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| ==Dear Sir:== | | ==Dear Sir:== |
| SALEM GENERATING STATION LICENSE NO. DPR-70 DOCKET NO. 50-272 UNIT NO. 1 June 4, 1992 SUPPLEMENTAL LICENSEE EVENT REPORT 91-038-01 This Licensee Event Report supplement is being submitted pursuant to the requirements of the Code of Federal Regulations lOCFR 50.73. Additional event assessment has shown that the event discussed in this LER is not reportable by either Code of Federal Regulations lOCFR 50.72 or lOCFR 50.73. MJP:pc Distribution 9206240284 920604 PDR ADOCK 05000272 S PDR The Energy People Sincerely yours, c. A Vondra General Manager -Salem Operations 95-2189 (10M) 12-89 NRC FORM 366 (6-89) U.S. NUCLEAR REGULATORY COMMISSION APPROVED OMB NO. 3150*0104 LICENSEE EVENT REPORT (LERI FACILITY NAME (1) Salem Generating Station -Unit 1 TITLE (4) EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (P-530), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503. l DOCKET NUMBER (2). I PAGE 131 o 15 Io Io Io 12 I 712 1 loF 0 16 Control Room Concern From Postulated Ammonium Release EVENT DATE (5) LEA NUMBER (61 REPORT DATE (7) OTHER FACILITIES INVOLVED (BJ MONTH DAY YEAR YEAR | | SALEM GENERATING STATION LICENSE NO. DPR-70 DOCKET NO. 50-272 UNIT NO. 1 June 4, 1992 SUPPLEMENTAL LICENSEE EVENT REPORT 91-038-01 This Licensee Event Report supplement is being submitted pursuant to the requirements of the Code of Federal Regulations lOCFR 50.73. Additional event assessment has shown that the event discussed in this LER is not reportable by either Code of Federal Regulations lOCFR 50.72 or lOCFR 50.73. MJP:pc Distribution 9206240284 920604 PDR ADOCK 05000272 S PDR The Energy People Sincerely yours, c. A Vondra General Manager -Salem Operations 95-2189 (10M) 12-89 NRC FORM 366 (6-89) U.S. NUCLEAR REGULATORY COMMISSION APPROVED OMB NO. 3150*0104 LICENSEE EVENT REPORT (LERI FACILITY NAME (1) Salem Generating Station -Unit 1 TITLE (4) EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (P-530), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503. l DOCKET NUMBER (2). I PAGE 131 o 15 Io Io Io 12 I 712 1 loF 0 16 Control Room Concern From Postulated Ammonium Release EVENT DATE (5) LEA NUMBER (61 REPORT DATE (7) OTHER FACILITIES INVOLVED (BJ MONTH DAY YEAR YEAR |
| :() | | :() |
| k/ | | k/ |
| MONTH DAY YEAR FACILITY NAMES DOCKET NUMBER(SI Salem Unit 2 o 1 s I o I o I o I 3 11 11 1 12 119 9 1 911 -oj 3 js -o I 1 o j 6 oj 4 9 I 2 OPERATING MODE (BJ THIS REPORT IS SUBMITTED PURSUANT TO THE RcOUIREMENTS OF 10 CFR §: !Ch*ck ono or mor* of th* following) | | MONTH DAY YEAR FACILITY NAMES DOCKET NUMBER(SI Salem Unit 2 o 1 s I o I o I o I 3 11 11 1 12 119 9 1 911 -oj 3 js -o I 1 o j 6 oj 4 9 I 2 OPERATING MODE (BJ THIS REPORT IS SUBMITTED PURSUANT TO THE RcOUIREMENTS OF 10 CFR §: !Ch*ck ono or mor* of th* following) |
| (11) 1 20.405(c) 20.405(1)(1 J(i) --.....__ POWER I LEVEL 1. Q Q ....._ 1101 I I 20.405111!1 lliil ,_ 50.38(c)(1) | | (11) 1 20.405(c) 20.405(1)(1 J(i) --.....__ POWER I LEVEL 1. Q Q ....._ 1101 I I 20.405111!1 lliil ,_ 50.38(c)(1) |
| -50.3B(cJ(2) | | -50.3B(cJ(2) |
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| On December 19, 1991, an interim calculation concluded that a Control Room habitability concern was possible due to postulated failure of a 3000 gallon capacity ammonium hydroxide storage tank (1CFE24), located on 120 1 El. Unit 1 Turbine Building. | | On December 19, 1991, an interim calculation concluded that a Control Room habitability concern was possible due to postulated failure of a 3000 gallon capacity ammonium hydroxide storage tank (1CFE24), located on 120 1 El. Unit 1 Turbine Building. |
| The analysis was prepared by Stone & Webster Engineering Corporation (SWEC) using the "VAPOR" computer program. Ammonium hydroxide is used to maintain secondary plant pH control (i.e., Chemical Feed System {KD}). In accordance with Regulatory Guide 1.78, the maximum concentration release was postulated from a catastrophic failure of the largest storage tank of ammonium hydroxide (27.5 wt%). It was assumed that the liquid ammonium hydroxide would vaporize to ammonia upon release, exhaust to the environment (from the Turbine Building Ventilation System), and disperse to the Control Room air supply intakes. The VAPOR calculation indicated that the Regulatory Guide 1.78 toxic limit for ammonia (100 ppm) would be exceeded. | | The analysis was prepared by Stone & Webster Engineering Corporation (SWEC) using the "VAPOR" computer program. Ammonium hydroxide is used to maintain secondary plant pH control (i.e., Chemical Feed System {KD}). In accordance with Regulatory Guide 1.78, the maximum concentration release was postulated from a catastrophic failure of the largest storage tank of ammonium hydroxide (27.5 wt%). It was assumed that the liquid ammonium hydroxide would vaporize to ammonia upon release, exhaust to the environment (from the Turbine Building Ventilation System), and disperse to the Control Room air supply intakes. The VAPOR calculation indicated that the Regulatory Guide 1.78 toxic limit for ammonia (100 ppm) would be exceeded. |
| On December 19, 1991, at 1530 hours, the Nuclear Regulatory Commission (NRC) was notified in accordance with Code of Federal Regulations 10CFR50.72(b) | | On December 19, 1991, at 1530 hours, the Nuclear Regulatory Commission (NRC) was notified in accordance with Code of Federal Regulations 10CFR50.72(b) |
| (1) (ii). Continued evaluation utilizing the more representative computer model "CHARM", after it had been validated and verified in accordance with PSE&G QA and Engineering Department procedures, has determined that both Salem Units 1 & 2 would have remained habitable per Regulatory LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating Station Unit 1 DOCKET NUMBER 5000272 DESCRIPTION OF OCCURRENCE: (cont'd) Guide 1.78. APPARENT CAUSE OF OCCURRENCE LER NUMBER 91-038-01 PAGE 3 of 6 The root cause of not addressing the ammonium hydroxide concern in the Final Safety Analysis Report (FSAR) is design, manufacturing, constuction/installation error. The original design identified the current storage tank used for secondary water chemistry control as containing morpholine. | | (1) (ii). Continued evaluation utilizing the more representative computer model "CHARM", after it had been validated and verified in accordance with PSE&G QA and Engineering Department procedures, has determined that both Salem Units 1 & 2 would have remained habitable per Regulatory LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating Station Unit 1 DOCKET NUMBER 5000272 DESCRIPTION OF OCCURRENCE: (cont'd) Guide 1.78. APPARENT CAUSE OF OCCURRENCE LER NUMBER 91-038-01 PAGE 3 of 6 The root cause of not addressing the ammonium hydroxide concern in the Final Safety Analysis Report (FSAR) is design, manufacturing, constuction/installation error. The original design identified the current storage tank used for secondary water chemistry control as containing morpholine. |
| Prior to issuance of an operating license, secondary water treatment was changed and the tank designated to store ammonium hydroxide. | | Prior to issuance of an operating license, secondary water treatment was changed and the tank designated to store ammonium hydroxide. |
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| When the ammonium hydroxide concern was first identified in September 1991 (reference NRC Inspection Report 50-272/91-25, dated September 26, 1991) an assessment of control room habitability was initiated using the "CHARM" computer program. Results indicated that the toxic limit for ammonia gas, listed in Regulatory guide 1.78, would be met. The CHARM methodology is used by industries and regulatory agencies for evaluating chemical spills. Since the computer code was being utilized for an "important to safety" calculation, validation and verification was required. | | When the ammonium hydroxide concern was first identified in September 1991 (reference NRC Inspection Report 50-272/91-25, dated September 26, 1991) an assessment of control room habitability was initiated using the "CHARM" computer program. Results indicated that the toxic limit for ammonia gas, listed in Regulatory guide 1.78, would be met. The CHARM methodology is used by industries and regulatory agencies for evaluating chemical spills. Since the computer code was being utilized for an "important to safety" calculation, validation and verification was required. |
| Radian Corp. could not comply with PSE&G's NRC Open Item response schedule. | | Radian Corp. could not comply with PSE&G's NRC Open Item response schedule. |
| An alternate contractor | | An alternate contractor |
| {SWEC) was selected, who used the VAPOR code which identified a safety concern. VAPOR is based on methodology which utilizes very conservative assumptions. | | {SWEC) was selected, who used the VAPOR code which identified a safety concern. VAPOR is based on methodology which utilizes very conservative assumptions. |
| The VAPOR program determined that the two (2) minute toxic limit of Regulatory Guide 1.78 could be exceeded. | | The VAPOR program determined that the two (2) minute toxic limit of Regulatory Guide 1.78 could be exceeded. |
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| Therefore, the health and safety of the public was not affected. | | Therefore, the health and safety of the public was not affected. |
| CORRECTIVE ACTION The following compensatory actions were taken to ensure control room habitability under postulated accident conditions (per VAPOR): 1. A temperature indicator (with chart recorder) was placed in the proximity of the storage vessel to monitor temperature in the tank area. Ammonia release is temperature dependent (i.e., 27.5 wt% ammonium hydroxide solution has a boiling point of 82°F) | | CORRECTIVE ACTION The following compensatory actions were taken to ensure control room habitability under postulated accident conditions (per VAPOR): 1. A temperature indicator (with chart recorder) was placed in the proximity of the storage vessel to monitor temperature in the tank area. Ammonia release is temperature dependent (i.e., 27.5 wt% ammonium hydroxide solution has a boiling point of 82°F) |
| * 2. The maximum allowable storage volumes for 27.5 wt% ammonium hydroxide were determined for temperatures up to 75°F and transmitted to the Salem Operations and Chemistry departments. | | * 2. The maximum allowable storage volumes for 27.5 wt% ammonium hydroxide were determined for temperatures up to 75°F and transmitted to the Salem Operations and Chemistry departments. |
| : 3. Precautionary administrative controls, for tanker truck delivery, have been initiated as per revision of Chemistry procedure SC.CH-AD.ZZ-0474, "Receipt of Ammonium Hydroxide Tank Trucks". With the use of the CHARM code, the need to continue the above corrective actions will be assessed. | | : 3. Precautionary administrative controls, for tanker truck delivery, have been initiated as per revision of Chemistry procedure SC.CH-AD.ZZ-0474, "Receipt of Ammonium Hydroxide Tank Trucks". With the use of the CHARM code, the need to continue the above corrective actions will be assessed. |
| A survey for additional hazardous chemical on-site storage concerns was conducted. | | A survey for additional hazardous chemical on-site storage concerns was conducted. |
| Results identified two (2) additional chemicals with the potential to impact Control Room habitability, 35 wt% hydrazine and 50 wt% sodium hydroxide. | | Results identified two (2) additional chemicals with the potential to impact Control Room habitability, 35 wt% hydrazine and 50 wt% sodium hydroxide. |
| Preliminary assessment indicates no impact on Control Room habitability. | | Preliminary assessment indicates no impact on Control Room habitability. |
| Further corrective actions were taken to ensure Control Room habitability even though present calculations show that control Room habitability is not in question: | | Further corrective actions were taken to ensure Control Room habitability even though present calculations show that control Room habitability is not in question: |
| : 1. An Engineering Evaluation, A-O-ZZ-SEE-0659 "Engineering Evaluation for the Use of 15 Wt% Ammonium Hydroxide at the Salem Generating Station Unit Nos. 1 & 2 11 , was performed' LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating station Unit 1 DOCKET NUMBER 5000272 LER NUMBER 91-038-01 PAGE 6 of 6 CORRECTIVE ACTION (cont'd) MJP:pc and issued to allow a transition to 15 Wt% ammonium hydroxide (from 27.5 Wt%), which is less affected by the temperature range experienced by the storage tanks. 2. Operators were trained to identify the odor of ammonia. Also, ammonia was added to the annual olfactory recognition testing performed by the Medical Department on the licensed operators. | | : 1. An Engineering Evaluation, A-O-ZZ-SEE-0659 "Engineering Evaluation for the Use of 15 Wt% Ammonium Hydroxide at the Salem Generating Station Unit Nos. 1 & 2 11 , was performed' LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating station Unit 1 DOCKET NUMBER 5000272 LER NUMBER 91-038-01 PAGE 6 of 6 CORRECTIVE ACTION (cont'd) MJP:pc and issued to allow a transition to 15 Wt% ammonium hydroxide (from 27.5 Wt%), which is less affected by the temperature range experienced by the storage tanks. 2. Operators were trained to identify the odor of ammonia. Also, ammonia was added to the annual olfactory recognition testing performed by the Medical Department on the licensed operators. |
| : 3. An Abnormal Operating Procedure, SC.OP-AB.CR-0003(Q), "Toxic Gas Release", was issued. 4. NC.NA-AP.ZZ-0019(Q), "Procurement of Materials and Services" and NC.NA-AP.ZZ-0038(Q), "The Chemical Control Program" were reviewed. | | : 3. An Abnormal Operating Procedure, SC.OP-AB.CR-0003(Q), "Toxic Gas Release", was issued. 4. NC.NA-AP.ZZ-0019(Q), "Procurement of Materials and Services" and NC.NA-AP.ZZ-0038(Q), "The Chemical Control Program" were reviewed. |
| NC.NA-AP.ZZ-0038(Q) was revised concerning potential impact of chemicals on Control Room habitability. | | NC.NA-AP.ZZ-0038(Q) was revised concerning potential impact of chemicals on Control Room habitability. |
| : 5. A revision was made to procedure NC.DE-AP.ZZ-OOOl(Q) "Design Bases/Input" to address the possible impact from hazardous chemicals, used in conjunction with or added by Design Changes, on Control Room habitability. | | : 5. A revision was made to procedure NC.DE-AP.ZZ-OOOl(Q) "Design Bases/Input" to address the possible impact from hazardous chemicals, used in conjunction with or added by Design Changes, on Control Room habitability. |
| : 6. A 10CFR50.59 Safety Evaluation was issued, in conjunction with SAR Change Notice 92-07. The UFSAR will be revised to identify the evaluation showing that the guidelines of Regulatory Guide 1.78 are met. General Manager -Salem Operations SORC Mtg. 92-064}} | | : 6. A 10CFR50.59 Safety Evaluation was issued, in conjunction with SAR Change Notice 92-07. The UFSAR will be revised to identify the evaluation showing that the guidelines of Regulatory Guide 1.78 are met. General Manager -Salem Operations SORC Mtg. 92-064}} |
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Category:LICENSEE EVENT REPORT (SEE ALSO AO
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Tubes Reviewed to Verify No Others Inappropriately Plugged ML18106A6471998-06-0404 June 1998 LER 98-011-00:on 980505,improper Isolation of Single Cell Battery Charger from 125 Vdc Battery Was Noted.Caused by Inadequate 10CFR50.59 Applicability Review.Placed Procedure SC.MD-CM.ZZ-0024(Q) on Administrative hold.W/980604 Ltr ML18106A6421998-06-0101 June 1998 LER 98-010-00:on 931019,reactor Pressure Vessel Insp Plugs Were Out of Configuration,Was Noted.Caused by Personnel Error.Proper Configuration Was Restored Shortly After Discovery Prior to Entering Mode 2.W/980601 Ltr ML18106A6431998-05-29029 May 1998 LER 98-006-01:on 980227,determined Incorrect Scaling Error of First Stage Pressure Transmitter Existed.Caused by Human Error.Revised Setpoint Calculation SC-MS002-01 & Revised Associated Instrument Calibr Database info.W/980529 Ltr ML18106A6141998-05-18018 May 1998 LER 98-008-00:on 970814,failure to Test 21 & 22 AF 40 Valves in Closed Direction as Required by TS 4.0.5 Was Noted.Caused by Inadequate Design Mod Process.Motor Driven 21/22 AF 40 Valves Were Tested IAW Revised procedure.W/980518 Ltr ML18106A5901998-05-0101 May 1998 LER 98-009-00:on 980405,epoxy Missing from Terminals of H Analyzer Was Noted.Caused by Inadequate Development of Procedure.H Analyzers Were Repaired & Review of Other Safety Related Equipment in Containment Was performed.W/980501 Ltr ML18106A5611998-04-20020 April 1998 LER 98-008-00:on 980323,inadequate Testing of Salem Unit 1 Containment Air Locks Resulted in Entering TS 3.0.3.Caused by less-than-adequate Work Practices During Replacement of Equalizing Valve.Salem Unit 2 Airlocks Were Inspected ML18106A6061998-04-0101 April 1998 Corrected LER 98-004-00:on 980302,failure to Comply W/Tss 4.11.1.1.2 & 3.3.3.8 Was Noted.Caused by Organizational Deficiency.Steps Have Been Taken to Correctly Document Safety Factors.Corrects Prior Similar Occurrences ML18106A4451998-04-0101 April 1998 LER 98-004-00:on 980302,failure to Perform TS 4.11.1.1.2 & 3.3.3.8 Was Noted.Caused by Organizational Deficiency.Steps Were Taken to Correctly Document Safety factors.W/980401 Ltr ML18106A4351998-03-30030 March 1998 LER 98-006-00:on 980227,incorrect Scaling of First Stage Turbine Impulse Pressure Transmitters Noted.Cause Indeterminate.Implemented Procedure Changes & re-scaled Affected Turbine Impulse Pressure transmitters.W/980330 Ltr ML18106A3961998-03-20020 March 1998 LER 98-005-00:on 980219,inoperability of Twelve EDG Fuel Oil Transfer Pump (FOTP) Noted.Caused by Installation of Incorrect Control Switch.Installed Correct off-auto-manual Switch & Verified Operability of Twelve FOTP.W/980320 Ltr ML18106A5781998-03-20020 March 1998 Corrected LER 98-005-00:on 980219,inoperability of 12 Fuel Oil Transfer Pump (Fotp),Noted.Caused by Installation of Incorrect Control Switch.Field Insp Performed to Verify Configuration of Switches for 11,21 & 22 FOTPs ML18106A4021998-03-20020 March 1998 LER 98-007-00:on 980218,failure to Establish Containment Integrity (Closure) Prior to Fuel Movement Was Noted.Caused by Failure to Identify & Include Condensate Pot Vent in Appropriate Valve Lineup.Valves identified.W/980320 Ltr ML18106A4031998-03-20020 March 1998 LER 98-006-00:on 980221,ESF Actuation of 11 & 12 Auxiliary Feedwater Pumps Occurred.Caused by Human Error.Operators Promptly Established Feedwater to All SG & Restored Proper Water levels.W/980320 Ltr 1999-08-26
[Table view] Category:RO)
MONTHYEARML18107A5031999-08-26026 August 1999 LER 99-006-00:on 990729,determined That SG Blowdown RMs Setpoint Was non-conservative.Caused by Inadequate ACs for Incorporating Original Plant Licensing Data Into Plant Procedures.Blowdown Will Be Restricted.With 990826 Ltr ML18107A4691999-07-28028 July 1999 LER 99-008-00:on 990714,determined That Limit Switch Cables Were Subject to Multiple Hot Shorts in Same Fire Area.Caused by Inadequate Original Post Fire Safe Shutdown Analysis.All Limit Switch Cables for MOVs Were Reviewed.With 990728 Ltr ML18107A4441999-07-0606 July 1999 LER 99-007-00:on 990605,surveillance for Quadrant Power Tilt Ratio (QPTR) Was Missed.Caused by Human Error.Qptr Calculation Was Performed & Personnel Involved Have Been Held Accountable IAW Pse&G Policies.With 990706 Ltr ML18107A4211999-07-0202 July 1999 LER 99-005-00:on 990605,11 Containment Declared Inoperable. Caused by Valves 11SW72 & 11SW223 Both Leaking.Procedure S1.OP-ST.SW-0010(Q) Was Enhanced to Provide Specific Instructions to Ensure Proper Sequencing.With 990702 Ltr ML18107A4321999-07-0101 July 1999 LER 99-006-01:on 990501,determined That There Was No Flow in One of Four Injection Legs.Caused by Sticking of Valve in Safety Injection Discharge Line to 21 Cold Leg.Valve Was Cut Out of Sys & Replaced.With 990701 Ltr ML18107A4331999-07-0101 July 1999 LER 99-002-01:on 990405,determined That 2SA118 Failed as Found Leakrate Test.Caused by Foreign Matl Found in 2SA118 valve.2SA118 Valve Was Cycled Several Times & Seat Area Was Air Blown in Order to Displace Foreign Matl.With 990701 Ltr ML18107A3951999-06-17017 June 1999 LER 99-004-00:on 990520,reactor Tripped from 100% Power,Due to Negative Flux Trip Signal from Nuclear Instrumentation. Cause Has Not Been Determined.Discoloration Was Identified on One of Penetrations.With 990617 Ltr ML18107A3661999-06-0909 June 1999 LER 99-003-00:on 990513,unplanned Entry Into TS 3.0.3 Was Made.Caused by Human error.Re-positioned Creacs Supply Fan Selector Switches & Revised Procedures S1 & S2.OP-ST.SSP-0001(Q).With 990609 Ltr ML18107A3551999-06-0202 June 1999 LER 99-005-00:on 990504,failure to Meet TS Action Statement Requirements for High Oxygen Concentration in Waste Gas Holdup Sys Occurred.Caused by Inability of Operators. Existing Procedures Will Be Evaluated.With 990602 Ltr ML18107A3541999-06-0101 June 1999 LER 99-006-00:on 990501,HHSI Flow Balance Discrepancy Was Noted During Surveillance.Caused by Sticking of Check Valve in SI Discharge Line to 21 Cold Leg.Valve 21SJ17,was Cut Out of Sys & Replaced.With 990601 Ltr ML18107A2931999-05-12012 May 1999 LER 99-002-00:on 990413,determined That Number 12 Auxiliary Bldg Exhaust Fan Was Rotating Backwards.Caused by mis-wiring of Motor Due to Human Error by Maint technician.Mis-wiring Was Corrected & Fan Was Returned to Svc.With 990512 Ltr ML18107A2781999-05-10010 May 1999 LER 99-004-00:on 990411,automatic Actuation of ESF Occurred During Reactor Vessel Head Removal in Support of Refueling Operations.Caused by High Radiation Condition.Containment Atmosphere Was Monitored.With 990505 Ltr ML18107A2791999-05-0404 May 1999 LER 99-003-00:on 990406,all Salem Unit 2 Chillers Rendered Inoperable.Caused by Human Error.Lessons Learned from Event Were Communicated to All Operators by Including Them in Night Orders.With 990504 Ltr ML18107A2741999-05-0303 May 1999 LER 99-002-00:on 990405,determined That Containment Isolation Valve Failed as Found Leakrate Test.Caused by Foreign Matl Blocking Valves from Closing.Check Valve Mechanically Agitated.With 990504 Ltr ML18107A2351999-04-23023 April 1999 LER 99-001-00:on 990330,MSSV Failed Lift Set Test.Caused by Setpoint Variance Which Is Result of Aging.Valves Were Adjusted & Retested to Ensure TS Tolerance.With 990423 Ltr ML18106B1471999-03-29029 March 1999 LER 99-001-00:on 990228,reactor Scram Was Noted as Result of Turbine Trip.Caused by Operator Error.Lesson Plans Revised to Explicitly Demonstrate Manner in Which Valve Functions. with 990329 Ltr ML18106B0701999-02-16016 February 1999 LER 98-015-00:on 981208,inadvertent Discharge Through RHR Relief Valve During Startup Was Noted.Caused by Operator Performing Too Many Tasks Simultaneously.Appropriate Actions Have Been Taken IAW Policies & Procedures.With 990216 Ltr ML18106B0491999-01-28028 January 1999 LER 98-007-01:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Caused by Transgranular Stress Corrosion Cracking.Replaced Affected Tubing.With 990128 Ltr ML18106B0401999-01-18018 January 1999 LER 98-016-00:on 981219,ECCS Leakage Was Outside of Design Value.Caused by Leakage Past Seat of 21RH34 Manual Drain. Valve 21RH34 Was Reseated.With 990118 Ltr ML18106B0081998-12-24024 December 1998 LER 97-001-01:on 970215,failure to Perform TS Surveillance of Component Cooling Water Sys Check Valves Occurred.Caused by Inadequate Communication Between EOP Group & IST Reviewers.Procedure Revised.With 981224 Ltr ML18106B0021998-12-17017 December 1998 LER 98-015-01:on 980924,improper Installation of Test Equipment to RPS Occurred.Caused by Inadequate 10CFR50.59 Applicability Reviews During Past Revs.Revised Procedures. with 981217 Ltr ML18106A9551998-11-0303 November 1998 LER 96-013-01:on 960711,concluded That Current Gain & Bias Settings Had Rendered Overtemperature Delta Temp Protection Channels Inoperable.Caused by Scaling Error.Licensee Will Revise Scaling Calculations.With 981105 Ltr ML18106A9451998-10-30030 October 1998 LER 97-004-01:on 970408,failure to Comply with TS Action Statement,Dg Start & Inadequate Surveillance Testing,Was Noted.Caused by Inadequate Tracking of Inoperable Equipment. Discussed Event & Lessons Learned.With 981022 Ltr ML18106A9491998-10-22022 October 1998 LER 98-015-00:on 980924,identified Improper Installation of Test Equipment to Rps.Cause Indeterminate.Procedures for Installation of Test Equipment for Collection of State Point Data Were Placed on Administrative Hold.With 981022 Ltr ML18106A9301998-10-21021 October 1998 LER 98-014-00:on 980725,noted Improper Calibr of Liquid Radwaste Effluent Line Radiation Monitor.Caused by Inattention to Detail by Maint Personnel.Channel Calibr Was Successfully Performed on 1R18 on 980821.With 981019 Ltr ML18106A9071998-10-0101 October 1998 LER 98-014-00:on 980918,discovered That Fire Barrier Matl for HVAC Ducts Does Not Meet Required Level of Fire Resistance.Cause Indeterminate.Established Appropriate Compensatory Actions for Fire Barriers.With 981001 Ltr ML18106A8951998-09-28028 September 1998 LER 98-012-01:on 980725,noted That Afs Was Operated with Less than Required Number of Operable AFW Pumps.Caused by Improper Procedure Implementation.Runout Protection Pressure Device for 22 AFW Pumps Was Returned to Svc.With 980928 Ltr ML18106A8821998-09-21021 September 1998 LER 98-013-00:on 980820,noted Surveillance of Containment Penetration Overcurrent Protection Devices Missed.Caused by Human Error.Satisfactorily Tested Apprpriate Breakers & Disciplined Involved Personnel.With 980921 Ltr ML18106A8791998-09-16016 September 1998 LER 96-006-01:on 960717,determined That non-radioactive Liquid Basin Radwaste Monitor Inoperable During Low Head Conditions.Caused by Inadequate Design Change Package.Design Change 1EC3663-01 Has Been Installed.With 980916 Ltr ML18106A8801998-09-0808 September 1998 LER 98-013-00:on 980806,operation with TS Required Equipment OOS Was Noted.Caused by Human Error.Reviewed Processes & Practices Re Safety Sys Status Control,Procedure Rev & Extra Training.With 980908 Ltr ML18106A8531998-08-27027 August 1998 LER 98-007-00:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Cause of Event Has Not Yet Been Determined.Assembled Root Cause Team & Replaced Affected tubing.W/980827 Ltr ML18106A8521998-08-27027 August 1998 LER 98-011-00:on 980803,ESFA During a 4KV Automatic Transfer Test Was Noted.Caused by Premature Release of Control Console Pushbutton Due to Inadequate Procedural Step.Revised procedure.W/980827 Ltr ML18106A8421998-08-24024 August 1998 LER 98-012-00:on 980725,discovered That Plant Had Operated in Modes 1 & 2 w/twenty-two AFW Pumps Inoperable.Caused by Failure to Restore Pump Runout Protection Pressure Device to Svc.Returned Subject Device to svc.W/980824 Ltr ML18106A8431998-08-24024 August 1998 LER 98-009-00:on 980810,failure to Post Continuous Firewatch as Required by Fire Protection Plan Noted.Caused by Failure to Recognize Concurrent Conditions.Continuous Firewatch Was Posted Immediately & Repaired Smoke detectors.W/980824 Ltr ML18106A8141998-08-13013 August 1998 LER 98-010-00:on 980714,determined That Leakage from Boron Injection Tank Exceeded Max Allowable ECCS Leakage from Sources Outside Containment.Caused by Leaking 2SJ404 Manual Sample valve.2SJ404 Valve repaired.W/980813 Ltr ML18106A8201998-08-13013 August 1998 LER 98-012-00:on 980715,potential to Exceed Rating of Piping Due to Isolation of Overpressure Protection Line Was Noted. Caused by Inadequate Procedural Guidance.Appropriate Operations Dept Procedures Have Been revised.W/980813 Ltr ML18106A6931998-06-29029 June 1998 LER 98-003-00:on 980122,inappropriate Plugging of Tubes R9C60 & R10C60 in Salem Unit 2 Sg,Was Performed.Caused by Failure of Qualification,Verification & Validation Process. Tubes Reviewed to Verify No Others Inappropriately Plugged ML18106A6471998-06-0404 June 1998 LER 98-011-00:on 980505,improper Isolation of Single Cell Battery Charger from 125 Vdc Battery Was Noted.Caused by Inadequate 10CFR50.59 Applicability Review.Placed Procedure SC.MD-CM.ZZ-0024(Q) on Administrative hold.W/980604 Ltr ML18106A6421998-06-0101 June 1998 LER 98-010-00:on 931019,reactor Pressure Vessel Insp Plugs Were Out of Configuration,Was Noted.Caused by Personnel Error.Proper Configuration Was Restored Shortly After Discovery Prior to Entering Mode 2.W/980601 Ltr ML18106A6431998-05-29029 May 1998 LER 98-006-01:on 980227,determined Incorrect Scaling Error of First Stage Pressure Transmitter Existed.Caused by Human Error.Revised Setpoint Calculation SC-MS002-01 & Revised Associated Instrument Calibr Database info.W/980529 Ltr ML18106A6141998-05-18018 May 1998 LER 98-008-00:on 970814,failure to Test 21 & 22 AF 40 Valves in Closed Direction as Required by TS 4.0.5 Was Noted.Caused by Inadequate Design Mod Process.Motor Driven 21/22 AF 40 Valves Were Tested IAW Revised procedure.W/980518 Ltr ML18106A5901998-05-0101 May 1998 LER 98-009-00:on 980405,epoxy Missing from Terminals of H Analyzer Was Noted.Caused by Inadequate Development of Procedure.H Analyzers Were Repaired & Review of Other Safety Related Equipment in Containment Was performed.W/980501 Ltr ML18106A5611998-04-20020 April 1998 LER 98-008-00:on 980323,inadequate Testing of Salem Unit 1 Containment Air Locks Resulted in Entering TS 3.0.3.Caused by less-than-adequate Work Practices During Replacement of Equalizing Valve.Salem Unit 2 Airlocks Were Inspected ML18106A6061998-04-0101 April 1998 Corrected LER 98-004-00:on 980302,failure to Comply W/Tss 4.11.1.1.2 & 3.3.3.8 Was Noted.Caused by Organizational Deficiency.Steps Have Been Taken to Correctly Document Safety Factors.Corrects Prior Similar Occurrences ML18106A4451998-04-0101 April 1998 LER 98-004-00:on 980302,failure to Perform TS 4.11.1.1.2 & 3.3.3.8 Was Noted.Caused by Organizational Deficiency.Steps Were Taken to Correctly Document Safety factors.W/980401 Ltr ML18106A4351998-03-30030 March 1998 LER 98-006-00:on 980227,incorrect Scaling of First Stage Turbine Impulse Pressure Transmitters Noted.Cause Indeterminate.Implemented Procedure Changes & re-scaled Affected Turbine Impulse Pressure transmitters.W/980330 Ltr ML18106A3961998-03-20020 March 1998 LER 98-005-00:on 980219,inoperability of Twelve EDG Fuel Oil Transfer Pump (FOTP) Noted.Caused by Installation of Incorrect Control Switch.Installed Correct off-auto-manual Switch & Verified Operability of Twelve FOTP.W/980320 Ltr ML18106A5781998-03-20020 March 1998 Corrected LER 98-005-00:on 980219,inoperability of 12 Fuel Oil Transfer Pump (Fotp),Noted.Caused by Installation of Incorrect Control Switch.Field Insp Performed to Verify Configuration of Switches for 11,21 & 22 FOTPs ML18106A4021998-03-20020 March 1998 LER 98-007-00:on 980218,failure to Establish Containment Integrity (Closure) Prior to Fuel Movement Was Noted.Caused by Failure to Identify & Include Condensate Pot Vent in Appropriate Valve Lineup.Valves identified.W/980320 Ltr ML18106A4031998-03-20020 March 1998 LER 98-006-00:on 980221,ESF Actuation of 11 & 12 Auxiliary Feedwater Pumps Occurred.Caused by Human Error.Operators Promptly Established Feedwater to All SG & Restored Proper Water levels.W/980320 Ltr 1999-08-26
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217A9931999-09-30030 September 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data ML18107A5581999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Salem,Unit 2.With 991014 Ltr ML18107A5571999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Salem,Unit 1.With 991014 Ltr ML18107A5301999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Salem,Unit 2.With 990913 Ltr ML18107A5311999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Salem,Unit 1.With 990913 ML18107A5031999-08-26026 August 1999 LER 99-006-00:on 990729,determined That SG Blowdown RMs Setpoint Was non-conservative.Caused by Inadequate ACs for Incorporating Original Plant Licensing Data Into Plant Procedures.Blowdown Will Be Restricted.With 990826 Ltr ML18107A5201999-08-12012 August 1999 Rev 0 to Sgs Unit 2 ISI RFO Exam Results (S2RFO#9) Second Interval,Second Period, First Outage (96RF). ML18107A4811999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Salem,Unit 1.With 990813 Ltr ML18107A4821999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Salem,Unit 2.With 990813 Ltr ML18107A4691999-07-28028 July 1999 LER 99-008-00:on 990714,determined That Limit Switch Cables Were Subject to Multiple Hot Shorts in Same Fire Area.Caused by Inadequate Original Post Fire Safe Shutdown Analysis.All Limit Switch Cables for MOVs Were Reviewed.With 990728 Ltr ML18107A4441999-07-0606 July 1999 LER 99-007-00:on 990605,surveillance for Quadrant Power Tilt Ratio (QPTR) Was Missed.Caused by Human Error.Qptr Calculation Was Performed & Personnel Involved Have Been Held Accountable IAW Pse&G Policies.With 990706 Ltr ML18107A4211999-07-0202 July 1999 LER 99-005-00:on 990605,11 Containment Declared Inoperable. Caused by Valves 11SW72 & 11SW223 Both Leaking.Procedure S1.OP-ST.SW-0010(Q) Was Enhanced to Provide Specific Instructions to Ensure Proper Sequencing.With 990702 Ltr ML18107A4331999-07-0101 July 1999 LER 99-002-01:on 990405,determined That 2SA118 Failed as Found Leakrate Test.Caused by Foreign Matl Found in 2SA118 valve.2SA118 Valve Was Cycled Several Times & Seat Area Was Air Blown in Order to Displace Foreign Matl.With 990701 Ltr ML18107A4321999-07-0101 July 1999 LER 99-006-01:on 990501,determined That There Was No Flow in One of Four Injection Legs.Caused by Sticking of Valve in Safety Injection Discharge Line to 21 Cold Leg.Valve Was Cut Out of Sys & Replaced.With 990701 Ltr ML18107A5211999-07-0101 July 1999 Rev 0 to Sgs Unit 2 ISI RFO Exam Results (S2RFO#10) Second Interval,Second Period,Second Outage (99RF). ML18107A4351999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Salem,Unit 1.With 990713 Ltr ML18107A4341999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Salem,Unit 2.With 990713 Ltr ML20196H8621999-06-30030 June 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data, June 1999 Rept ML18107A3951999-06-17017 June 1999 LER 99-004-00:on 990520,reactor Tripped from 100% Power,Due to Negative Flux Trip Signal from Nuclear Instrumentation. Cause Has Not Been Determined.Discoloration Was Identified on One of Penetrations.With 990617 Ltr ML18107A3661999-06-0909 June 1999 LER 99-003-00:on 990513,unplanned Entry Into TS 3.0.3 Was Made.Caused by Human error.Re-positioned Creacs Supply Fan Selector Switches & Revised Procedures S1 & S2.OP-ST.SSP-0001(Q).With 990609 Ltr ML18107A3551999-06-0202 June 1999 LER 99-005-00:on 990504,failure to Meet TS Action Statement Requirements for High Oxygen Concentration in Waste Gas Holdup Sys Occurred.Caused by Inability of Operators. Existing Procedures Will Be Evaluated.With 990602 Ltr ML18107A3441999-06-0101 June 1999 Interim Part 21 Rept Re Premature Over Voltage Protection Actuation in Circuit Specific Application in Dc Power Supply.Testing & Evaluation Activities Will Be Completed on 990716 ML18107A3541999-06-0101 June 1999 LER 99-006-00:on 990501,HHSI Flow Balance Discrepancy Was Noted During Surveillance.Caused by Sticking of Check Valve in SI Discharge Line to 21 Cold Leg.Valve 21SJ17,was Cut Out of Sys & Replaced.With 990601 Ltr ML18107A3681999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Salem Generating Station,Unit 1.With 990611 Ltr ML18107A3721999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Salem Generating Station,Unit 2.With 990611 Ltr ML18107A2931999-05-12012 May 1999 LER 99-002-00:on 990413,determined That Number 12 Auxiliary Bldg Exhaust Fan Was Rotating Backwards.Caused by mis-wiring of Motor Due to Human Error by Maint technician.Mis-wiring Was Corrected & Fan Was Returned to Svc.With 990512 Ltr ML18107A2781999-05-10010 May 1999 LER 99-004-00:on 990411,automatic Actuation of ESF Occurred During Reactor Vessel Head Removal in Support of Refueling Operations.Caused by High Radiation Condition.Containment Atmosphere Was Monitored.With 990505 Ltr ML18107A2791999-05-0404 May 1999 LER 99-003-00:on 990406,all Salem Unit 2 Chillers Rendered Inoperable.Caused by Human Error.Lessons Learned from Event Were Communicated to All Operators by Including Them in Night Orders.With 990504 Ltr ML18107A2741999-05-0303 May 1999 LER 99-002-00:on 990405,determined That Containment Isolation Valve Failed as Found Leakrate Test.Caused by Foreign Matl Blocking Valves from Closing.Check Valve Mechanically Agitated.With 990504 Ltr ML18107A3711999-04-30030 April 1999 Corrected Monthly Operating Rept for Apr 1999 for Salem Generating Station,Unit 1 ML18107A3151999-04-30030 April 1999 Submittal-Only Screening Review of Salem Generating Station Individual Plant Exam for External Events (Seismic Portion), Rev 1 ML18107A2991999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Salem Unit 1.With 990514 Ltr ML18107A2971999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Salem Unit 2.With 990514 Ltr ML18107A2351999-04-23023 April 1999 LER 99-001-00:on 990330,MSSV Failed Lift Set Test.Caused by Setpoint Variance Which Is Result of Aging.Valves Were Adjusted & Retested to Ensure TS Tolerance.With 990423 Ltr ML18107A2881999-04-0707 April 1999 Rev 0 to NFS-0174, COLR for Salem Unit 2 Cycle 11. ML18107A1821999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Salem,Unit 1.With 990414 Ltr ML18107A1831999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Salem,Unit 2.With 990414 Ltr ML18106B1471999-03-29029 March 1999 LER 99-001-00:on 990228,reactor Scram Was Noted as Result of Turbine Trip.Caused by Operator Error.Lesson Plans Revised to Explicitly Demonstrate Manner in Which Valve Functions. with 990329 Ltr ML18106B1021999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Salem Unit 2.With 990315 Ltr ML18106B1011999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Salem Unit 1.With 990315 Ltr ML18106B0931999-02-25025 February 1999 Part 21 Rept Re Possible Defect in Swagelok Pipe Fitting Tee,Part Number SS-6-T.Caused by Crack Due to Improper Location of Heated Bar.Only One Part Out of 7396 Pieces in Forging Lot Was Found to Be Cracked.Affected Util,Notified ML18106B0701999-02-16016 February 1999 LER 98-015-00:on 981208,inadvertent Discharge Through RHR Relief Valve During Startup Was Noted.Caused by Operator Performing Too Many Tasks Simultaneously.Appropriate Actions Have Been Taken IAW Policies & Procedures.With 990216 Ltr ML18106B0551999-02-0101 February 1999 Part 21 Rept Re Possible Matl Defect in Swagelok Pipe Fitting Tee,Part Number SS-6-T.Defect Is Crack in Center of Forging.Analysis of Part Is Continuing & Further Details Will Be Provided IAW Ncr Timetables.Drawing of Part,Encl ML18106B0561999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Salem Generating Station,Unit 2.With 990212 Ltr ML18106B0571999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Salem Generating Station,Unit 1.With 990212 Ltr ML20205P1671999-01-31031 January 1999 a POST-PLUME Phase, Federal Participation Exercise ML18106B0441999-01-29029 January 1999 Part 21 Rept Re Possible Defect in Swagelok Pipe Fitting Tee Part Number SS-6-T.Caused by Crack in Center of Forging. Continuing Analysis of Part & Will Provide Details in Acoordance with NRC Timetables ML18106B0491999-01-28028 January 1999 LER 98-007-01:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Caused by Transgranular Stress Corrosion Cracking.Replaced Affected Tubing.With 990128 Ltr ML18106B0401999-01-18018 January 1999 LER 98-016-00:on 981219,ECCS Leakage Was Outside of Design Value.Caused by Leakage Past Seat of 21RH34 Manual Drain. Valve 21RH34 Was Reseated.With 990118 Ltr ML18106B0251998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Salem Unit 2.With 990115 Ltr 1999-09-30
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e Public Service Electric and Gas Company P.O. Box 236 Hancpcks Bridge, New Jersey 08038 Salem Generating Station U. S. Nuclear Regulatory Commission Document Control Desk Washington, DC 20555
Dear Sir:
SALEM GENERATING STATION LICENSE NO. DPR-70 DOCKET NO. 50-272 UNIT NO. 1 June 4, 1992 SUPPLEMENTAL LICENSEE EVENT REPORT 91-038-01 This Licensee Event Report supplement is being submitted pursuant to the requirements of the Code of Federal Regulations lOCFR 50.73. Additional event assessment has shown that the event discussed in this LER is not reportable by either Code of Federal Regulations lOCFR 50.72 or lOCFR 50.73. MJP:pc Distribution 9206240284 920604 PDR ADOCK 05000272 S PDR The Energy People Sincerely yours, c. A Vondra General Manager -Salem Operations 95-2189 (10M) 12-89 NRC FORM 366 (6-89) U.S. NUCLEAR REGULATORY COMMISSION APPROVED OMB NO. 3150*0104 LICENSEE EVENT REPORT (LERI FACILITY NAME (1) Salem Generating Station -Unit 1 TITLE (4) EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (P-530), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503. l DOCKET NUMBER (2). I PAGE 131 o 15 Io Io Io 12 I 712 1 loF 0 16 Control Room Concern From Postulated Ammonium Release EVENT DATE (5) LEA NUMBER (61 REPORT DATE (7) OTHER FACILITIES INVOLVED (BJ MONTH DAY YEAR YEAR
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MONTH DAY YEAR FACILITY NAMES DOCKET NUMBER(SI Salem Unit 2 o 1 s I o I o I o I 3 11 11 1 12 119 9 1 911 -oj 3 js -o I 1 o j 6 oj 4 9 I 2 OPERATING MODE (BJ THIS REPORT IS SUBMITTED PURSUANT TO THE RcOUIREMENTS OF 10 CFR §: !Ch*ck ono or mor* of th* following)
(11) 1 20.405(c) 20.405(1)(1 J(i) --.....__ POWER I LEVEL 1. Q Q ....._ 1101 I I 20.405111!1 lliil ,_ 50.38(c)(1)
-50.3B(cJ(2)
....._ 50.73(1)(2)(v) 73.71 (c) 50.73(1)(2) (viii 50.73(1)(211viii)(A) 50.73(1) (2) (viii I (BJ 50.73(1)(2Jlx)
....._ X OTHER ISP6cify in Abstract ""--btJlow and in Tt1xt. NRC Form 366A) NAME 20.406(1)(1
)(iii) 20.406(1)(1
)(iv) 20.40511111 JM -50.73(1J(2)(i)
-....._ 60.73(1)(2J(ii)
-....._ 50.73(11(2Jlii1J LICENSEE CONTACT FDR THIS LER (12) Informataion Only TELEPHONE NUMBER AREA CODE M. J. Pollack -LER Coordinator 6 I 0 19 3 13 I 9 I -12 I 0 12 12 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13) CAUSE SYSTEM COMPONENT I I I I I I I I MANUFAC* TUR ER I I I I I I SUPPLEMENTAL REPORT EXPECTED (14) I YES (If v*s. compl*t* EXPECTED SUBMISSION DA TE) ABSTRACT (Limit to 1400 spaces, i.t1., approximately fifttJtJn sing/s-spaca typt1writtttn lines) (16) CAUSE SYSTEM I I COMPONENT MANUFAC* TUR ER I I I I I I I I I I I I EXPECTED SUBMISSION DATE (151 MONTH DAY YEAR I I I On 12/19/91, an interim calculation concluded that a Control Room habitability concern was possible, due to postulated failure of a 3000 gallon ammonium hydroxide storage tank. In accordance with Regulatory Guide 1.78, the maximum concentration release was postulated from a catastrophic failure of the largest storage tank of ammonium hydroxide (27.5 wt%). The liquid ammonium hydroxide would vaporize to ammonia upon release, exhaust to the environment, and disperse to the Control Room air supply intakes. The calculation indicated that the Regulatory Guide 1.78 guideline could be exceeded.
Immediate actions were taken to mitigate the potential consequences.
Continued evaluation has shown that the interim calculation did not accurately simulate plant conditions.
A more appropriate calculational method was since used which shows that PSE&G does conform to Regulatory Guide 1.78. The root cause of not addressing the ammonium hydroxide concern in the Final Safety Analysis Report (FSAR) is design, manufacturing, constuction/installation error. Compensatory actions were taken to ensure control room habitability under postulated accident conditions when the concern was first identified.
A survey for additional hazardous chemical on-site storage concerns was conducted.
An Engineering Evaluation, including a 10CFR50.59 Safety Evaluation, was completed addressing ammonium hydroxide and other applicable hazardous chemical issues. A change to the UFSAR has been initiated.
The chemical control program and procedures were evaluated and applicable procedure revisions made. NRC Form 366 (6-89)
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating Station Unit 1 DOCKET NUMBER 5000272 PLANT AND SYSTEM IDENTIFICATION:
Westinghouse
-Pressurized Water Reactor LER NUMBER 91-038-01 PAGE 2 of 6 Energy Industry Identification System (EIIS) codes are identified in the text as {xx} IDENTIFICATION OF OCCURRENCE:
Control Room habitability concern from postulated ammonium hydroxide release Discovery Date: 12/19/91 Report Date: 6/4/92 This report was initiated by Incident Report No.91-920. This LER Supplement retracts the identification of reportability per Code of Federal Regulations 10CFR50.72 or lOCFR 50.73 based on subsequent investigation of the event. CONDITIONS PRIOR TO OCCURRENCE:
Unit 1: Unit 2: Mode 1 Reaftor Power 100% -Unit Load 1158 MWe Defueled -6 li Refueling in progress DESCRIPTION OF OCCURRENCE:
On December 19, 1991, an interim calculation concluded that a Control Room habitability concern was possible due to postulated failure of a 3000 gallon capacity ammonium hydroxide storage tank (1CFE24), located on 120 1 El. Unit 1 Turbine Building.
The analysis was prepared by Stone & Webster Engineering Corporation (SWEC) using the "VAPOR" computer program. Ammonium hydroxide is used to maintain secondary plant pH control (i.e., Chemical Feed System {KD}). In accordance with Regulatory Guide 1.78, the maximum concentration release was postulated from a catastrophic failure of the largest storage tank of ammonium hydroxide (27.5 wt%). It was assumed that the liquid ammonium hydroxide would vaporize to ammonia upon release, exhaust to the environment (from the Turbine Building Ventilation System), and disperse to the Control Room air supply intakes. The VAPOR calculation indicated that the Regulatory Guide 1.78 toxic limit for ammonia (100 ppm) would be exceeded.
On December 19, 1991, at 1530 hours0.0177 days <br />0.425 hours <br />0.00253 weeks <br />5.82165e-4 months <br />, the Nuclear Regulatory Commission (NRC) was notified in accordance with Code of Federal Regulations 10CFR50.72(b)
(1) (ii). Continued evaluation utilizing the more representative computer model "CHARM", after it had been validated and verified in accordance with PSE&G QA and Engineering Department procedures, has determined that both Salem Units 1 & 2 would have remained habitable per Regulatory LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating Station Unit 1 DOCKET NUMBER 5000272 DESCRIPTION OF OCCURRENCE: (cont'd) Guide 1.78. APPARENT CAUSE OF OCCURRENCE LER NUMBER 91-038-01 PAGE 3 of 6 The root cause of not addressing the ammonium hydroxide concern in the Final Safety Analysis Report (FSAR) is design, manufacturing, constuction/installation error. The original design identified the current storage tank used for secondary water chemistry control as containing morpholine.
Prior to issuance of an operating license, secondary water treatment was changed and the tank designated to store ammonium hydroxide.
FSAR Section 10.2.1.6, "Chemical Feed system", and Figure 10.2-9, "Feedwater Chemical Treatment System" were revised (by Amendment 37 dated April 5, 1976). No discussion of control room habitability for ammonium hydroxide was included in the FSAR. Discussions involve other.hazardous chemicals, airborne radiation, smoke and fire. Because ammonium hydroxide was not specifically identified as a toxic chemical in Regulatory Guide 1.78 or any of its references, it was concluded that it was not considered a hazardous chemical for control Room habitability evaluations.
Additionally, the original FSAR was developed in accordance with the June 30, 1966 AEC Guide for the Organization and Contents of Safety Analysis Reports and AEC General Design Criteria dated July 10, 1967. These documents did not require review and evaluation of site hazards to the degree required after Salem was licensed.
The FSAR made no commitment to Regulatory Guide 1.78 dated June 1974, but did evaluate the effects from accidents involving potential hazardous materials stored on-site as a result of FSAR Review Question 2.11. During the licensing of Unit 2 the response to FSAR Review Question 9.60 and NUREG-0737 TMI Action Item III.D.3.4 stated that plant and site were evaluated for compliance with Regulatory Guide 1.78 and Standard Review Plan Sections 2.2 and 6.4. A preliminary assessment, conducted in September 1991 utilizing the Radian Corporation CHARM code, supported the conclusion that the Control Room habitability would not exceed the two (2) minute criteria contained in Regulatory Guide 1.78 upon failure of the ammonium hydroxide storage tank. However, CHARM could not be validated and verified in time to support PSE&Gs schedule to reply to an NRC inspection open item. An alternate contractor was selected (SWEC). They utilized the VAPOR code which identified the safety concern as discussed above. PSE&G proactively took immediate conservative actions. The VAPOR code was subsequently determined to be too conservative.
Evaluations continued with a more representative model (the CHARM code). Once the CHARM code was validated and verified, the LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating Station Unit 1 APPARENT CAUSE OF OCCURRENCE:
DOCKET NUMBER 5000272 (cont'd) LER NUMBER 91-038-01 PAGE 4 of 6 10CFR50.59 Safety Evaluations were updated. These evaluations concluded that the guidelines for Control Room habitability, per Regulatory Guide 1.78, had been met. ANALYSIS OF OCCURRENCE In July 1980, a review and evaluation of the plant and site was conducted per NUREG-0737 Action Item III.D.3.4.
The Action Item required identification and evaluation of potential hazardous material and a determination that the control room was adequately protected.
The review concluded that the control room was adequately protected since "no chemical hazards exist" based on previous responses to NRC inquiries.
The Updated Final Safety Analysis Report {UFSAR) does not include ammonium hydroxide on the stored hazardous chemical list (UFSAR Section 2.2). UFSAR Section 6.4, does not address ammonium hydroxide impact on control room habitability.
Also, the AEC standard format (dated 1966) did not require discussions of control room habitability.
During the Unit 2 FSAR review (to support Unit 2 licensing), NRC Question 9.60 did ask how Salem's design complied with Regulatory Guide 1.78, but it was asked relative to off-site river accidents.
When the ammonium hydroxide concern was first identified in September 1991 (reference NRC Inspection Report 50-272/91-25, dated September 26, 1991) an assessment of control room habitability was initiated using the "CHARM" computer program. Results indicated that the toxic limit for ammonia gas, listed in Regulatory guide 1.78, would be met. The CHARM methodology is used by industries and regulatory agencies for evaluating chemical spills. Since the computer code was being utilized for an "important to safety" calculation, validation and verification was required.
Radian Corp. could not comply with PSE&G's NRC Open Item response schedule.
An alternate contractor
{SWEC) was selected, who used the VAPOR code which identified a safety concern. VAPOR is based on methodology which utilizes very conservative assumptions.
The VAPOR program determined that the two (2) minute toxic limit of Regulatory Guide 1.78 could be exceeded.
Hope Creek Generating Station, located on the same site as Salem Generating Station, was notified of the Salem Control Room habitability concern for potential impact at Hope Creek Generating Station. During the approval cycle for the calculation, PSE&G questioned the VAPOR model assumptions, associated with plant conditions, and continued the evaluation by qualifying the CHARM code per the Nuclear Department Engineering procedures.
The CHARM model more accurately
,-LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating Station Unit 1 ANALYSIS OF OCCURRENCE:
DOCKET NUMBER 5000272 (cont'd) LER NUMBER 91-038-01 PAGE 5 of 6 reflects actual plant conditions by including the jet effect from the roof top exhaust ventilators and the buoyancy effect of the lighter resultant mixture of ammonia gas and warmed Turbine Building air. Use of CHARM, for source term postulated toxic gas concentrations at the Control Room Ventilation intakes and the final toxic gas buildup concentration calculation in the Control Room proper, produced results .that remained within the guidelines of Regulatory Guide 1.78. The Salem Unit Nos. 1 and 2 and Hope creek Control Rooms would not become uninhabitable, per CHARM code results and routine operating practices.
Therefore, the health and safety of the public was not affected.
CORRECTIVE ACTION The following compensatory actions were taken to ensure control room habitability under postulated accident conditions (per VAPOR): 1. A temperature indicator (with chart recorder) was placed in the proximity of the storage vessel to monitor temperature in the tank area. Ammonia release is temperature dependent (i.e., 27.5 wt% ammonium hydroxide solution has a boiling point of 82°F)
- 2. The maximum allowable storage volumes for 27.5 wt% ammonium hydroxide were determined for temperatures up to 75°F and transmitted to the Salem Operations and Chemistry departments.
- 3. Precautionary administrative controls, for tanker truck delivery, have been initiated as per revision of Chemistry procedure SC.CH-AD.ZZ-0474, "Receipt of Ammonium Hydroxide Tank Trucks". With the use of the CHARM code, the need to continue the above corrective actions will be assessed.
A survey for additional hazardous chemical on-site storage concerns was conducted.
Results identified two (2) additional chemicals with the potential to impact Control Room habitability, 35 wt% hydrazine and 50 wt% sodium hydroxide.
Preliminary assessment indicates no impact on Control Room habitability.
Further corrective actions were taken to ensure Control Room habitability even though present calculations show that control Room habitability is not in question:
- 1. An Engineering Evaluation, A-O-ZZ-SEE-0659 "Engineering Evaluation for the Use of 15 Wt% Ammonium Hydroxide at the Salem Generating Station Unit Nos. 1 & 2 11 , was performed' LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating station Unit 1 DOCKET NUMBER 5000272 LER NUMBER 91-038-01 PAGE 6 of 6 CORRECTIVE ACTION (cont'd) MJP:pc and issued to allow a transition to 15 Wt% ammonium hydroxide (from 27.5 Wt%), which is less affected by the temperature range experienced by the storage tanks. 2. Operators were trained to identify the odor of ammonia. Also, ammonia was added to the annual olfactory recognition testing performed by the Medical Department on the licensed operators.
- 3. An Abnormal Operating Procedure, SC.OP-AB.CR-0003(Q), "Toxic Gas Release", was issued. 4. NC.NA-AP.ZZ-0019(Q), "Procurement of Materials and Services" and NC.NA-AP.ZZ-0038(Q), "The Chemical Control Program" were reviewed.
NC.NA-AP.ZZ-0038(Q) was revised concerning potential impact of chemicals on Control Room habitability.
- 5. A revision was made to procedure NC.DE-AP.ZZ-OOOl(Q) "Design Bases/Input" to address the possible impact from hazardous chemicals, used in conjunction with or added by Design Changes, on Control Room habitability.
- 6. A 10CFR50.59 Safety Evaluation was issued, in conjunction with SAR Change Notice 92-07. The UFSAR will be revised to identify the evaluation showing that the guidelines of Regulatory Guide 1.78 are met. General Manager -Salem Operations SORC Mtg.92-064