke time
Missed surveillance
ML20012B6448 March 1990LER 90-001-00:on 900215,inadvertent Partial Train a ESF Actuation of Containment Depressurization Sys Occurred. Caused by Human Error.Evaluation to Be Performed to Determine If Test Points Can Be moved.W/900308 Ltr
ML20006E2378 February 1990LER 90-001-00:on 900123,reactor Trip Occurred on Steam Feedwater Flow Mismatch.Caused by Failed Circuit Driver Card on Feedwater Regulating Valve.Feedwater Regulating Valve Driver Card replaced.W/900208 LtrReserve Station Service Transformer
ML20006E3775 February 1990LER 90-002-00:on 900127,fuel Bldg Ventilation Sys Not Aligned to Discharge Through Auxiliary Bldg HEPA Filter & Charcoal Adsorber Assembly During Fuel Movement.Caused by Personnel Error.Disciplinary Action taken.W/900205 Ltr
ML20006A85319 January 1990LER 89-019-00:on 891228,discovered That Outer Door of Containment Equipment Escape Air Lock Was Drawing in Air & Inner Door Noted as Not Being in Fully Closed Position.Cause Undetermined.Sys Enhancements Being evaluated.W/900119 Ltr
ML20005F87811 January 1990LER 89-018-00:on 891219,determined That Three Pressurizer Pressure Safety Injection Instrumentation Channels May Not Have Adequate Margin Between Actuation Setpoint & Bottom of Instrument span.W/900111 Ltr
ML19332D54722 November 1989LER 85-003-03:on 890907,determined That Situation Could Arise Where Water Level Would Rise to 264 Ft Before Next Required Surveillance Interval.Cause Not Determined.Dike to Be constructed.W/891122 Ltr
ML20024B7826 July 1983LER 83-048/03L-0:on 830606 & 17,intermediate Range Channels N35 & N36 High Neutron Flux Reactor Trip Setpoints Exceeded Tech Spec Requirements.Caused by Administrative Error. Setpoints reduced.W/830706 Ltr
ML20024C13630 June 1983LER 83-031/03L-0:on 830614,w/unit at 100% Power,Fire Door S54/5 from Emergency Switchgear Room to Cable Vault Would Not Latch.Fire Watch Posted Immediately.Caused by Misaligned Strike.Door Repaired within 1 h.W/830630 LtrFire Watch
ML20024C37230 June 1983LER 83-042/03L-0:on 830606,vital Bus 1-I Momentarily Deenergized While Trying to Clear Inverter Trouble Alarm. Caused by Operator Error.Bus energized.W/830630 Ltr
ML20024B98928 June 1983LER 83-047/03L-0:on 830530,emergency Diesel Generator 2J Tripped on High Crankcase Pressure During Surveillance Testing.Cause Not Determined.Diesel Tested Satisfactorily. W/830628 Ltr
ML20024C29423 June 1983LER 83-044/03L-0:on 830526,during Mode 3,one Recirculation Valve on Each of Two Casing Cooling Pumps Found Open.Caused by Procedure Inadequacy.Valves Closed Immediately.Maint Procedure Will Be revised.W/830623 Ltr
ML20024C30722 June 1983LER 83-034/03L-0:on 830525,during Mode 1,one Header of Control Room Bottled Air Pressurized Sys Had Lower than Required Pressure.Probably Caused by Leak from B Bank of Air Bottles.Header repressurized.W/830622 Ltr
ML20024C09722 June 1983LER 83-045/03L-0:on 830614,Fire Door S71-18,between Emergency Diesel Generator Room 2H & Turbine Bldg,Would Not Latch & Lock.Caused by Stuck Latch.Latch Adjusted & Lubricated.Door Designs modified.W/830622 LtrFire Watch
ML20023E0951 June 1983LER 83-027/03L-0:on 830505,one Header (42 Bottles) of Control Room Bottled Air Pressurized Sys Found to Have Lower than Required Pressure (2,290 Vs 2,300 Psig).Probably Caused by Leakage When Compressor malfunctioned.W/830601 Ltr
ML20023E07226 May 1983LER 83-029/03L-0:on 830509,following Rapid Rampdown from 100% to 4% power,I-131 Dose Equivalent Exceeded 1.0 Uci/G. Caused by Unidentified Fuel Element Defect Worsened by post-rampdown Conditions.Sampling increased.W/830526 Ltr
ML20023D53713 May 1983LER 83-022/03L-0:on 830412,review of ASME XI Iwv Program Identified 192 Valves Not Exercised &/Or Stroke Timed.Caused by Fragmented Implementation of Testing Program.Programs UpgradedStroke time
ML20023D24911 May 1983LER 83-032/03L-0:on 830412,during Mode 5,visual Insp of Hydraulic Snubber 2-WGCB-HSS-3B Revealed Damaged Reservoir W/O Fluid.Caused by Personnel Working in Area.Snubber Replaced
ML20023C53710 May 1983LER 83-021/03L-0:on 830411,Fire Door S-71-7 Between Svc Bldg Health Physics Area & Auxiliary Bldg Would Not Self Close.Caused by Removal of Reclosure Device for Maint of Closure Coupling.Reclosure Device ReinstalledFire Barrier
Fire Watch
ML20023B59327 April 1983LER 83-029/03L-0:on 830402,during Mode 4,automatic Actuation of ECCS Occurred.Caused by Maint Personnel Standing on Conduit Resulting in Loss of lo-lo Pressurizer Pressure Safety Injection Block.Maint Personnel Reinstructed
ML20023B57027 April 1983LER 83-008/03L-0:on 830410,review Revealed That Procedure Used to Restore Boron Injection Tank Concentration Introduced Potential Unanalyzed Injection Flow Diversions. Caused by Oversight.Emergency Procedures RevisedBoric Acid
ML20028G6549 February 1983LER 83-003/03L-0:on 830122,during Mode 5,RHR Flow Was Lost for 4 Minutes.Caused by Failure of 15 Kv a Inverter to Ac Vital Bus 1-III,de-energizing Auxiliary Relay for Pressure Channel P-1403.Vital Bus 1-III & RHR Flow Restored
ML20028G6319 February 1983LER 83-016/03L-0:on 830115 & 16,both Open & Closed Containment Isolation Valves TV-SI-200 & TV-CC-204C,train a Position Indication Lights Found Lit.Caused by Leaking Steam Generator Chemical Feed Line Vent Valve
ML20028G07831 January 1983LER 83-001/03L-0:on 830112,primary Grade Water Isolation Valve to Blender 1-CH-217 Remained Open Longer than Tech Spec Requirements.Caused by Personnel Error.Responsible Operator Reinstructed
ML20028G03828 January 1983LER 83-002/03L-0:on 830104,two of Four 2H Emergency Diesel Generator Surveillance Tests Required by Tech Spec Missed During Nov-Dec 1982.Caused by Scheduling Error.Test Frequency Increased to Meet Tech Spec RequirementsMissed surveillance
ML20028G01328 January 1983LER 83-011/03L-0:on 821119,individual Rod Position Indication Deviated from Group Demand Position by Greater than 12 Steps.Caused by Instrument Drift.Indicator Channel for Rods B-09 & 02 & F-06 Recalibr
ML20028F35019 January 1983LER 83-008/03L-0:on 830107,during Mode 3,individual Rod Position Indication Deviated from Group Demand Position by Greater than 12 Steps While Withdrawing Shutdown Bank B. Caused by Instrument Drift.Rods Recalibr
ML20028E03911 January 1983Updated LER 82-079/03X-1:on 821126,flow Path from Boric Acid Tanks to RCS Found Inoperable.Caused by Ruptured Diaphragm of Boric Acid Transfer Pump Suction Header Isolation Valve 1-CH-80.Valve Diaphragm ReplacedBoric Acid
ML20028E04411 January 1983LER 82-085/03L-0:on 821215,w/unit at Full Power,Emergency Diesel Generator 2J Removed from Svc for 7 H to Adjust Voltage Regulator Response Time.Caused by Voltage Regulator Drift.Procedures Will Be Revised
ML20028E02011 January 1983LER 82-084/03L-0:on 821216,during Full Power,Input from Range Nuclear Instrument N-42 to Comparator Drawer N-50 Was in Defeat.Caused by Failure to Take N-42 Out of Defeat After Deviation Alarm Determination.Operators to Be Reinstructed
ML20028E07811 January 1983LER 82-078/03X-1:on 821125,w/unit in Mode 3,120-volt Ac Vital Bus 1-IV Lost Voltage.Caused by Failure of Normal Power Supply Inverter 1-VB-I-04,due to Failed Oscillator Board,Transformer & Fuse.Components Replaced
ML20028D1315 January 1983LER 82-083/03L-0:on 821213,emergency Diesel Generator 2J Removed from Svc.Caused by Failure of 40X Unexcitation Alarm Relay Coil.Carbon Deposits & Arcing Damage of 40/76 Relay Contact Prevented Good Contact
ML20028D1575 January 1983Updated LER 81-071/03X-2:on 810911,hydraulic Snubber on Main Steam Line Discovered Inoperable Due to Loss of Oil from Reservoir.Caused by Leak Due to Scored Brass Bushing on Piston Shaft.Snubber Purged & Refilled.Reach Rod Retorqued
ML20028C51931 December 1982LER 82-083/03L-0:on 821204,while Operating at 17% Rated Thermal Power,Turbine Control Sys Malfunctioned Causing Sudden Increase in Load,Resulting in Reactor Trip.Caused by Malfunction of Analog Converter
ML20028A86516 November 1982LER 82-067/03L-0:on 821019,suction to RHR Sys Pumps a & B Lost for 36 Minutes.On 821020,pump Suction Lost for 33 Minutes.Caused by Ambiguous RCS Level Indication While Water Drained to Centerline of Nozzles.Water Added
ML20028A88216 November 1982LER 82-060/03L-0:on 821019,station Battery I-IV Failed 18- Month Discharge Surveillance Test.Caused by Natural End of Life.Battery Replaced
ML20028A97816 November 1982LER 82-071/03L-0:on 821027,control Power for B Casing Cooling Pump Found de-energized.Caused by Opened Circuit Breaker Unintentionally Disturbed by Workers.Circuit Breaker Closed & Power Verified