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{{#Wiki_filter:FACILITY NAME (1)LICENSEE EVEt%EPORT (LER)Washin ton Nuclear Plant-Unit 2 DOCKET NUMB R ()PAGE (3)0 5 0 0 0 3 9 7 I OF TITLE (4)PRESSURE SUPPRESSION PRESSURE LIMIT (PSPL)CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION EVENT DATE (5)DAY YEAR YEAR LER NUMBER (6)SEQUENTIAL NUMBER EVI SION UMBER OTHER FACILITIES INVOLVED (6)REPORT DATE (7 OCKET DAY YEAR FACILITY NAMES MONTH NUHB RS(S)0 5 0 00 I 2 9 0 9 0 0 I 9 0 1 0 9 2 4 9 2 050 0 0 PERATING ODE (9)HIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREHENTS OF 10 CFR 5: (Check one or more of the following)
{{#Wiki_filter:LICENSEE EVEt%EPORT (LER)
(11)1 POWER LEVEL (iO)20.402(b)20.405(a)(1)(i) 20.405(a)(1)(ii) 20.405(a)(1)(iii) 20.405(a)(1)(iv) 20.405(a)(1)(v) 20.405(C)50.36(c)(1) 50.36(c)(2) 50.73(a)(2)(i) 50.73(a)(2)(ii) 50.73(a)(2)(iii) 50.73(a)(2)(iv) 50.73(a)(2)(v) 50.73(a)(2)(vii) 50.73(a)(2)(viii)(A) 50.73(a)(2)(viii)(B) 50.73(a)(2)(x) 77.71(b)73.73(c)THER (Specify in Abstract elow an4 in Text, NRC Form 366A)LICENSEE CONTACT FOR THIS LER (12 C.L.Fies, Compliance Engineer TELEPHONE NUMBER REA CODE 5 0 9 7 7-4 1 4 7 COMPLETE ONE LINE FOR EACH COMPONEHT FAILURE DESCRIBED IN THIS REPORT (13)CAUSE SYSTEM COHPONENT MANUFACTURER EPORTABLE TO NPRDS CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE TO NPRDS SUPPLEMENTAL REPORT EXPECTED (14)YES (If yes, complete EXPECTED SUBMISSION DATE)X NO fRACI II 0)EXPECTED SUBMISSION MONTH DAY YEAR ATE (15)On September 12, 1990, at 1108 hours it was determined that a discrepancy with the Pressure Suppression Limit (PSPL)curve in the Emergency Operating Procedures (EOPs)was reportable as a condition alone that could have prevented the fulfillment of the safety function of structures or systems that are needed to mitigate the consequences of an accident.This discrepancy was discovered by an NRC Inspector during a recent NRC Team Inspection of the EOPs.The PSPL curve in the EOP procedure did not agree with the design calculation that formed the basis for the curve.The procedural curve specified a wetwell pressure limit which was as much as 2.0 psi too high between 19.2 and 37.0 feet of Suppression Pool water level.This pressure is a function of primary containment water level and the limit is used during emergency situations to ensure that the pressure suppression function of the containment is maintained while the RPV is at pressure.The procedural discrepancy could have resulted in inappropriate operator action if a situation had occurred which required that the graph be used.As an immediate corrective action, the applicable procedure was changed to reflect the correct PSPL curve as specified by the design calculation.
FACILITY      NAME  (1)                                                                              DOCKET NUMB R (     )                   PAGE (3)
Further corrective action consisted of reviewing all curves in the Emergency Operating Procedures to verify accuracy with the corresponding design calculations.
Washin ton Nuclear Plant -                    Unit    2                                          0   5   0   0     0   3   9   7     I   OF TITLE (4)
As a result of that review, it was discovered that the Heat Capacity Temperature Limit (HCTL)and Primary Containment Pressure Limit (PCPL)curves also did not agre'-with the calculational bases.The discrepancy in the HCTL curve was determined by engineering judgment to be within the conservatism of 9210020044 920924 PDR ADOCK 05000397 S PDR Qg LICENSEE EVENT REPORT (4)TEXT CONTINUATION FACILITY NAHE (1)Washington Nuclear Plant-Unit 2 DOCKET NUHBER (2), 0 5 0 0 0 3 9 7 Year LER NUHBER (8)umber ev.No.AGE (3)0 019 I 2 F 5 TITLE (4)PRESSURE SUPPRESSION PRESSURE LIHIT (PSPL)CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION the design calculation and;therefore, would not have caused inappropriate operator action.The procedure for the HCTL curve was changed to reflect the correct information as specified in the design calculations.
PRESSURE SUPPRESSION PRESSURE                               LIMIT(PSPL) CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION EVENT DATE       (5)                 LER NUMBER (6)               REPORT DATE  (7                  OTHER   FACILITIES INVOLVED (6)
DAY      YEAR    YEAR      SEQUENTIAL    EVI SION    MONTH    DAY   YEAR FACILITY NAMES                                   OCKET NUHB   RS(S)
NUMBER        UMBER 0 5 0   00 I     2   9   0   9   0     0   I 9       0     1     0   9 2     4 9   2                                               050     0 0 PERATING                   HIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREHENTS OF 10 CFR 5: (Check one or more               of the following) (11)
ODE  (9)             1 POWER   LEVEL                   20.402(b)                     20.405(C)                    50.73(a)(2)(iv)                   77.71(b)
(iO)                             20.405(a)(1)(i)               50.36(c)(1)                 50.73(a)(2)(v)                    73.73(c) 20.405(a)(1)(ii)               50.36(c)(2)                 50.73(a)(2)(vii)                   THER  (Specify in Abstract 20.405(a)(1)(iii)             50.73(a)(2)(i)               50.73(a)(2)(viii)(A)               elow an4 in Text,      NRC 20.405(a)(1)(iv)               50.73(a)(2)(ii)             50.73(a)(2)(viii)(B)              Form 366A) 20.405(a)(1)(v)               50.73(a)(2)(iii)             50.73(a)(2)(x)
LICENSEE CONTACT FOR THIS LER (12 TELEPHONE NUMBER REA CODE C. L. Fies, Compliance Engineer 5     0   9       7   7   -     4   1   4   7 COMPLETE ONE LINE FOR EACH COMPONEHT FAILURE DESCRIBED IN THIS REPORT           (13)
CAUSE         SYSTEM       COHPONENT       MANUFACTURER   EPORTABLE           CAUSE     SYSTEM       COMPONENT         MANUFACTURER     REPORTABLE TO NPRDS                                                                        TO NPRDS SUPPLEMENTAL REPORT EXPECTED     (14)                                   EXPECTED SUBMISSION        MONTH    DAY  YEAR ATE (15)
YES   (If yes,     complete EXPECTED SUBMISSION DATE) X       NO fRACI II 0)
On September 12, 1990, at 1108 hours it was determined that a discrepancy with the Pressure Suppression Limit (PSPL) curve in the Emergency Operating Procedures (EOPs) was reportable as a condition alone that could have prevented the fulfillment of the safety function of structures or systems that are needed to mitigate the consequences of an accident. This discrepancy was discovered by an NRC Inspector during a recent NRC Team Inspection of the EOPs.
The PSPL curve in the EOP procedure did not agree with the design calculation that formed the basis for the curve. The procedural curve specified a wetwell pressure limit which was as much as 2.0 psi too high between 19.2 and 37.0 feet of Suppression Pool water level. This pressure is a function of primary containment water level and the limit is used during emergency situations to ensure that the pressure suppression function of the containment is maintained while the RPV is at pressure. The procedural discrepancy could have resulted in inappropriate operator action if a situation had occurred which required that the graph be used.
As an immediate corrective action, the applicable procedure was changed to reflect the correct PSPL curve as specified by the design calculation. Further corrective action consisted of reviewing all curves in the Emergency Operating Procedures to verify accuracy with the corresponding design calculations. As a result of that review, it was discovered that the Heat Capacity Temperature Limit (HCTL) and Primary Containment Pressure Limit (PCPL) curves also did not agre'- with the calculational bases. The discrepancy in the HCTL curve was determined by engineering judgment to be within the conservatism of 9210020044 920924 PDR     ADOCK 05000397 S                           PDR
 
Qg LICENSEE EVENT REPORT           (4)
TEXT CONTINUATION FACILITY NAHE (1)                               DOCKET NUHBER   (2),               LER NUHBER (8)         AGE (3)
Year    umber       ev. No.
Washington Nuclear Plant - Unit          2 0  5  0    0  0  3 9  7 0     019           I       2   F 5 TITLE (4)
PRESSURE SUPPRESSION       PRESSURE   LIHIT (PSPL)       CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION the design calculation and; therefore, would not have caused inappropriate operator action. The procedure for the HCTL curve was changed to reflect the correct information as specified in the design calculations.
The error in the PCPL curve was conservative.
The error in the PCPL curve was conservative.
The root cause is less than adequate.work practices by both Engineering personnel and the Operations EOP Coordinator for not using the normal review process for engineering calculations.
The root cause is less than adequate. work practices by both Engineering personnel and the Operations EOP Coordinator for not using the normal review process for engineering calculations. A contributing cause can be attributed to inadequate communications between the two involved parties.
A contributing cause can be attributed to inadequate communications between the two involved parties.This event did not affect the health and safety of either the public or Plant personnel.
This event did not affect the health and safety of either the public or Plant personnel.
Plant onditi ns Power Level-100%Plant Mode-1 (Power Operation)
Plant   onditi ns Power Level - 100%
Event Descri ion On September 12, 1990, at 1108 hours it was determined that a discrepancy with the Pressure Suppression Pressure Limit (PSPL)curve in the Emergency Operating Procedures (EOPs)was reportable as a condition alone that could have prevented the fulfillment of the safety function of structures or systems that are needed to mitigate the consequences of an accident.This discrepancy was discovered by an NRC Inspector during a recent NRC Team Inspection of the EOPs.The PSPL curve in Plant Procedure (PPM)5.0.1,"Emergency Operating Procedure Graphs," did not agree with the design calculation that formed the basis for the curve.Pressure Suppression Pressure is defined to be the lesser of either 1)the highest pressure suppression chamber pressure which can occur without steam in the chamber airspace, or 2)the highest suppression chamber pressure at which initiation of Reactor Pressure Vessel (RPV)depressurization will not result in exceeding the Primary Containment Pressure Limit before RPV pressure drops to the minimum RPV Flooding Pressure, or 3)the highest suppression chamber pressure which can be maintained without exceeding the suppression pool boundary design load if Safety Relief Valves are opened.This pressure is a function of primary containment water level and is used to ensure that the pressure suppression function of the containment is maintained while the RPV is at pressure.In this particular situation, the PSPL curve in PPM 5.0.1 was nonconservative with regard to suppression chamber pressure.The procedural curve specified a wetwell pressure limit which was as much as 2.0 psi too high between 19.2 and 37.0 feet of Suppression Pool water level.This discrepancy could have resulted in inappropriate Plant Operator action if a situation had occurred which required that the graph be used..
Plant Mode - 1 (Power Operation)
LICENSEE EVENT REPORT (Ot)TEXT CONTINUATION FACILITY NAHE (I)Washington Nuclear Plant-Unit 2 DOCKET NUHBER (2)0 5 0 0 0 3 9 7 LER NUHBER (8)ear Number ev.No.0 019 I AGE (3)3 F 5 TITLE (4)PRESSURE SUPPRESSION PRESSURE LIHIT (PSPL)CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION Immedia e rrective Action Plant Procedure (PPM)5.0.1,"Emergency Operating Procedure Graphs," was changed to reflect the correct PSPL curve as specified by the design calculation.
Event Descri ion On September 12, 1990, at 1108 hours it was determined that a discrepancy with the Pressure Suppression Pressure Limit (PSPL) curve in the Emergency Operating Procedures (EOPs) was reportable as a condition alone that could have prevented the fulfillment of the safety function of structures or systems that are needed to mitigate the consequences of an accident. This discrepancy was discovered by an NRC Inspector during a recent NRC Team Inspection of the EOPs.
F her Evaluati n and rrective Ac i n A.Fu her Evaluation 1.This event is reportable under 10CFR50.73(a)(2)(v) as an event or condition that alone could have prevented the fulfillment of the safety function of structures or systems that are needed to mitigate the consequences of an accident.2.There were no structures, systems or components that.were inoperable at the start of the event that contributed to the event.3.During preparation of the Emergency Operating Procedures, development of the design calculations and the associated procedural revisions were being performed concurrently by two separate groups.Supply System Engineering personnel were responsible for performing the calculations and the Operations EOP Coordinator was responsible for the procedural development.
The PSPL curve in Plant Procedure (PPM) 5.0.1, "Emergency Operating Procedure Graphs," did not agree with the design calculation that formed the basis for the curve. Pressure Suppression Pressure is defined to be the lesser of either 1) the highest pressure suppression chamber pressure which can occur without steam in the chamber airspace, or 2) the highest suppression chamber pressure at which initiation of Reactor Pressure Vessel (RPV) depressurization will not result in exceeding the Primary Containment Pressure Limit before RPV pressure drops to the minimum RPV Flooding Pressure, or 3) the highest suppression chamber pressure which can be maintained without exceeding the suppression pool boundary design load if Safety Relief Valves are opened. This pressure is a function of primary containment water level and is used to ensure that the pressure suppression function of the containment is maintained while the RPV is at pressure.
In this particular situation, a preliminary calculation was initially used as the basis for the PSPL curve in the draft procedure.
In this particular situation, the PSPL curve in PPM 5.0.1 was nonconservative with regard to suppression chamber pressure. The procedural curve specified a wetwell pressure limit which was as much as 2.0 psi too high between 19.2 and 37.0 feet of Suppression Pool water level. This discrepancy could have resulted in inappropriate Plant Operator action if a situation had occurred which required that the graph be used..
However, during the final review of the calculation, the results were changed and the new Wetwell pressure information from t'nis final calculation was not incorporated into the procedure.
 
This oversight was not discovered during the normal procedure review process, nor during a special review of the procedures by the Technical Assessment Group.4.The root cause is less than adequate work practices by the Operations and Engineering personnel involved in the EOP revisions.
LICENSEE EVENT REPORT (Ot)
This led to circumvention of the administrative process for verifying, transmitting, and using only final Engineering calculations due to time constraints.
TEXT CONTINUATION FACILITY NAHE (I)                                 DOCKET NUHBER   (2)               LER NUHBER (8)          AGE (3) ear   Number       ev. No.
The Operations EOP Coordinator did not review the Calculation Cover Sheet which had been sent from Engineering for Calculation NE-02-89-28, to ensure that the"Verification/Approval Section" had been signed off.This would have indicated that it was not the final calculation.
Washington Nuclear Plant - Unit            2 0  5  0    0  0 3  9  7 0    019           I       3   F 5 TITLE (4)
Engineering was behind in their commitment date for completing the EOP calculations needed by Operations.
PRESSURE SUPPRESSION       PRESSURE     LIHIT (PSPL)       CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION Immedia e       rrective Action Plant Procedure (PPM) 5.0.1, "Emergency Operating Procedure Graphs," was changed to reflect the correct PSPL curve as specified by the design calculation.
The Operations EOP Coordinator requested and received from Engineering initial calculation values, with the understanding that they were not the final calculations.
F     her Evaluati n and     rrective Ac i   n A. Fu her Evaluation
These initial calculations were, subsequently, used when the EOPs were revised.
: 1. This event is reportable under 10CFR50.73(a)(2)(v) as an event or condition that alone could have prevented the fulfillment of the safety function of structures or systems that are needed to mitigate the consequences   of an accident.
rw LICENSEE EVENT REPORT)TEXT CONTINUATION FACILITY NAME (I)Washington Nuclear Plant-Unit 2 DOCKET NUMBER (2)0 5 0 0 0 3 9 7 Year LER NUMBER (B)umber ev.No.0 019 01 AGE (3)4 F 5 TITLE (4)PRESSURE SUPPRESSION PRESSURE LIMIT (PSPL)CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION 5.A contributing.
: 2. There were no structures, systems or components that. were inoperable at the start       of the event that contributed to the event.
root cause was lack of timeliness in communications.
: 3. During preparation of the Emergency Operating Procedures, development of the design calculations and the associated procedural revisions were being performed concurrently by two separate groups.
The Operations EOP Coordinator and Engineering failed to complete timely and accurate communications during the change in the calculations for Pressure Suppression Pressure Limit (PSPL), which were to be inserted in EOP 5.0.1.Because of the deadline for a forthcoming NRC EOP Inspection Team, the normal process for performing and transmitting"finalized" calculations was circumvented.
Supply System Engineering personnel were responsible for performing the calculations and the Operations EOP Coordinator was responsible for the procedural development. In this particular situation, a preliminary calculation was initially used as the basis for the PSPL curve in the draft procedure. However, during the final review of the calculation, the results were changed and the new Wetwell pressure information from t'nis final calculation was not incorporated into the procedure. This oversight was not discovered during the normal procedure review process, nor during a special review of the procedures by the Technical Assessment Group.
6.A second contributing cause was personnel lack of attention/concentration.
: 4. The root cause is less than adequate work practices by the Operations and Engineering personnel involved in the EOP revisions. This led to circumvention of the administrative process for verifying, transmitting, and using only final Engineering calculations due to time constraints. The Operations EOP Coordinator did not review the Calculation Cover Sheet which had been sent from Engineering for Calculation NE-02-89-28, to ensure that the "Verification/Approval Section" had been signed off. This would have indicated that it was not the final calculation. Engineering was behind in their commitment date for completing the EOP calculations needed by Operations. The Operations EOP Coordinator requested and received from Engineering initial calculation values, with the understanding that they were not the final calculations. These initial calculations were, subsequently, used when the EOPs were revised.
A work assignment change occurred for one of the key individuals in the calculation process.The change in work assignment affected the concentration and'continuity needed for finalizing the calculation process.B.Fu her rrective Ac i ns m le 1.A review of all curves in the Emergency Operating Procedures was performed to verify accuracy with the corresponding design calculations.
 
As a result of this review, two additional problems were identified.
rw LICENSEE EVENT REPORT                   )
The Heat Capacity Temperature Limit (HCTL)and Primary Containment Pressure Limit (PCPL)curves in the EOPs did not agree with the calculational bases.The HCTL curve, which is a-function of RPV pressure and is used to preclude failure of the containment or equipment necessary for safe shutdown of the Plant, was nonconservative (by 3-5 degrees F)with regard to Suppression Pool temperature limits.This discrepancy, which appears to be due to a drafting error, was determined by engineering judgment to be within the conservatism of the design calculation and;therefore, would not have caused inappropriate operator action.The PCPL curve is a function of primary containment water level and is used'o maintain primary containment pressure so that containment failure due to overpressurization does not occur.The error in the PCPL curve was conservative and would not have provided inappropriate direction to Plant Operators.
TEXT CONTINUATION FACILITY NAME (I)                               DOCKET NUMBER (2)                 LER NUMBER (B)         AGE  (3)
Year    umber       ev. No.
Washington Nuclear Plant - Unit          2 0  5  0  0  0 3  9  7 0    019       01         4   F 5 TITLE (4)
PRESSURE SUPPRESSION       PRESSURE   LIMIT (PSPL)       CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION
: 5. A contributing. root cause was lack of timeliness in communications. The Operations EOP Coordinator and Engineering failed to complete timely and accurate communications during the change in the calculations for Pressure Suppression Pressure Limit (PSPL), which were to be inserted in EOP 5.0.1. Because of the deadline for a forthcoming NRC EOP Inspection Team, the normal process for performing and transmitting "finalized" calculations was circumvented.
: 6. A second contributing cause was personnel lack of attention/concentration. A work assignment change occurred for one of the key individuals in the calculation process. The change in work assignment affected the concentration and'continuity needed for finalizing the calculation process.
B. Fu her         rrective Ac i ns   m le
: 1. A review of all curves in the Emergency Operating Procedures was performed to verify accuracy with the corresponding design calculations. As a result of this review, two additional problems were identified. The Heat Capacity Temperature Limit (HCTL) and Primary Containment Pressure Limit (PCPL) curves in the EOPs did not agree with the calculational bases. The HCTL curve, which is a-function of RPV pressure and is used to preclude failure of the containment or equipment necessary for safe shutdown of the Plant, was nonconservative (by 3 - 5 degrees F) with regard to Suppression Pool temperature limits. This discrepancy, which appears to be due to a drafting error, was determined by engineering judgment to be within the conservatism of the design calculation and; therefore, would not have caused inappropriate operator action.
The PCPL curve is a function of primary containment water level and is used'o maintain primary containment pressure so that containment failure due to overpressurization does not occur. The error in the PCPL curve was conservative and would not have provided inappropriate direction to Plant Operators.
The HCTL curve in the EOPs was changed to reflect the correct information as specified in the design calculations.
The HCTL curve in the EOPs was changed to reflect the correct information as specified in the design calculations.
2.The formal root cause analysis of this event was completed.
: 2. The formal root cause analysis   of this event   was completed.
3.A verification was performed to insure correct incorporation of all the Engineering calculations used in EOP development to ensure EOP correctness.(WNP-2 Response to NRC IR 90-20 co'mmitment) 4.A review was performed of all curves used in PPM 5.0.1 to ensure correct incorporation of the supporting engineering calculations.
: 3. A verification was performed to insure correct incorporation of all the Engineering calculations used in EOP development to ensure EOP correctness. (WNP-2 Response to NRC IR 90-20 co'mmitment)
LICENSEE EVENT REPORT R)TEXT CONTINUATION FACILITY NAME (I)Washington Nuclear Plant-Unit 2 OOCKET NUMBER (2)0 5 0 0 0 3 9 7 LER NUMBER (8)Year Number ev.No.0 019 01 PAGE (3)5 OF 5 ITLE (4)PRESSURE SUPPRESSION PRESSURE LIMIT (PSPL)CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION 5.Counsel was given to Operations and Engineering personnel responsible for this event, as immediate corrective action to correct the root cause and the first contributing cause.The administrative process and procedure used by Engineering/WNP-2 personnel for performing and issuing final calculation values is more than adequate.The personnel involved in this event are aware of the error made in circumventing the established administrative process that led to the event.~Sf%if'he purpose of the Emergency Operating Procedures, which function as an integrated set of symptom-oriented instructions, is to specify those operator actions necessary to mitigate the consequences of emergency situations.
: 4. A review was performed of all curves used in PPM 5.0.1 to ensure correct incorporation           of the supporting engineering calculations.
The EOPs are the procedures that govern Plant operation during these conditions, and which direct the operator actions required to bring the Plant to a shutdown condition..It is believed that sufficient conservatism was included in the calculation for the PSPL curve such that design parameters would not have been exceeded if an emergency situation occurred during the event period.However, this cannot be positively stated without a comprehensive engineering analysis of the calculations that formed the bases for the curve.As a result, it is assumed that the discrepancy in the PSPL curve may have delayed those required Plant Operator actions if an emergency situation had occurred during the time-frame that the nonconservative direction was included in the procedures.
 
LICENSEE EVENT REPORT                 R)
TEXT CONTINUATION FACILITY NAME (I)                                 OOCKET NUMBER (2)                   LER NUMBER (8)         PAGE (3)
Year     Number       ev. No.
Washington Nuclear Plant - Unit          2 0  5  0  0  0 3    9  7 0      019       01         5 OF 5 ITLE (4)
PRESSURE SUPPRESSION       PRESSURE   LIMIT (PSPL)     CURVE   IN THE EOPS   DID NOT AGREE WITH THE DESIGN CALCULATION
: 5. Counsel was given to Operations and Engineering personnel responsible for this event, as immediate corrective action to correct the root cause and the first contributing cause. The administrative process and procedure used by Engineering/WNP-2 personnel for performing and issuing final calculation values is more than adequate. The personnel involved in this event are aware of the error made in circumventing the established administrative process that led to the event.
  ~Sf     %
if'he purpose of the Emergency Operating Procedures, which function as an integrated set of symptom-oriented instructions, is to specify those operator actions necessary to mitigate the consequences of emergency situations. The EOPs are the procedures that govern Plant operation during these conditions, and which direct the operator actions required to bring the Plant to a shutdown condition.
  .It is believed that sufficient conservatism was included in the calculation for the PSPL curve such that design parameters would not have been exceeded if an emergency situation occurred during the event period. However, this cannot be positively stated without a comprehensive engineering analysis of the calculations that formed the bases for the curve. As a result, it is assumed that the discrepancy in the PSPL curve may have delayed those required Plant Operator actions if an emergency situation had occurred during the time-frame that the nonconservative direction was included in the procedures.
However, since an emergency condition did not occur during this time and the procedures were not used, this event did not affect the health and safety of either the public or Plant personnel.
However, since an emergency condition did not occur during this time and the procedures were not used, this event did not affect the health and safety of either the public or Plant personnel.
Similar Events None EIIS.Information Text Reference~Hf~tern~Cm nnen Primary Containment Pressure Suppression Chamber/Wetwell Safety Relief Valves NH NH SN.RV}}
Similar Events None EIIS.Information Text Reference                                                       ~Hf     ~Cm nnen
                                                                      ~tern Primary Containment                                           NH Pressure Suppression Chamber/Wetwell                           NH Safety Relief Valves                                           SN   .           RV}}

Latest revision as of 13:55, 29 October 2019

LER 90-019-01:on 900912,determined That Discrepancy Existed W/Pressure Suppression Limit Curve in EOPs During NRC Team Insp of Eops.Caused by Procedural Discrepancy. Procedure Revised to Reflect Correct Curve & EOPs Reviewed
ML17289A884
Person / Time
Site: Columbia Energy Northwest icon.png
Issue date: 09/24/1992
From: Fies C
WASHINGTON PUBLIC POWER SUPPLY SYSTEM
To:
Shared Package
ML17289A883 List:
References
LER-90-019, LER-90-19, NUDOCS 9210020044
Download: ML17289A884 (5)


Text

LICENSEE EVEt%EPORT (LER)

FACILITY NAME (1) DOCKET NUMB R ( ) PAGE (3)

Washin ton Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 I OF TITLE (4)

PRESSURE SUPPRESSION PRESSURE LIMIT(PSPL) CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION EVENT DATE (5) LER NUMBER (6) REPORT DATE (7 OTHER FACILITIES INVOLVED (6)

DAY YEAR YEAR SEQUENTIAL EVI SION MONTH DAY YEAR FACILITY NAMES OCKET NUHB RS(S)

NUMBER UMBER 0 5 0 00 I 2 9 0 9 0 0 I 9 0 1 0 9 2 4 9 2 050 0 0 PERATING HIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREHENTS OF 10 CFR 5: (Check one or more of the following) (11)

ODE (9) 1 POWER LEVEL 20.402(b) 20.405(C) 50.73(a)(2)(iv) 77.71(b)

(iO) 20.405(a)(1)(i) 50.36(c)(1) 50.73(a)(2)(v) 73.73(c) 20.405(a)(1)(ii) 50.36(c)(2) 50.73(a)(2)(vii) THER (Specify in Abstract 20.405(a)(1)(iii) 50.73(a)(2)(i) 50.73(a)(2)(viii)(A) elow an4 in Text, NRC 20.405(a)(1)(iv) 50.73(a)(2)(ii) 50.73(a)(2)(viii)(B) Form 366A) 20.405(a)(1)(v) 50.73(a)(2)(iii) 50.73(a)(2)(x)

LICENSEE CONTACT FOR THIS LER (12 TELEPHONE NUMBER REA CODE C. L. Fies, Compliance Engineer 5 0 9 7 7 - 4 1 4 7 COMPLETE ONE LINE FOR EACH COMPONEHT FAILURE DESCRIBED IN THIS REPORT (13)

CAUSE SYSTEM COHPONENT MANUFACTURER EPORTABLE CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE TO NPRDS TO NPRDS SUPPLEMENTAL REPORT EXPECTED (14) EXPECTED SUBMISSION MONTH DAY YEAR ATE (15)

YES (If yes, complete EXPECTED SUBMISSION DATE) X NO fRACI II 0)

On September 12, 1990, at 1108 hours0.0128 days <br />0.308 hours <br />0.00183 weeks <br />4.21594e-4 months <br /> it was determined that a discrepancy with the Pressure Suppression Limit (PSPL) curve in the Emergency Operating Procedures (EOPs) was reportable as a condition alone that could have prevented the fulfillment of the safety function of structures or systems that are needed to mitigate the consequences of an accident. This discrepancy was discovered by an NRC Inspector during a recent NRC Team Inspection of the EOPs.

The PSPL curve in the EOP procedure did not agree with the design calculation that formed the basis for the curve. The procedural curve specified a wetwell pressure limit which was as much as 2.0 psi too high between 19.2 and 37.0 feet of Suppression Pool water level. This pressure is a function of primary containment water level and the limit is used during emergency situations to ensure that the pressure suppression function of the containment is maintained while the RPV is at pressure. The procedural discrepancy could have resulted in inappropriate operator action if a situation had occurred which required that the graph be used.

As an immediate corrective action, the applicable procedure was changed to reflect the correct PSPL curve as specified by the design calculation. Further corrective action consisted of reviewing all curves in the Emergency Operating Procedures to verify accuracy with the corresponding design calculations. As a result of that review, it was discovered that the Heat Capacity Temperature Limit (HCTL) and Primary Containment Pressure Limit (PCPL) curves also did not agre'- with the calculational bases. The discrepancy in the HCTL curve was determined by engineering judgment to be within the conservatism of 9210020044 920924 PDR ADOCK 05000397 S PDR

Qg LICENSEE EVENT REPORT (4)

TEXT CONTINUATION FACILITY NAHE (1) DOCKET NUHBER (2), LER NUHBER (8) AGE (3)

Year umber ev. No.

Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 0 019 I 2 F 5 TITLE (4)

PRESSURE SUPPRESSION PRESSURE LIHIT (PSPL) CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION the design calculation and; therefore, would not have caused inappropriate operator action. The procedure for the HCTL curve was changed to reflect the correct information as specified in the design calculations.

The error in the PCPL curve was conservative.

The root cause is less than adequate. work practices by both Engineering personnel and the Operations EOP Coordinator for not using the normal review process for engineering calculations. A contributing cause can be attributed to inadequate communications between the two involved parties.

This event did not affect the health and safety of either the public or Plant personnel.

Plant onditi ns Power Level - 100%

Plant Mode - 1 (Power Operation)

Event Descri ion On September 12, 1990, at 1108 hours0.0128 days <br />0.308 hours <br />0.00183 weeks <br />4.21594e-4 months <br /> it was determined that a discrepancy with the Pressure Suppression Pressure Limit (PSPL) curve in the Emergency Operating Procedures (EOPs) was reportable as a condition alone that could have prevented the fulfillment of the safety function of structures or systems that are needed to mitigate the consequences of an accident. This discrepancy was discovered by an NRC Inspector during a recent NRC Team Inspection of the EOPs.

The PSPL curve in Plant Procedure (PPM) 5.0.1, "Emergency Operating Procedure Graphs," did not agree with the design calculation that formed the basis for the curve. Pressure Suppression Pressure is defined to be the lesser of either 1) the highest pressure suppression chamber pressure which can occur without steam in the chamber airspace, or 2) the highest suppression chamber pressure at which initiation of Reactor Pressure Vessel (RPV) depressurization will not result in exceeding the Primary Containment Pressure Limit before RPV pressure drops to the minimum RPV Flooding Pressure, or 3) the highest suppression chamber pressure which can be maintained without exceeding the suppression pool boundary design load if Safety Relief Valves are opened. This pressure is a function of primary containment water level and is used to ensure that the pressure suppression function of the containment is maintained while the RPV is at pressure.

In this particular situation, the PSPL curve in PPM 5.0.1 was nonconservative with regard to suppression chamber pressure. The procedural curve specified a wetwell pressure limit which was as much as 2.0 psi too high between 19.2 and 37.0 feet of Suppression Pool water level. This discrepancy could have resulted in inappropriate Plant Operator action if a situation had occurred which required that the graph be used..

LICENSEE EVENT REPORT (Ot)

TEXT CONTINUATION FACILITY NAHE (I) DOCKET NUHBER (2) LER NUHBER (8) AGE (3) ear Number ev. No.

Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 0 019 I 3 F 5 TITLE (4)

PRESSURE SUPPRESSION PRESSURE LIHIT (PSPL) CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION Immedia e rrective Action Plant Procedure (PPM) 5.0.1, "Emergency Operating Procedure Graphs," was changed to reflect the correct PSPL curve as specified by the design calculation.

F her Evaluati n and rrective Ac i n A. Fu her Evaluation

1. This event is reportable under 10CFR50.73(a)(2)(v) as an event or condition that alone could have prevented the fulfillment of the safety function of structures or systems that are needed to mitigate the consequences of an accident.
2. There were no structures, systems or components that. were inoperable at the start of the event that contributed to the event.
3. During preparation of the Emergency Operating Procedures, development of the design calculations and the associated procedural revisions were being performed concurrently by two separate groups.

Supply System Engineering personnel were responsible for performing the calculations and the Operations EOP Coordinator was responsible for the procedural development. In this particular situation, a preliminary calculation was initially used as the basis for the PSPL curve in the draft procedure. However, during the final review of the calculation, the results were changed and the new Wetwell pressure information from t'nis final calculation was not incorporated into the procedure. This oversight was not discovered during the normal procedure review process, nor during a special review of the procedures by the Technical Assessment Group.

4. The root cause is less than adequate work practices by the Operations and Engineering personnel involved in the EOP revisions. This led to circumvention of the administrative process for verifying, transmitting, and using only final Engineering calculations due to time constraints. The Operations EOP Coordinator did not review the Calculation Cover Sheet which had been sent from Engineering for Calculation NE-02-89-28, to ensure that the "Verification/Approval Section" had been signed off. This would have indicated that it was not the final calculation. Engineering was behind in their commitment date for completing the EOP calculations needed by Operations. The Operations EOP Coordinator requested and received from Engineering initial calculation values, with the understanding that they were not the final calculations. These initial calculations were, subsequently, used when the EOPs were revised.

rw LICENSEE EVENT REPORT )

TEXT CONTINUATION FACILITY NAME (I) DOCKET NUMBER (2) LER NUMBER (B) AGE (3)

Year umber ev. No.

Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 0 019 01 4 F 5 TITLE (4)

PRESSURE SUPPRESSION PRESSURE LIMIT (PSPL) CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION

5. A contributing. root cause was lack of timeliness in communications. The Operations EOP Coordinator and Engineering failed to complete timely and accurate communications during the change in the calculations for Pressure Suppression Pressure Limit (PSPL), which were to be inserted in EOP 5.0.1. Because of the deadline for a forthcoming NRC EOP Inspection Team, the normal process for performing and transmitting "finalized" calculations was circumvented.
6. A second contributing cause was personnel lack of attention/concentration. A work assignment change occurred for one of the key individuals in the calculation process. The change in work assignment affected the concentration and'continuity needed for finalizing the calculation process.

B. Fu her rrective Ac i ns m le

1. A review of all curves in the Emergency Operating Procedures was performed to verify accuracy with the corresponding design calculations. As a result of this review, two additional problems were identified. The Heat Capacity Temperature Limit (HCTL) and Primary Containment Pressure Limit (PCPL) curves in the EOPs did not agree with the calculational bases. The HCTL curve, which is a-function of RPV pressure and is used to preclude failure of the containment or equipment necessary for safe shutdown of the Plant, was nonconservative (by 3 - 5 degrees F) with regard to Suppression Pool temperature limits. This discrepancy, which appears to be due to a drafting error, was determined by engineering judgment to be within the conservatism of the design calculation and; therefore, would not have caused inappropriate operator action.

The PCPL curve is a function of primary containment water level and is used'o maintain primary containment pressure so that containment failure due to overpressurization does not occur. The error in the PCPL curve was conservative and would not have provided inappropriate direction to Plant Operators.

The HCTL curve in the EOPs was changed to reflect the correct information as specified in the design calculations.

2. The formal root cause analysis of this event was completed.
3. A verification was performed to insure correct incorporation of all the Engineering calculations used in EOP development to ensure EOP correctness. (WNP-2 Response to NRC IR 90-20 co'mmitment)
4. A review was performed of all curves used in PPM 5.0.1 to ensure correct incorporation of the supporting engineering calculations.

LICENSEE EVENT REPORT R)

TEXT CONTINUATION FACILITY NAME (I) OOCKET NUMBER (2) LER NUMBER (8) PAGE (3)

Year Number ev. No.

Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 0 019 01 5 OF 5 ITLE (4)

PRESSURE SUPPRESSION PRESSURE LIMIT (PSPL) CURVE IN THE EOPS DID NOT AGREE WITH THE DESIGN CALCULATION

5. Counsel was given to Operations and Engineering personnel responsible for this event, as immediate corrective action to correct the root cause and the first contributing cause. The administrative process and procedure used by Engineering/WNP-2 personnel for performing and issuing final calculation values is more than adequate. The personnel involved in this event are aware of the error made in circumventing the established administrative process that led to the event.

~Sf  %

if'he purpose of the Emergency Operating Procedures, which function as an integrated set of symptom-oriented instructions, is to specify those operator actions necessary to mitigate the consequences of emergency situations. The EOPs are the procedures that govern Plant operation during these conditions, and which direct the operator actions required to bring the Plant to a shutdown condition.

.It is believed that sufficient conservatism was included in the calculation for the PSPL curve such that design parameters would not have been exceeded if an emergency situation occurred during the event period. However, this cannot be positively stated without a comprehensive engineering analysis of the calculations that formed the bases for the curve. As a result, it is assumed that the discrepancy in the PSPL curve may have delayed those required Plant Operator actions if an emergency situation had occurred during the time-frame that the nonconservative direction was included in the procedures.

However, since an emergency condition did not occur during this time and the procedures were not used, this event did not affect the health and safety of either the public or Plant personnel.

Similar Events None EIIS.Information Text Reference ~Hf ~Cm nnen

~tern Primary Containment NH Pressure Suppression Chamber/Wetwell NH Safety Relief Valves SN . RV