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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML18107A5031999-08-26026 August 1999 LER 99-006-00:on 990729,determined That SG Blowdown RMs Setpoint Was non-conservative.Caused by Inadequate ACs for Incorporating Original Plant Licensing Data Into Plant Procedures.Blowdown Will Be Restricted.With 990826 Ltr ML18107A4691999-07-28028 July 1999 LER 99-008-00:on 990714,determined That Limit Switch Cables Were Subject to Multiple Hot Shorts in Same Fire Area.Caused by Inadequate Original Post Fire Safe Shutdown Analysis.All Limit Switch Cables for MOVs Were Reviewed.With 990728 Ltr ML18107A4441999-07-0606 July 1999 LER 99-007-00:on 990605,surveillance for Quadrant Power Tilt Ratio (QPTR) Was Missed.Caused by Human Error.Qptr Calculation Was Performed & Personnel Involved Have Been Held Accountable IAW Pse&G Policies.With 990706 Ltr ML18107A4211999-07-0202 July 1999 LER 99-005-00:on 990605,11 Containment Declared Inoperable. Caused by Valves 11SW72 & 11SW223 Both Leaking.Procedure S1.OP-ST.SW-0010(Q) Was Enhanced to Provide Specific Instructions to Ensure Proper Sequencing.With 990702 Ltr ML18107A4321999-07-0101 July 1999 LER 99-006-01:on 990501,determined That There Was No Flow in One of Four Injection Legs.Caused by Sticking of Valve in Safety Injection Discharge Line to 21 Cold Leg.Valve Was Cut Out of Sys & Replaced.With 990701 Ltr ML18107A4331999-07-0101 July 1999 LER 99-002-01:on 990405,determined That 2SA118 Failed as Found Leakrate Test.Caused by Foreign Matl Found in 2SA118 valve.2SA118 Valve Was Cycled Several Times & Seat Area Was Air Blown in Order to Displace Foreign Matl.With 990701 Ltr ML18107A3951999-06-17017 June 1999 LER 99-004-00:on 990520,reactor Tripped from 100% Power,Due to Negative Flux Trip Signal from Nuclear Instrumentation. Cause Has Not Been Determined.Discoloration Was Identified on One of Penetrations.With 990617 Ltr ML18107A3661999-06-0909 June 1999 LER 99-003-00:on 990513,unplanned Entry Into TS 3.0.3 Was Made.Caused by Human error.Re-positioned Creacs Supply Fan Selector Switches & Revised Procedures S1 & S2.OP-ST.SSP-0001(Q).With 990609 Ltr ML18107A3551999-06-0202 June 1999 LER 99-005-00:on 990504,failure to Meet TS Action Statement Requirements for High Oxygen Concentration in Waste Gas Holdup Sys Occurred.Caused by Inability of Operators. Existing Procedures Will Be Evaluated.With 990602 Ltr ML18107A3541999-06-0101 June 1999 LER 99-006-00:on 990501,HHSI Flow Balance Discrepancy Was Noted During Surveillance.Caused by Sticking of Check Valve in SI Discharge Line to 21 Cold Leg.Valve 21SJ17,was Cut Out of Sys & Replaced.With 990601 Ltr ML18107A2931999-05-12012 May 1999 LER 99-002-00:on 990413,determined That Number 12 Auxiliary Bldg Exhaust Fan Was Rotating Backwards.Caused by mis-wiring of Motor Due to Human Error by Maint technician.Mis-wiring Was Corrected & Fan Was Returned to Svc.With 990512 Ltr ML18107A2781999-05-10010 May 1999 LER 99-004-00:on 990411,automatic Actuation of ESF Occurred During Reactor Vessel Head Removal in Support of Refueling Operations.Caused by High Radiation Condition.Containment Atmosphere Was Monitored.With 990505 Ltr ML18107A2791999-05-0404 May 1999 LER 99-003-00:on 990406,all Salem Unit 2 Chillers Rendered Inoperable.Caused by Human Error.Lessons Learned from Event Were Communicated to All Operators by Including Them in Night Orders.With 990504 Ltr ML18107A2741999-05-0303 May 1999 LER 99-002-00:on 990405,determined That Containment Isolation Valve Failed as Found Leakrate Test.Caused by Foreign Matl Blocking Valves from Closing.Check Valve Mechanically Agitated.With 990504 Ltr ML18107A2351999-04-23023 April 1999 LER 99-001-00:on 990330,MSSV Failed Lift Set Test.Caused by Setpoint Variance Which Is Result of Aging.Valves Were Adjusted & Retested to Ensure TS Tolerance.With 990423 Ltr ML18106B1471999-03-29029 March 1999 LER 99-001-00:on 990228,reactor Scram Was Noted as Result of Turbine Trip.Caused by Operator Error.Lesson Plans Revised to Explicitly Demonstrate Manner in Which Valve Functions. with 990329 Ltr ML18106B0701999-02-16016 February 1999 LER 98-015-00:on 981208,inadvertent Discharge Through RHR Relief Valve During Startup Was Noted.Caused by Operator Performing Too Many Tasks Simultaneously.Appropriate Actions Have Been Taken IAW Policies & Procedures.With 990216 Ltr ML18106B0491999-01-28028 January 1999 LER 98-007-01:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Caused by Transgranular Stress Corrosion Cracking.Replaced Affected Tubing.With 990128 Ltr ML18106B0401999-01-18018 January 1999 LER 98-016-00:on 981219,ECCS Leakage Was Outside of Design Value.Caused by Leakage Past Seat of 21RH34 Manual Drain. Valve 21RH34 Was Reseated.With 990118 Ltr ML18106B0081998-12-24024 December 1998 LER 97-001-01:on 970215,failure to Perform TS Surveillance of Component Cooling Water Sys Check Valves Occurred.Caused by Inadequate Communication Between EOP Group & IST Reviewers.Procedure Revised.With 981224 Ltr ML18106B0021998-12-17017 December 1998 LER 98-015-01:on 980924,improper Installation of Test Equipment to RPS Occurred.Caused by Inadequate 10CFR50.59 Applicability Reviews During Past Revs.Revised Procedures. with 981217 Ltr ML18106A9551998-11-0303 November 1998 LER 96-013-01:on 960711,concluded That Current Gain & Bias Settings Had Rendered Overtemperature Delta Temp Protection Channels Inoperable.Caused by Scaling Error.Licensee Will Revise Scaling Calculations.With 981105 Ltr ML18106A9451998-10-30030 October 1998 LER 97-004-01:on 970408,failure to Comply with TS Action Statement,Dg Start & Inadequate Surveillance Testing,Was Noted.Caused by Inadequate Tracking of Inoperable Equipment. Discussed Event & Lessons Learned.With 981022 Ltr ML18106A9491998-10-22022 October 1998 LER 98-015-00:on 980924,identified Improper Installation of Test Equipment to Rps.Cause Indeterminate.Procedures for Installation of Test Equipment for Collection of State Point Data Were Placed on Administrative Hold.With 981022 Ltr ML18106A9301998-10-21021 October 1998 LER 98-014-00:on 980725,noted Improper Calibr of Liquid Radwaste Effluent Line Radiation Monitor.Caused by Inattention to Detail by Maint Personnel.Channel Calibr Was Successfully Performed on 1R18 on 980821.With 981019 Ltr ML18106A9071998-10-0101 October 1998 LER 98-014-00:on 980918,discovered That Fire Barrier Matl for HVAC Ducts Does Not Meet Required Level of Fire Resistance.Cause Indeterminate.Established Appropriate Compensatory Actions for Fire Barriers.With 981001 Ltr ML18106A8951998-09-28028 September 1998 LER 98-012-01:on 980725,noted That Afs Was Operated with Less than Required Number of Operable AFW Pumps.Caused by Improper Procedure Implementation.Runout Protection Pressure Device for 22 AFW Pumps Was Returned to Svc.With 980928 Ltr ML18106A8821998-09-21021 September 1998 LER 98-013-00:on 980820,noted Surveillance of Containment Penetration Overcurrent Protection Devices Missed.Caused by Human Error.Satisfactorily Tested Apprpriate Breakers & Disciplined Involved Personnel.With 980921 Ltr ML18106A8791998-09-16016 September 1998 LER 96-006-01:on 960717,determined That non-radioactive Liquid Basin Radwaste Monitor Inoperable During Low Head Conditions.Caused by Inadequate Design Change Package.Design Change 1EC3663-01 Has Been Installed.With 980916 Ltr ML18106A8801998-09-0808 September 1998 LER 98-013-00:on 980806,operation with TS Required Equipment OOS Was Noted.Caused by Human Error.Reviewed Processes & Practices Re Safety Sys Status Control,Procedure Rev & Extra Training.With 980908 Ltr ML18106A8531998-08-27027 August 1998 LER 98-007-00:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Cause of Event Has Not Yet Been Determined.Assembled Root Cause Team & Replaced Affected tubing.W/980827 Ltr ML18106A8521998-08-27027 August 1998 LER 98-011-00:on 980803,ESFA During a 4KV Automatic Transfer Test Was Noted.Caused by Premature Release of Control Console Pushbutton Due to Inadequate Procedural Step.Revised procedure.W/980827 Ltr ML18106A8421998-08-24024 August 1998 LER 98-012-00:on 980725,discovered That Plant Had Operated in Modes 1 & 2 w/twenty-two AFW Pumps Inoperable.Caused by Failure to Restore Pump Runout Protection Pressure Device to Svc.Returned Subject Device to svc.W/980824 Ltr ML18106A8431998-08-24024 August 1998 LER 98-009-00:on 980810,failure to Post Continuous Firewatch as Required by Fire Protection Plan Noted.Caused by Failure to Recognize Concurrent Conditions.Continuous Firewatch Was Posted Immediately & Repaired Smoke detectors.W/980824 Ltr ML18106A8141998-08-13013 August 1998 LER 98-010-00:on 980714,determined That Leakage from Boron Injection Tank Exceeded Max Allowable ECCS Leakage from Sources Outside Containment.Caused by Leaking 2SJ404 Manual Sample valve.2SJ404 Valve repaired.W/980813 Ltr ML18106A8201998-08-13013 August 1998 LER 98-012-00:on 980715,potential to Exceed Rating of Piping Due to Isolation of Overpressure Protection Line Was Noted. Caused by Inadequate Procedural Guidance.Appropriate Operations Dept Procedures Have Been revised.W/980813 Ltr ML18106A6931998-06-29029 June 1998 LER 98-003-00:on 980122,inappropriate Plugging of Tubes R9C60 & R10C60 in Salem Unit 2 Sg,Was Performed.Caused by Failure of Qualification,Verification & Validation Process. Tubes Reviewed to Verify No Others Inappropriately Plugged ML18106A6471998-06-0404 June 1998 LER 98-011-00:on 980505,improper Isolation of Single Cell Battery Charger from 125 Vdc Battery Was Noted.Caused by Inadequate 10CFR50.59 Applicability Review.Placed Procedure SC.MD-CM.ZZ-0024(Q) on Administrative hold.W/980604 Ltr ML18106A6421998-06-0101 June 1998 LER 98-010-00:on 931019,reactor Pressure Vessel Insp Plugs Were Out of Configuration,Was Noted.Caused by Personnel Error.Proper Configuration Was Restored Shortly After Discovery Prior to Entering Mode 2.W/980601 Ltr ML18106A6431998-05-29029 May 1998 LER 98-006-01:on 980227,determined Incorrect Scaling Error of First Stage Pressure Transmitter Existed.Caused by Human Error.Revised Setpoint Calculation SC-MS002-01 & Revised Associated Instrument Calibr Database info.W/980529 Ltr ML18106A6141998-05-18018 May 1998 LER 98-008-00:on 970814,failure to Test 21 & 22 AF 40 Valves in Closed Direction as Required by TS 4.0.5 Was Noted.Caused by Inadequate Design Mod Process.Motor Driven 21/22 AF 40 Valves Were Tested IAW Revised procedure.W/980518 Ltr ML18106A5901998-05-0101 May 1998 LER 98-009-00:on 980405,epoxy Missing from Terminals of H Analyzer Was Noted.Caused by Inadequate Development of Procedure.H Analyzers Were Repaired & Review of Other Safety Related Equipment in Containment Was performed.W/980501 Ltr ML18106A5611998-04-20020 April 1998 LER 98-008-00:on 980323,inadequate Testing of Salem Unit 1 Containment Air Locks Resulted in Entering TS 3.0.3.Caused by less-than-adequate Work Practices During Replacement of Equalizing Valve.Salem Unit 2 Airlocks Were Inspected ML18106A6061998-04-0101 April 1998 Corrected LER 98-004-00:on 980302,failure to Comply W/Tss 4.11.1.1.2 & 3.3.3.8 Was Noted.Caused by Organizational Deficiency.Steps Have Been Taken to Correctly Document Safety Factors.Corrects Prior Similar Occurrences ML18106A4451998-04-0101 April 1998 LER 98-004-00:on 980302,failure to Perform TS 4.11.1.1.2 & 3.3.3.8 Was Noted.Caused by Organizational Deficiency.Steps Were Taken to Correctly Document Safety factors.W/980401 Ltr ML18106A4351998-03-30030 March 1998 LER 98-006-00:on 980227,incorrect Scaling of First Stage Turbine Impulse Pressure Transmitters Noted.Cause Indeterminate.Implemented Procedure Changes & re-scaled Affected Turbine Impulse Pressure transmitters.W/980330 Ltr ML18106A3961998-03-20020 March 1998 LER 98-005-00:on 980219,inoperability of Twelve EDG Fuel Oil Transfer Pump (FOTP) Noted.Caused by Installation of Incorrect Control Switch.Installed Correct off-auto-manual Switch & Verified Operability of Twelve FOTP.W/980320 Ltr ML18106A5781998-03-20020 March 1998 Corrected LER 98-005-00:on 980219,inoperability of 12 Fuel Oil Transfer Pump (Fotp),Noted.Caused by Installation of Incorrect Control Switch.Field Insp Performed to Verify Configuration of Switches for 11,21 & 22 FOTPs ML18106A4021998-03-20020 March 1998 LER 98-007-00:on 980218,failure to Establish Containment Integrity (Closure) Prior to Fuel Movement Was Noted.Caused by Failure to Identify & Include Condensate Pot Vent in Appropriate Valve Lineup.Valves identified.W/980320 Ltr ML18106A4031998-03-20020 March 1998 LER 98-006-00:on 980221,ESF Actuation of 11 & 12 Auxiliary Feedwater Pumps Occurred.Caused by Human Error.Operators Promptly Established Feedwater to All SG & Restored Proper Water levels.W/980320 Ltr 1999-08-26
[Table view] Category:RO)
MONTHYEARML18107A5031999-08-26026 August 1999 LER 99-006-00:on 990729,determined That SG Blowdown RMs Setpoint Was non-conservative.Caused by Inadequate ACs for Incorporating Original Plant Licensing Data Into Plant Procedures.Blowdown Will Be Restricted.With 990826 Ltr ML18107A4691999-07-28028 July 1999 LER 99-008-00:on 990714,determined That Limit Switch Cables Were Subject to Multiple Hot Shorts in Same Fire Area.Caused by Inadequate Original Post Fire Safe Shutdown Analysis.All Limit Switch Cables for MOVs Were Reviewed.With 990728 Ltr ML18107A4441999-07-0606 July 1999 LER 99-007-00:on 990605,surveillance for Quadrant Power Tilt Ratio (QPTR) Was Missed.Caused by Human Error.Qptr Calculation Was Performed & Personnel Involved Have Been Held Accountable IAW Pse&G Policies.With 990706 Ltr ML18107A4211999-07-0202 July 1999 LER 99-005-00:on 990605,11 Containment Declared Inoperable. Caused by Valves 11SW72 & 11SW223 Both Leaking.Procedure S1.OP-ST.SW-0010(Q) Was Enhanced to Provide Specific Instructions to Ensure Proper Sequencing.With 990702 Ltr ML18107A4321999-07-0101 July 1999 LER 99-006-01:on 990501,determined That There Was No Flow in One of Four Injection Legs.Caused by Sticking of Valve in Safety Injection Discharge Line to 21 Cold Leg.Valve Was Cut Out of Sys & Replaced.With 990701 Ltr ML18107A4331999-07-0101 July 1999 LER 99-002-01:on 990405,determined That 2SA118 Failed as Found Leakrate Test.Caused by Foreign Matl Found in 2SA118 valve.2SA118 Valve Was Cycled Several Times & Seat Area Was Air Blown in Order to Displace Foreign Matl.With 990701 Ltr ML18107A3951999-06-17017 June 1999 LER 99-004-00:on 990520,reactor Tripped from 100% Power,Due to Negative Flux Trip Signal from Nuclear Instrumentation. Cause Has Not Been Determined.Discoloration Was Identified on One of Penetrations.With 990617 Ltr ML18107A3661999-06-0909 June 1999 LER 99-003-00:on 990513,unplanned Entry Into TS 3.0.3 Was Made.Caused by Human error.Re-positioned Creacs Supply Fan Selector Switches & Revised Procedures S1 & S2.OP-ST.SSP-0001(Q).With 990609 Ltr ML18107A3551999-06-0202 June 1999 LER 99-005-00:on 990504,failure to Meet TS Action Statement Requirements for High Oxygen Concentration in Waste Gas Holdup Sys Occurred.Caused by Inability of Operators. Existing Procedures Will Be Evaluated.With 990602 Ltr ML18107A3541999-06-0101 June 1999 LER 99-006-00:on 990501,HHSI Flow Balance Discrepancy Was Noted During Surveillance.Caused by Sticking of Check Valve in SI Discharge Line to 21 Cold Leg.Valve 21SJ17,was Cut Out of Sys & Replaced.With 990601 Ltr ML18107A2931999-05-12012 May 1999 LER 99-002-00:on 990413,determined That Number 12 Auxiliary Bldg Exhaust Fan Was Rotating Backwards.Caused by mis-wiring of Motor Due to Human Error by Maint technician.Mis-wiring Was Corrected & Fan Was Returned to Svc.With 990512 Ltr ML18107A2781999-05-10010 May 1999 LER 99-004-00:on 990411,automatic Actuation of ESF Occurred During Reactor Vessel Head Removal in Support of Refueling Operations.Caused by High Radiation Condition.Containment Atmosphere Was Monitored.With 990505 Ltr ML18107A2791999-05-0404 May 1999 LER 99-003-00:on 990406,all Salem Unit 2 Chillers Rendered Inoperable.Caused by Human Error.Lessons Learned from Event Were Communicated to All Operators by Including Them in Night Orders.With 990504 Ltr ML18107A2741999-05-0303 May 1999 LER 99-002-00:on 990405,determined That Containment Isolation Valve Failed as Found Leakrate Test.Caused by Foreign Matl Blocking Valves from Closing.Check Valve Mechanically Agitated.With 990504 Ltr ML18107A2351999-04-23023 April 1999 LER 99-001-00:on 990330,MSSV Failed Lift Set Test.Caused by Setpoint Variance Which Is Result of Aging.Valves Were Adjusted & Retested to Ensure TS Tolerance.With 990423 Ltr ML18106B1471999-03-29029 March 1999 LER 99-001-00:on 990228,reactor Scram Was Noted as Result of Turbine Trip.Caused by Operator Error.Lesson Plans Revised to Explicitly Demonstrate Manner in Which Valve Functions. with 990329 Ltr ML18106B0701999-02-16016 February 1999 LER 98-015-00:on 981208,inadvertent Discharge Through RHR Relief Valve During Startup Was Noted.Caused by Operator Performing Too Many Tasks Simultaneously.Appropriate Actions Have Been Taken IAW Policies & Procedures.With 990216 Ltr ML18106B0491999-01-28028 January 1999 LER 98-007-01:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Caused by Transgranular Stress Corrosion Cracking.Replaced Affected Tubing.With 990128 Ltr ML18106B0401999-01-18018 January 1999 LER 98-016-00:on 981219,ECCS Leakage Was Outside of Design Value.Caused by Leakage Past Seat of 21RH34 Manual Drain. Valve 21RH34 Was Reseated.With 990118 Ltr ML18106B0081998-12-24024 December 1998 LER 97-001-01:on 970215,failure to Perform TS Surveillance of Component Cooling Water Sys Check Valves Occurred.Caused by Inadequate Communication Between EOP Group & IST Reviewers.Procedure Revised.With 981224 Ltr ML18106B0021998-12-17017 December 1998 LER 98-015-01:on 980924,improper Installation of Test Equipment to RPS Occurred.Caused by Inadequate 10CFR50.59 Applicability Reviews During Past Revs.Revised Procedures. with 981217 Ltr ML18106A9551998-11-0303 November 1998 LER 96-013-01:on 960711,concluded That Current Gain & Bias Settings Had Rendered Overtemperature Delta Temp Protection Channels Inoperable.Caused by Scaling Error.Licensee Will Revise Scaling Calculations.With 981105 Ltr ML18106A9451998-10-30030 October 1998 LER 97-004-01:on 970408,failure to Comply with TS Action Statement,Dg Start & Inadequate Surveillance Testing,Was Noted.Caused by Inadequate Tracking of Inoperable Equipment. Discussed Event & Lessons Learned.With 981022 Ltr ML18106A9491998-10-22022 October 1998 LER 98-015-00:on 980924,identified Improper Installation of Test Equipment to Rps.Cause Indeterminate.Procedures for Installation of Test Equipment for Collection of State Point Data Were Placed on Administrative Hold.With 981022 Ltr ML18106A9301998-10-21021 October 1998 LER 98-014-00:on 980725,noted Improper Calibr of Liquid Radwaste Effluent Line Radiation Monitor.Caused by Inattention to Detail by Maint Personnel.Channel Calibr Was Successfully Performed on 1R18 on 980821.With 981019 Ltr ML18106A9071998-10-0101 October 1998 LER 98-014-00:on 980918,discovered That Fire Barrier Matl for HVAC Ducts Does Not Meet Required Level of Fire Resistance.Cause Indeterminate.Established Appropriate Compensatory Actions for Fire Barriers.With 981001 Ltr ML18106A8951998-09-28028 September 1998 LER 98-012-01:on 980725,noted That Afs Was Operated with Less than Required Number of Operable AFW Pumps.Caused by Improper Procedure Implementation.Runout Protection Pressure Device for 22 AFW Pumps Was Returned to Svc.With 980928 Ltr ML18106A8821998-09-21021 September 1998 LER 98-013-00:on 980820,noted Surveillance of Containment Penetration Overcurrent Protection Devices Missed.Caused by Human Error.Satisfactorily Tested Apprpriate Breakers & Disciplined Involved Personnel.With 980921 Ltr ML18106A8791998-09-16016 September 1998 LER 96-006-01:on 960717,determined That non-radioactive Liquid Basin Radwaste Monitor Inoperable During Low Head Conditions.Caused by Inadequate Design Change Package.Design Change 1EC3663-01 Has Been Installed.With 980916 Ltr ML18106A8801998-09-0808 September 1998 LER 98-013-00:on 980806,operation with TS Required Equipment OOS Was Noted.Caused by Human Error.Reviewed Processes & Practices Re Safety Sys Status Control,Procedure Rev & Extra Training.With 980908 Ltr ML18106A8531998-08-27027 August 1998 LER 98-007-00:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Cause of Event Has Not Yet Been Determined.Assembled Root Cause Team & Replaced Affected tubing.W/980827 Ltr ML18106A8521998-08-27027 August 1998 LER 98-011-00:on 980803,ESFA During a 4KV Automatic Transfer Test Was Noted.Caused by Premature Release of Control Console Pushbutton Due to Inadequate Procedural Step.Revised procedure.W/980827 Ltr ML18106A8421998-08-24024 August 1998 LER 98-012-00:on 980725,discovered That Plant Had Operated in Modes 1 & 2 w/twenty-two AFW Pumps Inoperable.Caused by Failure to Restore Pump Runout Protection Pressure Device to Svc.Returned Subject Device to svc.W/980824 Ltr ML18106A8431998-08-24024 August 1998 LER 98-009-00:on 980810,failure to Post Continuous Firewatch as Required by Fire Protection Plan Noted.Caused by Failure to Recognize Concurrent Conditions.Continuous Firewatch Was Posted Immediately & Repaired Smoke detectors.W/980824 Ltr ML18106A8141998-08-13013 August 1998 LER 98-010-00:on 980714,determined That Leakage from Boron Injection Tank Exceeded Max Allowable ECCS Leakage from Sources Outside Containment.Caused by Leaking 2SJ404 Manual Sample valve.2SJ404 Valve repaired.W/980813 Ltr ML18106A8201998-08-13013 August 1998 LER 98-012-00:on 980715,potential to Exceed Rating of Piping Due to Isolation of Overpressure Protection Line Was Noted. Caused by Inadequate Procedural Guidance.Appropriate Operations Dept Procedures Have Been revised.W/980813 Ltr ML18106A6931998-06-29029 June 1998 LER 98-003-00:on 980122,inappropriate Plugging of Tubes R9C60 & R10C60 in Salem Unit 2 Sg,Was Performed.Caused by Failure of Qualification,Verification & Validation Process. Tubes Reviewed to Verify No Others Inappropriately Plugged ML18106A6471998-06-0404 June 1998 LER 98-011-00:on 980505,improper Isolation of Single Cell Battery Charger from 125 Vdc Battery Was Noted.Caused by Inadequate 10CFR50.59 Applicability Review.Placed Procedure SC.MD-CM.ZZ-0024(Q) on Administrative hold.W/980604 Ltr ML18106A6421998-06-0101 June 1998 LER 98-010-00:on 931019,reactor Pressure Vessel Insp Plugs Were Out of Configuration,Was Noted.Caused by Personnel Error.Proper Configuration Was Restored Shortly After Discovery Prior to Entering Mode 2.W/980601 Ltr ML18106A6431998-05-29029 May 1998 LER 98-006-01:on 980227,determined Incorrect Scaling Error of First Stage Pressure Transmitter Existed.Caused by Human Error.Revised Setpoint Calculation SC-MS002-01 & Revised Associated Instrument Calibr Database info.W/980529 Ltr ML18106A6141998-05-18018 May 1998 LER 98-008-00:on 970814,failure to Test 21 & 22 AF 40 Valves in Closed Direction as Required by TS 4.0.5 Was Noted.Caused by Inadequate Design Mod Process.Motor Driven 21/22 AF 40 Valves Were Tested IAW Revised procedure.W/980518 Ltr ML18106A5901998-05-0101 May 1998 LER 98-009-00:on 980405,epoxy Missing from Terminals of H Analyzer Was Noted.Caused by Inadequate Development of Procedure.H Analyzers Were Repaired & Review of Other Safety Related Equipment in Containment Was performed.W/980501 Ltr ML18106A5611998-04-20020 April 1998 LER 98-008-00:on 980323,inadequate Testing of Salem Unit 1 Containment Air Locks Resulted in Entering TS 3.0.3.Caused by less-than-adequate Work Practices During Replacement of Equalizing Valve.Salem Unit 2 Airlocks Were Inspected ML18106A6061998-04-0101 April 1998 Corrected LER 98-004-00:on 980302,failure to Comply W/Tss 4.11.1.1.2 & 3.3.3.8 Was Noted.Caused by Organizational Deficiency.Steps Have Been Taken to Correctly Document Safety Factors.Corrects Prior Similar Occurrences ML18106A4451998-04-0101 April 1998 LER 98-004-00:on 980302,failure to Perform TS 4.11.1.1.2 & 3.3.3.8 Was Noted.Caused by Organizational Deficiency.Steps Were Taken to Correctly Document Safety factors.W/980401 Ltr ML18106A4351998-03-30030 March 1998 LER 98-006-00:on 980227,incorrect Scaling of First Stage Turbine Impulse Pressure Transmitters Noted.Cause Indeterminate.Implemented Procedure Changes & re-scaled Affected Turbine Impulse Pressure transmitters.W/980330 Ltr ML18106A3961998-03-20020 March 1998 LER 98-005-00:on 980219,inoperability of Twelve EDG Fuel Oil Transfer Pump (FOTP) Noted.Caused by Installation of Incorrect Control Switch.Installed Correct off-auto-manual Switch & Verified Operability of Twelve FOTP.W/980320 Ltr ML18106A5781998-03-20020 March 1998 Corrected LER 98-005-00:on 980219,inoperability of 12 Fuel Oil Transfer Pump (Fotp),Noted.Caused by Installation of Incorrect Control Switch.Field Insp Performed to Verify Configuration of Switches for 11,21 & 22 FOTPs ML18106A4021998-03-20020 March 1998 LER 98-007-00:on 980218,failure to Establish Containment Integrity (Closure) Prior to Fuel Movement Was Noted.Caused by Failure to Identify & Include Condensate Pot Vent in Appropriate Valve Lineup.Valves identified.W/980320 Ltr ML18106A4031998-03-20020 March 1998 LER 98-006-00:on 980221,ESF Actuation of 11 & 12 Auxiliary Feedwater Pumps Occurred.Caused by Human Error.Operators Promptly Established Feedwater to All SG & Restored Proper Water levels.W/980320 Ltr 1999-08-26
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217A9931999-09-30030 September 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data ML18107A5581999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Salem,Unit 2.With 991014 Ltr ML18107A5571999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Salem,Unit 1.With 991014 Ltr ML18107A5301999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Salem,Unit 2.With 990913 Ltr ML18107A5311999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Salem,Unit 1.With 990913 ML18107A5031999-08-26026 August 1999 LER 99-006-00:on 990729,determined That SG Blowdown RMs Setpoint Was non-conservative.Caused by Inadequate ACs for Incorporating Original Plant Licensing Data Into Plant Procedures.Blowdown Will Be Restricted.With 990826 Ltr ML18107A5201999-08-12012 August 1999 Rev 0 to Sgs Unit 2 ISI RFO Exam Results (S2RFO#9) Second Interval,Second Period, First Outage (96RF). ML18107A4811999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Salem,Unit 1.With 990813 Ltr ML18107A4821999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Salem,Unit 2.With 990813 Ltr ML18107A4691999-07-28028 July 1999 LER 99-008-00:on 990714,determined That Limit Switch Cables Were Subject to Multiple Hot Shorts in Same Fire Area.Caused by Inadequate Original Post Fire Safe Shutdown Analysis.All Limit Switch Cables for MOVs Were Reviewed.With 990728 Ltr ML18107A4441999-07-0606 July 1999 LER 99-007-00:on 990605,surveillance for Quadrant Power Tilt Ratio (QPTR) Was Missed.Caused by Human Error.Qptr Calculation Was Performed & Personnel Involved Have Been Held Accountable IAW Pse&G Policies.With 990706 Ltr ML18107A4211999-07-0202 July 1999 LER 99-005-00:on 990605,11 Containment Declared Inoperable. Caused by Valves 11SW72 & 11SW223 Both Leaking.Procedure S1.OP-ST.SW-0010(Q) Was Enhanced to Provide Specific Instructions to Ensure Proper Sequencing.With 990702 Ltr ML18107A4331999-07-0101 July 1999 LER 99-002-01:on 990405,determined That 2SA118 Failed as Found Leakrate Test.Caused by Foreign Matl Found in 2SA118 valve.2SA118 Valve Was Cycled Several Times & Seat Area Was Air Blown in Order to Displace Foreign Matl.With 990701 Ltr ML18107A4321999-07-0101 July 1999 LER 99-006-01:on 990501,determined That There Was No Flow in One of Four Injection Legs.Caused by Sticking of Valve in Safety Injection Discharge Line to 21 Cold Leg.Valve Was Cut Out of Sys & Replaced.With 990701 Ltr ML18107A5211999-07-0101 July 1999 Rev 0 to Sgs Unit 2 ISI RFO Exam Results (S2RFO#10) Second Interval,Second Period,Second Outage (99RF). ML18107A4351999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Salem,Unit 1.With 990713 Ltr ML18107A4341999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Salem,Unit 2.With 990713 Ltr ML20196H8621999-06-30030 June 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data, June 1999 Rept ML18107A3951999-06-17017 June 1999 LER 99-004-00:on 990520,reactor Tripped from 100% Power,Due to Negative Flux Trip Signal from Nuclear Instrumentation. Cause Has Not Been Determined.Discoloration Was Identified on One of Penetrations.With 990617 Ltr ML18107A3661999-06-0909 June 1999 LER 99-003-00:on 990513,unplanned Entry Into TS 3.0.3 Was Made.Caused by Human error.Re-positioned Creacs Supply Fan Selector Switches & Revised Procedures S1 & S2.OP-ST.SSP-0001(Q).With 990609 Ltr ML18107A3551999-06-0202 June 1999 LER 99-005-00:on 990504,failure to Meet TS Action Statement Requirements for High Oxygen Concentration in Waste Gas Holdup Sys Occurred.Caused by Inability of Operators. Existing Procedures Will Be Evaluated.With 990602 Ltr ML18107A3441999-06-0101 June 1999 Interim Part 21 Rept Re Premature Over Voltage Protection Actuation in Circuit Specific Application in Dc Power Supply.Testing & Evaluation Activities Will Be Completed on 990716 ML18107A3541999-06-0101 June 1999 LER 99-006-00:on 990501,HHSI Flow Balance Discrepancy Was Noted During Surveillance.Caused by Sticking of Check Valve in SI Discharge Line to 21 Cold Leg.Valve 21SJ17,was Cut Out of Sys & Replaced.With 990601 Ltr ML18107A3681999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Salem Generating Station,Unit 1.With 990611 Ltr ML18107A3721999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Salem Generating Station,Unit 2.With 990611 Ltr ML18107A2931999-05-12012 May 1999 LER 99-002-00:on 990413,determined That Number 12 Auxiliary Bldg Exhaust Fan Was Rotating Backwards.Caused by mis-wiring of Motor Due to Human Error by Maint technician.Mis-wiring Was Corrected & Fan Was Returned to Svc.With 990512 Ltr ML18107A2781999-05-10010 May 1999 LER 99-004-00:on 990411,automatic Actuation of ESF Occurred During Reactor Vessel Head Removal in Support of Refueling Operations.Caused by High Radiation Condition.Containment Atmosphere Was Monitored.With 990505 Ltr ML18107A2791999-05-0404 May 1999 LER 99-003-00:on 990406,all Salem Unit 2 Chillers Rendered Inoperable.Caused by Human Error.Lessons Learned from Event Were Communicated to All Operators by Including Them in Night Orders.With 990504 Ltr ML18107A2741999-05-0303 May 1999 LER 99-002-00:on 990405,determined That Containment Isolation Valve Failed as Found Leakrate Test.Caused by Foreign Matl Blocking Valves from Closing.Check Valve Mechanically Agitated.With 990504 Ltr ML18107A3711999-04-30030 April 1999 Corrected Monthly Operating Rept for Apr 1999 for Salem Generating Station,Unit 1 ML18107A3151999-04-30030 April 1999 Submittal-Only Screening Review of Salem Generating Station Individual Plant Exam for External Events (Seismic Portion), Rev 1 ML18107A2991999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Salem Unit 1.With 990514 Ltr ML18107A2971999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Salem Unit 2.With 990514 Ltr ML18107A2351999-04-23023 April 1999 LER 99-001-00:on 990330,MSSV Failed Lift Set Test.Caused by Setpoint Variance Which Is Result of Aging.Valves Were Adjusted & Retested to Ensure TS Tolerance.With 990423 Ltr ML18107A2881999-04-0707 April 1999 Rev 0 to NFS-0174, COLR for Salem Unit 2 Cycle 11. ML18107A1821999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Salem,Unit 1.With 990414 Ltr ML18107A1831999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Salem,Unit 2.With 990414 Ltr ML18106B1471999-03-29029 March 1999 LER 99-001-00:on 990228,reactor Scram Was Noted as Result of Turbine Trip.Caused by Operator Error.Lesson Plans Revised to Explicitly Demonstrate Manner in Which Valve Functions. with 990329 Ltr ML18106B1021999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Salem Unit 2.With 990315 Ltr ML18106B1011999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Salem Unit 1.With 990315 Ltr ML18106B0931999-02-25025 February 1999 Part 21 Rept Re Possible Defect in Swagelok Pipe Fitting Tee,Part Number SS-6-T.Caused by Crack Due to Improper Location of Heated Bar.Only One Part Out of 7396 Pieces in Forging Lot Was Found to Be Cracked.Affected Util,Notified ML18106B0701999-02-16016 February 1999 LER 98-015-00:on 981208,inadvertent Discharge Through RHR Relief Valve During Startup Was Noted.Caused by Operator Performing Too Many Tasks Simultaneously.Appropriate Actions Have Been Taken IAW Policies & Procedures.With 990216 Ltr ML18106B0551999-02-0101 February 1999 Part 21 Rept Re Possible Matl Defect in Swagelok Pipe Fitting Tee,Part Number SS-6-T.Defect Is Crack in Center of Forging.Analysis of Part Is Continuing & Further Details Will Be Provided IAW Ncr Timetables.Drawing of Part,Encl ML18106B0561999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Salem Generating Station,Unit 2.With 990212 Ltr ML18106B0571999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Salem Generating Station,Unit 1.With 990212 Ltr ML20205P1671999-01-31031 January 1999 a POST-PLUME Phase, Federal Participation Exercise ML18106B0441999-01-29029 January 1999 Part 21 Rept Re Possible Defect in Swagelok Pipe Fitting Tee Part Number SS-6-T.Caused by Crack in Center of Forging. Continuing Analysis of Part & Will Provide Details in Acoordance with NRC Timetables ML18106B0491999-01-28028 January 1999 LER 98-007-01:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Caused by Transgranular Stress Corrosion Cracking.Replaced Affected Tubing.With 990128 Ltr ML18106B0401999-01-18018 January 1999 LER 98-016-00:on 981219,ECCS Leakage Was Outside of Design Value.Caused by Leakage Past Seat of 21RH34 Manual Drain. Valve 21RH34 Was Reseated.With 990118 Ltr ML18106B0251998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Salem Unit 2.With 990115 Ltr 1999-09-30
[Table view] |
Text
PS~G
- Pl;Jblic Service Electric and Gas Company P.O. Box 236 Hancocks Bridge, New Jersey 08038-0236 Nuclear Business Unit MAY 2 9 1998 LR-N980254 U. S. Nuclear Regulatory Commission Document Control Desk Washington, DC 20555 LER 311/98-006-01 SALEM GENERATING STATION - UNIT 2 FACILITY OPERATING LICENSE NO. DPR-75 DOCKET NO. 50-311 Gentlemen:
This Supplemental Licensee Event Report entitled "Incorrect Scaling of the First Stage Turbine Impulse Pressure Transmitters" is being submitted pursuant-to the requirements of the Code of Federal Regulations 10CFR50.73(a)(2)(i)(B).
Sincerely, Ja-LP2at~
(j ~*r /i.e. $:;Jie->r ///
A. C. Bakken Ill General Manager -
Salem Operations Attachment BJT )
C Distribution LER File 3.7 I,
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PDR ADOCK 0500031!
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The pov;er Lli in your hands.
95*2168 REV. 6/94
NRCFORM366 U.S.N R REGULATORY COMMISSION OVED BY OMB NO. 3150-0104 (4-95) EXPIRES 04/30/98 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS MANDATORY INFORMATION COLLECTION REQUEST: 50.0 HRS.
REPORTED LESSONS LEARNED ARE INCORPORATED INTO THE LICENSEE EVENT REPORT (LER) LICENSING PROCESS AND FED BACK TO INDUSTRY. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (T-6 F33J, U.S. NUCLEAR (See reverse for required number of REGULATORY COMMISSION, WASHINGTON, DC 205 5-0001, AND TO THE PAPERWORK REDUCTION PROJECT ~150-0104), OFFICE OF digits/characters for each block) . MANAGEMENT AND BUDGET, WASHINGTON, C 20503.
FACILITY NAME (1) uu<..r.- ,._,,, __ , (2) PAGE(3)
SALEM GENERATING STATION UNIT 2 05000311
Incorrect Scaling *of the First S~age Turbine Impulse Pressure Transmitters EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED (8)
MONTH DAY YEAR YEAR I SEQUENTIAL NUMBER IREVISION NUMBER MONTH DAY YEAR FACILITY NAME SALEM UNIT 1 ~ .
DOCKET NUMBER 05000272 02 27 98 98 -- 006 -- 01 05 29 98 FACILITY NAME DOCKET NUMBER OPERATING 5 ITHIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR §: (Check one or more) (11)
I MODE (9)
POWER I 20.2201 (b)
- 20.2203(a){1) 20.2203(a)(2)(v) 20.2203(a)(3)(i)
X 50.73(a)(2)(i)
- 50. 73(a)(2)(ii) 50.73(a)(2)(viii)
- 50. 73(a)(2)(x) 000 LEVEL (10) 20.2203(a)(2)(i)
- 20.2203(a)(3)(ii) 50. 73(a)(2)(iii) 73.71
- /,°': Y<": 20.2203(a)(2)(ii) 20.2203(a)(4) 50. 73(a)(2)(iv) OTHER 20.2203(a){2)(iii) 50.36(c)(1) 50. 73(a)(2)(v) Speci~ in Abstract below or in NR Form 366A
',o, 20.2203(a){2)(iv) 50.36(c)(2) 50.73(a)(2)(vii)
LICENSEE CONTACT FOR THIS LER (12)
NAME TELEPHONE NUMBER (Include Area Code)
Brian J. Thomas, Licensing Engineer 609-339-2022 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE TONPRDS TO NPRDS
SUPPLEMENTAL REPORT EXPECTED (14) EXPECTED MONTH DAY YEAR
!YES (If yes, complete EXPECTED SUBMISSION DATE). xi NO SUBMISSION DATE (15)
ABSTRAl; 1 (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) (16)
On February 27, 1998, Engineering personnel determined that a scaling error of the first stage pressure transmitter existed when Salem Unit 2 operated from August 1997 to February 1998. The P-13 permissive (1 of 2 Turbine impulse chamber pressure channels ;::: a pressur~ equivalent to 11 % of rated thermal power) is an "or" input along with permissive P-10 (2 of 4 Power Range Neutron Channels;::: 11 % of rated thermal power) for the P-7 permissive as defined in Technical Specification (TS) Table 3.3-1. Therefore only one of either of the P-13 or P-10 permissives js necessary to actuate the P-7 permissive. The P10 permissive was not affected by the scaling problem and therefore would have actuated the P-7 permissive at the proper value. However with the first stage pressure transmitters scaled at a higher pressure for 100% thermal power, the P-13 permissive setpoint was actually higher than the value required by TS Table 3.3-1 (above 11 % thermal power).
The cause of occurrence for the incorrect scaling of the Unit 2 first stage pressure transmitters is attributed to human error This event is being reported in accordance with 10 CFR 50.73(a)(2)(i)(B), any condition prohibited by the plant's Technical Specifications.
NRC FORM 366 (4-95)
NRC FORM 366A .S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
SALEM GENERATING STATION UNIT 2 05000311 YEAR I SEQUENTIAL NUMBER I REVISION NUMBER 2 OF 9 98 - 006 - 01 TEXT (If more space is required, use additional copies of NRG Form 366A) (17)
PLANT AND SYSTEM IDENTIFICATION Westinghouse - Pressurized Water Reactor Reactor Control and Protection (RCP) {JC/-}*
- Energy Industry Identification System (EllS) codes and component function identifier codes appear as {SS/CCC}.
CONDITIONS PRIOR TO OCCURRENCE At the time of discovery, Salem Unit 2 was in Mode 5 and Salem Unit 1 was in Mode 4.
DESCRIPTION OF OCCURRENCE On February 27, 1998, Engineering personnel determined that a scaling error of the first stage pressure transmitter existed when Salem Unit 2 operated from August 1997 to February 1998. The first stage pressure transmitters, 2PT505 and 2PT506, were incorrectly scaled for the turbine pressure expected at 100% power. During the period of operation of Unit 2 above, the first stage turbine pressure was identified as reading approximately 555 psia with the Unit at 100% thermal power. 2PT505 and 2PT506 were calibrated in accordance with setpoint calculation SC-MS-002-01, Revision 1, dated May 29, 1997. In accordance with SC-MS-002-01, Revision 1, pressure transmitters 2PT505 and 2PT506 were scaled with a span of 0 to 690 psia corresponding to 0 to 120% power. The equivalent pressure at 100% thermal power based on this scaling is 575 psia.
Therefore the first stage pressure transmitters were indicating a lower first stage turbine pressure when Unit 2 was at 100% thermal power.
The basis of the 690 psia is derived from the original thermal performance (heat balance) data developed by Westinghouse for the Unit 2 Turbine-Generator and documented in Public Service Blue Print (PSBP) 131382 dated February 15, 1972. Reactor Engineering also confirmed on May 16, 1995, that the Unit 2 first stage* turbine pressure value at 100% rated thermal power would be 573 psia. Based on this documentation, setpoint calculation SC-MS-002-01 was developed and issued on August 8, 1996, for the scaling of the first stage pressure transmitters for a span of 0 to 690 psia corresponding to 0 to 120% reactor power. However, in June of 1995 just prior to the extended shutdown of Salem Unit 2, thermal performance data* indicated that the first stage turbine impulse pressure at 100% reactor power was approximately 552 psia.
NRC FORM 366A (4-95)
NRC FORM 366A .* NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
SALEM GENERATING STATION UNIT 2 05000311 YEAR I SEQUENTIAL NUMBER IREVISION NUMBER 3 OF 9 98 - 006 01 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
DESCRIPTION OF OCCURR~NCE (cont'd)
During the Salem Unit 2 outage prior to September of 1997, the Unit 2 low pressure turbine blades were replaced. As a result of the new low turbine pressure blades, Westinghou~e provided new thermal performance (heat balance) data. The new thermal performance data for the low pressure turbine replacement indicated that the first stage turbine pressure corresponding to 100% thermal power was lower than the value in the 1972 thermal performance heat kit (heat balance). However, discussion with Westinghouse indicated that the replacement of the low pressure turbine should not have had an effect on the first stage turbine pressure. Westinghouse has stated that the change in first stage pressure was due to a new heat balance calculation method. PSE&G is continuing to pursue further explanation of the change in first stage pressure with Westinghouse.
The first stage turbine pressure transmitters provide inputs to the Reactor Protection and Control system. The first stage turbine pressure transmitters provide input for the following safety and non-safety related functions:
Safety Related
- The high steam line flow variable setpoint is adjusted based on the first stage turbine pressure. High steam line flow coincident with either low Tavg or low steam line pressure generates a Safety Injection (SI) signal and a Main Steam Isolation (MSI) signal.
- The P-13 permissive (1 of 2 Turbine impulse chamber pressure channels ~ a pressure equivalent to 11 % of rated thermal power) is an "or" input along with permissive P-10 (2 of 4 Power Range Neutron Channels ~ 11 % of rated thermal power) for the P-7 permissive as defined in Technical Specification (TS) Table 3.3-1. Therefore only one of either of the P-13 or P-10 permissives is necessary to actuate the P-7 permissive. The P-7 permissive prevents or defeats the automatic block of the reactor trip on low flow in more than one primary coolant loop, reactor coolant pump undervoltage and under-frequency, pressurizer low pressure, pressurizer high level, and the opening of more than one reactor coolant pump breaker.
- Permissive P-2 inhibits the automatic rod withdrawal on low turbine impulse pressure below a setpoint equivalent to 15% of full power.
NRC FORM 366A (4-95)
NRC FORM 366A .S. NUCLEAR REGULA TORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
SALEM GENERATING STATION UNIT 2 05000311 YEAR I SEQUENTIAL NUMBER I REVISION NUMBER 4 OF 9 98 - 006 01 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
DESCRIPTION OF OCCURRENCE (cont'd)
Non-Safety Related
- The AMSAC circuitry is armed at a first stage turbine impulse pressure equivalent to 40%
reactor power.
- AT-ref (reactor coolant temperature reference value) signal based on first stage impulse pressure provides an interlock for the condenser steam dumps.
- The rod control system receives a T-ref signal based on first stage turbine pressure for comparison with Nuclear Instrumentation System (NIS) power level to determine direction and speed of control rod motion. Also the T-ref signal based on first stage turbine pressure is compared with Tavg in the rod control system.
- First stage turbine impulse pressure also provides a T-ref input to the Main Control Room indicator for reactor coolant temperature.
With the actual first stage turbine impulse pressure corresponding to 100% Reactor Power being at a lower value than the pressure transmitters were scaled, for a given pressure of turbine load the actual reactor thermal power level would be at a higher value (i.e., 10% turbine load based on impulse pressure would be greater than 10% reactor thermal power).
Technical Specification (TS) Table 3.3-1 requires a P-7 setpoint of "... 1 of 2 Turbine Impulse chamber pressure channels~ 11% of RATED THERMAL POWER". With the first stage pressure transmitters scaled at a higher pressure for 100% thermal power, the P-7 (P-13 turbine load input) permissive setpoint was actually higher than the value required by TS Table 3.3-1 (above 11 % thermal power).
Since the actual turbine impulse pressure for the P-7 permissive correlated to a Rated Thermal Power above 11 %, the setpoint for the P-13 permissive input to the P-7 permissive was non-conservative.- There was no impact to the P-10 permissive input for the P-7 permissive. Therefore for the period of September 1997 to February 1998, Salem Unit 2 operated with a non-conservative TS setpoint. The sensor calibration procedures for the Unit 2 first stage turbine impulse pressure channels I (2PT505) and II (2PT506) were revised on February 28, 1998. The first stage turbine pressure channels 2PT505 and 2PT505 were calibrated using the revised procedures prior to Unit 2 entering Mode 2. This event is reportable in accordance with 10CFR50.73(a)(2)(i)(B), any condition prohibited by the plant's Technical Specifications.
NRC FORM 366A (4-95)
NRC FORM 366A .S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
SALEM GENERATING STATION UNIT 2 05000311 YEAR I SEQUENTIAL NUMBER I REVISION NUMBER 5 OF 9 98 - 006 01 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
DESCRIPTION OF OCCURR.ENCE (cont'd)
Also during the review of the scaling of the first stage pressure transmitters, a region of non-linearity of turbine load (first stage pressure) with respect to reactor thermal power was i.dentified. This area of non-linearity existed at the lower end of the first stage turbine impulse transmitters. The non-linearity of the turbine pressure with respeCt to the reactor thermal power also caused the setpoint for the P-7 (P-13 input for turbine pressure) permissive to be set at a non-conservative value for Salem Units 1 and 2. In the past, the P-7 permissive was set at a value of 10% turbine load based on the turbine impulse pressure, however based on the review of the non-linearity of the transmitter a 1.6%
offset for Unit 1 and 1.9 % offset for Unit 2 existed. Therefore the actual Rated Thermal Power level for the P-7 permissive for the turbine impulse transmitters would correspond to 11.6% for Unit 1 and 11.9% for Unit 2. These setpoints did not comply with the requirements of TS Table 3.3-1.
The channel calibration procedures for the Unit 2 first stage turbine impulse pressure channels I and II were revised on March 3, 1998. These procedures were revised to reflect the re-scaling of the Unit 2 first stage pressure transmitters and to ensure the proper setting of permissive P-13. However during a review of the corrective actions associated with this LER, no work order was identified as having performed the re-calibration of the P-13 permissive prior to Unit 2 entering Mode 2. Upon discovery that the revised channel calibration had not been performed, on March 26, the Unit 2 bistables associated with permissive P-13 were placed in the tripped condition. Placing the P-13 bistables in the tripped condition ensures that all the reactor trips associated with permissive P-7 are enabled at all reactor power levels. Subsequently, the P-13 permissive was re-calibrated using the revised channel calibration procedure.
CAUSE OF OCCURRENCE The cause of occurrence for the incorrect scaling of the Unit 2 first stage pressure transmitters is attributed to human error. During the review and issuance of setpoint calculation SC-MS002-01, the.
most current data available to verify the scaling of the pressure transmitters was not reviewed. There was no communication between the design engineering organization and the thermal performance engineer during the development of the setpoint calculation to verify the scaling information with empirical data.
During the development and review of the modification for the replacement of the Unit 2 low pressure turbine, the modification preparer (contractor) did not identify any impact to the instrumentation setpoint calculations although the revised thermal performance data provided by Westinghouse indicated a lower first stage turbine pressure at 100% reactor power. Also, the review of the modification package by the Instrumentation and Controls (I &C) Engineering group did not question the fact that no setpoint calculations were affected by the turbine replacement.
NRC FORM 366A (4-95)
NRC FORM 366A .S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE(3)
SALEM GENERATING STATION UNIT 2 05000311 YEAR I SEQUENTIAL NUMBER I REVISION NUMBER 6 OF 9 98 - 006 - . 01 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
The cause of occurrence for the failure to re-calibrate the Unit 2 P-13 permissive prior to the Unit 2 start-up is attributed to inadequate communication. Setpoint calculation SC-MS002-01 was revised to correct the P-13 interlock setpoint and channel calibration procedures were revised on March 3, 1998 to reflect the new P-13 setpoint. However, due to inadequate communication between the personnel involved in the revision of the P-13 setpoint, no corrective maintenance work orders were generated to perform the re-scaling of the Unit 2 P-13 setpoint in the field prior to the Unit 2 start-up.
PRIOR SIMILAR OCCURRENCES A review of LERs for Salem Units 1 and 2 for the past two years identified several LERs associated with personnel errors and inadequate communication, however, the corrective actions were specific to the events identified and would not have prevented this event from occurring.
SAFETY CONSEQUENCES AND IMPLICATIONS As discussed previously, the first stage turbine impulse pressure transmitters provide inputs to both safety related and non-safety related reactor protection and control systems.
The impact of the improper scaling for the safety related functions associated with the first stage turbine pressure transmitters is as follows:
- High Steam Flow Reference Setpoint:
With the actual fi.rst stage turbine pressure lower than the scaling for 2PT505 and 2PT506, the setpoint for the high steam flow trip was conservative. The steam flow trip setpoint would be at a lower value for the actual reactor power level and therefore would be conservative.
- P-7 Permissive The P-7 permissive is an "or" combination of the P-13 (turbine impulse pressure) and P-10 (N IS power) inputs. Although the P-13 portion of the P-7 permissive was set in the non-conservative direction, the P-10 permissive, 2 of 4 Power Range Neutron Channels~ 11 % of Rated Thermal Power, would ensure that the P-7 permissive operated at the proper value.
NRC FORM 366A (4-95)
NRC FORM 366A .* NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE(3)
SALEM GENERATING STATION UNIT 2 05000311 YEAR I SEQUENTIAL NUMBER I REVISION NUMBER 7 OF 9 98 - 006 01 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
SAFETY CONSEQUENCES AND IMPLICATIONS (cont'd)
- P-2 Permissive The P-2 Permissive inhibits the automatic withdrawal of control rods below a turbine impulse pressure setpoint equivalent to 15% rated thermal power. The actual value that the P-2 permissive was set at was approximately 18.5% rated thermal power. Therefore, automatic control rod withdrawal was blocked up to 18.5% rated thermal power which is conservative for this function.
Blocking the automatic withdrawal of the control rods at low power levels requires the control room operators to perform control rod movement and oversee any changes of reactivity at low power levels.
Based on the above, although the first stage turbine pressure transmitters were scaled incorrectly, the reactor protection system would have operated when required to protect the health and safety of the public.
Although the first stage turbine pressure transmitters provide input to the Rod Control System, Steam Generator Level control, ADFCS, steam dump controls, and the T-ref recorder in the control room, these non-safety related control systems do not affect the ability of the reactor protection system to generate a reactor trip or initiate the required Engineered Safety Feature (ESF) equipment.
In accordance with the Salem UFSAR and the NRC safety evaluation report for AMSAC, the AMSAC system is armed at a value of 40% rated thermal power. The AMSAC interlock (C-20) for arming the system is set at 40% turbine impulse power. Setting the C-20 interlock at 40% turbine impulse power does not ensure that the AMSAC system is armed prior to 40% rated thermal power. However, in accordance with WCAP-11293-A the AMSAC system is designed to prevent overpressurization of the reactor coolant system. The Westinghouse analysis demonstrates that the AMSAC system is not required to actuate below 70% rated thermal power in order to limit the peak pressure in the reactor coolant system. Since AMSAC would continue to be armed before 70% rated thermal power, there is no safety consequences associated _with the incorrect scaling of the first stage turbine pressure transmitters.
CORRECTIVE ACTIONS
- 1. Setpoint calculation SC-MS002-01, "Turbine lmpul_se Pressure Scaling/Uncertainty Calculation" was revised on February 28, 1998. This calculation revised the scaling of the first stage turbine pressure transmitters for Salem Unit 2 to equate a turbine pressure of 555.69 psia for 100%
reactor power.
NRC FORM 366A (4-95)
NRC FORM 366A .S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
SALEM GENERATING STATION UNIT 2 05000311 YEAR I SEQUENTIAL NUMBER I REVISION NUMBER 8 OF 9 98 - 006 01 TEXT (If more space is required, use additional copies of NRG Form 366A) (17)
CORRECTIVE ACTIONS (cqnt'd)
- 2. Setpoint calculation SC-MS002-01 was revised on March 3, 1998, to ensure that Permissive P-13 is set at a value not to exceed 11 % Reactor Thermal Power. ~
- 3. The associated instrument calibration database information was revised on February 28, 1998, to reflect the re-scaling of the Unit 2 first stage turbine pressure transmitters.
- 4. The sensor calibration procedures for the Unit 2 first stage turbine impulse pressure channels I (2PT505) and II (2PT506) were revised on February 28, 1998. The first stage turbine pressure channels 2PT505 and 2PT506 were calibrated using the revised procedures prior to Unit 2
- 5. The channel calibration procedures for the Unit 2 first stage turbine impulse pressure channels I and II were revised on March 3, 1998. These procedures were revised to reflect the re-scaling of the Unit 2 first stage pressure transmitters and to ensure the proper setting of permissive P-13.
The re-calibration of the P-13 permissive was completed on March 26, 1998.
- 6. The channel calibration procedures for the Unit 1 first stage pressure transmitter channels 1PT505 and 1PT506 were revised on March 27, 1998, to reflect the proper setting of permissive P-13. Calibration of these channels using the revised procedures was completed on March 27, 1998.
- 7. Procedure SC.IC-PT.SSP-0014(Q), "AMSAC Functional Test," was revised to reflect the re-scaling of the Unit 2 first stage turbine impulse pressure transmitters. This procedure adjusted the setpoint of the C-20 interlock for the arming of the AMSAC system. The revised AMSAC functional procedure was performed prior to Salem Unit 2 entering Mode 1. The revised AMSAC procedure was completed on Unit 1 on March 19, 1998.
- 8. l&C personnel involved with the review of the design modification have been held accountable for their actions in accordance with PSE&G policies.
- 9. This LER will be reviewed with the l&C Design Engineers to discuss the importance of verifying setpoint scaling information with current plant parameters by June 12, 1998. Also, an assessment of the technical standard for instrument setpoint calculations will be performed to determine if any enhancements are necessary.
NRC FORM 366A (4-95)
" NRC FORM 366A .S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
. TEXT CONTINUATION 1
FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
SALEM GENERATING STATION UNIT 2 05000311 YEAR I SEQUENTIAL NUMBER I REVISION NUMBER 9 OF 9 98 - 006 01 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
CORRECTIVE ACTIONS (corit'd) 10.A lessons learned discussion was conducted with the l&C Design and System Engineers to ensure that the engineering review of modification packages assesses the overall impact to plant
. systems and to stress the necessity to ensure work orders are. generated when field work is*
required.
11.An assessment of the current procedures has determined that the processes in place for the control and oversight of plant modifications prepared by contract personnel provide adequate guidance and expectations for development of plant modifications.
. NRG FORM 366A (4-95)