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| | issue date = 08/08/1997 | | | issue date = 08/08/1997 |
| | title = LER 96-018-01:on 960903,manual Reactor Trip Occurred Due to Loss of Normal Sw.Caused by Mechanical Failure of B Water Pump & a Normal SW to Remain Running Once Manually Started.Restored a Normal SW Pump to Svc | | | title = LER 96-018-01:on 960903,manual Reactor Trip Occurred Due to Loss of Normal Sw.Caused by Mechanical Failure of B Water Pump & a Normal SW to Remain Running Once Manually Started.Restored a Normal SW Pump to Svc |
| | author name = VERRILLI M | | | author name = Verrilli M |
| | author affiliation = CAROLINA POWER & LIGHT CO. | | | author affiliation = CAROLINA POWER & LIGHT CO. |
| | addressee name = | | | addressee name = |
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| {{#Wiki_filter:NRC FORM 366 (4.95)U.S.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)(See reverse for required number of digits/characters for each block)APPROVED BY OMB NO.3150.0104 EXPIRES 04/30/96 ESTIMATED BURDEH PER RESPONSE TO COMPLY WITH THIS MANDATORY WFORMATION COllECTION REOUEST: 50JI HRS.REPORTED LESSONS LEARNED ARE WCORPORATEO W'IO THE UCENSING PROCESS AND FEO BACK TO WDUSTRY.FORWARD COMMENTS REGAROWG BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH IT4I F33L US.NUCLEAR REGULATORY COMMISSION, WASHINGTON. | | {{#Wiki_filter:NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150.0104 (4.95) EXPIRES 04/30/96 ESTIMATED BURDEH PER RESPONSE TO COMPLY WITH THIS MANDATORY WFORMATION COllECTION REOUEST: 50JI HRS. REPORTED LESSONS LEARNED ARE WCORPORATEO W'IO THE UCENSING PROCESS AND FEO BACK TO WDUSTRY. |
| OC 205550001, ANO TO THE PAPERWORK REDUCTION PROJECT (3I50.OI04l OFFICE OF MANAGEMENT AND BUDGET WASHINGTON. | | LICENSEE EVENT REPORT (LER) FORWARD COMMENTS REGAROWG BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH IT4I F33L US. NUCLEAR REGULATORY COMMISSION, (See reverse for required number of WASHINGTON. OC 205550001, ANO TO THE PAPERWORK REDUCTION PROJECT (3I50. |
| OC 20503.FAcIUTY NAME III Harris Nuclear Plant Unit-1 OOCKET NUMBER 12)50-400 PAGE 13)1 OF 3 TITLE 141 Manual reactor trip due to loss of Normal Service Water EVENT DATE (5)LER NUMBER (6)REPORT DATE (7)FACIUTY NAME OTHER FACILITIES INVOLVED (B)OOCKET NUMBER MONTH OAY YEAR SEQUENTIAL REVISION NUMBER NUMBER MONTH OAY YEAR 05000 9 03 OPERATING MODE (9)POWER LEVEL (10)96 100%96-018-01 08 97 FACILITY NAM E 05000 DOCKET NUMBER 20.2201(b) 20.2203(a) | | digits/characters for each block) OI04l OFFICE OF MANAGEMENT AND BUDGET WASHINGTON. OC 20503. |
| (1)20.2203(a)(2)(i)20.2203(a)(2)(ii) 20.2203(a) | | FAcIUTY NAME III OOCKET NUMBER 12) PAGE 13) |
| (2)(iii)20.2203(a) | | Harris Nuclear Plant Unit-1 50-400 1 OF 3 TITLE 141 Manual reactor trip due to loss of Normal Service Water EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED (B) |
| (2)(iv)20.2203(a) | | FACIUTY NAME OOCKET NUMBER SEQUENTIAL REVISION MONTH OAY YEAR MONTH OAY YEAR NUMBER NUMBER 05000 FACILITY NAME DOCKET NUMBER 9 03 96 96 018 01 08 97 05000 OPERATING THIS REPORT IS SUBMITTED PUR SUANT TO THE REQUIREMENTS OF 10 CFR B: (Check one o r moro) l11) |
| (2)(v)20.2203(a)(3) li)20.2203(a) | | MODE (9) 20.2201(b) 20.2203(a) (2) (v) 50.73(a) (2) (i) 50.73(a) (2)(viii) 20.2203(a) (1) 20.2203(a)(3) li) 50.73(a)(2)(ii) 50.73(a)(2)(x) |
| (3)(ii)20.2203(a) | | POWER 100% |
| (4)5O.36(c)(1) 50.36(c)(2) 50.73(a)(2)(i)50.73(a)(2)(ii) 50.73(a)(2) liii)50.73(a)(2)liv)50.73(a)(2)(v)50.73(a)(2)(vii)50.73(a)(2)(viii)50.73(a)(2)(x) 73.71 OTHER Specrfy in Abstract belew or in NRC Form 366A r moro)l11)SUANT TO THE REQUIREMENTS OF 10 CFR B: (Check one o THIS REPORT IS SUBMITTED PUR NAME LICENSEE CONTACT FOR THIS LER (12)TELEPHONE NUMBER Ilnerude Area Codei Michael Verrilli Sr.Analyst-Licensing (919)362-2303 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE TO NPROS CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE TO NPROS KG P115 se: 1 SUPPLEMENTAL REPORT EXPECTED (14)YES (If yes, complete EXPECTED SUBMISSION DATE).X NO EXPECTED SUBMISSION DATE (15)MONTH OAY YEAR ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines)(16)On September 3, 1996 at approximately 2338 hours, with the plant operating in mode 1 at 100%power and the"B" Normal Service Water (NSW)pump in service, operators in the main control room received numerous NSW system alarms and observed indication of zero flow and pressure in the NSW header.The Reactor Operator manually started the standby"A" NSW pump to restore flow, but the pump tripped after running for less than two minutes.When re-start attempts on the"A" NSW pump failed, a manual reactor trip was initiated at approximately 2342 hours.Plant systems responded as expected, including an automatic start of the Auxiliary Feedwater System and the unit was stabilized in mode 3 (Hot Standby).The cause of this event was a mechanical failure of the"B" NSW pump and the failure of the"A" NSW to remain running once manually started.The"B" NSW pump shaft sheared.Additional investigation was subsequently completed to determine the cause of the"A" NSW pump trip.This investigation revealed that the torque switch on the pump's discharge valve (ISW-289)was actuating and this was preventing the valve from opening to the 10%open position, which is required for pump operation. | | LEVEL (10) 20.2203(a)(2) (i) 20.2203(a) (3)(ii) 50.73(a)(2) liii) 73.71 20.2203(a)(2)(ii) 20.2203(a) (4) 50.73(a) (2) liv) OTHER 20.2203(a) (2) (iii) 5O.36(c)(1) 50.73(a) (2) (v) Specrfy in Abstract belew or in NRC Form 366A 20.2203(a) (2) (iv) 50.36(c)(2) 50.73(a) (2) (vii) |
| Corrective actions included restoring the"A" NSW pump to service, performing a secondary plant walkdown to support plant re-start and evaluating the acceptability of having only one NSW pump available during plant operation while repairs continued on the"B" NSWgpump.Subsequent actions included restoring the"B" NSW pump, completing the failure analysis for tlie"B" NSW pump sheared shaft, and completing the additional investigation into the'" NSW pump trip that resulted in this LER revision.This event is reportable per 10CFR50.72 and 10CFR50.73. | | LICENSEE CONTACT FOR THIS LER (12) |
| A 4-hour non-emergency report was made to the NRC at approximately 0207 via the emergency notification s stem.9708200013 970807 PDR ADOCK 05000400 Q4 NRC FORM 366A (4-95)LICENSEE EVENT REPORT (LERj TEXT CONTINUATION U.S.NUCLEAR REGUIATORY COMMISSION FACILITY NAME (I)Shearon Harris Nuclear Plant Unit)I)1 TEXT Pl mort spore r's rer)viK vse oW(kvl sopor ol NRC Form 3664)(17)DOCKET 50400 LER NUMBER)6)YEAR SEOUENHAL REYISION NUMBER NUMBER 96-018-01 PAGE I3)2 OF 3 EVENT DESCRIPTION: | | NAME TELEPHONE NUMBER Ilnerude Area Codei Michael Verrilli Sr. Analyst - Licensing (919) 362-2303 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13) |
| On September 3, 1996 at approximately 2338 hours, with the plant operating in mode 1 at 100%power and the"B" Normal Service Water pump (NSW, EIIS Code: KG-P)in service, operators in the main control room received numerous NSW system alarms and observed indication of zero flow and'pressure in the NSW header.The Reactor Operator manually started the standby"A" NSW pump to restore service water flow..After observing closed indication for the"A" NSW pump breaker and indication that the"A" NSW pump discharge valve was opening, the"B" NSW pump was secured to allow the"B" discharge valve to shut.At this time, the Reactor Operator noticed that the"A" NSW pump had tripped.Following two unsuccessful re-start attempts on the"A" NSW pump, the Unit-Senior Control Operator directed a manual reactor and turbine trip at approximately 2342 hours.Prior to the reactor trip, the"A" Emergency Service Water (ESW)pump automatically started due to low header pressure.Plant systems responded to the reactor trip signal as expected, including an automatic start of the Auxiliary Feedwater System (EIIS Code: BA)on steam generator low-low level due to Reactor Coolant System (RCS, EIIS Code: AB)shrink following the reactor trip.The unit was stabilized in mode 3 with RCS temperature at 557 degrees and pressure at 2235 psig.Following investigation and repairs, the plant was restarted on September 9, 1996 and returned to the grid at approximately 0342 on September 10, 1996.Delays were encountered in plant re-start due to the passage of Hurricane Fran (reference LER 96-019).Since the forced outage exceeded 72 hours, hot rod drop testing was performed prior to reactor startup in accordance with Harris Plant's response to NRC Bulletin 96-01.Reference Attachment 1 for hot rod drop testing results.I This event is reportable per 10CFR50.72 and 10CFR50.73 as a Reactor Protection System actuation. | | REPORTABLE REPORTABLE CAUSE SYSTEM COMPONENT MANUFACTURER CAUSE SYSTEM COMPONENT MANUFACTURER TO NPROS TO NPROS KG P115 se |
| A 4-hour non-emergency report was made to the NRC at approximately 0207 via the emergency notification system.CAUSE: The cause of this event was a mechanical failure in the"B" NSW pump and a malfunction resulting in the"A" NSW pump tripping after being manually started.The"B" NSW pump experienced a sheared pump shaft.A metallurgical analysis determined the most probable cause to be a bent pump shaft due to alignment problems, which caused the bronze bearings to heat up and fail resulting in the sheared pump shaft.Additional investigation was subsequently completed to determine the cause of the"A" NSW pump trip.This investigation revealed that the torque switch on the pump's discharge valve (1SW-289)was actuating when high D/P conditions exist across the valve and this was preventing the valve from opening to the 10%open position, which is required for pump operation. | | :1 SUPPLEMENTAL REPORT EXPECTED (14) EXPECTED MONTH OAY YEAR YES SUBMISSION (If yes, complete EXPECTED SUBMISSION DATE). X NO DATE (15) |
| These high D/P conditions are present when the standby NSW pump starts with the other NSW pump not running, as in the case of the"B" NSW pump trip.SAFETY SIGNIFICANCE: | | ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) (16) |
| There were no safety consequences as a result of this event.The manual reactor/turbine trip was initiated per plant operating procedures to protect secondary plant components following the loss of Normal Service Water.Plant systems responded as expected following the initiation of the manual reactor/turbine trip.A)4-) | | On September 3, 1996 at approximately 2338 hours, with the plant operating in mode 1 at 100% power and the "B" Normal Service Water (NSW) pump in service, operators in the main control room received numerous NSW system alarms and observed indication of zero flow and pressure in the NSW header. The Reactor Operator manually started the standby "A" NSW pump to restore flow, but the pump tripped after running for less than two minutes. When re-start attempts on the "A" NSW pump failed, a manual reactor trip was initiated at approximately 2342 hours. Plant systems responded as expected, including an automatic start of the Auxiliary Feedwater System and the unit was stabilized in mode 3 (Hot Standby). |
| 4, NRC FORM 36BA (495)LICENSEE EVENT REPORT (LER)TEXT CONTINUATION U.S.NUClEAR REGUIATORY COMMISSION FACIEITY NAME (I)Shearon Harris Nuclear Plant-Unit/Il OOCKET 50400 96-018 01 lER NUMBER (6)FEAR SEQUENTIAl REVISION NUMBER NUMBER PAGE (3)3 OF 3 TEXT ill moro spsco r's rcrprisrl oso orrrpsotrol coper ol llRC Form 3SQI I)T)PREVIOUS SIMILAR EVENTS: Previous similar problems with the NSW pumps and discharge valves were experienced during the reactor/turbine trip that occurred on April 25, 1996, which was reported in LER 96-008.Corrective actions for that event included adjusting the mechanical latch mechanism on the"A" NSW pump discharge valve control relay (CR1/2189) to ensure that it"latched in" properly and replacing two of the"B" NSW pump discharge valve control relays (CR4/2190&CR1/2190)that experienced intermittent failures.Based on indications observed during the September 3, 1996 loss of NSW event, these corrective actions were effective since their associated functions performed as required.LER 96-008 also contained a corrective action to perform additional NSW testing during the next refueling outage (RFO-7).This testing was performed and the results will be included in a revision to LER 96-008.CORRECTIVE ACTIONS COMPLETED: | | The cause of this event was a mechanical failure of the "B" NSW pump and the failure of the "A" NSW to remain running once manually started. The "B" NSW pump shaft sheared. |
| 1.Trouble shooting was performed which determined that a common-mode failure mechanism did not exist with the NSW pumps.2.The"A" NSW pump was returned to service on September 7, 1996.3.A safety analysis was performed on September 5, 1996, which determined the acceptability of returning the plant to service with only one NSW pump available while repairs continued on the"B" NSW pump.This analysis, combined with the results of an engineering evaluation, concluded that repairs to the"B" NSW pump could be made on-line with the"A" NSW pump in service.4.A secondary plant walkdown to assess potential damage related to the loss of NSW transient was completed on September 4, 1996.Discrepancies identified during the walkdown that would prevent plant re-start were repaired on September 4, 1996.Repairs were completed and the"B" NSW pump was returned to service on October 29, 1996.Additional analysis was performed to determine the failure mechanism involved in the"B" NSW pump sheared shaft and the results are provided above in the cause section.This analysis was completed on November 15, 1996.Additional testing and evaluation was performed to determine the cause of the"A" NSW pump trip after being manually started on September 3, 1996.The results are described above in the cause section.Follow-up actions to address the torque switch issue include;(1)A new discharge valve (1SW-289)was installed to improve the disc seating area and require less torque to open the valve, (2)The orientation of the valve was changed, which will result in less torque required to open the valve during high D/P conditions, (3)The stop limit switches were re-set such that the valve actuator does not drive the disc as far into the valve seat.This will also result in the need for less torque to open the valve.These actions were completed on May 7, 1997.Training on the lessons learned from the loss of NSW event was incorporated into the operator training program and was covered during Licensed Operator Re-qualification session//6.This was completed on November 14, 1996. | | Additional investigation was subsequently completed to determine the cause of the "A" NSW pump trip. This investigation revealed that the torque switch on the pump's discharge valve (ISW-289) was actuating and this was preventing the valve from opening to the 10% open position, which is required for pump operation. |
| 0 P~}}
| | Corrective actions included restoring the "A" NSW pump to service, performing a secondary plant walkdown to support plant re-start and evaluating the acceptability of having only one NSW pump available during plant operation while repairs continued on the "B" NSWgpump. Subsequent actions included restoring the "B" NSW pump, completing the failure analysis for tlie "B" NSW pump sheared shaft, and completing the additional investigation into the |
| | '" NSW pump trip that resulted in this LER revision. |
| | This event is reportable per 10CFR50.72 and 10CFR50.73. A 4-hour non-emergency report was made to the NRC at approximately 0207 via the emergency notification s stem. |
| | 9708200013 970807 PDR ADOCK 05000400 |
| | |
| | Q4 U.S. NUCLEAR REGUIATORY COMMISSION NRC FORM 366A (4-95) |
| | LICENSEE EVENT REPORT (LERj TEXT CONTINUATION DOCKET LER NUMBER )6) PAGE I3) |
| | FACILITY NAME (I) |
| | SEOUENHAL REYISION YEAR NUMBER NUMBER Shearon Harris Nuclear Plant Unit )I)1 50400 2 OF 3 96 - 018 - 01 TEXT Pl mort spore r's rer)viK vse oW(kvl sopor ol NRC Form 3664) (17) |
| | EVENT DESCRIPTION: |
| | "B" On September 3, 1996 at approximately 2338 hours, with the plant operating in mode 1 at 100% power and the Normal Service Water pump (NSW, EIIS Code: KG-P) in service, operators in the main control room received numerous NSW system alarms and observed indication of zero flow and 'pressure in the NSW header. The Reactor Operator manually started the standby "A" NSW pump to restore service water flow..After observing closed indication for the "A" NSW pump breaker and indication that the "A" NSW pump discharge valve was opening, the "B" NSW pump was secured to allow the "B" discharge valve to shut. At this time, the Reactor Operator noticed that the "A" NSW pump had tripped. Following two unsuccessful re-start attempts on the "A" NSW pump, the Unit-Senior Control Operator directed a manual reactor and turbine trip at approximately 2342 hours. Prior to the reactor trip, the "A" Emergency Service Water (ESW) pump automatically started due to low header pressure. Plant systems responded to the reactor trip signal as expected, including an automatic start of the Auxiliary Feedwater System (EIIS Code: BA) on steam generator low-low level due to Reactor Coolant System (RCS, EIIS Code: AB) shrink following the reactor trip. The unit was stabilized in mode 3 with RCS temperature at 557 degrees and pressure at 2235 psig. |
| | Following investigation and repairs, the plant was restarted on September 9, 1996 and returned to the grid at approximately 0342 on September 10, 1996. Delays were encountered in plant re-start due to the passage of Hurricane Fran (reference LER 96-019). Since the forced outage exceeded 72 hours, hot rod drop testing was performed prior to reactor startup in accordance with Harris Plant's response to NRC Bulletin 96-01. Reference Attachment 1 for hot rod drop testing results. |
| | I This event is reportable per 10CFR50.72 and 10CFR50.73 as a Reactor Protection System actuation. A 4-hour non-emergency report was made to the NRC at approximately 0207 via the emergency notification system. |
| | CAUSE: |
| | The cause of this event was a mechanical failure in the "B" NSW pump and a malfunction resulting in the "A" NSW pump tripping after being manually started. The "B" NSW pump experienced a sheared pump shaft. A metallurgical analysis determined the most probable cause to be a bent pump shaft due to alignment problems, which caused the bronze bearings to heat up and fail resulting in the sheared pump shaft. |
| | Additional investigation was subsequently completed to determine the cause of the "A" NSW pump trip. This investigation revealed that the torque switch on the pump's discharge valve (1SW-289) was actuating when high D/P conditions exist across the valve and this was preventing the valve from opening to the 10% open position, which is required for pump operation. These high D/P conditions are present when the standby NSW pump starts with the other NSW pump not running, as in the case of the "B" NSW pump trip. |
| | SAFETY SIGNIFICANCE: |
| | There were no safety consequences as a result of this event. The manual reactor/turbine trip was initiated per plant operating procedures to protect secondary plant components following the loss of Normal Service Water. Plant systems responded as expected following the initiation of the manual reactor/turbine trip. |
| | A )4- ) |
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| | 4, NRC FORM 36BA U.S. NUClEAR REGUIATORY COMMISSION (495) |
| | LICENSEE EVENT REPORT (LER) |
| | TEXT CONTINUATION FACIEITY NAME (I) OOCKET lER NUMBER (6) PAGE (3) |
| | SEQUENTIAl REVISION FEAR NUMBER NUMBER Shearon Harris Nuclear Plant - Unit /Il 50400 3 OF 3 96 - 018 01 TEXT illmoro spsco r's rcrprisrl oso orrrpsotrol coper ol llRC Form 3SQI I) T) |
| | PREVIOUS SIMILAR EVENTS: |
| | Previous similar problems with the NSW pumps and discharge valves were experienced during the reactor/turbine trip that occurred on April 25, 1996, which was reported in LER 96-008. Corrective actions for that event included adjusting the mechanical latch mechanism on the "A" NSW pump discharge valve control relay (CR1/2189) to ensure that it "latched in" properly and replacing two of the "B" NSW pump discharge valve control relays (CR4/2190 & |
| | CR1/2190) that experienced intermittent failures. Based on indications observed during the September 3, 1996 loss of NSW event, these corrective actions were effective since their associated functions performed as required. |
| | LER 96-008 also contained a corrective action to perform additional NSW testing during the next refueling outage (RFO-7). This testing was performed and the results will be included in a revision to LER 96-008. |
| | CORRECTIVE ACTIONS COMPLETED: |
| | : 1. Trouble shooting was performed which determined that a common-mode failure mechanism did not exist with the NSW pumps. |
| | : 2. The "A" NSW pump was returned to service on September 7, 1996. |
| | : 3. A safety analysis was performed on September 5, 1996, which determined the acceptability of returning the plant to service with only one NSW pump available while repairs continued on the "B" NSW pump. This analysis, combined with the results of an engineering evaluation, concluded that repairs to the "B" NSW pump could be made on-line with the "A" NSW pump in service. |
| | : 4. A secondary plant walkdown to assess potential damage related to the loss of NSW transient was completed on September 4, 1996. Discrepancies identified during the walkdown that would prevent plant re-start were repaired on September 4, 1996. |
| | Repairs were completed and the "B" NSW pump was returned to service on October 29, 1996. |
| | Additional analysis was performed to determine the failure mechanism involved in the "B" NSW pump sheared shaft and the results are provided above in the cause section. This analysis was completed on November 15, 1996. |
| | Additional testing and evaluation was performed to determine the cause of the "A" NSW pump trip after being manually started on September 3, 1996. The results are described above in the cause section. Follow-up actions to address the torque switch issue include; (1) A new discharge valve (1SW-289) was installed to improve the disc seating area and require less torque to open the valve, (2) The orientation of the valve was changed, which will result in less torque required to open the valve during high D/P conditions, (3) The stop limit switches were re-set such that the valve actuator does not drive the disc as far into the valve seat. This will also result in the need for less torque to open the valve. These actions were completed on May 7, 1997. |
| | Training on the lessons learned from the loss of NSW event was incorporated into the operator training program and was covered during Licensed Operator Re-qualification session //6. This was completed on November 14, 1996. |
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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML18017A9181999-10-0808 October 1999 LER 99-008-00:on 991008,CR Emergency Filtration Sys Tech Specs Occurred.Caused by Site Personnel Failed to Recognize That Blocking Open CR Emergency Filtration Sys.Procedures Revised.With 991008 Ltr ML18017A8671999-09-10010 September 1999 LER 99-007-00:on 990811,determined That Cvis ARMs High Alarm Setpoints Were Not within TS Limit.Caused by Not Having Procedure to Verify If Cvis ARM High Alarm Setpoints Were within TS Requirements.Revised Procedures.With 990910 Ltr ML18016B0481999-08-0404 August 1999 LER 99-006-01:on 981124,noted Failure to Comply with TS 4.0.4 & TS 3/4.6.3, Civs. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Was Revised ML18016A9801999-06-0404 June 1999 LER 99-006-00:on 981124,failed to Comply with TS 4.0.4 & TS 3/4.6.3, Civ. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Will Be Revised.With 990604 Ltr ML18016A9111999-04-12012 April 1999 LER 99-005-00:on 990313,plant Exceeded ESFAS TS 3.3.2,Action 21.Caused by Inadequate Procedure Rev Preparation.Licensee Revised Applicable Maint Surveillance Test Procedure (MST-10072) to Identify TS Required Actions.With 990412 Ltr ML18016A8971999-04-0808 April 1999 LER 99-004-00:on 990312,unit Trip Was Noted.Caused by Degraded Condition of SG Water Level Flow Control Valve. Replaced Positioners on All Three FW Regulating Valves.With 990408 Ltr ML18016A8261999-02-22022 February 1999 LER 99-003-00:on 990123,noted That Plant Was Outside Design Basis Due to Isolation of Fire Protection Containment Sprinkler Sys.Caused by Human Error.Restored Containment Sprinkler Sys to Operable Status.With 990222 Ltr ML18016A8111999-02-12012 February 1999 LER 99-002-00:on 990114,RT Due to Not Removing Temporary Device from Relay Following Calibration Was Noted.Caused by Human Error.Counseled Personnel Involved in Event.With 990212 Ltr ML18016A7971999-02-0505 February 1999 LER 99-001-00:on 990106,SF Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Fasteners Bending Under Specific Circumstances.Increased Water Level.With 990205 Ltr ML18016A7941999-01-29029 January 1999 LER 98-004-01:on 980313,identified Design Deficiency Re Potential Runout of Tdafwp.Caused by Inadequate Original AFW Sys Design.Operability Evaluation Was Completed on 980313 & Addl Engineering Analysis Was Performed by Vendor ML18016A7211998-11-17017 November 1998 LER 98-007-00:on 981023,turbine Control Anomaly Caused Manual Rt.Caused by Failure to Incorporate Verbal Vendor Guidance in Operating Procedures.Addl Vendor Guidance Will Be Verified & Added to Procedures.With 981117 Ltr ML18016A4841998-07-0707 July 1998 LER 97-002-01:on 970207,determined That Cold Weather Conditions Resulted in Mfiv Being Potentially Inoperable During Period 970117-20.Caused by Inadequate Design of HVAC Sys.Implemented Mods to Steam Tunnel HVAC Sys ML18016A4701998-06-30030 June 1998 LER 97-021-03:on 980210,discovered That SFP Water Level Had Not Been Verified Greater than 23 Feet Above BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements. Will Submit TS Change Request to Revise TS 3.9.1.11 ML18016A4491998-06-0808 June 1998 LER 98-006-00:on 980508,failure to Perform Insp & Preventive Maint on MCCB as Required by TS Was Noted.Caused by Inadequate Sps.Tested 9 Pressurizer Heater Bank Breakers by Cycling each.W/980608 Ltr ML18022B0551998-05-20020 May 1998 LER 98-005-00:on 980420,TS Verbatim non-compliance Was Determined.Caused by Misinterpretation of TS Requirements. Issued Memo to Reemphasize Need to Comply W/Literal Meaning of TS Requirements in Verbatim manner.W/980520 Ltr ML18016A4061998-04-30030 April 1998 LER 98-002-01:on 980121,determined Ssps (P-11 Permissive) Testing Deficiency.Caused by Inadequate Review of Initial Ts.Will Revise & Perform Surveillance Test Procedures to Verify Operability of P-11 Permissive ML18016A3841998-04-13013 April 1998 LER 98-004-00:on 980313,design Deficiency Related to Indequate Runout Protection for Turbine Driven AFW Pump Was Identified.Caused by Inadequate Original AFW Sys Design. Evaluation (ESR 98-00100) Will Be completed.W/980409 Ltr ML18016A3441998-03-12012 March 1998 LER 97-021-02:on 980210,identified Failure to Properly Test non-safety Related Pressurizer Porv.Caused by Inadequate Surveillance Test Procedures.Revised Operations Surveillance Test OST-1117 to Include Testing of Subject PORV ML18016A3291998-02-27027 February 1998 LER 98-003-00:on 980129,failure to Perform Shutdown Margin Calculation Required by TS Surveillance Requirements Occurred.Caused by Ambiguity in TS 3.1.3.1.c.Procedures revised.W/980227 Ltr ML18016A3211998-02-20020 February 1998 LER 98-002-00:on 980121,solid State Protection Sys Testing Deficiency Occurred.Caused by Inadequate Review of Initial Tech Specs.Ts Testing Frequency for P-11 Permissive Revised. W/980217 Ltr ML18016A3131998-02-0909 February 1998 LER 98-001-00:on 980109,potential Condition Outside Design Basis Related to Instrument Air Sys Leak Causing SG pre- Heater Bypass Isolation Valves to Be Inoperable Was Noted. Caused by Inadequate Design Control.Generated Jco 98-01 ML18016A2641997-12-18018 December 1997 LER 97-024-00:on 971118,SSPS Testing Deficiency Was Noted. Caused by Inadequate Testing Scheme Provided by Ssps Vendor. Revised procedure.W/971218 Ltr ML18016A2501997-11-24024 November 1997 LER 97-023-00:on 920721,RCS PIV Testing Deficiency Was Noted.Caused by Failure to Consider All Testing Variables During Initial Sp Development.Surveillance Tp OST-1506 Was Revised to Incorporate Correction factor.W/971124 Ltr ML18016A2201997-10-22022 October 1997 LER 97-021-01:on 970922,discovered That Spent Fuel Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements.Revised Daily Surveillance Procedures ML18016A2081997-10-14014 October 1997 LER 97-016-01:on 970608,reactor Trip Occurred,Due to Personnel Error While Attempting to Adjust Power Range Nuclear Instrumentation Channel Following Performance of Calorimetric.Procedures revised.W/971014 Ltr ML18016A2111997-10-14014 October 1997 LER 96-008-02:on 960425,turbine Trip/Reactor Trip Occurred. Caused by High Resistance Connection Resulting from a Phase Switch Jaw & Blade Contacts.Failed a Phase Disconnect Switch on Breaker 52-7 Replaced ML18016A1931997-09-29029 September 1997 LER 97-022-00:on 970829,TS Required Shutdown Due to Expiration of AFW Lco.Caused by Personnel Error.Completed Repairs TDAFW Pump & Returned Plant to Svc on 970831. W/970926 Ltr ML18016A1891997-09-12012 September 1997 LER 97-020-00:on 970814,inadequate Fire Protection Provided for safety-related EDG Fuel Oil Transfer Pump Cables Resulted in Operation Outside Design Basis.Caused by Engineering Oversight.Established Fire watches.W/970912 Ltr ML18016A1881997-09-12012 September 1997 LER 97-021-00:on 970814,spent Fuel Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Misinterpretation of Ts.Directions Provided to Operations.W/970912 Ltr ML18012A8641997-08-18018 August 1997 LER 97-019-00:on 970720,turbine Trip/Reactor Trip Occurred. Caused by Three Phase Fault That Collapsed Excitation Field in Main Generator,Resulting in Generator Lockout.Exciter Rotor Assembly Was replaced.W/970818 Ltr ML18012A8581997-08-0808 August 1997 LER 96-018-01:on 960903,manual Reactor Trip Occurred Due to Loss of Normal Sw.Caused by Mechanical Failure of B Water Pump & a Normal SW to Remain Running Once Manually Started.Restored a Normal SW Pump to Svc ML18012A8551997-08-0808 August 1997 LER 96-013-02:on 961028,condition Outside of Design Basis Where RWST Had Been Aligned w/non-seismically Qualified Sys Was Identified.Caused by Failure to Reconcile Operating Procedure Lineups.Established Administrative Controls ML18012A8471997-07-31031 July 1997 LER 97-018-00:on 970701,determined That Plant Procedures Had Not Received Proper Reviews & Approvals.Caused by Failure to Comply W/Plant Administrative Procedure AP-006.Counseled Involved individuals.W/970731 Ltr ML18012A8371997-07-24024 July 1997 LER 97-S01-00:on 970405,unescorted Access Inappropriately Granted to Contract Outage Workers Was Determined.Caused by Personnel Error.Access Files for Individuals Inappropriately Granted Unescorted Access Were Placed on Access Hold ML18012A8291997-07-11011 July 1997 LER 97-017-00:on 970612,failed to Recognize Inoperable Reactor Afd Monitor.Caused by Personnel Error.Operators Involved in Event Will Be Counseled Prior to Assuming Shift duties.W/970711 Ltr ML18012A8301997-07-0808 July 1997 LER 97-016-00:on 970608,reactor Trip Occurred Due to Personnel Error in Adjusting Power Range (Pr) Nuclear Instrumentation (Ni).Issued Night Order Prohibiting Pr Ni Adjustment When Redundant Channel inoperable.W/970708 Ltr ML18012A8241997-07-0202 July 1997 LER 97-015-00:on 970602,inadequate Auxiliary Feedwater Sys Flow Control Valve Surveillance Testing Deficiency Was Identified.Caused by Failure to Recognize Impact on TS 4.7.1.2.1.Readjusted AFW FCV Actuator spring.W/970702 Ltr ML18022B0181997-06-13013 June 1997 LER 97-014-00:on 970514,SI Occurred During Ssps Surveillance Testing.Caused by Inattention to Detail During Recent Rev to Surveillance Test Procedure Being Used.Revised Deficient Surveillance procedures.W/970613 Ltr ML18012A8081997-06-0909 June 1997 LER 97-013-00:on 970508,entry Into Mode-6 Without Operable Components,Resulting in TS 3.0.4 Violation Occurred.Caused by Personnel Error.Personnel Involved counseled.W/970609 Ltr ML18012A8021997-06-0606 June 1997 LER 97-023-02:on 961114,design Deficiency Was Identified in Emergency DG Protection Circuitry.Caused by Inadequate Plant Design.Revised Surveillance Test Procedures OST-1013 & OST-1073.W/970606 Ltr ML18012A8011997-06-0404 June 1997 LER 97-012-00:on 970505,determined That Previous Auxiliary Control Panel Had Not Verified Operability of Interposing Relays.Caused by Misinterpretation of Tss.Reviewed Other Remote Shutdown Panel Transfer circuitry.W/970604 Ltr ML18012A7951997-05-29029 May 1997 LER 96-023-01:on 961114,design Deficiency in EDG Protection Circuitry Was Identified.Caused by Inadequate Original Plant Design.Surveillance Test Procedures OST-1013 & OST-1073 revised.W/970529 Ltr ML18012A7891997-05-22022 May 1997 LER 97-011-00:on 970422,inappropriate TS Interpretation Resulted in Violations of ECCS Accumulator TS & Entry Into TS 3.0.3.Caused by Procedural Inadequacy.Tsi 88-001 Cancelled 970508 & Procedures revised.W/970522 Ltr ML18012A7871997-05-19019 May 1997 LER 97-010-00:on 970418,design Deficiency Determined Re Reactor Coolant Pump Motor Oil Collection Sys.Caused by RCP Ocs Design Detail.Rcp Ocs Enclosures for Each of Three Installed RCP Motors Have Been modified.W/970519 Ltr ML18012A7761997-05-0707 May 1997 LER 97-009-00:on 970407,fuse Was Removed from CR Ventilation Isolation Signal Power Supply Circuitry Due to Personnel Error.Individuals Involved Were counseled.W/970507 Ltr ML18012A7751997-05-0505 May 1997 LER 97-008-00:on 970404,safety-related AHU Not Declared Inoperable During Maintenance on Associated Temperature Switches Resulting in Violation of Ts.Caused by Incorrect Interpretation.Operations Night Order issued.W/970505 Ltr ML18012A6291997-04-24024 April 1997 LER 97-007-00:on 970325,inoperable CCW Sys TS 3.0.3 Entry Made.Caused by Combination of Procedural Inadequacies, Improper Use of Procedure Guidance & Poor Communication. Applicable Individuals counseled.W/970423 Ltr ML18022B0151997-04-17017 April 1997 LER 97-006-00:on 970318,breach Was Identified in Thermo-Lag Fire Barrier Wall Due to Inadequate Initial Design,Poor Construction Methods & Incomplete as-built Design.Visual Insp of Thermo-Lag Barrier Walls performed.W/970417 Ltr ML18012A6041997-04-0303 April 1997 LER 97-004-00:on 970304,in-plant Spent Fuel Cask Handling Activities Conducted Outside Design Basis.Caused by Lack of Understanding of Requirements.Operations Placed on Hold Pending NRC Review & Approval of procedures.W/970331 Ltr ML18012A6031997-03-31031 March 1997 LER 97-003-00:on 970227,steam Generator Low Level Protection Circuitry Outside Design Basis Occurred.Caused by Inadequate Failure Modes & Effects Analysis Performed as-built Piping Configuration for S/G Level.Review performed.W/970331 Ltr 1999-09-10
[Table view] Category:RO)
MONTHYEARML18017A9181999-10-0808 October 1999 LER 99-008-00:on 991008,CR Emergency Filtration Sys Tech Specs Occurred.Caused by Site Personnel Failed to Recognize That Blocking Open CR Emergency Filtration Sys.Procedures Revised.With 991008 Ltr ML18017A8671999-09-10010 September 1999 LER 99-007-00:on 990811,determined That Cvis ARMs High Alarm Setpoints Were Not within TS Limit.Caused by Not Having Procedure to Verify If Cvis ARM High Alarm Setpoints Were within TS Requirements.Revised Procedures.With 990910 Ltr ML18016B0481999-08-0404 August 1999 LER 99-006-01:on 981124,noted Failure to Comply with TS 4.0.4 & TS 3/4.6.3, Civs. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Was Revised ML18016A9801999-06-0404 June 1999 LER 99-006-00:on 981124,failed to Comply with TS 4.0.4 & TS 3/4.6.3, Civ. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Will Be Revised.With 990604 Ltr ML18016A9111999-04-12012 April 1999 LER 99-005-00:on 990313,plant Exceeded ESFAS TS 3.3.2,Action 21.Caused by Inadequate Procedure Rev Preparation.Licensee Revised Applicable Maint Surveillance Test Procedure (MST-10072) to Identify TS Required Actions.With 990412 Ltr ML18016A8971999-04-0808 April 1999 LER 99-004-00:on 990312,unit Trip Was Noted.Caused by Degraded Condition of SG Water Level Flow Control Valve. Replaced Positioners on All Three FW Regulating Valves.With 990408 Ltr ML18016A8261999-02-22022 February 1999 LER 99-003-00:on 990123,noted That Plant Was Outside Design Basis Due to Isolation of Fire Protection Containment Sprinkler Sys.Caused by Human Error.Restored Containment Sprinkler Sys to Operable Status.With 990222 Ltr ML18016A8111999-02-12012 February 1999 LER 99-002-00:on 990114,RT Due to Not Removing Temporary Device from Relay Following Calibration Was Noted.Caused by Human Error.Counseled Personnel Involved in Event.With 990212 Ltr ML18016A7971999-02-0505 February 1999 LER 99-001-00:on 990106,SF Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Fasteners Bending Under Specific Circumstances.Increased Water Level.With 990205 Ltr ML18016A7941999-01-29029 January 1999 LER 98-004-01:on 980313,identified Design Deficiency Re Potential Runout of Tdafwp.Caused by Inadequate Original AFW Sys Design.Operability Evaluation Was Completed on 980313 & Addl Engineering Analysis Was Performed by Vendor ML18016A7211998-11-17017 November 1998 LER 98-007-00:on 981023,turbine Control Anomaly Caused Manual Rt.Caused by Failure to Incorporate Verbal Vendor Guidance in Operating Procedures.Addl Vendor Guidance Will Be Verified & Added to Procedures.With 981117 Ltr ML18016A4841998-07-0707 July 1998 LER 97-002-01:on 970207,determined That Cold Weather Conditions Resulted in Mfiv Being Potentially Inoperable During Period 970117-20.Caused by Inadequate Design of HVAC Sys.Implemented Mods to Steam Tunnel HVAC Sys ML18016A4701998-06-30030 June 1998 LER 97-021-03:on 980210,discovered That SFP Water Level Had Not Been Verified Greater than 23 Feet Above BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements. Will Submit TS Change Request to Revise TS 3.9.1.11 ML18016A4491998-06-0808 June 1998 LER 98-006-00:on 980508,failure to Perform Insp & Preventive Maint on MCCB as Required by TS Was Noted.Caused by Inadequate Sps.Tested 9 Pressurizer Heater Bank Breakers by Cycling each.W/980608 Ltr ML18022B0551998-05-20020 May 1998 LER 98-005-00:on 980420,TS Verbatim non-compliance Was Determined.Caused by Misinterpretation of TS Requirements. Issued Memo to Reemphasize Need to Comply W/Literal Meaning of TS Requirements in Verbatim manner.W/980520 Ltr ML18016A4061998-04-30030 April 1998 LER 98-002-01:on 980121,determined Ssps (P-11 Permissive) Testing Deficiency.Caused by Inadequate Review of Initial Ts.Will Revise & Perform Surveillance Test Procedures to Verify Operability of P-11 Permissive ML18016A3841998-04-13013 April 1998 LER 98-004-00:on 980313,design Deficiency Related to Indequate Runout Protection for Turbine Driven AFW Pump Was Identified.Caused by Inadequate Original AFW Sys Design. Evaluation (ESR 98-00100) Will Be completed.W/980409 Ltr ML18016A3441998-03-12012 March 1998 LER 97-021-02:on 980210,identified Failure to Properly Test non-safety Related Pressurizer Porv.Caused by Inadequate Surveillance Test Procedures.Revised Operations Surveillance Test OST-1117 to Include Testing of Subject PORV ML18016A3291998-02-27027 February 1998 LER 98-003-00:on 980129,failure to Perform Shutdown Margin Calculation Required by TS Surveillance Requirements Occurred.Caused by Ambiguity in TS 3.1.3.1.c.Procedures revised.W/980227 Ltr ML18016A3211998-02-20020 February 1998 LER 98-002-00:on 980121,solid State Protection Sys Testing Deficiency Occurred.Caused by Inadequate Review of Initial Tech Specs.Ts Testing Frequency for P-11 Permissive Revised. W/980217 Ltr ML18016A3131998-02-0909 February 1998 LER 98-001-00:on 980109,potential Condition Outside Design Basis Related to Instrument Air Sys Leak Causing SG pre- Heater Bypass Isolation Valves to Be Inoperable Was Noted. Caused by Inadequate Design Control.Generated Jco 98-01 ML18016A2641997-12-18018 December 1997 LER 97-024-00:on 971118,SSPS Testing Deficiency Was Noted. Caused by Inadequate Testing Scheme Provided by Ssps Vendor. Revised procedure.W/971218 Ltr ML18016A2501997-11-24024 November 1997 LER 97-023-00:on 920721,RCS PIV Testing Deficiency Was Noted.Caused by Failure to Consider All Testing Variables During Initial Sp Development.Surveillance Tp OST-1506 Was Revised to Incorporate Correction factor.W/971124 Ltr ML18016A2201997-10-22022 October 1997 LER 97-021-01:on 970922,discovered That Spent Fuel Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements.Revised Daily Surveillance Procedures ML18016A2081997-10-14014 October 1997 LER 97-016-01:on 970608,reactor Trip Occurred,Due to Personnel Error While Attempting to Adjust Power Range Nuclear Instrumentation Channel Following Performance of Calorimetric.Procedures revised.W/971014 Ltr ML18016A2111997-10-14014 October 1997 LER 96-008-02:on 960425,turbine Trip/Reactor Trip Occurred. Caused by High Resistance Connection Resulting from a Phase Switch Jaw & Blade Contacts.Failed a Phase Disconnect Switch on Breaker 52-7 Replaced ML18016A1931997-09-29029 September 1997 LER 97-022-00:on 970829,TS Required Shutdown Due to Expiration of AFW Lco.Caused by Personnel Error.Completed Repairs TDAFW Pump & Returned Plant to Svc on 970831. W/970926 Ltr ML18016A1891997-09-12012 September 1997 LER 97-020-00:on 970814,inadequate Fire Protection Provided for safety-related EDG Fuel Oil Transfer Pump Cables Resulted in Operation Outside Design Basis.Caused by Engineering Oversight.Established Fire watches.W/970912 Ltr ML18016A1881997-09-12012 September 1997 LER 97-021-00:on 970814,spent Fuel Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Misinterpretation of Ts.Directions Provided to Operations.W/970912 Ltr ML18012A8641997-08-18018 August 1997 LER 97-019-00:on 970720,turbine Trip/Reactor Trip Occurred. Caused by Three Phase Fault That Collapsed Excitation Field in Main Generator,Resulting in Generator Lockout.Exciter Rotor Assembly Was replaced.W/970818 Ltr ML18012A8581997-08-0808 August 1997 LER 96-018-01:on 960903,manual Reactor Trip Occurred Due to Loss of Normal Sw.Caused by Mechanical Failure of B Water Pump & a Normal SW to Remain Running Once Manually Started.Restored a Normal SW Pump to Svc ML18012A8551997-08-0808 August 1997 LER 96-013-02:on 961028,condition Outside of Design Basis Where RWST Had Been Aligned w/non-seismically Qualified Sys Was Identified.Caused by Failure to Reconcile Operating Procedure Lineups.Established Administrative Controls ML18012A8471997-07-31031 July 1997 LER 97-018-00:on 970701,determined That Plant Procedures Had Not Received Proper Reviews & Approvals.Caused by Failure to Comply W/Plant Administrative Procedure AP-006.Counseled Involved individuals.W/970731 Ltr ML18012A8371997-07-24024 July 1997 LER 97-S01-00:on 970405,unescorted Access Inappropriately Granted to Contract Outage Workers Was Determined.Caused by Personnel Error.Access Files for Individuals Inappropriately Granted Unescorted Access Were Placed on Access Hold ML18012A8291997-07-11011 July 1997 LER 97-017-00:on 970612,failed to Recognize Inoperable Reactor Afd Monitor.Caused by Personnel Error.Operators Involved in Event Will Be Counseled Prior to Assuming Shift duties.W/970711 Ltr ML18012A8301997-07-0808 July 1997 LER 97-016-00:on 970608,reactor Trip Occurred Due to Personnel Error in Adjusting Power Range (Pr) Nuclear Instrumentation (Ni).Issued Night Order Prohibiting Pr Ni Adjustment When Redundant Channel inoperable.W/970708 Ltr ML18012A8241997-07-0202 July 1997 LER 97-015-00:on 970602,inadequate Auxiliary Feedwater Sys Flow Control Valve Surveillance Testing Deficiency Was Identified.Caused by Failure to Recognize Impact on TS 4.7.1.2.1.Readjusted AFW FCV Actuator spring.W/970702 Ltr ML18022B0181997-06-13013 June 1997 LER 97-014-00:on 970514,SI Occurred During Ssps Surveillance Testing.Caused by Inattention to Detail During Recent Rev to Surveillance Test Procedure Being Used.Revised Deficient Surveillance procedures.W/970613 Ltr ML18012A8081997-06-0909 June 1997 LER 97-013-00:on 970508,entry Into Mode-6 Without Operable Components,Resulting in TS 3.0.4 Violation Occurred.Caused by Personnel Error.Personnel Involved counseled.W/970609 Ltr ML18012A8021997-06-0606 June 1997 LER 97-023-02:on 961114,design Deficiency Was Identified in Emergency DG Protection Circuitry.Caused by Inadequate Plant Design.Revised Surveillance Test Procedures OST-1013 & OST-1073.W/970606 Ltr ML18012A8011997-06-0404 June 1997 LER 97-012-00:on 970505,determined That Previous Auxiliary Control Panel Had Not Verified Operability of Interposing Relays.Caused by Misinterpretation of Tss.Reviewed Other Remote Shutdown Panel Transfer circuitry.W/970604 Ltr ML18012A7951997-05-29029 May 1997 LER 96-023-01:on 961114,design Deficiency in EDG Protection Circuitry Was Identified.Caused by Inadequate Original Plant Design.Surveillance Test Procedures OST-1013 & OST-1073 revised.W/970529 Ltr ML18012A7891997-05-22022 May 1997 LER 97-011-00:on 970422,inappropriate TS Interpretation Resulted in Violations of ECCS Accumulator TS & Entry Into TS 3.0.3.Caused by Procedural Inadequacy.Tsi 88-001 Cancelled 970508 & Procedures revised.W/970522 Ltr ML18012A7871997-05-19019 May 1997 LER 97-010-00:on 970418,design Deficiency Determined Re Reactor Coolant Pump Motor Oil Collection Sys.Caused by RCP Ocs Design Detail.Rcp Ocs Enclosures for Each of Three Installed RCP Motors Have Been modified.W/970519 Ltr ML18012A7761997-05-0707 May 1997 LER 97-009-00:on 970407,fuse Was Removed from CR Ventilation Isolation Signal Power Supply Circuitry Due to Personnel Error.Individuals Involved Were counseled.W/970507 Ltr ML18012A7751997-05-0505 May 1997 LER 97-008-00:on 970404,safety-related AHU Not Declared Inoperable During Maintenance on Associated Temperature Switches Resulting in Violation of Ts.Caused by Incorrect Interpretation.Operations Night Order issued.W/970505 Ltr ML18012A6291997-04-24024 April 1997 LER 97-007-00:on 970325,inoperable CCW Sys TS 3.0.3 Entry Made.Caused by Combination of Procedural Inadequacies, Improper Use of Procedure Guidance & Poor Communication. Applicable Individuals counseled.W/970423 Ltr ML18022B0151997-04-17017 April 1997 LER 97-006-00:on 970318,breach Was Identified in Thermo-Lag Fire Barrier Wall Due to Inadequate Initial Design,Poor Construction Methods & Incomplete as-built Design.Visual Insp of Thermo-Lag Barrier Walls performed.W/970417 Ltr ML18012A6041997-04-0303 April 1997 LER 97-004-00:on 970304,in-plant Spent Fuel Cask Handling Activities Conducted Outside Design Basis.Caused by Lack of Understanding of Requirements.Operations Placed on Hold Pending NRC Review & Approval of procedures.W/970331 Ltr ML18012A6031997-03-31031 March 1997 LER 97-003-00:on 970227,steam Generator Low Level Protection Circuitry Outside Design Basis Occurred.Caused by Inadequate Failure Modes & Effects Analysis Performed as-built Piping Configuration for S/G Level.Review performed.W/970331 Ltr 1999-09-10
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML18017A9181999-10-0808 October 1999 LER 99-008-00:on 991008,CR Emergency Filtration Sys Tech Specs Occurred.Caused by Site Personnel Failed to Recognize That Blocking Open CR Emergency Filtration Sys.Procedures Revised.With 991008 Ltr ML18017A9151999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Shearon Harris Npp. with 991012 Ltr ML20217A9931999-09-30030 September 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data ML18017A8671999-09-10010 September 1999 LER 99-007-00:on 990811,determined That Cvis ARMs High Alarm Setpoints Were Not within TS Limit.Caused by Not Having Procedure to Verify If Cvis ARM High Alarm Setpoints Were within TS Requirements.Revised Procedures.With 990910 Ltr ML18017A8621999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Harris Nuclear Plant.With 990908 Ltr ML18016B0481999-08-0404 August 1999 LER 99-006-01:on 981124,noted Failure to Comply with TS 4.0.4 & TS 3/4.6.3, Civs. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Was Revised ML18017A8361999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Shearon Harris Nuclear Power Plant.With 990811 Ltr ML18016B0151999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Shearon Harris Npp. with 990713 Ltr ML20196H8621999-06-30030 June 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data, June 1999 Rept ML18016A9801999-06-0404 June 1999 LER 99-006-00:on 981124,failed to Comply with TS 4.0.4 & TS 3/4.6.3, Civ. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Will Be Revised.With 990604 Ltr ML18016A9851999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Shearon Harris Nuclear Plant,Unit 1.With 990614 Ltr ML18017A8981999-05-12012 May 1999 Technical Rept Entitled, Harris Nuclear Plant-Bacteria Detection in Water from C&D Spent Fuel Pool Cooling Lines. ML18016A9581999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Shearon Harris Nuclear Plant,Unit 1.With 990513 Ltr ML18016A9011999-04-12012 April 1999 Part 21 Rept Re Defect in Component of DSRV-16-4,Enterprise DG Sys.Caused by Potential Problem with Connecting Rod Assemblies Built Since 1986,that Have Been Converted to Use Prestressed Fasteners.Affected Rods Should Be Inspected ML18016A9111999-04-12012 April 1999 LER 99-005-00:on 990313,plant Exceeded ESFAS TS 3.3.2,Action 21.Caused by Inadequate Procedure Rev Preparation.Licensee Revised Applicable Maint Surveillance Test Procedure (MST-10072) to Identify TS Required Actions.With 990412 Ltr ML18016A8971999-04-0808 April 1999 LER 99-004-00:on 990312,unit Trip Was Noted.Caused by Degraded Condition of SG Water Level Flow Control Valve. Replaced Positioners on All Three FW Regulating Valves.With 990408 Ltr ML18016A8941999-04-0505 April 1999 Revised Pages 20-25 to App 4A of non-proprietary Version of Rev 3 to HI-971760 ML18016A9101999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Shearon Harris Nuclear Power Plant.With 990413 Ltr ML18016A8661999-03-31031 March 1999 Shnpp Operator Training Simulator,Simulator Certification Quadrennial Rept. ML18017A8931999-02-28028 February 1999 Risks & Alternative Options Associated with Spent Fuel Storage at Shearon Harris Nuclear Power Plant. ML18016A8551999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Shearon Harris Npp. with 990312 Ltr ML18016A8261999-02-22022 February 1999 LER 99-003-00:on 990123,noted That Plant Was Outside Design Basis Due to Isolation of Fire Protection Containment Sprinkler Sys.Caused by Human Error.Restored Containment Sprinkler Sys to Operable Status.With 990222 Ltr ML18016A8531999-02-18018 February 1999 Non-proprietary Rev 3 to HI-971760, Licensing Rept for Expanding Storage Capacity in Harris SFP 'C' & 'D'. ML18016A8111999-02-12012 February 1999 LER 99-002-00:on 990114,RT Due to Not Removing Temporary Device from Relay Following Calibration Was Noted.Caused by Human Error.Counseled Personnel Involved in Event.With 990212 Ltr ML18016A7971999-02-0505 February 1999 LER 99-001-00:on 990106,SF Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Fasteners Bending Under Specific Circumstances.Increased Water Level.With 990205 Ltr ML18022B0631999-02-0404 February 1999 Rev 0 to Nuclear NDE Manual. with 28 Oversize Uncodable Drawings of Alternative Plan Scope & 4 Oversize Codable Drawings ML20202J1161999-02-0101 February 1999 SER Accepting Relief Requests Associated with Second 10-year Interval Inservice Testing Program ML18016A8041999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Shearon Harris Nuclear Power Plant.With 990211 Ltr ML18016A7941999-01-29029 January 1999 LER 98-004-01:on 980313,identified Design Deficiency Re Potential Runout of Tdafwp.Caused by Inadequate Original AFW Sys Design.Operability Evaluation Was Completed on 980313 & Addl Engineering Analysis Was Performed by Vendor ML18016A7801998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Shearon Harris Npp. with 990113 Ltr ML18016A7671998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Shnpp,Unit 1.With 981215 Ltr ML18016A9731998-11-28028 November 1998 Changes,Tests & Experiments, for Harris Nuclear Plant.Rept Provides Brief Description of Changes to Facility & Summary & of SE for Each Item That Was Implemented Under 10CFR50.59 Between 970608-981128.With 990527 Ltr ML18016A8351998-11-28028 November 1998 ISI Summary 8th Refueling Outage for Shearon Harris Power Plant,Unit 1. ML18016A7411998-11-25025 November 1998 Rev 1 to Shnpp Cycle 9 Colr. ML18016A7211998-11-17017 November 1998 LER 98-007-00:on 981023,turbine Control Anomaly Caused Manual Rt.Caused by Failure to Incorporate Verbal Vendor Guidance in Operating Procedures.Addl Vendor Guidance Will Be Verified & Added to Procedures.With 981117 Ltr ML18016A7071998-11-0303 November 1998 Rev 0 to Harris Unit 1 Cycle 9 Colr. ML18016A7201998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Shearon Harris Nuclear Power Plant.With 981113 Ltr ML20154F8701998-10-0606 October 1998 Safety Evaluation Authorizing Proposed Alternative to Requirements of OMa-1988,Part 10,Section 4.2.2.3 for 21 Category a Reactor Coolant Sys Pressure Isolation Valves ML18016A6201998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Harris Nuclear Power Plant.With 981012 Ltr ML18016A5971998-09-21021 September 1998 Rev 1 to Harris Unit 1 Cycle 8 Colr. ML18016A5881998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Shnpp,Unit 1.With 980914 Ltr ML18016A5071998-07-31031 July 1998 Monthly Operating Rept for Jul 1998 for Shearon Harris Nuclear Plant.W/980811 Ltr ML18016A9431998-07-0707 July 1998 Rev 1 to QAP Manual. ML18016A4841998-07-0707 July 1998 LER 97-002-01:on 970207,determined That Cold Weather Conditions Resulted in Mfiv Being Potentially Inoperable During Period 970117-20.Caused by Inadequate Design of HVAC Sys.Implemented Mods to Steam Tunnel HVAC Sys ML18016A9371998-06-30030 June 1998 Technical Rept on Matl Identification of Spent Fuel Piping Welds at Hnp. ML18016A4861998-06-30030 June 1998 Monthly Operating Rept for June 1998 for SHNPP.W/980715 Ltr ML18016A4701998-06-30030 June 1998 LER 97-021-03:on 980210,discovered That SFP Water Level Had Not Been Verified Greater than 23 Feet Above BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements. Will Submit TS Change Request to Revise TS 3.9.1.11 ML18016A4491998-06-0808 June 1998 LER 98-006-00:on 980508,failure to Perform Insp & Preventive Maint on MCCB as Required by TS Was Noted.Caused by Inadequate Sps.Tested 9 Pressurizer Heater Bank Breakers by Cycling each.W/980608 Ltr ML18016A4521998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Shearon Harris Nuclear Power Plant.W/980612 Ltr ML18016A7711998-05-26026 May 1998 Non-proprietary Rev 2 to HI-971760, Licensing Rept for Expanding Storage Capacity in Harris Spent Fuel Pools 'C' & 'D'. 1999-09-30
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NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150.0104 (4.95) EXPIRES 04/30/96 ESTIMATED BURDEH PER RESPONSE TO COMPLY WITH THIS MANDATORY WFORMATION COllECTION REOUEST: 50JI HRS. REPORTED LESSONS LEARNED ARE WCORPORATEO W'IO THE UCENSING PROCESS AND FEO BACK TO WDUSTRY.
LICENSEE EVENT REPORT (LER) FORWARD COMMENTS REGAROWG BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH IT4I F33L US. NUCLEAR REGULATORY COMMISSION, (See reverse for required number of WASHINGTON. OC 205550001, ANO TO THE PAPERWORK REDUCTION PROJECT (3I50.
digits/characters for each block) OI04l OFFICE OF MANAGEMENT AND BUDGET WASHINGTON. OC 20503.
FAcIUTY NAME III OOCKET NUMBER 12) PAGE 13)
Harris Nuclear Plant Unit-1 50-400 1 OF 3 TITLE 141 Manual reactor trip due to loss of Normal Service Water EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED (B)
FACIUTY NAME OOCKET NUMBER SEQUENTIAL REVISION MONTH OAY YEAR MONTH OAY YEAR NUMBER NUMBER 05000 FACILITY NAME DOCKET NUMBER 9 03 96 96 018 01 08 97 05000 OPERATING THIS REPORT IS SUBMITTED PUR SUANT TO THE REQUIREMENTS OF 10 CFR B: (Check one o r moro) l11)
MODE (9) 20.2201(b) 20.2203(a) (2) (v) 50.73(a) (2) (i) 50.73(a) (2)(viii) 20.2203(a) (1) 20.2203(a)(3) li) 50.73(a)(2)(ii) 50.73(a)(2)(x)
POWER 100%
LEVEL (10) 20.2203(a)(2) (i) 20.2203(a) (3)(ii) 50.73(a)(2) liii) 73.71 20.2203(a)(2)(ii) 20.2203(a) (4) 50.73(a) (2) liv) OTHER 20.2203(a) (2) (iii) 5O.36(c)(1) 50.73(a) (2) (v) Specrfy in Abstract belew or in NRC Form 366A 20.2203(a) (2) (iv) 50.36(c)(2) 50.73(a) (2) (vii)
LICENSEE CONTACT FOR THIS LER (12)
NAME TELEPHONE NUMBER Ilnerude Area Codei Michael Verrilli Sr. Analyst - Licensing (919) 362-2303 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
REPORTABLE REPORTABLE CAUSE SYSTEM COMPONENT MANUFACTURER CAUSE SYSTEM COMPONENT MANUFACTURER TO NPROS TO NPROS KG P115 se
- 1 SUPPLEMENTAL REPORT EXPECTED (14) EXPECTED MONTH OAY YEAR YES SUBMISSION (If yes, complete EXPECTED SUBMISSION DATE). X NO DATE (15)
ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) (16)
On September 3, 1996 at approximately 2338 hours0.0271 days <br />0.649 hours <br />0.00387 weeks <br />8.89609e-4 months <br />, with the plant operating in mode 1 at 100% power and the "B" Normal Service Water (NSW) pump in service, operators in the main control room received numerous NSW system alarms and observed indication of zero flow and pressure in the NSW header. The Reactor Operator manually started the standby "A" NSW pump to restore flow, but the pump tripped after running for less than two minutes. When re-start attempts on the "A" NSW pump failed, a manual reactor trip was initiated at approximately 2342 hours0.0271 days <br />0.651 hours <br />0.00387 weeks <br />8.91131e-4 months <br />. Plant systems responded as expected, including an automatic start of the Auxiliary Feedwater System and the unit was stabilized in mode 3 (Hot Standby).
The cause of this event was a mechanical failure of the "B" NSW pump and the failure of the "A" NSW to remain running once manually started. The "B" NSW pump shaft sheared.
Additional investigation was subsequently completed to determine the cause of the "A" NSW pump trip. This investigation revealed that the torque switch on the pump's discharge valve (ISW-289) was actuating and this was preventing the valve from opening to the 10% open position, which is required for pump operation.
Corrective actions included restoring the "A" NSW pump to service, performing a secondary plant walkdown to support plant re-start and evaluating the acceptability of having only one NSW pump available during plant operation while repairs continued on the "B" NSWgpump. Subsequent actions included restoring the "B" NSW pump, completing the failure analysis for tlie "B" NSW pump sheared shaft, and completing the additional investigation into the
'" NSW pump trip that resulted in this LER revision.
This event is reportable per 10CFR50.72 and 10CFR50.73. A 4-hour non-emergency report was made to the NRC at approximately 0207 via the emergency notification s stem.
9708200013 970807 PDR ADOCK 05000400
Q4 U.S. NUCLEAR REGUIATORY COMMISSION NRC FORM 366A (4-95)
LICENSEE EVENT REPORT (LERj TEXT CONTINUATION DOCKET LER NUMBER )6) PAGE I3)
FACILITY NAME (I)
SEOUENHAL REYISION YEAR NUMBER NUMBER Shearon Harris Nuclear Plant Unit )I)1 50400 2 OF 3 96 - 018 - 01 TEXT Pl mort spore r's rer)viK vse oW(kvl sopor ol NRC Form 3664) (17)
EVENT DESCRIPTION:
"B" On September 3, 1996 at approximately 2338 hours0.0271 days <br />0.649 hours <br />0.00387 weeks <br />8.89609e-4 months <br />, with the plant operating in mode 1 at 100% power and the Normal Service Water pump (NSW, EIIS Code: KG-P) in service, operators in the main control room received numerous NSW system alarms and observed indication of zero flow and 'pressure in the NSW header. The Reactor Operator manually started the standby "A" NSW pump to restore service water flow..After observing closed indication for the "A" NSW pump breaker and indication that the "A" NSW pump discharge valve was opening, the "B" NSW pump was secured to allow the "B" discharge valve to shut. At this time, the Reactor Operator noticed that the "A" NSW pump had tripped. Following two unsuccessful re-start attempts on the "A" NSW pump, the Unit-Senior Control Operator directed a manual reactor and turbine trip at approximately 2342 hours0.0271 days <br />0.651 hours <br />0.00387 weeks <br />8.91131e-4 months <br />. Prior to the reactor trip, the "A" Emergency Service Water (ESW) pump automatically started due to low header pressure. Plant systems responded to the reactor trip signal as expected, including an automatic start of the Auxiliary Feedwater System (EIIS Code: BA) on steam generator low-low level due to Reactor Coolant System (RCS, EIIS Code: AB) shrink following the reactor trip. The unit was stabilized in mode 3 with RCS temperature at 557 degrees and pressure at 2235 psig.
Following investigation and repairs, the plant was restarted on September 9, 1996 and returned to the grid at approximately 0342 on September 10, 1996. Delays were encountered in plant re-start due to the passage of Hurricane Fran (reference LER 96-019). Since the forced outage exceeded 72 hours8.333333e-4 days <br />0.02 hours <br />1.190476e-4 weeks <br />2.7396e-5 months <br />, hot rod drop testing was performed prior to reactor startup in accordance with Harris Plant's response to NRC Bulletin 96-01. Reference Attachment 1 for hot rod drop testing results.
I This event is reportable per 10CFR50.72 and 10CFR50.73 as a Reactor Protection System actuation. A 4-hour non-emergency report was made to the NRC at approximately 0207 via the emergency notification system.
CAUSE:
The cause of this event was a mechanical failure in the "B" NSW pump and a malfunction resulting in the "A" NSW pump tripping after being manually started. The "B" NSW pump experienced a sheared pump shaft. A metallurgical analysis determined the most probable cause to be a bent pump shaft due to alignment problems, which caused the bronze bearings to heat up and fail resulting in the sheared pump shaft.
Additional investigation was subsequently completed to determine the cause of the "A" NSW pump trip. This investigation revealed that the torque switch on the pump's discharge valve (1SW-289) was actuating when high D/P conditions exist across the valve and this was preventing the valve from opening to the 10% open position, which is required for pump operation. These high D/P conditions are present when the standby NSW pump starts with the other NSW pump not running, as in the case of the "B" NSW pump trip.
SAFETY SIGNIFICANCE:
There were no safety consequences as a result of this event. The manual reactor/turbine trip was initiated per plant operating procedures to protect secondary plant components following the loss of Normal Service Water. Plant systems responded as expected following the initiation of the manual reactor/turbine trip.
A )4- )
4, NRC FORM 36BA U.S. NUClEAR REGUIATORY COMMISSION (495)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACIEITY NAME (I) OOCKET lER NUMBER (6) PAGE (3)
SEQUENTIAl REVISION FEAR NUMBER NUMBER Shearon Harris Nuclear Plant - Unit /Il 50400 3 OF 3 96 - 018 01 TEXT illmoro spsco r's rcrprisrl oso orrrpsotrol coper ol llRC Form 3SQI I) T)
PREVIOUS SIMILAR EVENTS:
Previous similar problems with the NSW pumps and discharge valves were experienced during the reactor/turbine trip that occurred on April 25, 1996, which was reported in LER 96-008. Corrective actions for that event included adjusting the mechanical latch mechanism on the "A" NSW pump discharge valve control relay (CR1/2189) to ensure that it "latched in" properly and replacing two of the "B" NSW pump discharge valve control relays (CR4/2190 &
CR1/2190) that experienced intermittent failures. Based on indications observed during the September 3, 1996 loss of NSW event, these corrective actions were effective since their associated functions performed as required.
LER 96-008 also contained a corrective action to perform additional NSW testing during the next refueling outage (RFO-7). This testing was performed and the results will be included in a revision to LER 96-008.
CORRECTIVE ACTIONS COMPLETED:
- 1. Trouble shooting was performed which determined that a common-mode failure mechanism did not exist with the NSW pumps.
- 2. The "A" NSW pump was returned to service on September 7, 1996.
- 3. A safety analysis was performed on September 5, 1996, which determined the acceptability of returning the plant to service with only one NSW pump available while repairs continued on the "B" NSW pump. This analysis, combined with the results of an engineering evaluation, concluded that repairs to the "B" NSW pump could be made on-line with the "A" NSW pump in service.
- 4. A secondary plant walkdown to assess potential damage related to the loss of NSW transient was completed on September 4, 1996. Discrepancies identified during the walkdown that would prevent plant re-start were repaired on September 4, 1996.
Repairs were completed and the "B" NSW pump was returned to service on October 29, 1996.
Additional analysis was performed to determine the failure mechanism involved in the "B" NSW pump sheared shaft and the results are provided above in the cause section. This analysis was completed on November 15, 1996.
Additional testing and evaluation was performed to determine the cause of the "A" NSW pump trip after being manually started on September 3, 1996. The results are described above in the cause section. Follow-up actions to address the torque switch issue include; (1) A new discharge valve (1SW-289) was installed to improve the disc seating area and require less torque to open the valve, (2) The orientation of the valve was changed, which will result in less torque required to open the valve during high D/P conditions, (3) The stop limit switches were re-set such that the valve actuator does not drive the disc as far into the valve seat. This will also result in the need for less torque to open the valve. These actions were completed on May 7, 1997.
Training on the lessons learned from the loss of NSW event was incorporated into the operator training program and was covered during Licensed Operator Re-qualification session //6. This was completed on November 14, 1996.
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