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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A3671998-07-14014 July 1998 LER 98-002-00:on 971019,CR Emergency Air Treatment Sys Actuating Function Was Not Operable.Caused by Mispositioned Switch.Revised Procedure CPI-MON-R37.W/980714 Ltr ML17265A1921998-03-11011 March 1998 LER 98-001-00:on 980209,discovered That Boraflex Degradation in SPF Was Greater than Was Assumed.Caused by Dissolution of Boron on Boraflex Matrix,Per 10CFR50.21.Removed Spent Fuel Assemblies from Selected Degraded Storage Rack Cells ML17265A1641998-02-0606 February 1998 LER 97-007-01:on 971117,reactor Engineer Recognized That Neutron Flux Low Range Trip Circuitry for Channel Was Not in Tripped Condition as Required.Caused by Technical Inadequacies.Channel Defeat Will Be Identified ML17265A1601998-02-0606 February 1998 LER 97-006-01:on 971103,verification of B Concentration Was Not Performed Due to Misinterpretation of Event Sequence. Audible Count Rate Function Was Restored to Operable Status ML17264B1441997-12-17017 December 1997 LER 97-007-00:on 971117,NF Low Range Trip Circuitry for Channel N-44 Was Not Placed in Tripped Condition.Caused by Technical Inadequacies in Procedures.Implemented EWR 4862 to Resolve Design deficiency.W/971217 Ltr ML17264B1291997-12-0303 December 1997 LER 97-006-00:on 971103,NIS Audible Count Rate Function Was Inoperable.Caused by Misinterpretation of Event Sequence Due to Not Verifying Boron Concentration.B Verification Occurred Every 12 H Per ITS LCO Action 3.9.2.C.3.W/971203 Ltr ML17264B1271997-12-0101 December 1997 LER 97-005-00:on 971031,undetected Unblocking of SI Actuation Signal Occurred at Low Pressure Condition,Due to Faulty Bistable Which Resulted in Inadvertent SI Actuation Signal.Sias,Ci & CVI Signals Were Reset ML17264B1211997-11-24024 November 1997 LER 97-004-00:on 971024,radiation Monitor Alarm Were Noted Due to Higher than Normal Radioactive Gas Concentration Resulted in Cvi.New R-12 Alarm Setpoint Was Maintained for Duration of Refueling Outage ML17264B0461997-09-29029 September 1997 LER 97-003-01:on 970730,bistable Instrument Trip Setpoint Could Have Exceeded Allowable Value.Caused by Insufficient Existing Margin Between Trip Setpoint & Allowable Value. Held Switches in Tripped configuration.W/970929 Ltr ML17264B0111997-08-27027 August 1997 LER 97-003-00:on 970730,high Steam Flow Bistable Instrument Setpoint Plus Instrument Uncertainty Could Exceed Allowable Value in ITS Was Identified.Caused by Entry Into ITS LCO 3.0.3.Switches Placed in Tripped configuration.W/970827 Ltr ML17264A9941997-08-19019 August 1997 LER 97-002-00:on 970720,34.5 Kv Offsite Power Circuit 751 Was Lost.Caused by Automatic Actuation of B Emergency DG Due to Undervoltage on Safeguards Buses 16 & 17.Offsite Power Restored to Safeguards Buses 16 & 17.W/970819 Ltr ML17264A9911997-08-11011 August 1997 LER 96-009-02:on 960723,determined That Leak Rate Outside Containment Was Greater than Program Limit.Caused by Weld Defect.Isolated Leak & Cut Out & Replaced Leaking Pipe ML17264A8271997-03-0303 March 1997 LER 97-001-00:on 970131,discovered Service Water Temp Was Less than Specified Value.Caused by non-representative Method of Monitoring.Increased Water Temp in Screenhouse Bay to Greater than 35 Degrees F.W/970303 Ltr ML17264A8071997-01-22022 January 1997 LER 96-015-00:on 961223,discovered Thermally Induced Overpressure Transient Could Occur.Caused by Thermal Expansion of Fluid During Design Basis Accident Condition. Installed Relief Valve on Affected line.W/970122 Ltr ML17264A7471996-11-27027 November 1996 LER 96-013-00:on 961029,circuit Breakers Closed While in Mode 3 & Resulted in Condition Prohibited by TS Due to Personnel Error.Circuit Breakers for MOV-878B & MOV-878D Were re-opened.W/961127 Ltr ML17264A6051996-09-19019 September 1996 LER 96-012-00:on 960820,feedwater Transient Occurred,Due to Closure of Feedwater Regulating Valve,Causing Lo Lo Steam Generator Level Reactor Trip.Sgs Were Restored & Missing Screw in 1/P-476 Was replaced.W/960919 Ltr ML17264A6061996-09-19019 September 1996 LER 96-009-01:on 960723,leakage Outside Containment Occurred,Due to Weld Defect,Resulting in Leak Rate Greater than Program Limits.Source of Leakage Isolated from RWST by Freeze Seal,Allowing Exit from ITS LCO 3.0.3.W/960919 Ltr ML17264A5911996-09-0505 September 1996 LER 96-011-00:on 960807,improper Configuration of Circuit Breaker Occurred,Due to Undetected Internal Interference, Resulting in Automatic Start of Both Auxiliary Feedwater Pumps.Running AFW Pumps Were secured.W/960905 Ltr ML17264A5921996-09-0505 September 1996 LER 96-010-00:on 960806,latching of Main Turbine While in Mode 4 Occurred,Due to Defective Procedure,Resulting in Automatic Start of Auxiliary Feedwater Pump.Caused by Defective Maint Procedure.Procedure revised.W/960905 Ltr ML17264A5891996-08-22022 August 1996 LER 96-009-00:on 960723,determined Leak on Piping Sys Outside Containment Greater than Program Limit.Caused by Weld Defect.Pipe & Socket Welds Were Cut Out & Replaced. W/960822 Ltr ML17264A5781996-08-0606 August 1996 LER 96-008-00:on 960707,main Feedwater Pump Breakers Opened. Caused by Change in Seal Water Differential Pressure Occurred During Sys Realignment.Afw Flow Controlled as Desired to Maintain S/G level.W/960806 Ltr ML17264A5561996-07-12012 July 1996 LER 96-007-00:on 960612,CR Operators Identified Control Rods Misaligned & Not Moving in Proper Sequence.Caused by Faulty Firing Circuit Card in Rod Control Sys.Faulty Firing Circuit Card in 1BD Power Cabinet replaced.W/960712 Ltr ML17264A5421996-06-20020 June 1996 LER 96-006-00:on 960521,discovered Containment Penetration Not in Required Status.Caused by Personnel Error.Installed Flange Inside Containment Penetration 2.W/960620 Ltr ML17264A5411996-06-17017 June 1996 LER 96-005-00:on 960516,PORC Determined Deficient Procedures Do Not Meet SRs for Testing safety-related Logic Circuits. Caused by Inadequancies in Individual Testing Procedures. Procedures Re Improved TSs revised.W/960617 Ltr ML17264A5051996-05-17017 May 1996 LER 96-003-01:on 960308,identified That Both Pressurizer PORVs Inoperable Concurrently Due to Disconnection of Flex Hose to Both PORV Actuators to Install air-sets for Benchset & Limit Switch Activities.Hpes Completed ML17264A4481996-04-0808 April 1996 LER 96-003-00:on 960308,both Pressurizer Relief Valves Inoperable.Hpes Evaluation Is Being Conducted to Determined Cause of Event.C/As:Both PORVs restored.W/960408 Ltr ML17264A4471996-04-0808 April 1996 LER 96-002-00:on 960307,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump.C/As: Thermography performed.W/960408 Ltr ML17264A4101996-03-18018 March 1996 LER 96-001-00:on 950504,inservice Test Not Performed During Refueling Outage.Caused by Inadequate Tracking of Surveillance Frequency.Valve Test Performed & Disassembled. W/960318 Ltr ML17264A2971995-12-14014 December 1995 LER 95-009-00:on 950817,surveillance Was Not Performed Due to Improper Application of TS Requirements Resulting in TS Violation.Testing of MOV-515 Was Performed on 951115.W/ 951214 Ltr ML17264A1711995-09-25025 September 1995 LER 95-008-00:on 950825,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump That Resulted in Manual Rt.Returned S/G Levels to Normal Operating levels.W/950925 Ltr 1999-09-22
[Table view] Category:RO)
MONTHYEARML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A3671998-07-14014 July 1998 LER 98-002-00:on 971019,CR Emergency Air Treatment Sys Actuating Function Was Not Operable.Caused by Mispositioned Switch.Revised Procedure CPI-MON-R37.W/980714 Ltr ML17265A1921998-03-11011 March 1998 LER 98-001-00:on 980209,discovered That Boraflex Degradation in SPF Was Greater than Was Assumed.Caused by Dissolution of Boron on Boraflex Matrix,Per 10CFR50.21.Removed Spent Fuel Assemblies from Selected Degraded Storage Rack Cells ML17265A1641998-02-0606 February 1998 LER 97-007-01:on 971117,reactor Engineer Recognized That Neutron Flux Low Range Trip Circuitry for Channel Was Not in Tripped Condition as Required.Caused by Technical Inadequacies.Channel Defeat Will Be Identified ML17265A1601998-02-0606 February 1998 LER 97-006-01:on 971103,verification of B Concentration Was Not Performed Due to Misinterpretation of Event Sequence. Audible Count Rate Function Was Restored to Operable Status ML17264B1441997-12-17017 December 1997 LER 97-007-00:on 971117,NF Low Range Trip Circuitry for Channel N-44 Was Not Placed in Tripped Condition.Caused by Technical Inadequacies in Procedures.Implemented EWR 4862 to Resolve Design deficiency.W/971217 Ltr ML17264B1291997-12-0303 December 1997 LER 97-006-00:on 971103,NIS Audible Count Rate Function Was Inoperable.Caused by Misinterpretation of Event Sequence Due to Not Verifying Boron Concentration.B Verification Occurred Every 12 H Per ITS LCO Action 3.9.2.C.3.W/971203 Ltr ML17264B1271997-12-0101 December 1997 LER 97-005-00:on 971031,undetected Unblocking of SI Actuation Signal Occurred at Low Pressure Condition,Due to Faulty Bistable Which Resulted in Inadvertent SI Actuation Signal.Sias,Ci & CVI Signals Were Reset ML17264B1211997-11-24024 November 1997 LER 97-004-00:on 971024,radiation Monitor Alarm Were Noted Due to Higher than Normal Radioactive Gas Concentration Resulted in Cvi.New R-12 Alarm Setpoint Was Maintained for Duration of Refueling Outage ML17264B0461997-09-29029 September 1997 LER 97-003-01:on 970730,bistable Instrument Trip Setpoint Could Have Exceeded Allowable Value.Caused by Insufficient Existing Margin Between Trip Setpoint & Allowable Value. Held Switches in Tripped configuration.W/970929 Ltr ML17264B0111997-08-27027 August 1997 LER 97-003-00:on 970730,high Steam Flow Bistable Instrument Setpoint Plus Instrument Uncertainty Could Exceed Allowable Value in ITS Was Identified.Caused by Entry Into ITS LCO 3.0.3.Switches Placed in Tripped configuration.W/970827 Ltr ML17264A9941997-08-19019 August 1997 LER 97-002-00:on 970720,34.5 Kv Offsite Power Circuit 751 Was Lost.Caused by Automatic Actuation of B Emergency DG Due to Undervoltage on Safeguards Buses 16 & 17.Offsite Power Restored to Safeguards Buses 16 & 17.W/970819 Ltr ML17264A9911997-08-11011 August 1997 LER 96-009-02:on 960723,determined That Leak Rate Outside Containment Was Greater than Program Limit.Caused by Weld Defect.Isolated Leak & Cut Out & Replaced Leaking Pipe ML17264A8271997-03-0303 March 1997 LER 97-001-00:on 970131,discovered Service Water Temp Was Less than Specified Value.Caused by non-representative Method of Monitoring.Increased Water Temp in Screenhouse Bay to Greater than 35 Degrees F.W/970303 Ltr ML17264A8071997-01-22022 January 1997 LER 96-015-00:on 961223,discovered Thermally Induced Overpressure Transient Could Occur.Caused by Thermal Expansion of Fluid During Design Basis Accident Condition. Installed Relief Valve on Affected line.W/970122 Ltr ML17264A7471996-11-27027 November 1996 LER 96-013-00:on 961029,circuit Breakers Closed While in Mode 3 & Resulted in Condition Prohibited by TS Due to Personnel Error.Circuit Breakers for MOV-878B & MOV-878D Were re-opened.W/961127 Ltr ML17264A6051996-09-19019 September 1996 LER 96-012-00:on 960820,feedwater Transient Occurred,Due to Closure of Feedwater Regulating Valve,Causing Lo Lo Steam Generator Level Reactor Trip.Sgs Were Restored & Missing Screw in 1/P-476 Was replaced.W/960919 Ltr ML17264A6061996-09-19019 September 1996 LER 96-009-01:on 960723,leakage Outside Containment Occurred,Due to Weld Defect,Resulting in Leak Rate Greater than Program Limits.Source of Leakage Isolated from RWST by Freeze Seal,Allowing Exit from ITS LCO 3.0.3.W/960919 Ltr ML17264A5911996-09-0505 September 1996 LER 96-011-00:on 960807,improper Configuration of Circuit Breaker Occurred,Due to Undetected Internal Interference, Resulting in Automatic Start of Both Auxiliary Feedwater Pumps.Running AFW Pumps Were secured.W/960905 Ltr ML17264A5921996-09-0505 September 1996 LER 96-010-00:on 960806,latching of Main Turbine While in Mode 4 Occurred,Due to Defective Procedure,Resulting in Automatic Start of Auxiliary Feedwater Pump.Caused by Defective Maint Procedure.Procedure revised.W/960905 Ltr ML17264A5891996-08-22022 August 1996 LER 96-009-00:on 960723,determined Leak on Piping Sys Outside Containment Greater than Program Limit.Caused by Weld Defect.Pipe & Socket Welds Were Cut Out & Replaced. W/960822 Ltr ML17264A5781996-08-0606 August 1996 LER 96-008-00:on 960707,main Feedwater Pump Breakers Opened. Caused by Change in Seal Water Differential Pressure Occurred During Sys Realignment.Afw Flow Controlled as Desired to Maintain S/G level.W/960806 Ltr ML17264A5561996-07-12012 July 1996 LER 96-007-00:on 960612,CR Operators Identified Control Rods Misaligned & Not Moving in Proper Sequence.Caused by Faulty Firing Circuit Card in Rod Control Sys.Faulty Firing Circuit Card in 1BD Power Cabinet replaced.W/960712 Ltr ML17264A5421996-06-20020 June 1996 LER 96-006-00:on 960521,discovered Containment Penetration Not in Required Status.Caused by Personnel Error.Installed Flange Inside Containment Penetration 2.W/960620 Ltr ML17264A5411996-06-17017 June 1996 LER 96-005-00:on 960516,PORC Determined Deficient Procedures Do Not Meet SRs for Testing safety-related Logic Circuits. Caused by Inadequancies in Individual Testing Procedures. Procedures Re Improved TSs revised.W/960617 Ltr ML17264A5051996-05-17017 May 1996 LER 96-003-01:on 960308,identified That Both Pressurizer PORVs Inoperable Concurrently Due to Disconnection of Flex Hose to Both PORV Actuators to Install air-sets for Benchset & Limit Switch Activities.Hpes Completed ML17264A4481996-04-0808 April 1996 LER 96-003-00:on 960308,both Pressurizer Relief Valves Inoperable.Hpes Evaluation Is Being Conducted to Determined Cause of Event.C/As:Both PORVs restored.W/960408 Ltr ML17264A4471996-04-0808 April 1996 LER 96-002-00:on 960307,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump.C/As: Thermography performed.W/960408 Ltr ML17264A4101996-03-18018 March 1996 LER 96-001-00:on 950504,inservice Test Not Performed During Refueling Outage.Caused by Inadequate Tracking of Surveillance Frequency.Valve Test Performed & Disassembled. W/960318 Ltr ML17264A2971995-12-14014 December 1995 LER 95-009-00:on 950817,surveillance Was Not Performed Due to Improper Application of TS Requirements Resulting in TS Violation.Testing of MOV-515 Was Performed on 951115.W/ 951214 Ltr ML17264A1711995-09-25025 September 1995 LER 95-008-00:on 950825,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump That Resulted in Manual Rt.Returned S/G Levels to Normal Operating levels.W/950925 Ltr 1999-09-22
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17265A7601999-10-0505 October 1999 Part 21 Rept Re W2 Switch Supplied by W Drawn from Stock, Did Not Operate Properly After Being Installed on 990409. Switch Returned to W on 990514 for Evaluation & Root Cause Analysis ML17265A7621999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Re Ginna Npp.With 991008 Ltr ML17265A7531999-09-23023 September 1999 Part 21 Rept Re Corrective Action & Closeout of 10CFR21 Rept of Noncompliance Re Unacceptable Part for 30-4 Connector. Unacceptable Parts Removed from Stock & Scrapped ML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7471999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Re Ginna Npp.With 990909 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7341999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Re Ginna Npp.With 990806 Ltr ML17265A7291999-07-29029 July 1999 Interim Part 21 Rept Re safety-related DB-25 Breaker Mechanism Procured from W Did Not Pas Degradatin Checks When Drawn from Stock to Be Installed Into BUS15/03A.Holes Did Not line-up & Tripper Pan Bent ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7131999-07-22022 July 1999 Special Rept:On 990407,radiation Monitor RM-14A Was Declared Inoperable.Caused by Failed Communication Link from TSC to Plant Process Computer Sys.Communication Link Was re-established & RM-14A Was Declaed Operable on 990521 ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7211999-07-19019 July 1999 ISI Rept for Third Interval (1990-1999) Third Period, Second Outage (1999) at Re Ginna Npp. ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A7661999-06-30030 June 1999 1999 Rept of Facility Changes,Tests & Experiments Conducted Without Prior NRC Approval for Jan 1998 Through June 1999, Per 10CFR50.59.With 991020 Ltr ML17265A7011999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Re Ginna Npp.With 990712 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6761999-06-16016 June 1999 Part 21 Rept Re Defects & noncompliances,10CFR21(d)(3)(ii), Which Requires Written Notification to NRC on Identification of Defect or Failure to Comply. Relays Were Returned to Eaton for Evaluation & Root Cause Analysis ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17265A6681999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Re Ginna Nuclear Power Plant.With 990608 Ltr ML17265A6651999-05-27027 May 1999 Interim Rept Re W2 Control Switch,Procured from W,Did Not Operate Satisfactorily When Drawn from Stock to Be Installed in Main Control Board for 1C2 Safety Injection Pump. Estimated That Evaluation Will Be Completed by 991001 ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6591999-05-17017 May 1999 Part 21 Rept Re Relay Deficiency Detected During pre-installation Testing.Caused by Incorrectly Wired Relay Coil.Relays Were Returned to Eaton Corp for Investigation. Relays Were Repaired & Retested ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6381999-05-0707 May 1999 Part 21 Rept Re Replacement Turbocharger Exhaust Turbine Side Drain Port Not Functioning as Design Intended.Caused by Manufacturing Deficiency.Turbocharger Was Reaasembled & Reinstalled on B EDG ML17265A6391999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Re Ginna Nuclear Power Plant.With 990510 Ltr ML17265A6361999-04-23023 April 1999 Part 21 Rept Re Power Supply That Did Not Work Properly When Drawn from Stock & Installed in -25 Vdc Slot.Power Supply Will Be Sent to Vendor to Perform Failure Mode Assessment.Evaluation Will Be Completed by 991001 ML17265A6301999-04-18018 April 1999 Rev 1 to Cycle 28 COLR for Re Ginna Npp. ML17265A6251999-04-15015 April 1999 Special Rept:On 990309,halon Systems Were Removed from Svc & Fire Door F502 Was Blocked Open.Caused by Mods Being Made to CR Emergency Air Treatment Sys.Continuous Fire Watch Was Established with Backup Fire Suppression Equipment ML17265A6551999-04-0909 April 1999 Initial Part 21 Rept Re Mfg Deficiency in Replacement Turbocharger for B EDG Supplied by Coltec Industries. Deficiency Consisted of Missing Drain Port in Intermediate Casing.Required Oil Drain Port Machined Open ML17265A6291999-03-31031 March 1999 Rev 0 to Cycle 28 COLR for Re Ginna Npp. ML17265A6241999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Ginna Station.With 990409 Ltr ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A5661999-03-0101 March 1999 Rev 26 to QA Program for Station Operation. ML17265A5961999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Ginna Nuclear Power Plant.With 990310 Ltr ML17265A5371999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Re Ginna Nuclear Power Plant.With 990205 Ltr ML17265A5951998-12-31031 December 1998 Rg&E 1998 Annual Rept. ML17265A5001998-12-21021 December 1998 Rev 26 to QA Program for Station Operation. ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4761998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Re Ginna Nuclear Power Plant.With 981210 Ltr ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4531998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Re Ginna Nuclear Power Plant.With 981110 Ltr ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A4291998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Re Ginna Nuclear Power Plant.With 981009 Ltr 1999-09-30
[Table view] |
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ACCELERATED DISTRIBUTION DEMONSTRATION SYSTEM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)ACCESSION NBR:9403010270 DOC.DATE:,94/02/17 NOTARIZED:
NO FACIL:50-244 Robert Emmet Ginna Nuclear Plant, Unit 1, Rochester G AUTH.NAME AUTHOR AFFILIATION ST JOHN,J.T.Rochester Gas&Electric Corp.MECREDY,R.C.
Rochester Gas&Electric Corp.RECIP.NAME RECIPIENT AFFILIATION DOCKET 05000244
SUBJECT:
LER 94-001-00:on 940119,Radition Monitor R-32 declared inoperable due to low output by one decade.Correct value of calo.br constant for R-32 determined
&edited into R-32 control terminal.W/940217 ltr.DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR J ENCL i SIZE: C7 TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.D S NOTES:License Exp date in accordance with 10CFR2,2.109(9/19/72).
05000244 D RECIPIENT ID CODE/NAME PD1-3 PD INTERNAL: AEOD/DOA AEOD/ROAB/DS P NRR/DE/EMEB NRR/DRCH/HHFB NRR/DRCH/HOLB NRR/DRSS/PRPB NRR/DSSA/SRXB RES/DS IR/EI B EXTERNAL EG&G BRYCE~J~H NRC PDR NSIC POORE,W.COPIES RECIPIENT LTTR ENCL ID CODE/NAME 1 1 JOHNSON,A 1 AEOD/DSP/TPAB 2 NRR/DE/EELB 1 NRR/DORS/OEAB 1 NRR/DRCH/HICB 1 NRR/DRIL/RPEB 2 DSSA.SPLB 1 REG ILE 02 1 RGB=FILE 01 2 2 L ST LOBBY WARD 1 1 NSIC MURPHY,G.A 1 1 NUDOCS FULL TXT COPIES LTTR ENCL 1 1 1 1 1 1-1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1.1 1 D R D NOTE TO ALL"RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTE!CONTACT THE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT.20079)TO ELIMINATE YOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!A D D S FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 27 ENCL 27 ROCHESTER GAS AND ELECTRIC CORPORATION
~89 EAST AVENUE, ROCHESTER N.Y.14649.0001 Seen Srnrt ROBERT C MECREDY, Vice Presidenl Olnne Nuclear Production February 17, 1994 TELEPHONE AREA CODET16 546 2700 U.S.Nuclear Regulatory Commission Document Control Desk Attn: Allen R.Johnson Project Directorate I-3 Washington, D.C.20555
Subject:
LER 94-001, Radiation Monitor R-32 ("B" Main Steam Line)Inoperable, Due to Personnel Error, Causes a Condition Prohibited by Plant Technical Specifications R.E.Ginna Nuclear Power Plant Docket No.50-244 In accordance with 10 CFR 50.73, Licensee Event Report System, item (a)(2)(i)(B), which requires a report of,"Any operation or condition prohibited by the plant's Technical Specifications", the attached Licensee Event Report LER 94-001 is hereby submitted.
This event has in no way affected the public's health and safety.Very truly yours, C~Robert C.Mecredy xc: U.S.Nuclear Regulatory Commission Region I 475 Allendale Road King of Prussia, PA 19406 Ginna Senior Resident Inspector 9403010270 940217 PDR ADOCK 05000244 S PDR NRC FORH 366 (5-92)~~U.S NUCLEAR REGULATORY COINIISSION APPROVED BY (NNI NO.3150-0104 EXPIRES 5/31/95 LICENSEE EVENT REPORT (LER)(See reverse for required nurher of digits/characters for each block)ESTIHATED BURDEN PER RESPONSE TO COHPLY IIITH THIS INFORHATION COLLECTIOH REQUEST: 50,0 HRS.FORNARD COHMEHTS REGARDING BURDEN ESTIHATE TO THE IHFORHATIOM AND RECORDS MANAGEMENT BRANCH (HNBB 7714), U.S.NUCLEAR REGULATORY COHHISSIOM, NASHIHGTON, DC 20555-0001, AMD'TO THE PAPERMORK REDUCTION PROJECT (3150-0104), OFFICE OF HANAGEHENT AND BUDGET UASHINGTON DC 20503.FAGILITY eua<<1)R.E.Ginna Nuclear Power Plant DOCKET NINBER (2)05000244 PAGE (3)10F9 TITLE (4)Radiation Honitor R-32 ("B" Hain Steam Line)Inoperable, Due to Personnel Error, Causes a Condition Prohibited by Plant Technical Specifications HONTH DAY 01 19 OPERATING H(nE (9)POUER LEVEL<<10)TEAR 94 N 097 EVENT DATE 5 YEAR 94 REPORT DATE 7 I.ER NWSER 6 SEQUENTIAL HUHBER REVI SION HUHBER HOHTH DAY TEAR 17 94--001--, 00 02 OTHER FACILITIES INVOLVED 8 FACILITY NAHE FACILITY HAHE DOCKET NUMBER DOCKET NUHBER 20.402(b)20.405(a)(l)(i)20.405(a)(1)(ii) 20.405(c)50.36(c)(l) 50.36(c)(2) 50.73(a)(2)(iv) 50.73(a)(2)(v) 50.73(a)(2)(vii) 73.71(b)73.71(c)OTHER THIS REPORT IS SUBHITTED PURSUANT TO THE REQUIREHENTS OF 10 CFR: Check one or more 11 20.405(a)(1)(iii) 20.405(a)(1)(iv) 20'05(a)(1)(v) 50 73(a)(2)('I) 50.73(a)(2)(ii) 50.73(a)(2)(iii)
LICENSEE CONTACT FOR THIS LER 12 50.73(a)(2)(viii)(A) 50.73(a)(2)(viii)(B) 50.73(a)(2)(x)(Specify in Abstract below and in Text, NRC Form 366A HAME John T.St.Hartin-Director, Operating Experience TELEPHONE NUHBER (Include Area Code)(315)524.4446 COMPLETE ONE LINE FOR EACH CQIPONENT FAILURE DESCRIBED IN THIS REPORT 13 CAUSE SYSTEH COMPOHEHT HAHUFACTURER REPORTABLE TO NPRDS CAUSE SYSTEH COHPOMENT HAMUFACTURER REPORTABLE TO HPRDS SUPPLEMENTAL REPORT EXPECTED 14 YES (If yes, complete EXPECTED SUBHISSIOM DATE).X NO EXPECTED SUBHI SSI ON DATE (15)MONTH DAY YEAR ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten Lines)(16)On January 19, 1994, at approximately 1330 EST, with the reactor at approximately 97go steady state power, the output of the"B" Main Steam Line Radiation Monitor R-32 was discovered to be low by one decade.R-32 was declared inoperable.
Investigation revealed that a calibration constant was incorrectly documented due to a transposition error, and the'incorrect value was edited into the R-32 control terminal.Immediate corrective action was to edit the correct value of the calibration constant into R-32.This restored the output of R-32 to the correct range, and R-32 was declared operable.(This event is NUREG-1022 (A)cause code.)Corrective action to preclude repetition is outlined in Section V (B).This LER meets the requirements of a Special Report required by the Ginna Technical Specifications.
NRC FORM 366 (5-92)
NRC FORM 366A (5-92)U.S.NUCLEAR REGULATORY COIIISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY QGI NO.3150-0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY llITH THIS INFORMATION COLLECTIOM REQUEST: 50.0 HRS., FORNARD COMMENTS REGARDIHG,BURDEN ESTIMATE TO THE IHFORNATIOH AMD RECORDS NAMAGEHENT BRANCH (NNBB 7714), U.S.NUCLEAR REGULATORY CONNISSIOM, llASHIHGTOM, DC 20555-0001 AND TO THE PAPERNORK REDUCTIOH PROJECT (31(0.0104), OFFICE OF MANAGEMENT AND BUDGET.NASHINGTON DC 20503.FACILITY MANE 1 R.E.Ginna Nuclear Power Plant DOCKET NINBER 2 YEAR 05000244 94 LER HLNSER 6 SEQUENTIAL
--001--REVISION 00 PAGE 3 2 OF 9 TEXT (If more space is required, use additional copies of HRC Form 366A)(17)I.PRE-EVENT PLANT CONDITIONS The reactor was at approximately 97>steady state reactor power.An engineer was reviewing a printout from the control terminal for the UBU Main Steam Line Radiation Monitor (R-32).This review was being done as part of research for a planned modification.
The scope of the modification is to replace the standby recorder for main steam.line radiation levels (recorder RK-47A)with continuous indication of these radiation levels in the Control Room.II.DESCRIPTION OF EVENT A.DATES AND APPROXIMATE TIMES OF MAJOR OCCURRENCES:
o October 7, 1993:, R-32 calibrated per CPI-MON-R31/R32.
The value of the calibration constant is incorrectly transposed and edited into the R-32 control terminal.(Event date)o October 7, 1993: Procedure PT-17.5 changed to reflect the tolerance band of output readings for R-32, based on the calibration constant edited into the R-32 terminal.PT-17.5 performed to verify operability of R-'32.o January 19, 1994, 1330 EST: Discovery date and time.o January 19, 1994, 1547 EST: The correct value of the calibration constant for R-32 is determined and edited into the R-32 control terminal, per CPI-MON-R31/R32.
R-32 restored to operable status.HRC FORM 366A (5.92)
NRC FORH 366A (5-92)U.S NUCLEAR REGULATORY CQtllSSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY (RN NO.3150-0104 EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORHATION COLLECTION REQUEST: 50.0 HRS.FORWARD COHMENTS REGARDING BURDEN ESTIHATE TO THE INFORHATION AND RECORDS HANAGEHENT BRANCH (HNBB 7714), U.S.NUCLEAR REGULATORY COMMISSION/
WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3130-0104), OFFICE OF HANAGEMENT AND BUDGET WASHINGTON DC 20503.FACILITY NAME 1 R.E.Ginna Nuclear Power Plant DOCKET NEER 2 YEAR 05000244 94--001--00 LER N NBER 6 SEQUENTIAL REVISION PAGE 3 3 OF 9 TEXT (If more space is required, use additionaL copies of NRC Form 366A)(17)B.EVENT P The annual calibration of the"B" Main Steam Line Radiation Monitor (R-32)was completed on October 7, 1993, in accordance with calibration procedure CPI-MON-R31/R32,"Calibration of DAM-3 Steam Line Radiation Monitors R31 and R32".As part of the calibration, the Instrument and Control (I&C)-technician calculates a calibration constant, based on actual detector sensitivity and source strength.After completion of the calibration, the technician then edits the new value into the control terminal (SPING CT-1)for R-32 (unit 04, channel 02 of the SPING CT-1).(The'SPING CT-1 controls various radiation monitor channels throughout the plant.)The calibration constant is an"editable parameter", and is used to convert counts per minute (CPM)from the detector into readings of millirem per hour (mr/hr).When the reading reaches 0.1 mr/hr, recorder RK-47A in the Control Room is activated, and begins recording.
When the calibration constant was calculated (on October 7, 1993), the I&C technician misplaced the decimal point while transposing the calculated value from decimal notation to scien-tific notation., Consequently, an incorrect power of ten (one decade too low)was recorded on the procedure data sheet and edited into the R-32 control terminal.(The decimal reading was correctly calculated as"0.0197", but was incorrectly transposed and documented as 1.97 E-03 instead of 1.97 E-02.)'.The parameter was then edited into the R-32 control ter'minal as 1.97 E-03.I Surveillance procedure PT-17.5-,"High Range Effluent Monitors R-12A, R-14A, R-15A, R-31, R-32", was then changed by the I&C technician, on October 7, 1993, to reflect the tol'erance band of output readings for R-32, based on the new value of the calibration constant.PT-17.5 was performed, and the Plant Process Computer System (PPCS)was checked to confirm that the ou'tput of R-32 was within the PPCS"quality code" and"current value" tolerances.
R-32 was then declared operable by the Control Room operators.
NRC FORH 366A (5-92)
HRC FORM 366A (5 92)U S NUCLEAR REGULATORY CQIII SSIOH LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OIB NO.3150-0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPOHSE TO COMPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MANAGEHEHT BRANCH (MNBB 7714), U.S.NUCLEAR REGULATORY COMMISSIOHi WASHINGTON, DC 20555-0001 AHD TO THE PAPERWORK REDUCTION PROJECT (3140 0104), OFFICE OF MANAGEMENT AHD BUDGET WASHINGTON DC 20503.FACILITY NAKE 1 R.E.Ginna Nuclear Power Plant DOCKET NNBER 2 05000244 YEAR 94--001--00 LER NNBER 6 SEQUENT I AL REVI SION PAGE 3 4 OF 9 TEXT (If more space is required, use additional copies of HRC Form 366A)(17)PT-17.5 was performed each month thereafter to verify the operabili;ty of R-32.Daily channel checks were performed by Control Room operators to confirm*the PPCS values were still" within tolerances.
On January 19, 1994, at approximately 1330 EST, with the reactor at approximately 974 steady state reactor power, an engineer was reviewing a printout from the CT-1 control terminal.This review was being done as part of research for a planned modification.
The scope of the modification is to replace standby recorder RK-47A with continuous indication of main steam line radiation levels in the Control Room.The engineer calcu-lated the calibration constants, and, based on his knowledge of the system, observed that the constant being used in R-32 was not within allowable system parameters.
Further investigation revealed that this inconsistent value was caused by.the transposition error discussed above.?The engineer notified the I&C group of his discovery.
I&C concurred with the engineer.They notify':ed the Control Room operators that R-32 had'an incorrect calibration constant and that the output was one decade too low.The Control Room operators evaluated this information, and formally declared R-32 inoperable at approximately 1430 EST on January 19, 1993.The correct value of the calibration constant was edited into the R-32 control terminal, per CPI-MON-R31/R32.
PT-17.5.was changed to reflect the data for the corrected value of the calibration constant and was performed to verify the operability of R-32.The Control Room operators checked the PPCS, and confirmed that the output was within the PPCS tolerances.'-32 was declared operable, and returned to service at approximately 1547 EST, January 19, 1994.C.I NOPERABLE STRUCTURES i COMPONENTS I OR SYSTEMS THAT CONTRI BUTED TO THE EVENT: None D.OTHER SYSTEMS OR SECONDARY FUNCTIONS AFFECTED: None NRC FORM 366A (5-92)
NRC FORH 366A (5-92)U S.NUCLEAR REGULATORY COHIISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY QlB NO 3150-0104 EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COMPLY UITH THIS INFORNATION COLLECTIOH REOUEST: 50.0 HRS.FORIIARD COHHEHTS REGARDIHG BURDEN ESTINATE TO THE INFORHATION AND RECORDS NANAGEHENT BRANCH (NHBB 7714), U.S.NUCLEAR REGULATORY CONHISSION, MASHIHGTOH, DC 20555-0001 AHD TO THE PAPERIQRK REDUCTION PROJECT (3110-0104), OFFICE OF NANAGEHEHT AND BUDGET NASHINGTOH DC 20503.FACILITY NAHE 1 R.E.Ginna Nuclear Power Plant DOCKET NNBER 2 05000244 YEAR 94--001--00 LER NINBER 6 SEOUENT IAL REVISION PAGE 3 5 OF 9 TEXT (If more space is required, use additional copies of HRC Form 366A)(17)E.METHOD OF DISCOVERY:
This event was identified by an engineer, who reviewed a printout from the CT-1 control terminal as part of research for a planned modification to replace standby recorder RK-47A with continuous indication in the Control Room.The engineer observed that the calibration constant being used was not within allowable system parameters.
F.OPERATOR ACTION: 'The Control Room operators were notified of this event, and declared R-32 inoperable., Subsequently, the Control Room operators notified higher supervision and the NRC.R-32 was declared operable after the correct calibration constant was edited into the R-32 control terminal, PT-17.5 was, satisfactorily completed, and PPCS channel checks of R-32 were performed.
G.SAFETY SYSTEM RESPONSE: None III.CAUSE OF EVENT A.IMMEDIATE CAUSE: The immediate cause of R-32 being considered to be inoperable was that the output of R-32 was discovered to be low by one decade, such that R-32 would have activated the RK-47A recorder at approximately 1 mr/hr instead of the design value of 0.1 mr/hr.B.INTERMEDIATE CAUSE:, The intermediate cause of the low output of R-32 was that the value of the calibration constant was transposed incorrectly when changing the value from decimal notation to scientific notation.HRC FORH 366A (5-92)
NRC FORN 366A (5-92)U.S.NUCLEAR REGULATORY CIBII SSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY QGI NO.3150-0104 EXPIRES 5/31/95 ESTINATED BURDEN PER RESPONSE TO COHPLY NITH THIS INFORNATION COLLECTION REQUEST: 50.0 HRS.FORNARD COHNEHTS REGARDING BURDEN ESTINATE TO THE IHFORHATIOH AND RECORDS NANAGENENT BRAHCH (HNBB 7714), U.S.NUCLEAR REGULATORY CONHISSIOH
~NASNINGTOH, DC 20555 0001 AHD TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF NANAGEMEHT AND BUDGET NASHINGTON DC 20503.FACILITY NANE 1 R.E.Ginna Nuclear Power Plant DOCKET NIMBER 2 05000244 YEAR 94 LER NINBER 6 SEQUEHTIAL
--001--RE VIS IOH M 00 PAGE 3 6OF9i TEXT (If more space is required, use additional copies of HRC Form 366A)(17)C.ROOT CAUSE: The underlying cause of the transposition error was a personnel error by an I&C technician.
This was a cognitive personnel error and was not contrary to the calibration procedure being.used.There were no unusual characteristics of the work location which contributed to the error.(This event is NUREG-1022 (A)cause code, Personnel Error.)IV.ANALYSIS OF EVENT: This event is reportable in accordance with 10 CFR 50.73, Licensee Event Report System, item (a)(2)(i)(B), which requires a report of,"Any operation or condition prohibited by the plant's Technical Specifications".
The output of R-32 being one decade too low.resulted in R-32 being considered inoperable.
Since this condition existed since October 7, 1993, and was not discovered until January 19, 1994, R-32 was inoperable for more than seven.days.This is a condition prohibited by the Ginna Technical Specifications (TS).o Specification
3.5.4 states
The radiation accident monitoring instrumentation channels shown in Table 3.5-6 shall be operable,-.whenever the reactor is at or above'ot shutdown.With one or" more radiation monitoring channels inoperable, take the action shown in Table 3.5-6.Startup may commence or continue consistent with the action statement.
o Action statements from Table 3.5-6 states: With the number of operable channels less than required by the Minimum Channels Operable requirements, either restore the inoperable channel(s) to operable status within 7 days of the event, or prepare,and submit a Special Report to the Commission within 30 days following the event.outlining the action'.taken, the cause of the inoperability and the plans and schedule for restoring the system to operable status.HRC FORN 366A (5-92)
NRC FORH 366A (5-92)U.S.NUCLEAR REGULATORY COWISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY QNI NO.3150-0104 EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY NITH THIS IHFORHATIOH COLLECT IOH REQUEST: 50.0 HRS.FORNARD CONHEHTS REGARD IHG BURDEN EST IHATE TO THE INFORHATIOH AND RECORDS HAHAGEHEHT BRANCH (HHBB 7714), U.S.NUCLEAR REGULATORY CONHISSIOH, NASHIHGTON, DC 20555-0001, AND TO THE PAPERNORK REDUCTION PROJECT (3150-0104), OFFICE OF HAHAGENENT AND BUDGET NASHINGTON DC 20503.FACILITY NAHE 1 R.E.Ginna Nuclear Power Plant DOCKET NINIBER 2 05000244 94--001--00 LER NINBER 6 YEAR SEQUENTIAL REVISION PAGE 3 7 OF 9 TEXT (If more space is required, use additional copies of NRC Form 366A)(17)The"B<<Main Steam Line Radiation Monitor (R-32)inoperability was not discovered until January 19, 1994.Therefore, the condition was not recognized at the time a Special Report would have been required.Consequently, a Special Report was not submitted within 30 days following the event on October 7, 1993.An assessment was performed considering both the safety consequences and implications of this event with the following results and conclusions:
There were no operational or safety consequences or implications attributed to R-32 being inoperable for greater than seven days, because R-32 was still functioning and capable of responding to radiation levels at 104 of the TS limits, instead of the desired 14 of TS limits.Because the setpoint is very conservative to begin with, the one decade error in the calibration constant still allowed the system to respond well within the TS limits.The design for R-32 is that when the output reaches 0.1 mr/hr, recorder RK-47A activates to provide indication and recording of R-32 in the Control Room.R-32 was.functioning correctly, but due to this transposition error, the output was in error low by one decade.(The detector for R-32 continued to function as designed, and continued to detect and monitor radioactivity.
The detector output, as measured in CPM was still, correct.However, the.output reading," as'expressed in mr/hr, wa's one'ecade too low.)Therefore, the RK-47A recorder in the Control Room would not have activated until the actual radiation reached 1 mr/hr (one decade higher than desired).This corresponds to a release concentration of approximately 1 E-02 microcuries per cubic centimeter (uCi/cc)noble gases or a release rate of approximately 1.33 E-02 curies per'econd (Ci/sec).Note that the"instantaneous" TS limit for a release rate from the location would be similar to the Air Ejector or 1.42 E-01 Ci/sec.The error before the recorder started would represent 104 of the TS limit, rather than 1%when the correct calibration constant is used.NRC FORI4 366A (5.92)
NRC FORH 366A (5-92)U.S.NUCLEAR REGULATORY COIIISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION
'PPROVED BY (NB NO.3150-0104 EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO CONPLY IJITH THIS INFORHATIOH COLLECTIOH REQUEST: 50.0 HRS.FORIIARD COHHEHTS REGARDIHG BURDEN ESTINATE TO THE IHFORHATION AHD RECORDS NANAGEHENT BRANCH (NHBB 7714), U.S.NUCLEAR REGULATORY CONHISSIOH, IIASHIHGTON, DC 20555-0001 AND TO THE PAPERNORK REDUCTION PROJECT (3140-0104), OFFICE OF HANAGEHENT AND BUDGET IIASHINGTON DC 20503.FACILITY lONE 1 R.E.Ginna Nuclear Power Plant DOCKET NINBER 2 05000244 YEAR 94 LER NINBER 6 SEQUENTIAL
--001-REVISION 00 PAGE 3 8 OF 9 TEXT (If more space is required, use additional copies of HRC Form 366A)(17)The release path that R-32 monitors is main steam relief valve discharge.
R-32 readings are used to determine the potential dose to the general population through releases from the steam generators, when the relief valves have lifted after a primary to secondary steam generator leak.There were no releases through this release path during the time that R-32 was considered inoperable.
If relief valves had lifted during this time, the duration of the release and the amount of activity released would have been determined from data from several sources, including R-32.R-32 data'would have been discovered to be inconsistent with other data't such a time, and would not affect the accuracy of release calculations.
Based on the above, it can be concluded that the public's health and safety was assured at all times.V.CORRECTIVE ACTION A.ACTION TAKEN TO RETURN AFFECTED SYSTEMS TO PRE-EVENT NORMAL STATUS: o The correct value of the calibration constant for R-32 was determined and edited into the R-32 control terminal, per CPI-MON-R31/R32.
o PT-17.5 was changed to reflect the correct value of the calibration constant and was performed to verify operability of R-32.o A PPCS channel check was performed to verify operability of R-32.C o The other radiation channels controlled by the SPING CT-1 control terminal were verified to have the correct calibration constants edited into the control terminal.HRC FORH 366A (5-92)
NRC FORH 366A (5-92)U.S.NUCLEAR REGUULTORY CQBIISS ION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY QGI NO.3150-0104 EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO CONPLY IIITH THIS IHFORHATION COLLECTION REQUEST: 50.0 HRS~FORIIARD COHHEHTS REGARDIHG BURDEN ESTIHATE TO THE INFORHATION AND RECORDS HANAGENENT BRANCH (HNBB 7714), U.S.NUCLEAR REGULATORY COHHISSIOH
~llASHINGTOH, DC 20555-0001 AND TO THE PAPERNORK REDUCTION PROJECT (3140-0104), OFFICE OF HANAGEHEHT AHD BUDGET MASHING'TOH DC 20503.FACILITY NAHE 1 R.E.Ginna Nuclear Power Plant DOCKET NNBER 2 05000244 LER NINBER 6 YEAR SEQUENT IAL 94--001--REVISION 00~PAGE 3 9 OF 9 TEXT (lf more space is required, use additional copies oi HRC Form 366A)(17)B.ACTION TAKEN OR PLANNED TO PREVENT RECURRENCE-o Procedure CPI-MON-R31/R32 has been revised to provide a tolerance band for acceptable values of the calibration constant.This tolerance will be expressed in both decimal and scientific notation.o Calibration procedures for other channels controlled by CT-1 have been reviewed.Procedures will be revised to provide the appropriate tolerance bands for editable parameters.
o The importance of making calculations correctly will be reemphasized to all I&C personnel, including the consequences of incorrect results.VI.ADDITIONAL INFORMATION:
A.FAILED COMPONENTS:
None B.PREVIOUS LERs ON SIMILAR EVENTS: A similar LER event historical search was conducted with the following results: No documentation of similar LER events with the same root cause at Ginna Nuclear Power Plant could be identified.
C.SPECIAL COMMENTS: None NRC FORH 366A (5-92) l I