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| issue date = 06/25/1975
| issue date = 06/25/1975
| title = LER 1975-010-00 for R. E. Ginna, Personnel Error Which Could Prevent Fulfillment of Functional Requirements of Systems Required to Cope with Accidents Analyzed in the SAR
| title = LER 1975-010-00 for R. E. Ginna, Personnel Error Which Could Prevent Fulfillment of Functional Requirements of Systems Required to Cope with Accidents Analyzed in the SAR
| author name = White L D
| author name = White L
| author affiliation = Rochester Gas & Electric Corp
| author affiliation = Rochester Gas & Electric Corp
| addressee name = O'Reilly J P
| addressee name = O'Reilly J
| addressee affiliation = NRC/IE, NRC/RGN-I
| addressee affiliation = NRC/IE, NRC/RGN-I
| docket = 05000244
| docket = 05000244
Line 16: Line 16:


=Text=
=Text=
{{#Wiki_filter:X'Ri AI.OGGUitPv.IMAGE AND OR XNGXDENX'R~STRIBUTION FOR PART 50 DOCk,, MATERIAL-(TEMPORARY FOBivl)CONl'0 0:~~FILE.XNCXDENZ REPOPT FXL I FROM.Rochester Gas 8o Electric Rochester N.Y-L D White Jr Mr.O'Reilly 6-25-75 ORIG none, signed.7-2-75 CC OTHER DATE OF DOC DATE R EC'D LTR TWX RPT SFNT AEC PDR SENT LOCAL PDR OTI-IE R CLASS UNC LASS XXXX PROP INFO tNPUT NO CYS REC'D 40 DOCKET NO: 50-2tttt DESCR IPTION Ltr trans the following:
{{#Wiki_filter:X'         Ri AI. OGGUitPv.IMAGE AND OR XNGXDENX'R~STRIBUTION FOR PART 50 DOCk,, MATERIAL-(TEMPORARY FOBivl)
'ACKNO vVLHDGED DO NOT HFMPVE PLANT NAME: RE Ginna ENCLOSURES:
CONl' 0       0:~~
Abnormal.Occurrence Report No.75-.10 on 6-11-75, during safeguard.
FILE. XNCXDENZ REPOPT     FXL I
valve survei-nce testing the"C" SX pump discharge MOV's 873A and"871j3 were found closed.;.I 40 copies encl rec'd FOR ACTION/INFORMATION BUTLER (L)W/Copies CLARK (L)W/Conies PARR (L)YY/Copies KNI EL (L)W/Copies SCHYYENCEB (L)W/Copies STOLZ (L)W/Copies VASSALLO (L)W/Copies~pUnpi c (L)W/Copies Zl EMAI'JN (L)W/Copies DICKER (E)W/Copies KNIGHTON (E)W/Copies YOUNGBLOOD (E)W/Copies RCGAN (E)W/Copies LEAR (L)W/Copies SPELS W/Copies W/Copies INTEBNAI DIS1'R t BUTION OCNrON~~'G in I MES GAMivll I L KASTI',i E R BALLAf<D SPANGLER ENVI BO MULLER DICKER KNIG I ITQN YOUNG BLOOD BEGAN PROJECT LCB HAH LEss EXTEflrini ois TECH REVIEW~SCHBOEDEB OGC, ROQMi P-506A cAMACCABY GOSSI Cti/STAFF KNIGH1~CASE PAWLICKI GIAMBUSSO Sl-IAO BOYD"-"'~STE L LO MOO f<E (L)=""-~HOUS1'ON DF YOUNG (L)"~'~NOUAK SKOV HOL.I (L)~ROSS GOLLCB (L)(Ltr)~IPPQLITO P.COLLINS/TE OESCO OLNISE J.COL'LXNS RCG OPR LAI NAS<I-ll E K f;FGION (2)BENABOYA~.M>></>>(}~VOLLMEB Sl EELE LtC ASST R.DIGGS (L)H.GEABIN (L)E.GOULBOUBNE (L)P.KBEUTZER (E)J.LEE (L)M.MAIGBET (L)S.BEFD (E)A.sEnvicE (L)S.SHEPPARD{i)M.SLATER (E)H.SMITH (L)S.TEETS (L)G.WILLIAMS (E)V.WILSON (L)B.INGRAM (L)3Ul ION A/T tNO.BBAITiViAN SA LTzrvl AN rvtELTZ PLAN ViCOOix A LO CHAPMAN DUBR (Ltr)E.COUPrE PETE flSQN I.IARTFI C LD (2)w KLECIiEB EISENil IU I'ir I GG li~tTON~F.WXLlXA~IS 0 n1-~1~1 1-1-LOCAL POR Lyons~NY Rochester, NY TIC{ABEBNAI IIY)(l)(2)(10)
FROM. Rochester Gas           8o Electric   DATE OF DOC            DATE      R EC'D  LTR                        TWX    RPT        OTI-IE R Rochester   N. Y-L D White     Jr                       6-25-75                 7-2-75 ORIG            CC     OTHER                       SFNT AEC PDR Mr. O'Reilly none, signed.                                              SENT LOCAL PDR CLASS     UNC LASS         PROP INFO               tNPUT         NO CYS REC'D                             DOCKET NO:
-NA~TIONAL LABS NSIC (BUCIIANAN) 1-W.PENNINGTON, Bm C.201 GT ASLB 1-CONSULTANTS Neivlon AA(tersotl NE'(Vie ARK/0 LUM C/AG BABI AN ACBS SE'"L'O LX ST SEND ONLY TEN DAY PZPOHTS qMJ 1-Pon.SAN/LA/r IY 1-BIEOOKIPAVEN NAT LAB 1-G.ULf<It<SON, OBNL.1-AGMED (RUTH GUSSMAN)Brn B-127 GT 1-'.D.liUNKLFS, Rm E.201 I GT 4 l<-~P I C, (p l (~l A l l*t 1'I'h t J Ap'1 J ql~~~t~to~pe'I a E c III'(/'/&#x17d;lA'i~i~!3 Il~i/ur'I!lg ROCHESTER GAS AND ELECTRIC CORPORATION gg/Cj(e JI:.,~/r , 89 EAST AVENUE, ROCHES ER, N.Y.14649 I IAIC LEON D.WHITE, JB.VICE PRESIDENT TEEEI'HONE
XXXX                                                          40                                            50-2tttt DESCR IPTION                                                       ENCLOSURES:
'"*REA cooE Tue 546.2700 June 25, 1975 Mr.James P.O'Reilly, Director U.S.Nuclear Regulatory Commission Office of Inspection and Enforcement legion I 631 Park Avenue King of Prussia, Pennsylvania 19406$(.V@qQ s,'IO I~<<EIIt
Ltr trans     the following:                                     Abnormal. Occurrence Report No.
75-.10 on 6-11-75,                   during safeguard. valve survei-
                'ACKNOvVLHDGED                                          nce   testing the "C"                       SX pump   discharge MOV's 873A and"871j3 were found                           closed.;.
DO NOT HFMPVE                                                                                                                      I 40 copies                     encl rec'd PLANT NAME:        RE  Ginna FOR ACTION/INFORMATION BUTLER (L)                   SCHYYENCEB (L) Zl EMAI'JN (L)                       RCGAN (E)
W/ Copies                   W/ Copies               W/ Copies                   W/ Copies CLARK (L)                   STOLZ (L)               DICKER (E)                   LEAR (L)
W/ Conies                  W/ Copies              W/ Copies                  W/ Copies PARR (L)                    VASSALLO (L)          KNIGHTON (E)                 SPELS YY/ Copies                  W/ Copies               W/ Copies                  W/ Copies KNI EL (L)              ~pUnpi c (L)              YOUNGBLOOD (E)
W/ Copies                   W/ Copies             W/ Copies                   W/ Copies INTEBNAI DIS1'R t BUTION TECH REVIEW            OCNrON                       LtC ASST                                  A/T tNO.
                          ~SCHBOEDEB              ~ ~'G in I MES             R. DIGGS (L)                                  BBAITiViAN OGC, ROQMi P-506A         cAMACCABY                 GAMivllI L              H. GEABIN (L)                                  SA LTzrvlAN GOSSI Cti/STAFF             KNIGH1                 KASTI',iE R            E. GOULBOUBNE (L)                              rvtELTZ
~CASE                         PAWLICKI               BALLAf<D                P. KBEUTZER (E)
GIAMBUSSO                   Sl-IAO                 SPANGLER                J. LEE (L)                                    PLAN BOYD                 "-"'~ STE L LO                                        M. MAIGBET (L)                                ViCOOixA LO MOO f< E (L)         =""-~ HOUS1'ON               ENVI BO                S. BEFD (E)                                  CHAPMAN DF YOUNG (L)         "~'~NOUAK                     MULLER                  A. sEnvicE (L)                                DUBR (Ltr)
SKOV HOL. I (L)           ~ROSS                     DICKER                  S. SHEPPARD {i)                                E. COUPrE GOLLCB (L) (Ltr)                                   KNIG I ITQN                                                              PETE flSQN
                          ~ IPPQLITO                                         M. SLATER (E)
I.IARTFIC LD (2)
P. COLLINS               /TE OESCO                 YOUNG BLOOD            H. SMITH (L)
OLNISE                     J. COL'LXNS             BEGAN                  S. TEETS (L)                                w KLECIiEB RCG OPR                     LAINAS                PROJECT LCB            G. WILLIAMS(E)                                EISENil IU I
<I-ll E K f;FGION (2)         BENABOYA                                       V. WILSON (L)                                'ir GG li~tTON I
~.M>></>>           ( }       ~VOLLMEB                 HAH LEss                B. INGRAM (L)                               ~ F. WXLlXA~IS Sl EELE EXTEflrini ois              3Ul ION                                                0 n1LOCAL POR           Lyons~     NY Rochester,     NY                                                                         qMJ
~1      TIC {ABEBNAIIIY) (l)(2)(10) NA~TIONAL LABS                                                               1 Pon.SAN/LA/r IY W. PENNINGTON, Bm C.201 GT                                           BIEOOKIPAVEN NAT LAB
~ 11NSIC (BUCIIANAN)                      1 CONSULTANTS 1
G. ULf <It<SON, OBNL.
ASLB                             1                                                                     1 1Neivlon AA(tersotl                       NE'(Vie ARK/0 LUMC/AG BABIAN                                      1 AGMED (RUTH GUSSMAN)
ACBS   SE'"L'O   LX SEND ONLY TEN DAY PZPOHTS ST 1 '.Brn B-127 GT GT D. liUNKLFS, Rm E.201     I
 
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:.,~/  r      I IAIC III'(/'/'lA'i~i~!3Il~i/ur'I!lg ROCHESTER GAS AND ELECTRIC CORPORATION                       , 89 EAST AVENUE, ROCHES       ER, N.Y. 14649 LEON D. WHITE, JB.                                                                         TEEEI'HONE '"
VICE PRESIDENT                                                              *REA cooE Tue 546.2700 June 25, 1975
                                                                                    $(.V        @qQ s,  'IO I
Mr. James P. O'Reilly, Director                                                           ~
                                                                                                      <<EIIt U. S. Nuclear Regulatory Commission Office of Inspection and Enforcement legion I 631 Park Avenue King of Prussia, Pennsylvania               19406


==Subject:==
==Subject:==
Abnormal Occurrence 75-10, Personnel error which could prevent the fulfillment of the functional requirements of systems required to cope with accidents analyzed in the SAR.R.E.Ginna Nuclear Power Plant, Unit No.1 Docket No.50-244  
Abnormal Occurrence 75-10, Personnel error which could prevent the fulfillment of the functional requirements of systems required to cope with accidents analyzed in the SAR.
R. E. Ginna Nuclear Power Plant, Unit No. 1 Docket No. 50-244
 
==Dear Mr. O'Reilly:==
 
In accordance with Technical Specifications, Article 6.6.2a, the attached report of Abnormal Occurrence 75-10 is hereby submitted. Two additional copies of this letter and the attachment are enclosed.
Very truly yours, L. D. White, Jr.
Attachment                                                        l    8
                                                                                    /,y cc: Mr. Donald F. Knuth (40)                                            ><It+
45 iCP~~ EE~
                                                                      'c
 
a 1 4
 
LICENSEE EVENT                  REPCPy
                      'ON~lOL        BLOCK:                                                          (PLEASE PRII'4T ALL REQUIRED IMFORPJIATION3 LICENSEE                                                                              UCENSE                EVENT NAME                                LICENSE NUMSER                                  TYPE                  TYPE N Y        R    R    G    1      0  0    0'0        0    0    0  0        0        4  1    1    1    1    ~01 7    89                              14    15                                                    26                    30    31    32 REPORT    REPORT CATEGORY        TYPE    SOURCE            DOCKET NUMOER                          EVENT DATE                      REPORT DATE
  ~01 cON>        ~DI58          ~T      ~L        0  5  0  0        2    4    4      0  6    1  1    7    5      0    6    2    5  7    5 7 8              57              59      60    61                                  68    69                        74    75                          80 EVENT DESCRIPTION Jog        Durin safe uard valve surveillance testin                                the "C" SI um dischar e MOV's 871A and 7    8 9                                                                                                                                                80 tOD3]        871B were found              closed.      The two other SI            um s on se arate buses were ca able of 7    89                                                                                                                                                  80 toOj4      performing their intended function. Valves were placed to correct open position. Sub-7    8,9                                                                                                                                                80 Qpg        sequently          a  check was made to verify that                  all SIS valves        were in the proper position.
7    8 9                                                                                                                                                80
[oO~J        (Abnormal Occurrence 50-244/75-10) 7    8 9                                                              PRME                                                                              80 SYSTEM        CAUSE                                      COMPONENT              COMPONENT CODE        CODE            COMPONENT CODE              SUPPUER            MANUFACTURER          VIOIATION
[oarI  ~sF                ~A          H 7 8 9 10                    11      12                        17        43            44              47          48 CAUSE DESCRIPTION l00m        Incorrect position of the valves was due to operator error during safety injection pump 7 8 9                                                                                I                                                                  80
~09        monthly surveillance testing. Measures to prevent recurrence are on attached page.
7    8 9                                                                                                                                                80
~10 7    89      FACIUTY                                                        METHOD OF 80 STATUS              POWER              OTHER STATUS          DISCOVERY                      DISCOVERY DESCRIPTION Qg8      '
                ~z            ~os        o              NA                        b                      NA 7                            10            12 13                          44,    45      46                                                          80 FORM OF ACTIVITY      COATENT RELEASEO      OF RELEASE          AMOUNT OF ACTIVITY                                            LOCATION OF RELEASE gg 7 8            9 H            ~p 10    11                                  44        45 NA 80 PERSONNEL EXPOSURES 7    89                11      12    13                                                                                                                80 PERSONNEL INJURIES NUMBER          DESCRIPTION
        ~00          0                              NA 7    89                  11  12                                                                                                                        80 OFFSITE CONSEQUENCES 7    8 9                                                                                                                                                80 LOSS OR DAMAGE TO FACILITY TYPE        DESCRIPTION
~16      P,                                          NA 7 89              10                                                                                                                                    80 PUBLICITY NA 7    8 9                                                                                                                                                80 ADDITIONAL FACTORS Q~g        In the event of safeguards actuation,                        all  3    50%    capacity SI pumps are automatically 7    89                                                                                                                                                  80
~qg        started in a timed sequence,                    and', in case one of the other (cont'd. on attached page) 7    89                                                                                                                                                  80 NAME.          Bruce A. Snow                                                    PHDNEI 716-546-2700, ext. 291-214 GFO  881 ~ 667


==Dear Mr.O'Reilly:==
Licgnsee Event Rep.
In accordance with Technical Specifications, Article 6.6.2a, the attached report of Abnormal Occurrence 75-10 is hereby submitted.
50-244/'05-10 Measures to Prevent Recurrence:
Two additional copies of this letter and the attachment are enclosed.Very truly yours, L.D.White, Jr.Attachment cc: Mr.Donald F.Knuth (40)l./,y 8><It+45 iCP~~EE~'c a 1 4
The operator involved was reprimanded for his error. The procedure used during error committal was reviewed and no inadequacies were noted in the procedure. However, a procedure change was reviewed by the Plant Operations Review Committee and was recommended for approval on June 23, 1975 to eliminate procedural options relative to the operation of MOV-.871A and MOV-871B.
'ON~lOL BLOCK: LICENSEE EVENT REPCPy (PLEASE PRII'4T ALL REQUIRED IMFORPJIATION3 7 89 LICENSEE NAME N Y R R G 1 14 15 LICENSE NUMSER 0 0-0'0 0 0 0-0 0 UCENSE EVENT TYPE TYPE 4 1 1 1 1~01 26 30 31 32 REPORT REPORT CATEGORY TYPE SOURCE DOCKET NUMOER~01 cON>~DI~T~L 0 5 0-0 2 4 7 8 57 58 59 60 61 EVENT DATE REPORT DATE 4 0 6 1 1 7 5 0 6 2 5 7 5 68 69 74 75 80 EVENT DESCRIPTION Jog Durin safe uard valve surveillance testin the"C" SI um dischar e MOV's 871A and 7 8 9 80 tOD3]871B were found closed.The two other SI um s on se arate buses were ca able of 7 89 80 toOj4 performing their intended function.Valves were placed to correct open position.Sub-7 8,9 80 Qpg sequently a check was made to verify that all SIS valves were in the proper position.7 8 9[oO~J (Abnormal Occurrence 50-244/75-10)
In addition, the Operations Engineer has issued a memorandum to all operators to once again impress upon them the importance. of adhering to procedures, and stressed the importance of verification of status lights on safeguards equipment when assuming control board duties.
COMPONENT MANUFACTURER 44 48 7 8 9 PRME SYSTEM CAUSE COMPONENT CODE CODE COMPONENT CODE SUPPUER VIOIATION[oarI~sF~A H 7 8 9 10 11 12 17 43 47 CAUSE DESCRIPTION l00m Incorrect position of the valves was due to operator error during safety injection pump 80 80 7 8 9 I 80~09 monthly surveillance testing.Measures to prevent recurrence are on attached page.7 8 9~10 7 89 FACIUTY STATUS POWER Qg~z~os o OTHER STATUS NA AMOUNT OF ACTIVITY 7 8 9 10 11 PERSONNEL EXPOSURES 7 8'10 12 13 FORM OF ACTIVITY COATENT RELEASEO OF RELEASE gg H~p METHOD OF DISCOVERY b 44, 45 46 44 45 NA DISCOVERY DESCRIPTION NA LOCATION OF RELEASE 80 80 80 80 7 89 11 12 13 PERSONNEL IN JURIES NUMBER DESCRIPTION
Additional Factors cont'd.)
~00 0 7 89 11 12 OFFSITE CONSEQUENCES NA 80 80 7 8 9 LOSS OR DAMAGE TO FACILITY TYPE DESCRIPTION
2 SI pumps fails to start, one of the "C" SI pump discharge MOV's will automatically close to direct flow to the affected loop. Emergency Procedure E-1.1, Safety Injection Actuation, directs operators to observe measured variables and status indicators to verify proper automatic actions, and to perform any necessary actions manually. In doing so, if either "A" or "B" SI pump were to fail to start, the required manual action would be performed to provide flow to the affected loop from the "C" pump, namely to open the appropriate MOV.}}
~16 P, 7 89 10 PUBLICITY 7 8 9 NA NA 80 80 80 ADDITIONAL FACTORS Q~g In the event of safeguards actuation, all 3 50%capacity SI pumps are automatically 7 89 80~qg started in a timed sequence, and', in case one of the other (cont'd.on attached page)7 89 NAME.Bruce A.Snow 80 PHDNEI 716-546-2700, ext.291-214 GFO 881~667 Licgnsee Event Rep.50-244/'05-10 Measures to Prevent Recurrence:
The operator involved was reprimanded for his error.The procedure used during error committal was reviewed and no inadequacies were noted in the procedure.
However, a procedure change was reviewed by the Plant Operations Review Committee and was recommended for approval on June 23, 1975 to eliminate procedural options relative to the operation of MOV-.871A and MOV-871B.In addition, the Operations Engineer has issued a memorandum to all operators to once again impress upon them the importance.
of adhering to procedures, and stressed the importance of verification of status lights on safeguards equipment when assuming control board duties.Additional Factors cont'd.)2 SI pumps fails to start, one of the"C" SI pump discharge MOV's will automatically close to direct flow to the affected loop.Emergency Procedure E-1.1, Safety Injection Actuation, directs operators to observe measured variables and status indicators to verify proper automatic actions, and to perform any necessary actions manually.In doing so, if either"A" or"B" SI pump were to fail to start, the required manual action would be performed to provide flow to the affected loop from the"C" pump, namely to open the appropriate MOV.}}

Latest revision as of 00:32, 3 February 2020

LER 1975-010-00 for R. E. Ginna, Personnel Error Which Could Prevent Fulfillment of Functional Requirements of Systems Required to Cope with Accidents Analyzed in the SAR
ML18142B875
Person / Time
Site: Ginna Constellation icon.png
Issue date: 06/25/1975
From: White L
Rochester Gas & Electric Corp
To: O'Reilly J
NRC/IE, NRC Region 1
References
LER 1975-010-00
Download: ML18142B875 (6)


Text

X' Ri AI. OGGUitPv.IMAGE AND OR XNGXDENX'R~STRIBUTION FOR PART 50 DOCk,, MATERIAL-(TEMPORARY FOBivl)

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FILE. XNCXDENZ REPOPT FXL I

FROM. Rochester Gas 8o Electric DATE OF DOC DATE R EC'D LTR TWX RPT OTI-IE R Rochester N. Y-L D White Jr 6-25-75 7-2-75 ORIG CC OTHER SFNT AEC PDR Mr. O'Reilly none, signed. SENT LOCAL PDR CLASS UNC LASS PROP INFO tNPUT NO CYS REC'D DOCKET NO:

XXXX 40 50-2tttt DESCR IPTION ENCLOSURES:

Ltr trans the following: Abnormal. Occurrence Report No.

75-.10 on 6-11-75, during safeguard. valve survei-

'ACKNOvVLHDGED nce testing the "C" SX pump discharge MOV's 873A and"871j3 were found closed.;.

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.,~/ r I IAIC III'(/'/'lA'i~i~!3Il~i/ur'I!lg ROCHESTER GAS AND ELECTRIC CORPORATION , 89 EAST AVENUE, ROCHES ER, N.Y. 14649 LEON D. WHITE, JB. TEEEI'HONE '"

VICE PRESIDENT *REA cooE Tue 546.2700 June 25, 1975

$(.V @qQ s, 'IO I

Mr. James P. O'Reilly, Director ~

<<EIIt U. S. Nuclear Regulatory Commission Office of Inspection and Enforcement legion I 631 Park Avenue King of Prussia, Pennsylvania 19406

Subject:

Abnormal Occurrence 75-10, Personnel error which could prevent the fulfillment of the functional requirements of systems required to cope with accidents analyzed in the SAR.

R. E. Ginna Nuclear Power Plant, Unit No. 1 Docket No. 50-244

Dear Mr. O'Reilly:

In accordance with Technical Specifications, Article 6.6.2a, the attached report of Abnormal Occurrence 75-10 is hereby submitted. Two additional copies of this letter and the attachment are enclosed.

Very truly yours, L. D. White, Jr.

Attachment l 8

/,y cc: Mr. Donald F. Knuth (40) ><It+

45 iCP~~ EE~

'c

a 1 4

LICENSEE EVENT REPCPy

'ON~lOL BLOCK: (PLEASE PRII'4T ALL REQUIRED IMFORPJIATION3 LICENSEE UCENSE EVENT NAME LICENSE NUMSER TYPE TYPE N Y R R G 1 0 0 0'0 0 0 0 0 0 4 1 1 1 1 ~01 7 89 14 15 26 30 31 32 REPORT REPORT CATEGORY TYPE SOURCE DOCKET NUMOER EVENT DATE REPORT DATE

~01 cON> ~DI58 ~T ~L 0 5 0 0 2 4 4 0 6 1 1 7 5 0 6 2 5 7 5 7 8 57 59 60 61 68 69 74 75 80 EVENT DESCRIPTION Jog Durin safe uard valve surveillance testin the "C" SI um dischar e MOV's 871A and 7 8 9 80 tOD3] 871B were found closed. The two other SI um s on se arate buses were ca able of 7 89 80 toOj4 performing their intended function. Valves were placed to correct open position. Sub-7 8,9 80 Qpg sequently a check was made to verify that all SIS valves were in the proper position.

7 8 9 80

[oO~J (Abnormal Occurrence 50-244/75-10) 7 8 9 PRME 80 SYSTEM CAUSE COMPONENT COMPONENT CODE CODE COMPONENT CODE SUPPUER MANUFACTURER VIOIATION

[oarI ~sF ~A H 7 8 9 10 11 12 17 43 44 47 48 CAUSE DESCRIPTION l00m Incorrect position of the valves was due to operator error during safety injection pump 7 8 9 I 80

~09 monthly surveillance testing. Measures to prevent recurrence are on attached page.

7 8 9 80

~10 7 89 FACIUTY METHOD OF 80 STATUS POWER OTHER STATUS DISCOVERY DISCOVERY DESCRIPTION Qg8 '

~z ~os o NA b NA 7 10 12 13 44, 45 46 80 FORM OF ACTIVITY COATENT RELEASEO OF RELEASE AMOUNT OF ACTIVITY LOCATION OF RELEASE gg 7 8 9 H ~p 10 11 44 45 NA 80 PERSONNEL EXPOSURES 7 89 11 12 13 80 PERSONNEL INJURIES NUMBER DESCRIPTION

~00 0 NA 7 89 11 12 80 OFFSITE CONSEQUENCES 7 8 9 80 LOSS OR DAMAGE TO FACILITY TYPE DESCRIPTION

~16 P, NA 7 89 10 80 PUBLICITY NA 7 8 9 80 ADDITIONAL FACTORS Q~g In the event of safeguards actuation, all 3 50% capacity SI pumps are automatically 7 89 80

~qg started in a timed sequence, and', in case one of the other (cont'd. on attached page) 7 89 80 NAME. Bruce A. Snow PHDNEI 716-546-2700, ext. 291-214 GFO 881 ~ 667

Licgnsee Event Rep.

50-244/'05-10 Measures to Prevent Recurrence:

The operator involved was reprimanded for his error. The procedure used during error committal was reviewed and no inadequacies were noted in the procedure. However, a procedure change was reviewed by the Plant Operations Review Committee and was recommended for approval on June 23, 1975 to eliminate procedural options relative to the operation of MOV-.871A and MOV-871B.

In addition, the Operations Engineer has issued a memorandum to all operators to once again impress upon them the importance. of adhering to procedures, and stressed the importance of verification of status lights on safeguards equipment when assuming control board duties.

Additional Factors cont'd.)

2 SI pumps fails to start, one of the "C" SI pump discharge MOV's will automatically close to direct flow to the affected loop. Emergency Procedure E-1.1, Safety Injection Actuation, directs operators to observe measured variables and status indicators to verify proper automatic actions, and to perform any necessary actions manually. In doing so, if either "A" or "B" SI pump were to fail to start, the required manual action would be performed to provide flow to the affected loop from the "C" pump, namely to open the appropriate MOV.