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| {{#Wiki_filter:i ACCELERATED D1SQJBUTlON DEMONSTR+OY | | {{#Wiki_filter:i |
| .SYS1'Eg'3 ,/'-REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)ACCESSION NBR:8901030388 DOC.DATE: 88/12/30 NOTARIZED: | | '3 ACCELERATED D1SQJBUTlON DEMONSTR+OY . SYS1'Eg |
| NO DOCKET FACIL:50-250 Turkey Point Plant, Unit 3, Florida Power and Light C 05000250 AUTH.NAME AUTHOR AFFILIATION LYONS,E." Florida Power'Light Co., CONWAY,W.F. | | , /'- REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS) |
| Florida Power&Light.Co.RECIP.NAME RECIPIENT AFFILIATION RECIPIENT ID CODE/NAME PD2-2 LA EDISON,G INTERNAL: ACRS MICHELSON ACRS WYLIE AEOD/DSP/TPAB ARM/DCTS/DAB NRR/DEST/ADS 7E NRR/DEST/ESB SD NRR/DEST/MEB 9H NRR/DEST/PSB SD NRR/DEST/SGB SD NRR/DLPQ/QAB 10 NRR/DREP/RAB 10 R~R..IB 9A EG E 02 E SR/PRAB COPIES LTTR ENCL 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RECIPIENT ID CODE/NAME PD2-2 PD ACRS MOELLER AEOD/DOA AEOD/ROAB/DS P DEDRO NRR/DEST/CEB 8H NRR/DEST/ICSB 7 NRR/DEST/MTB 9H NRR/DEST/RSB 8E NRR/DLPQ/HFB 10 NRR/DOEA/EAB 11 NRR/DREP/RPB 10 NUDOCS-ABSTRACT RES/DSIR/EIB RGN2 FILE 01 COPIES LTTR ENCL 1 1 2.2 1 1 2 2 1 1-1 1 1 1 1 1 1 1 1 1 1 1 2 2 1 1 1 1 1 1 | | ACCESSION NBR:8901030388 DOC.DATE: 88/12/30 NOTARIZED: NO DOCKET FACIL:50-250 Turkey Point Plant, Unit 3, Florida Power and Light C 05000250 AUTH. NAME AUTHOR AFFILIATION LYONS,E. " |
| | Florida Power' Light Co., |
| | CONWAY,W.F. Florida Power & Light. Co. |
| | RECIP.NAME RECIPIENT AFFILIATION |
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| |
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| ==SUBJECT:== | | ==SUBJECT:== |
| LER 88-032-00:on 881202,personnel error results in loss of power to vital instrument bus&isolation of CR&CV.W/8 DISTRIBUTION CODE: IE22D COPIES RECEIVED:LTR | | LER 88-032-00:on 881202,personnel error results in loss of power to vital instrument bus & isolation of CR & CV. |
| 'NCL SIZE: TITLE: 50.73 Licensee Event Report (LER)g Incident Rpt, etc.NOTES 8 D D S EXTERNAL EG&G WI LLIAMS I S H ST LOBBY WARD NRC PDR NSIC MAYS(G 4 4 1 1 1 1 1 1 FORD BLDG HOY,A LPDR NSIC HARRIS,J 1 1 1 1 1 1~'IO ALL t'RIDS" RECZPZENIS'IZASE HELP US 10 REDUCE WASTE!~CI'IHE DOCUMENI'ONGEAL DESK ROOM Pl-37 (EXT.20079)KO EZJl62QQ'E YOUR NAME FMH DISTfKBVZIQN LISTS POR DOCUMENZS YOU DOIN'T NEED!TOTAL NUMBER OF COPIES REQUIRED: LTTR 44 ENCL 43 g(0@ | | W/8 DISTRIBUTION CODE: IE22D COPIES RECEIVED:LTR 'NCL SIZE: 8 TITLE: 50.73 Licensee Event Report (LER)g Incident Rpt, etc. |
| NAC Form 300 (903)LICENSEE EVENT REPORT{LER)U.S.NUCLEAR REOULATORY COMMISSION APPROVED OMB NO.31500101 EXPIRES: 0/31/00 FACILITY NAME (I)Turke Point Unit 3 DOCKET NUMBER (2)PA o 5 o o o2 5p>OF03 Personnel Error Results in Loss of Power to Vital Instrument Bus and EVENT DATE (5)MONTH DAY YEAR YEAR, SEQVENrr*L NUMBER'yxx REvrslON 2N: NVMSER LER NUMBER (0)REPORT DATE I7)MONTH OAY YEAR OTHER FACILITIES INVOLVED (0)DOCKE'7 NUMBER(s)0 5 0 0 0 251 I'ACI LIT Y NAMES Turkey Point Unit 4 1 2 0 2 8 8 8 0 3 2 0 12 3088 0 5 0 0 0 OPEAATINO MODE (SI 5 POWER LEVEL p p p 20A02(0)20A00(e)II)lil 20A00(elll l(il)20A00(~l(1 I (ill I 20A00(e l(1)(lr I 20A00(e I (1)(r)20A05(c)50M(cl (I)00.30(cl(2) 09.7$(~)(21(l)00.73(el(2)(EI 50.73(e)l2)(ill)LICENSEE CONTACT FOA THIS LER (12)50.73(e)l2)(lrl 50.73(el(2)(r) 50,7$(el(2srlll 50,7$(~l(2)(rllll(A) 50.7$(el(2)(rlE)(SI 50.73(r)l2)(el 0 THE REOUIAEMENTS OF 10 CFA (I: ICnicfr onr or morr of tnr fofforffnff III)THIS REPORT IS SUBMITTED PURSUANT T 7$.71DII 7$.71(c)DTHER ISprclfy In Aotoxct Orrorr rnrf in Tref, ff AC Form JSSAI NAME AREA CODE TELEPHONE NUMBER Edward Lyons, Compliance Engineer 305 2 46"6 731 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 1131 CAUSE SYSTEM COMPONENT MANUFAC.TURER T()NPA()$i$';(CAUSE SYSTEM COMPONENT X90,',rX9'xe(9%~rqU(E)
| | NOTES RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD2-2 LA 1 1 PD2-2 PD 1 1 D EDISON,G 1 1 D |
| MANUFAC.TURER EPOATABL'E ir'ONPADS'''SUPPLEMENTAL REPOAT EXPECTED lie)YES Iff yrr, COmprrrr EXPECTED$(ISMISSIOIY DATEI NO ABSTRACT ILfmlt to fc00 cprcn, I r..rpproxfmrtrfy ffftrrn tfnprrrprcr typrrrrlttrn Snnf (10)EXPECTED SUBMISSION DATE (15)MONTH DAY YEAR NRC Form 300 (9 53)On December 2, 1988, at 0500, with Unit 3 in cold shutdown and Unit 4 defueled, a Nuclear Turbine Operator (NTO)was attempting to remove the 4B normal inverter from service to allow maintenance to be performed.
| | INTERNAL: ACRS MICHELSON 1 1 ACRS MOELLER 2. 2 ACRS WYLIE 1 1 AEOD/DOA 1 1 S AEOD/DSP/TPAB 1 1 AEOD/ROAB/DS P 2 2 ARM/DCTS/DAB 1 1 DEDRO 1 1-NRR/DEST/ADS 7E 1 0 NRR/DEST/CEB 8H 1 1 NRR/DEST/ESB SD 1 1 NRR/DEST/ICSB 7 1 1 NRR/DEST/MEB 9H 1 1 NRR/DEST/MTB 9H 1 1 NRR/DEST/PSB SD 1 1 NRR/DEST/RSB 8E 1 1 NRR/DEST/SGB SD 1 1 NRR/DLPQ/HFB 10 1 1 NRR/DLPQ/QAB 10 1 1 NRR/DOEA/EAB 11 1 1 NRR/DREP/RAB 10 1 1 NRR/DREP/RPB 10 2 2 R~R.. IB 9A 1 1 NUDOCS-ABSTRACT 1 1 EG E 02 1 1 RES/DSIR/EIB 1 1 E SR/PRAB 1 1 RGN2 FILE 01 1 1 EXTERNAL EG&G WILLIAMSI S 4 4 FORD BLDG HOY,A 1 1 H ST LOBBY WARD 1 1 LPDR 1 1 NRC PDR 1 1 NSIC HARRIS,J 1 1 NSIC MAYS(G 1 1 |
| After transferring load to the"B" spare inverter, the NTO mistakenly opened the output breaker for the"BH spare inverter instead of opening the output breaker for the 4B normal inverter.This resulted in a loss of power to the 120 vital AC bus 4P08 and the process radiation monitoring rack.Loss of the process radiation monitoring rack resulted in the automatic isolation of the Containment Ventilation and Control Room Ventilation systems.The breaker was closed approximately 30 seconds after being opened, and at 0540 the Control Room Ventilation system was returned to its normal alignment.
| | ~ 'IO ALL t'RIDS" RECZPZENIS'IZASE HELP US 10 REDUCE WASTE! ~CI'IHE DOCUMENI'ONGEAL DESK ROOM Pl-37 (EXT. 20079) KO EZJl62QQ'E YOUR NAME FMH DISTfKBVZIQN LISTS POR DOCUMENZS YOU DOIN'T NEED! |
| The cause of the event was personnel error in that the NTO opened the output breaker for the"B" spare inverter instead of opening the output breaker for the 4B normal inverter..
| | TOTAL NUMBER OF COPIES REQUIRED: LTTR 44 ENCL 43 g(0@ |
| Human factors considerations contributed to this event in that the"B" spare inverter was mis-labeled as HB standby inverter." The NTO was counseled following the event.The spare inverters will be re-labeled as spare inverters.
| |
| In addition, the procedure in use at the time of the event will be revised to require that the oper'ator verify that the inverter to be de-energized is not supplying power to the bus.rC7 x 89P1PSP:Sc:-,":
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| 12ZP PElh ADOCVi P SPP<)25P PDC NRC Form 38SA (98'i LICENSEE E NT REPORT HLER)TEXT CONTINUA N U.S.NUCLEAR REGULATORY COMMISSION APPROVED OMS NO.3150-0104 EXPIRES: 8/31/88 FACILITY NAME tll Turkey Point Unit 3 TENT/S'm<<o Nw>>)4 roSI>><</, I>>o<<//Sor>>l HRC Form Sr)SASJ (IT)DOCKET NUMBER (2)0 5 0 0 0 LER NUMBER Ld)YEAR g@SEQUENTIAL g+g REVISION NI/MSER'/8 NVM8ER 88 03 2 00 PAGE (3)0 2 0 3 DESCRIPTION OF THE EVENT'n December 2, 1988, at 0500, with Unit 3 in cold shutdown and Unit 4 defueled, a Nuclear Turbine Operator (NTO)(non-licensed utility employee)was attempting to remove the 4B normal inverter (EIIS:EF;component:
| |
| INVT)from service to allow maintenance to be performed.
| |
| The NTO had previously transferred the load from the 4B normal inverter to the"B" spare inverter.Following the load transfer, the NTO mistakenly opened the output breaker for the"B" spare inverter, instead of opening the output breaker for the 4B normal'inverter.
| |
| This resulted in a loss of power to the 120 volt AC vital'us 4P08.The process radiation monitoring rack is powered from bus 4P08.Therefore, the loss of bus 4P08 resulted in the loss of the process radiation monitoring rack.The loss of the process radiation monitoring rack resulted in the automatic isolation of the Containment Ventilation System (EIIS:VA)and the Control Room Ventilation System (EIIS:VI).
| |
| Breaker 4P08 was reclosed approximately 30 seconds after being opened.At 0515 the 4B normal inverter was de-energized.
| |
| At 0540, the Control Room Ventilation System was returned to its normal configuration.
| |
| CAUSE OF THE EVENT The cause of the'event was personnel error in that the NTO opened the output breaker for the"B" spare inverter instead of the output breaker for the 4B normal inverter.Human factors considerations contributed to the cause of this event.The section of the procedure used to de-energize an inverter is labeled"De-energizing a Standby Inverter." The procedure requires that the operator"Perform the following steps at the affected inverter panel." In this event, the affected inverter was the 4B normal inverter.In addition, the"B" spare inverter was mis-labeled as"B Standby Inverterou The NTO apparently became confused about which inverter was the"affected inverter" and opened the wrong breaker.ANALYSIS The Containment Ventilation System and the Control Room Ventilation System isolated as designed on a loss of power to the process radiation monitoring rack.No plant equipment was damaged as a result of this event.Based on the above, this event had no effect on the health and safety of the public.CORRECTIVE ACTIONS 1)Breaker 4P08 was reclosed, within approximately 30 seconds, restoring power to the bus.2)The NTO and the other operators on the same shift were counseled on the importance of recognizing the goals of the evolution being performed, and the relationship between those goals and the procedural steps being performed.
| |
| In addition, a night order was issued to instruct all shifts to verify that an inverter being removed from service is not carrying any load prior to opening the output breaker.NRC FORM SddA (94)3)oU.8 GPO:1986 0.624 538r455
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| NRC Form 3BSA (9"3)LICENSEE VENT REPORT (LER)TEXT CONTINUATION U.S.NUCLEAR REOULATORY COMMISSIO APPROVED OMB NO.3150&104 EXPIRES: 8/31/88 FACILITY NAME (I)DOCKET NUMBER (2)LER NUMBER (8)PACE (3)Turkey Point Unit 3 TEXT/8'Rlrro Nwor H/BBoled, I/ro aAWons/HRC | | NAC Form 300 U.S. NUCLEAR REOULATORY COMMISSION (903) |
| %%dri 3854'r/nl)o s o o o YEAR@Q 8 8 BEOUENTIAL j.m NUMBER reer 032 REVISION NUMBER 00 03 OF 0 3 3)4)The spare inverters will be re-labeled as spare inverters. | | APPROVED OMB NO. 31500101 LICENSEE EVENT REPORT {LER) EXPIRES: 0/31/00 FACILITY NAME (I) DOCKET NUMBER (2) PA Turke Point Unit 3 o 5 o o o2 5p >OF03 Personnel Error Results in Loss of Power to Vital Instrument Bus and EVENT DATE (5) LER NUMBER (0) REPORT DATE I7) OTHER FACILITIES INVOLVED (0) |
| 'This action will be completed by February 24, 1989.Procedure O-OP-003.3 will be revised to require that the operator verify that the inverter to be de-energized is not supplying power by checking the associated ammeter prior to opening the breakers.This action will be completed by February 10, 1989.ADDITIONAL INFORMATION Similar events:LERs 251-88-002 and 250-87-032 describe similar events.NRC FORM 34BA (983)*U,S.OPO.'(988 0 824 538/455 P.O.Box 14000, Juno Beach, FL 33408-0420 | | MONTH DAY YEAR YEAR, SEQVENrr*L 'yxx REvrslON MONTH OAY YEAR I'ACI LIT Y NAMES DOCKE'7 NUMBER(s) |
| .OEGEMBER 5 O~9<~L-88-555 10 CFR 50.73 U.S.Nuclear Regulatory Commission Attn: Document Control Desk Washington, D.C.20555 Gentlemen:. | | NUMBER 2N: NVMSER Turkey Point Unit 4 0 5 0 0 0 251 1 2 0 2 8 8 8 0 3 2 0 12 3088 0 5 0 0 0 THIS REPORT IS SUBMITTED PURSUANT T 0 THE REOUIAEMENTS OF 10 CFA (I: ICnicfr onr or morr of tnr fofforffnffIII) |
| Re: Turkey Point Units 3 and 4 Docket Nos.50-250 and 50-251 Reportable Event: 250-88-32 Date of Event: December 2, 1988 Personnel Error Results in Loss of Power to Vital Instrument Bus and Automatic Isolation of Control Room and-Containment Ventilation The attached License Event Report (LER)is being submitted pursuant to the requirements of 10 CFR 50.73 to provide notification of the subject event.Very truly yours, W.F.Conw y Senior Vice President-Nuclear WFC/RHF/gp Attachment CC Malcolm L.Ernst, Acting Regional Administrator, Region II, USNRC Senior Resident Inspector, USNRC, Turkey Point Plant an Fpt.Group company}} | | OPEAATINO MODE (SI 5 20A02(0) 20A05(c) 50.73(e) l2)(lrl 7$ .71DII POWER 20A00(e) II)lil 50M(cl (I) 50.73(el(2)(r) 7$ .71(c) |
| | LEVEL p p p 20A00(elll l(il) 00.30(cl(2) 50,7$ (el(2srlll DTHER ISprclfy In Aotoxct Orrorr rnrf in Tref, ffAC Form 20A00( ~ l(1 I (illI 09.7$ ( ~ )(21(l) 50,7$ ( ~ l(2)(rllll(A) JSSAI 20A00(e l(1)(lrI 00.73(el(2)(EI 50.7$ (el(2)(rlE) (SI 20A00(e I (1)(r) 50.73(e) l2)(ill) 50.73(r) l2)(el LICENSEE CONTACT FOA THIS LER (12) |
| | NAME TELEPHONE NUMBER AREA CODE Edward Lyons, Compliance Engineer 305 2 46 "6 731 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 1131 CAUSE SYSTEM COMPONENT MANUFAC. |
| | TURER T() NPA()$ i $ |
| | X90,',rX9 |
| | '; ( CAUSE SYSTEM COMPONENT MANUFAC. |
| | TURER EPOATABL'E ir'ONPADS |
| | 'xe(9%~rqU(E) |
| | SUPPLEMENTAL REPOAT EXPECTED lie) MONTH DAY YEAR EXPECTED SUBMISSION DATE (15) |
| | YES Iffyrr, COmprrrr EXPECTED $ (ISMISSIOIY DATEI NO ABSTRACT ILfmlt to fc00 cprcn, I r.. rpproxfmrtrfy ffftrrn tfnprrrprcr typrrrrlttrn Snnf (10) |
| | On December 2, 1988, at 0500, with Unit 3 in cold shutdown and Unit 4 defueled, a Nuclear Turbine Operator (NTO) was attempting to remove the 4B normal inverter from service to allow maintenance to be performed. |
| | After transferring load to the "B" spare inverter, the NTO mistakenly opened the output breaker for the "BH spare inverter instead of opening the output breaker for the 4B normal inverter. This resulted in a loss of power to the 120 vital AC bus 4P08 and the process radiation monitoring rack. Loss of the process radiation monitoring rack resulted in the automatic isolation of the Containment Ventilation and Control Room Ventilation systems. The breaker was closed approximately 30 seconds after being opened, and at 0540 the Control Room Ventilation system was returned to its normal alignment. The cause of the event was personnel error in that the NTO opened the output breaker for the "B" spare inverter instead of opening the output breaker for the 4B normal inverter.. Human factors considerations contributed to this event in that the "B" spare inverter was mis-labeled as HB standby inverter." The NTO was counseled following the event. The spare inverters will be re-labeled as spare inverters. In addition, the procedure in use at the time of the event will be revised to require that the oper'ator verify that the inverter to be de-energized is not supplying power to the bus. |
| | rC7 x 89P1PSP:Sc:-,": 12ZP PElh ADOCVi P SPP<)25P PDC NRC Form 300 (9 53) |
| | |
| | NRC Form 38SA U.S. NUCLEAR REGULATORY COMMISSION (98'i LICENSEE E NT REPORT HLER) TEXT CONTINUA N APPROVED OMS NO. 3150-0104 EXPIRES: 8/31/88 FACILITY NAME tll DOCKET NUMBER (2) LER NUMBER Ld) PAGE (3) |
| | SEQUENTIAL g+g REVISION YEAR g@ NI/MSER '/8 NVM8ER Turkey Point Unit 3 0 5 0 0 0 88 03 2 00 0 2 0 3 TENT /S'm<<o Nw>>)4 roSI>><</, I>>o<<//Sor>>l HRC Form Sr)SASJ (IT) |
| | DESCRIPTION OF THE EVENT |
| | 'n December 2, 1988, at 0500, with Unit 3 in cold shutdown and Unit 4 defueled, a Nuclear Turbine Operator (NTO) (non-licensed utility employee) was attempting to remove the 4B normal inverter (EIIS:EF; component: INVT) from service to allow maintenance to be performed. The NTO had previously transferred the load from the 4B normal inverter to the "B" spare inverter. Following the load transfer, the NTO mistakenly opened the output breaker for the "B" spare inverter, instead of opening the output breaker for the 4B normal 'inverter. This resulted in a loss of power to the 120 volt AC vital'us 4P08. The process radiation monitoring rack is powered from bus 4P08. Therefore, the loss of bus 4P08 resulted in the loss of the process radiation monitoring rack. The loss of the process radiation monitoring rack resulted in the automatic isolation of the Containment Ventilation System (EIIS:VA) and the Control Room Ventilation System (EIIS:VI). Breaker 4P08 was reclosed approximately 30 seconds after being opened. At 0515 the 4B normal inverter was de-energized. At 0540, the Control Room Ventilation System was returned to its normal configuration. |
| | CAUSE OF THE EVENT The cause of the'event was personnel error in that the NTO opened the output breaker for the "B" spare inverter instead of the output breaker for the 4B normal inverter. Human factors considerations contributed to the cause of this event. The section of the procedure used to de-energize an inverter is labeled "De-energizing a Standby Inverter." The procedure requires that the operator "Perform the following steps at the affected inverter panel." In this event, the affected inverter was the 4B normal inverter. In addition, the "B" spare inverter was mis-labeled as "B Standby Inverterou The NTO apparently became confused about which inverter was the "affected inverter" and opened the wrong breaker. |
| | ANALYSIS The Containment Ventilation System and the Control Room Ventilation System isolated as designed on a loss of power to the process radiation monitoring rack. No plant equipment was damaged as a result of this event. Based on the above, this event had no effect on the health and safety of the public. |
| | CORRECTIVE ACTIONS |
| | : 1) Breaker 4P08 was reclosed, within approximately 30 seconds, restoring power to the bus. |
| | : 2) The NTO and the other operators on the same shift were counseled on the importance of recognizing the goals of the evolution being performed, and the relationship between those goals and the procedural steps being performed. In addition, a night order was issued to instruct all shifts to verify that an inverter being removed from service is not carrying any load prior to opening the output breaker . |
| | NRC FORM SddA oU.8 GPO:1986 0.624 538r455 (94)3) |
| | |
| | NRC Form 3BSA (9 "3) U.S. NUCLEAR REOULATORY COMMISSIO LICENSEE VENT REPORT (LER) TEXT CONTINUATION APPROVED OMB NO. 3150&104 EXPIRES: 8/31/88 FACILITY NAME (I) DOCKET NUMBER (2) |
| | LER NUMBER (8) PACE (3) |
| | YEAR @Q BEOUENTIAL NUMBER j.m REVISION reer NUMBER Turkey Point Unit 3 o s o o o 8 8 032 00 03 OF 0 3 TEXT /8'Rlrro Nwor H /BBoled, I/ro aAWons/HRC %%dri 3854'r/ nl) |
| | : 3) The spare inverters will be re-labeled as spare inverters. 'This action will be completed by February 24, 1989. |
| | : 4) Procedure O-OP-003.3 will be revised to require that the operator verify that the inverter to be de-energized is not supplying power by checking the associated ammeter prior to opening the breakers . This action will be completed by February 10, 1989. |
| | ADDITIONAL INFORMATION Similar events:LERs 251-88-002 and 250-87-032 describe similar events. |
| | NRC FORM 34BA *U,S.OPO.'(988 0 824 538/455 (983) |
| | |
| | P.O. Box 14000, Juno Beach, FL 33408-0420 |
| | . OEGEMBER 5 O ~9<~ |
| | L-88-555 10 CFR 50.73 U. S. Nuclear Regulatory Commission Attn: Document Control Desk Washington, D. C. 20555 Gentlemen:. |
| | Re: Turkey Point Units 3 and 4 Docket Nos. 50-250 and 50-251 Reportable Event: 250-88-32 Date of Event: December 2, 1988 Personnel Error Results in Loss of Power to Vital Instrument Bus and Automatic Isolation of Control Room and- Containment Ventilation The attached License Event Report (LER) is being submitted pursuant to the requirements of 10 CFR 50.73 to provide notification of the subject event. |
| | Very truly yours, W. F. Conw y Senior Vice President Nuclear WFC/RHF/gp Attachment CC Malcolm L. Ernst, Acting Regional Administrator, Region II, USNRC Senior Resident Inspector, USNRC, Turkey Point Plant an Fpt. Group company}} |
|
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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17355A3891999-07-20020 July 1999
LER 99-001-00:on 990623,manual Rt from 100% Power Following Multiple Control Rod Drops Was Noted.Caused by Manual Action Taken by Reactor Control Operator.Inspected & Repaired Stationary Gripper Regulating Cards.With 990720 Ltr
ML17354B1921998-11-18018 November 1998
LER 98-007-00:on 981020,containment Purge Supply,Valve Opened Wider than TS Limit.Caused by Improper Setting of Mechanical Stops.Incorporated Improved Standard Method of Measuring Angular Valve Position Into Sp.With 981118 Ltr
ML17354B1361998-10-16016 October 1998
LER 98-004-00:on 980921,automatic Reactor Trip Occurred. Caused by Inadequate re-correlation of Intermediate Range Neutron Flux Instrumentation Reactor Trip Bistable. Enhanced Applicable Plant Procedures.With 981016 Ltr
ML17354B0341998-07-15015 July 1998
LER 98-003-00:on 980619,discovered That Auxiliary Feedwater Sys Was Inoperable Due to Inadequate Inservice Testing of Valves.Caused by Misunderstanding of Testing Criteria.Util Revised Procedures & Verified Operability of Valves
ML17354A9841998-06-18018 June 1998
LER 97-007-01:on 970730,automatic Reactor Trip Occurred Due to Closure of B Msiv.Caused by Failed BFD22S Relay.Six Relays on 3A,3B & 3C MSIVs Were Replaced & Implemented Plant Change to Disable Electronic Trip Function on 3 AFW Pumps
ML17354A9741998-06-0909 June 1998
LER 98-002-00:on 980513,discovered Potential LOCA-initiated Electrical Fault Which Places ECCS Outside Design Basis. Caused by Inadequate Review of Effect on non-safety Circuit failures.Re-powered PC-*-600A Relays
ML17354A8511998-03-24024 March 1998
LER 97-009-01:on 971114,discovered That CR Console Switch for 3B Sgfp Was Not in Start Position.Caused by Inadequate Procedural Guidance.Revised Procedures 3/4-OP-074,informed Personnel of Event & Performed Walkdown of CR
ML17354A8441998-03-18018 March 1998
LER 98-001-00:on 980216,manual Reactor Trip Occurred Due to Loss of Turbine Control Oil Pressure W/Steam Leak in Auxiliary Feedwater Steam Supply Piping.Auxiliary Governor Maint Instructions Will Be revised.W/980318 Ltr
ML17354A7361997-12-12012 December 1997
LER 97-009-01:on 971114,identified That CR Console Switch for 3B SG Feedwater Pump Was Not in Start Position.Caused by Inadequate Procedural Guidance.Procedures 3/4-OP-074,SGFP Were revised.W/971212 Ltr
ML17354A6801997-10-0808 October 1997
LER 97-008-00:on 970909,containment Sump Debris Screens Outside Design Basis Due to Stress Damage Was Discovered. Caused by Inadequate Procedural Guidance & Personnel Error. Discrepancies Found on Screens corrected.W/971008 Ltr
ML17354A6121997-08-29029 August 1997
LER 97-007-00:on 970730,automatic Reactor Trip Occurred. Caused by Closure of B Main Steam Isolation Valve.Failed W Relay & Equivalent Relays Were replaced.W/970829 Ltr
ML17354A6081997-08-18018 August 1997
LER 97-006-00:on 970722,manual Reactor Trip Occurred Due to Failed Rod Control Power Supplies.Replaced Twelve Power Supplies in Rod Control Logic & Power cabinets.W/970818 Ltr
ML17354A5801997-07-14014 July 1997
LER 97-005-00:on 970618,RCP Oil Collection Sys Was Found Outside Design Basis.Caused Because Design Did Not Consider Component Parts to Be Potential Leakage Sources.Entire RCP Oil Collection Sys Was reviewed.W/970714 Ltr
ML17354A5141997-05-22022 May 1997
LER 97-002-00:on 970423,automatic Reactor Tripped.Caused by Actuation of Turbine Overspeed Protection Circuit. Administrative Procedures Governing Inadequate Work Controls Will Be Revised to Capture Lessons learned.W/970522 Ltr
ML17354A5061997-05-0909 May 1997
LER 97-003-00:on 970410,mode Changed W/O Meeting Requirements of TS 3.0.4 Due to Inadequate Procedural Guidance.Night Order Was Issued to Inform Personnel That S/G Blowdown Keylock Switches Were Left in drain.W/970509 Ltr
ML17354A5051997-05-0909 May 1997
LER 97-004-00:on 970411,auxiliary Feedwater Automatic Start Upon Trip of All Main Feedwater Pumps,Occurred.Caused by Mispositioned Valve Closing.Valves Listed as Inappropriately Positioned Were repositioned.W/970509 Ltr
ML17354A4781997-04-25025 April 1997
LER 97-001-00:on 970327,ECCS Recirculation Loop Leakage Was Found to Be in Condition Outside Design Basis Due to Gasket Movement During Installation During Spring 1966 Reassembly. Gasket Replaced & Pump tested.W/970425 Ltr
ML17354A4581997-03-28028 March 1997
LER 97-002-00:on 970303,manual Reactor Trip Following Rod Control Urgent Failure Alarm Occurred.Caused by Phase Failure Detection on Stationary a Circuits of 2BD Rod Control Cabinet.Air Conditioning replaced.W/970328 Ltr
ML17354A4511997-03-26026 March 1997
LER 97-001-00:on 970118,missed Surveillance on CR Position Verification Occurred Due to Inoperable Rod Deviation Monitor.Faulty Circuit Common Connection Was Corrected & Rdm Operability Was restored.W/970326 Ltr
ML17354A4061997-02-0303 February 1997
LER 96-004-03:on 970107,identified Three Instances of Inadequate Surveillance Testing.Caused by Inadequate Surveillance Procedures.Surveillance Procedures Revised
ML17354A3771996-12-27027 December 1996
LER 96-012-00:on 961204,determined Containment Average Temp Being Determined Based on Only Two Temp Elements Instead of Three as Required by Tss.Caused by Log Only Requiring One Entry.Log revised.W/961227 Ltr
ML17354A3261996-11-0606 November 1996
LER 96-011-00:on 961009,potential for Overpressurizing Post Accident Containment Vent Filter Housings Occurred.Caused by Improper Change Mgt.Monitoring Sys Operating Procedures revised.W/961106 Ltr
ML17354A3071996-10-22022 October 1996
LER 96-010-00:on 960924,manual Reactor Shutdown Occurred. Caused by Failed Rod Control Sys Regulation Card in 2AC Power cabinet.2AC Power Cabinet DC Power Supplies,Cabling & Connectors checked.W/961022 Ltr
ML17353A8711996-08-27027 August 1996
LER 96-009-00:on 960729,failed to Reflect Heavy Load Design Info in Procedural Controls.Caused by Failure to Incorporate 1982 Procedure Changes.Suspended Lifting of Heavy Loads & Took Turbine Bldg Crane OOS.W/960827 Ltr
ML17353A7411996-06-18018 June 1996
LER 96-008-00:on 960521,surveillance Method for Testing Emergency Diesel Generators (EDG) Determined Inadequate. Caused by Personnel Error.All Four EDGs Rapid Start Tested & EDG Surveillance Procedures modified.W/960618 Ltr
ML17353A7401996-06-18018 June 1996
LER 96-004-02:on 960524,identified Inadequate Surveillance Testing.Caused by Inadequate Surveillance Procedures.Entered Tech Spec Statements,Tested Required Instruments Functions & Revised Plant procedure.W/960618 Ltr
ML17353A6901996-05-13013 May 1996
LER 96-004-01:on 960220,identified Potential Tech Spec non-compliance Associated W/Surveillance Testing of AFW Actuation Circuitry on Sg.Caused by Inadequate Surveillance Procedures.Procedures revised.W/960513 Ltr
ML17353A6741996-05-0606 May 1996
LER 96-001-00:on 960409,manual Rt Occurred Due to Turbine Governer Control Oil Perturbation.Disassembled & Inspected Governor Valve for Cleanliness & Corrosion products.W/960506 Ltr
ML17353A6651996-04-29029 April 1996
LER 96-007-00:on 960329,inadvertent ESF Actuation Occurred During Refueling Outage Due to Cognitive Personnel Error. Personnel Involved Counseled & Integrated Safeguards Test Procedures Being revised.W/960429 Ltr
ML17353A6601996-04-25025 April 1996
LER 96-006-00:on 960327,manual Rt Occurred Due to 3C Transformer Lockout & Loss of 3B SG Mfp.Replaced SAM Timer Relay in 3AC16.W/960425 Ltr
ML17353A6491996-04-23023 April 1996
LER 96-005-00:on 960326,certain Safety Injection Accumulator Filled Evolutions Resulted in cross-tied Configuration.C/A: Night Order Written & Operations Procedure 3/4-OP-064 revised.W/960423 Ltr
ML17353A6051996-03-18018 March 1996
LER 96-003-00:on 960222,two Arpi Inoperable & TS 3.0.3 Entered.Proposed License Amend Submitted to Revise Allowed Misalignment from +/-12 Steps to =/-18 Steps Between Arpi & Dpi at Less than 90% power.W/960318 Ltr
ML17353A6041996-03-18018 March 1996
LER 96-004-00:on 960220,surveillance Testing of AFW Actuation Circuitry Was Inadequate.Caused by Inadequate Surveillance Procedures.Tested Untested Portions of Actuation Logic for AFW Automatic Start signal.W/960318 Ltr
ML17353A5861996-03-0606 March 1996
LER 96-002-00:on 960209,automatic Turbine Trip/Rt Occurred Due to High SG Level.Caused by Personnel Error.Replaced Both Hinge Pins on B Sgfp Discharge Check valve.W/960306 Ltr
ML17353A5761996-03-0101 March 1996
LER 96-001-00:on 960131,intake CWS Flow Rates Found W/ Potential to Be Less than Required by Design Basis.Caused by Influx of Aquatic Grass & Algae Onto Basket Strainers of Icw Flow Path.Mechanically Cleaned strainers.W/960301 Ltr
ML17353A4451995-11-0909 November 1995
LER 95-007-00:on 951017,manual Rt Occurred Following Drop of Four Control Rods.Caused by Water Intrusion Into Rod Control Power Cabinet 2BD.Inspected Control Power Cabinet 2BD for Other Water damage.W/951109 Ltr
ML17353A4241995-10-12012 October 1995
LER 95-006-00:on 950913,analysis Showed That CCW Exchangers Susceptible to Damage Due to flow-induced Vibration.Ccw Sys Has Been Flow Balanced to Closer tolerances.W/951012 Ltr
ML17353A3601995-09-13013 September 1995
LER 95-005-00:on 950818,containment Pressure Testing Procedure Resulted in Inhibiting Both Trains of Containment Pressure from Initiated Esf.Revised Procedure to Require Testing of Each Train separately.W/950913 Ltr
ML17353A2951995-07-17017 July 1995
LER 94-005-02:on 941103,both Units Outside Design Basis Due to Design Defect in Safeguards Bus Sequencer Test Logic. Resumed Monthly Manual Testing of Sequencer
ML17352B1581995-05-0505 May 1995
LER 95-004-00:on 950407,unit Being Shutdown to Investigate Recurring non-urgent Failure Alarms from Redundant Rod Control Power Supplies.Reactor Manually Tripped.All Four PS-3 Power Supplies replaced.W/950505 Ltr
ML17352B1181995-04-0707 April 1995
LER 95-003-00:on 950309,intake Cooling Water Flow Rate Through CCW Heat Exchangers Fell Below Assumed Design Basis. Caused by an Influx of Aquatic Grass & Algae Onto Basket Strainers.Strainers cleaned.W/950407 Ltr
ML17352B0701995-03-13013 March 1995
LER 95-002-00:on 950215,inadequate Definition of Loops Filled Resulted in Units in Condition Prohibited by Ts. Issued TS Position Statement to Define Term Loops Filled as Used in TS 6.4.1.1.4.W/950313 Ltr
ML17352B0321995-02-0909 February 1995
LER 94-005-01:on 941103,design Defect Found in Safeguards Bus Sequencer Test Logic,Placing Facility Outside Design Basis.Design Mods to Eliminate Software Logic Problems Will Be Implemented During Next Refueling outages.W/950209 Ltr
ML17352B0101995-01-20020 January 1995
LER 94-006-00:on 941226,C Main Feedwater Control Valve Failed Closed,Causing Reactor & Turbine Trips.Caused by Loose Screw Terminal Connection.I/P Transducers Replaced W/ New Model W/Different Design Wire connection.W/950120 Ltr
ML17352A9511994-12-13013 December 1994
LER 94-006-00:on 941130,Unit 4 Tripped Automatically.Caused by Failure of Flexible Link Connection Between Main Generator B Phase Bus & Associated Isolated Phase Bus Bar. All Bolts on Flexible Link checked.W/941213 Ltr
ML17352A8871994-11-10010 November 1994
LER 94-005-00:on 941103,design Defect in Safeguards Bus Sequencer Test Logic Places Both Units Outside Design Basis. Caused by 3A Sequencer Failed to Respond as Expected to Opposite Unit SI signal.W/941110 Ltr
ML17352A8851994-11-10010 November 1994
LER 94-004-00:on 941103,Unit 3 Outside Design Basis Due to Two of Three Required Safety Injection Pumps Inoperable. Control Switches for 3A & 3B Safety Injection Pumps Immediately Returned to automatic.W/941110 Ltr
ML17352A8421994-10-21021 October 1994
LER 94-004-00:on 940923,Unit 4 Tripped Automatically from Rated Power.Caused by Faulty Regulator Transistor.Faulty Backup Power Supply Replaced & Maint History for Power Supplies reviewed.W/941021 Ltr
ML17352A8431994-10-20020 October 1994
LER 94-005-00:on 940924,Unit 4 Manually Tripped.Caused by Manual Actuation.Light Bulb & Socket replaced.W/941020 Ltr
ML17352B1671994-08-16016 August 1994
LER 94-003-00:on 940720 & 21,util Discovered That Several Required Valve Stroke Time Surveillances Had Not Been Performed.Caused by Personnel Error.Personnel Reassigned & Procedures and Surveillance Tracking Software Enhanced
1999-07-20
[Table view]
Category:RO)
MONTHYEARML17355A3891999-07-20020 July 1999
LER 99-001-00:on 990623,manual Rt from 100% Power Following Multiple Control Rod Drops Was Noted.Caused by Manual Action Taken by Reactor Control Operator.Inspected & Repaired Stationary Gripper Regulating Cards.With 990720 Ltr
ML17354B1921998-11-18018 November 1998
LER 98-007-00:on 981020,containment Purge Supply,Valve Opened Wider than TS Limit.Caused by Improper Setting of Mechanical Stops.Incorporated Improved Standard Method of Measuring Angular Valve Position Into Sp.With 981118 Ltr
ML17354B1361998-10-16016 October 1998
LER 98-004-00:on 980921,automatic Reactor Trip Occurred. Caused by Inadequate re-correlation of Intermediate Range Neutron Flux Instrumentation Reactor Trip Bistable. Enhanced Applicable Plant Procedures.With 981016 Ltr
ML17354B0341998-07-15015 July 1998
LER 98-003-00:on 980619,discovered That Auxiliary Feedwater Sys Was Inoperable Due to Inadequate Inservice Testing of Valves.Caused by Misunderstanding of Testing Criteria.Util Revised Procedures & Verified Operability of Valves
ML17354A9841998-06-18018 June 1998
LER 97-007-01:on 970730,automatic Reactor Trip Occurred Due to Closure of B Msiv.Caused by Failed BFD22S Relay.Six Relays on 3A,3B & 3C MSIVs Were Replaced & Implemented Plant Change to Disable Electronic Trip Function on 3 AFW Pumps
ML17354A9741998-06-0909 June 1998
LER 98-002-00:on 980513,discovered Potential LOCA-initiated Electrical Fault Which Places ECCS Outside Design Basis. Caused by Inadequate Review of Effect on non-safety Circuit failures.Re-powered PC-*-600A Relays
ML17354A8511998-03-24024 March 1998
LER 97-009-01:on 971114,discovered That CR Console Switch for 3B Sgfp Was Not in Start Position.Caused by Inadequate Procedural Guidance.Revised Procedures 3/4-OP-074,informed Personnel of Event & Performed Walkdown of CR
ML17354A8441998-03-18018 March 1998
LER 98-001-00:on 980216,manual Reactor Trip Occurred Due to Loss of Turbine Control Oil Pressure W/Steam Leak in Auxiliary Feedwater Steam Supply Piping.Auxiliary Governor Maint Instructions Will Be revised.W/980318 Ltr
ML17354A7361997-12-12012 December 1997
LER 97-009-01:on 971114,identified That CR Console Switch for 3B SG Feedwater Pump Was Not in Start Position.Caused by Inadequate Procedural Guidance.Procedures 3/4-OP-074,SGFP Were revised.W/971212 Ltr
ML17354A6801997-10-0808 October 1997
LER 97-008-00:on 970909,containment Sump Debris Screens Outside Design Basis Due to Stress Damage Was Discovered. Caused by Inadequate Procedural Guidance & Personnel Error. Discrepancies Found on Screens corrected.W/971008 Ltr
ML17354A6121997-08-29029 August 1997
LER 97-007-00:on 970730,automatic Reactor Trip Occurred. Caused by Closure of B Main Steam Isolation Valve.Failed W Relay & Equivalent Relays Were replaced.W/970829 Ltr
ML17354A6081997-08-18018 August 1997
LER 97-006-00:on 970722,manual Reactor Trip Occurred Due to Failed Rod Control Power Supplies.Replaced Twelve Power Supplies in Rod Control Logic & Power cabinets.W/970818 Ltr
ML17354A5801997-07-14014 July 1997
LER 97-005-00:on 970618,RCP Oil Collection Sys Was Found Outside Design Basis.Caused Because Design Did Not Consider Component Parts to Be Potential Leakage Sources.Entire RCP Oil Collection Sys Was reviewed.W/970714 Ltr
ML17354A5141997-05-22022 May 1997
LER 97-002-00:on 970423,automatic Reactor Tripped.Caused by Actuation of Turbine Overspeed Protection Circuit. Administrative Procedures Governing Inadequate Work Controls Will Be Revised to Capture Lessons learned.W/970522 Ltr
ML17354A5061997-05-0909 May 1997
LER 97-003-00:on 970410,mode Changed W/O Meeting Requirements of TS 3.0.4 Due to Inadequate Procedural Guidance.Night Order Was Issued to Inform Personnel That S/G Blowdown Keylock Switches Were Left in drain.W/970509 Ltr
ML17354A5051997-05-0909 May 1997
LER 97-004-00:on 970411,auxiliary Feedwater Automatic Start Upon Trip of All Main Feedwater Pumps,Occurred.Caused by Mispositioned Valve Closing.Valves Listed as Inappropriately Positioned Were repositioned.W/970509 Ltr
ML17354A4781997-04-25025 April 1997
LER 97-001-00:on 970327,ECCS Recirculation Loop Leakage Was Found to Be in Condition Outside Design Basis Due to Gasket Movement During Installation During Spring 1966 Reassembly. Gasket Replaced & Pump tested.W/970425 Ltr
ML17354A4581997-03-28028 March 1997
LER 97-002-00:on 970303,manual Reactor Trip Following Rod Control Urgent Failure Alarm Occurred.Caused by Phase Failure Detection on Stationary a Circuits of 2BD Rod Control Cabinet.Air Conditioning replaced.W/970328 Ltr
ML17354A4511997-03-26026 March 1997
LER 97-001-00:on 970118,missed Surveillance on CR Position Verification Occurred Due to Inoperable Rod Deviation Monitor.Faulty Circuit Common Connection Was Corrected & Rdm Operability Was restored.W/970326 Ltr
ML17354A4061997-02-0303 February 1997
LER 96-004-03:on 970107,identified Three Instances of Inadequate Surveillance Testing.Caused by Inadequate Surveillance Procedures.Surveillance Procedures Revised
ML17354A3771996-12-27027 December 1996
LER 96-012-00:on 961204,determined Containment Average Temp Being Determined Based on Only Two Temp Elements Instead of Three as Required by Tss.Caused by Log Only Requiring One Entry.Log revised.W/961227 Ltr
ML17354A3261996-11-0606 November 1996
LER 96-011-00:on 961009,potential for Overpressurizing Post Accident Containment Vent Filter Housings Occurred.Caused by Improper Change Mgt.Monitoring Sys Operating Procedures revised.W/961106 Ltr
ML17354A3071996-10-22022 October 1996
LER 96-010-00:on 960924,manual Reactor Shutdown Occurred. Caused by Failed Rod Control Sys Regulation Card in 2AC Power cabinet.2AC Power Cabinet DC Power Supplies,Cabling & Connectors checked.W/961022 Ltr
ML17353A8711996-08-27027 August 1996
LER 96-009-00:on 960729,failed to Reflect Heavy Load Design Info in Procedural Controls.Caused by Failure to Incorporate 1982 Procedure Changes.Suspended Lifting of Heavy Loads & Took Turbine Bldg Crane OOS.W/960827 Ltr
ML17353A7411996-06-18018 June 1996
LER 96-008-00:on 960521,surveillance Method for Testing Emergency Diesel Generators (EDG) Determined Inadequate. Caused by Personnel Error.All Four EDGs Rapid Start Tested & EDG Surveillance Procedures modified.W/960618 Ltr
ML17353A7401996-06-18018 June 1996
LER 96-004-02:on 960524,identified Inadequate Surveillance Testing.Caused by Inadequate Surveillance Procedures.Entered Tech Spec Statements,Tested Required Instruments Functions & Revised Plant procedure.W/960618 Ltr
ML17353A6901996-05-13013 May 1996
LER 96-004-01:on 960220,identified Potential Tech Spec non-compliance Associated W/Surveillance Testing of AFW Actuation Circuitry on Sg.Caused by Inadequate Surveillance Procedures.Procedures revised.W/960513 Ltr
ML17353A6741996-05-0606 May 1996
LER 96-001-00:on 960409,manual Rt Occurred Due to Turbine Governer Control Oil Perturbation.Disassembled & Inspected Governor Valve for Cleanliness & Corrosion products.W/960506 Ltr
ML17353A6651996-04-29029 April 1996
LER 96-007-00:on 960329,inadvertent ESF Actuation Occurred During Refueling Outage Due to Cognitive Personnel Error. Personnel Involved Counseled & Integrated Safeguards Test Procedures Being revised.W/960429 Ltr
ML17353A6601996-04-25025 April 1996
LER 96-006-00:on 960327,manual Rt Occurred Due to 3C Transformer Lockout & Loss of 3B SG Mfp.Replaced SAM Timer Relay in 3AC16.W/960425 Ltr
ML17353A6491996-04-23023 April 1996
LER 96-005-00:on 960326,certain Safety Injection Accumulator Filled Evolutions Resulted in cross-tied Configuration.C/A: Night Order Written & Operations Procedure 3/4-OP-064 revised.W/960423 Ltr
ML17353A6051996-03-18018 March 1996
LER 96-003-00:on 960222,two Arpi Inoperable & TS 3.0.3 Entered.Proposed License Amend Submitted to Revise Allowed Misalignment from +/-12 Steps to =/-18 Steps Between Arpi & Dpi at Less than 90% power.W/960318 Ltr
ML17353A6041996-03-18018 March 1996
LER 96-004-00:on 960220,surveillance Testing of AFW Actuation Circuitry Was Inadequate.Caused by Inadequate Surveillance Procedures.Tested Untested Portions of Actuation Logic for AFW Automatic Start signal.W/960318 Ltr
ML17353A5861996-03-0606 March 1996
LER 96-002-00:on 960209,automatic Turbine Trip/Rt Occurred Due to High SG Level.Caused by Personnel Error.Replaced Both Hinge Pins on B Sgfp Discharge Check valve.W/960306 Ltr
ML17353A5761996-03-0101 March 1996
LER 96-001-00:on 960131,intake CWS Flow Rates Found W/ Potential to Be Less than Required by Design Basis.Caused by Influx of Aquatic Grass & Algae Onto Basket Strainers of Icw Flow Path.Mechanically Cleaned strainers.W/960301 Ltr
ML17353A4451995-11-0909 November 1995
LER 95-007-00:on 951017,manual Rt Occurred Following Drop of Four Control Rods.Caused by Water Intrusion Into Rod Control Power Cabinet 2BD.Inspected Control Power Cabinet 2BD for Other Water damage.W/951109 Ltr
ML17353A4241995-10-12012 October 1995
LER 95-006-00:on 950913,analysis Showed That CCW Exchangers Susceptible to Damage Due to flow-induced Vibration.Ccw Sys Has Been Flow Balanced to Closer tolerances.W/951012 Ltr
ML17353A3601995-09-13013 September 1995
LER 95-005-00:on 950818,containment Pressure Testing Procedure Resulted in Inhibiting Both Trains of Containment Pressure from Initiated Esf.Revised Procedure to Require Testing of Each Train separately.W/950913 Ltr
ML17353A2951995-07-17017 July 1995
LER 94-005-02:on 941103,both Units Outside Design Basis Due to Design Defect in Safeguards Bus Sequencer Test Logic. Resumed Monthly Manual Testing of Sequencer
ML17352B1581995-05-0505 May 1995
LER 95-004-00:on 950407,unit Being Shutdown to Investigate Recurring non-urgent Failure Alarms from Redundant Rod Control Power Supplies.Reactor Manually Tripped.All Four PS-3 Power Supplies replaced.W/950505 Ltr
ML17352B1181995-04-0707 April 1995
LER 95-003-00:on 950309,intake Cooling Water Flow Rate Through CCW Heat Exchangers Fell Below Assumed Design Basis. Caused by an Influx of Aquatic Grass & Algae Onto Basket Strainers.Strainers cleaned.W/950407 Ltr
ML17352B0701995-03-13013 March 1995
LER 95-002-00:on 950215,inadequate Definition of Loops Filled Resulted in Units in Condition Prohibited by Ts. Issued TS Position Statement to Define Term Loops Filled as Used in TS 6.4.1.1.4.W/950313 Ltr
ML17352B0321995-02-0909 February 1995
LER 94-005-01:on 941103,design Defect Found in Safeguards Bus Sequencer Test Logic,Placing Facility Outside Design Basis.Design Mods to Eliminate Software Logic Problems Will Be Implemented During Next Refueling outages.W/950209 Ltr
ML17352B0101995-01-20020 January 1995
LER 94-006-00:on 941226,C Main Feedwater Control Valve Failed Closed,Causing Reactor & Turbine Trips.Caused by Loose Screw Terminal Connection.I/P Transducers Replaced W/ New Model W/Different Design Wire connection.W/950120 Ltr
ML17352A9511994-12-13013 December 1994
LER 94-006-00:on 941130,Unit 4 Tripped Automatically.Caused by Failure of Flexible Link Connection Between Main Generator B Phase Bus & Associated Isolated Phase Bus Bar. All Bolts on Flexible Link checked.W/941213 Ltr
ML17352A8871994-11-10010 November 1994
LER 94-005-00:on 941103,design Defect in Safeguards Bus Sequencer Test Logic Places Both Units Outside Design Basis. Caused by 3A Sequencer Failed to Respond as Expected to Opposite Unit SI signal.W/941110 Ltr
ML17352A8851994-11-10010 November 1994
LER 94-004-00:on 941103,Unit 3 Outside Design Basis Due to Two of Three Required Safety Injection Pumps Inoperable. Control Switches for 3A & 3B Safety Injection Pumps Immediately Returned to automatic.W/941110 Ltr
ML17352A8421994-10-21021 October 1994
LER 94-004-00:on 940923,Unit 4 Tripped Automatically from Rated Power.Caused by Faulty Regulator Transistor.Faulty Backup Power Supply Replaced & Maint History for Power Supplies reviewed.W/941021 Ltr
ML17352A8431994-10-20020 October 1994
LER 94-005-00:on 940924,Unit 4 Manually Tripped.Caused by Manual Actuation.Light Bulb & Socket replaced.W/941020 Ltr
ML17352B1671994-08-16016 August 1994
LER 94-003-00:on 940720 & 21,util Discovered That Several Required Valve Stroke Time Surveillances Had Not Been Performed.Caused by Personnel Error.Personnel Reassigned & Procedures and Surveillance Tracking Software Enhanced
1999-07-20
[Table view]
Category:TEXT-SAFETY REPORT
MONTHYEARML20217L9371999-10-20020 October 1999
Safety Evaluation Supporting Licensee Proposed Alternative from Certain Requirements of ASME Code,Section XI for First 10-Yr Interval Request for Relief for Containment Inservice Insp Program
ML17355A4471999-09-30030 September 1999
Monthly Operating Repts for Sept 1999 for Turkey Point,Units 3 & 4.With 991008 Ltr
ML17355A4121999-08-31031 August 1999
Monthly Operating Repts for Aug 1999 for Turkey Point,Units 3 & 4.With 990909 Ltr
ML17355A3981999-07-31031 July 1999
Monthly Operating Repts for July 1999 for Turkey Point,Units 3 & 4.With 990809 Ltr
ML17355A3891999-07-20020 July 1999
LER 99-001-00:on 990623,manual Rt from 100% Power Following Multiple Control Rod Drops Was Noted.Caused by Manual Action Taken by Reactor Control Operator.Inspected & Repaired Stationary Gripper Regulating Cards.With 990720 Ltr
ML17355A3841999-06-30030 June 1999
Monthly Operating Repts for June 1999 for Turkey Point,Units 3 & 4.With 990713 Ltr
ML17355A3681999-06-30030 June 1999
Revised Update to Topical QA Rept, Dtd June 1999
ML17355A3611999-06-30030 June 1999
Refueling Outage ISI Rept.
ML17355A3511999-05-31031 May 1999
Monthly Operating Repts for May 1999 for Turkey Point,Units 3 & 4.With 990609 Ltr
ML17355A3331999-04-30030 April 1999
Monthly Operating Repts for Apr 1999 for Turkey Point,Units 3 & 4.With 990511 Ltr
ML20217B9871999-04-0808 April 1999
Changes,Tests & Experiments Made as Allowed by 10CFR50.59 for Period Covering 971014-990408
ML17355A2881999-04-0505 April 1999
COLR for Turkey Point Unit 4 Cycle 18.
ML17355A2911999-03-31031 March 1999
Monthly Operating Repts for Mar 1999 for Turkey Point,Units 3 & 4.With 990414 Ltr
ML17355A2551999-02-28028 February 1999
Monthly Operating Repts for Feb 1999 for Turkey Point Nuclear Power Plant,Units 3 & 4.With 990315 Ltr
ML17355A2261999-01-31031 January 1999
Monthly Operating Repts for Jan 1999 for Turkey Point,Units 3 & 4.With 990211 Ltr
ML17355A2201999-01-20020 January 1999
Refueling Outage ISI Rept.
ML17355A1911998-12-31031 December 1998
Monthly Operating Repts for Dec 1998 for Turkey Point,Units 3 & 4.With 990112 Ltr
ML18008A0461998-11-30030 November 1998
Monthly Operating Repts for Nov 1998 for Turkey Point,Units 3 & 4.With 981209 Ltr
ML17354B1921998-11-18018 November 1998
LER 98-007-00:on 981020,containment Purge Supply,Valve Opened Wider than TS Limit.Caused by Improper Setting of Mechanical Stops.Incorporated Improved Standard Method of Measuring Angular Valve Position Into Sp.With 981118 Ltr
ML17354B1891998-11-0909 November 1998
Simulatory Certification Update 2.
ML17354B1901998-10-31031 October 1998
Monthly Operating Repts for Oct 1998 for Turkey Point,Units 3 & 4.With 981112 Ltr
ML17354B1591998-10-23023 October 1998
COLR for Turkey Point Unit 3 Cycle 17.
ML17354B1361998-10-16016 October 1998
LER 98-004-00:on 980921,automatic Reactor Trip Occurred. Caused by Inadequate re-correlation of Intermediate Range Neutron Flux Instrumentation Reactor Trip Bistable. Enhanced Applicable Plant Procedures.With 981016 Ltr
ML17354B1311998-09-30030 September 1998
Monthly Operating Repts for Sept 1998 for Turkey Point Unit 3 & 4.With 981012 Ltr
ML17354B0971998-09-0909 September 1998
Part 21 Rept Re Possible Machining Defect in Certain One Inch Stainless Steel Swagelok Front Ferrules,Part Number SS-1613-1.Caused by Tubing Slipping Out of Fitting at Three Times Working Pressure of Tubing.Notified Affected Utils
ML17354B0981998-08-31031 August 1998
Monthly Operating Repts for Aug 1998 for Turkey Points,Units 3 & 4.With 980915 Ltr
ML17354B0771998-07-31031 July 1998
Monthly Operating Repts for July 1998 for Turkey Point,Units 3 & 4.W/980810 Ltr
ML17354B0341998-07-15015 July 1998
LER 98-003-00:on 980619,discovered That Auxiliary Feedwater Sys Was Inoperable Due to Inadequate Inservice Testing of Valves.Caused by Misunderstanding of Testing Criteria.Util Revised Procedures & Verified Operability of Valves
ML17354B0241998-06-30030 June 1998
Monthly Operating Repts for June 1998 for Turkey Point,Units 3 & 4.W/980709 Ltr
ML17354B0171998-06-29029 June 1998
Rev 1 to PTN-FPER-97-013, Evaluation of Turbine Lube Oil Fire.
ML17354A9841998-06-18018 June 1998
LER 97-007-01:on 970730,automatic Reactor Trip Occurred Due to Closure of B Msiv.Caused by Failed BFD22S Relay.Six Relays on 3A,3B & 3C MSIVs Were Replaced & Implemented Plant Change to Disable Electronic Trip Function on 3 AFW Pumps
ML17354A9741998-06-0909 June 1998
LER 98-002-00:on 980513,discovered Potential LOCA-initiated Electrical Fault Which Places ECCS Outside Design Basis. Caused by Inadequate Review of Effect on non-safety Circuit failures.Re-powered PC-*-600A Relays
ML20248F7441998-05-31031 May 1998
Reactor Vessel Working Group,Response to RAI Regarding Reactor Pressure Vessel Integrity
ML17354A9711998-05-31031 May 1998
Monthly Operating Repts for Turkey Point,Units 3 & 4. W/980611 Ltr
ML17354A9231998-04-30030 April 1998
Monthly Operating Repts for Apr 1998 for Turkey Point,Units 3 & 4.W/980511 Ltr
ML17354A8821998-03-31031 March 1998
Monthly Operating Repts for Mar 1998 for Turkey Point,Units 3 & 4.W/980409 Ltr
ML17354A8511998-03-24024 March 1998
LER 97-009-01:on 971114,discovered That CR Console Switch for 3B Sgfp Was Not in Start Position.Caused by Inadequate Procedural Guidance.Revised Procedures 3/4-OP-074,informed Personnel of Event & Performed Walkdown of CR
ML17354B0001998-03-18018 March 1998
Florida Power & Light Topical Quality Asurance Rept, Dtd June 1998
ML17354A8441998-03-18018 March 1998
LER 98-001-00:on 980216,manual Reactor Trip Occurred Due to Loss of Turbine Control Oil Pressure W/Steam Leak in Auxiliary Feedwater Steam Supply Piping.Auxiliary Governor Maint Instructions Will Be revised.W/980318 Ltr
ML17354A8311998-02-28028 February 1998
Monthly Operating Repts for Feb 1998 for Turkey Point,Units 3 & 4.W/980311 Ltr
ML17354A7871998-01-31031 January 1998
Monthly Operating Repts for Jan 1998 for Turkey Point,Units 3 & 4.W/980209 Ltr
ML17354A7581997-12-31031 December 1997
Monthly Operating Repts for Dec 1997 for Turkey Point,Unit 3 & 4.W/980112 Ltr
ML17354A7361997-12-12012 December 1997
LER 97-009-01:on 971114,identified That CR Console Switch for 3B SG Feedwater Pump Was Not in Start Position.Caused by Inadequate Procedural Guidance.Procedures 3/4-OP-074,SGFP Were revised.W/971212 Ltr
ML17354A7381997-11-30030 November 1997
Monthly Operating Repts for Nov 1997 for Turkey Point,Units 3 & 4.W/971215 Ltr
ML17354A7211997-10-31031 October 1997
Monthly Operating Repts for Oct 1997 for Turkey Point,Units 3 & 4.W/971114 Ltr
ML17354A7491997-10-13013 October 1997
SG Insp Rept.
ML17354A8851997-10-13013 October 1997
FPL Units 3 & 4 Changes,Tests & Experiments Made as Allowed by 10CFR50.59 for Period Covering 960408-971013.
ML17354A6801997-10-0808 October 1997
LER 97-008-00:on 970909,containment Sump Debris Screens Outside Design Basis Due to Stress Damage Was Discovered. Caused by Inadequate Procedural Guidance & Personnel Error. Discrepancies Found on Screens corrected.W/971008 Ltr
ML17354A6791997-10-0606 October 1997
COLR Unit 4 Cycle 17, for Turkey Point
ML17354A6811997-09-30030 September 1997
Monthly Operating Repts for Sept 1997 for Turkey Point,Units 3 & 4.W/971009 Ltr
1999-09-30
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'3 ACCELERATED D1SQJBUTlON DEMONSTR+OY . SYS1'Eg
, /'- REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:8901030388 DOC.DATE: 88/12/30 NOTARIZED: NO DOCKET FACIL:50-250 Turkey Point Plant, Unit 3, Florida Power and Light C 05000250 AUTH. NAME AUTHOR AFFILIATION LYONS,E. "
Florida Power' Light Co.,
CONWAY,W.F. Florida Power & Light. Co.
RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 88-032-00:on 881202,personnel error results in loss of power to vital instrument bus & isolation of CR & CV.
W/8 DISTRIBUTION CODE: IE22D COPIES RECEIVED:LTR 'NCL SIZE: 8 TITLE: 50.73 Licensee Event Report (LER)g Incident Rpt, etc.
NOTES RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD2-2 LA 1 1 PD2-2 PD 1 1 D EDISON,G 1 1 D
INTERNAL: ACRS MICHELSON 1 1 ACRS MOELLER 2. 2 ACRS WYLIE 1 1 AEOD/DOA 1 1 S AEOD/DSP/TPAB 1 1 AEOD/ROAB/DS P 2 2 ARM/DCTS/DAB 1 1 DEDRO 1 1-NRR/DEST/ADS 7E 1 0 NRR/DEST/CEB 8H 1 1 NRR/DEST/ESB SD 1 1 NRR/DEST/ICSB 7 1 1 NRR/DEST/MEB 9H 1 1 NRR/DEST/MTB 9H 1 1 NRR/DEST/PSB SD 1 1 NRR/DEST/RSB 8E 1 1 NRR/DEST/SGB SD 1 1 NRR/DLPQ/HFB 10 1 1 NRR/DLPQ/QAB 10 1 1 NRR/DOEA/EAB 11 1 1 NRR/DREP/RAB 10 1 1 NRR/DREP/RPB 10 2 2 R~R.. IB 9A 1 1 NUDOCS-ABSTRACT 1 1 EG E 02 1 1 RES/DSIR/EIB 1 1 E SR/PRAB 1 1 RGN2 FILE 01 1 1 EXTERNAL EG&G WILLIAMSI S 4 4 FORD BLDG HOY,A 1 1 H ST LOBBY WARD 1 1 LPDR 1 1 NRC PDR 1 1 NSIC HARRIS,J 1 1 NSIC MAYS(G 1 1
~ 'IO ALL t'RIDS" RECZPZENIS'IZASE HELP US 10 REDUCE WASTE! ~CI'IHE DOCUMENI'ONGEAL DESK ROOM Pl-37 (EXT. 20079) KO EZJl62QQ'E YOUR NAME FMH DISTfKBVZIQN LISTS POR DOCUMENZS YOU DOIN'T NEED!
TOTAL NUMBER OF COPIES REQUIRED: LTTR 44 ENCL 43 g(0@
NAC Form 300 U.S. NUCLEAR REOULATORY COMMISSION (903)
APPROVED OMB NO. 31500101 LICENSEE EVENT REPORT {LER) EXPIRES: 0/31/00 FACILITY NAME (I) DOCKET NUMBER (2) PA Turke Point Unit 3 o 5 o o o2 5p >OF03 Personnel Error Results in Loss of Power to Vital Instrument Bus and EVENT DATE (5) LER NUMBER (0) REPORT DATE I7) OTHER FACILITIES INVOLVED (0)
MONTH DAY YEAR YEAR, SEQVENrr*L 'yxx REvrslON MONTH OAY YEAR I'ACI LIT Y NAMES DOCKE'7 NUMBER(s)
NUMBER 2N: NVMSER Turkey Point Unit 4 0 5 0 0 0 251 1 2 0 2 8 8 8 0 3 2 0 12 3088 0 5 0 0 0 THIS REPORT IS SUBMITTED PURSUANT T 0 THE REOUIAEMENTS OF 10 CFA (I: ICnicfr onr or morr of tnr fofforffnffIII)
OPEAATINO MODE (SI 5 20A02(0) 20A05(c) 50.73(e) l2)(lrl 7$ .71DII POWER 20A00(e) II)lil 50M(cl (I) 50.73(el(2)(r) 7$ .71(c)
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NAME TELEPHONE NUMBER AREA CODE Edward Lyons, Compliance Engineer 305 2 46 "6 731 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 1131 CAUSE SYSTEM COMPONENT MANUFAC.
TURER T() NPA()$ i $
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TURER EPOATABL'E ir'ONPADS
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SUPPLEMENTAL REPOAT EXPECTED lie) MONTH DAY YEAR EXPECTED SUBMISSION DATE (15)
YES Iffyrr, COmprrrr EXPECTED $ (ISMISSIOIY DATEI NO ABSTRACT ILfmlt to fc00 cprcn, I r.. rpproxfmrtrfy ffftrrn tfnprrrprcr typrrrrlttrn Snnf (10)
On December 2, 1988, at 0500, with Unit 3 in cold shutdown and Unit 4 defueled, a Nuclear Turbine Operator (NTO) was attempting to remove the 4B normal inverter from service to allow maintenance to be performed.
After transferring load to the "B" spare inverter, the NTO mistakenly opened the output breaker for the "BH spare inverter instead of opening the output breaker for the 4B normal inverter. This resulted in a loss of power to the 120 vital AC bus 4P08 and the process radiation monitoring rack. Loss of the process radiation monitoring rack resulted in the automatic isolation of the Containment Ventilation and Control Room Ventilation systems. The breaker was closed approximately 30 seconds after being opened, and at 0540 the Control Room Ventilation system was returned to its normal alignment. The cause of the event was personnel error in that the NTO opened the output breaker for the "B" spare inverter instead of opening the output breaker for the 4B normal inverter.. Human factors considerations contributed to this event in that the "B" spare inverter was mis-labeled as HB standby inverter." The NTO was counseled following the event. The spare inverters will be re-labeled as spare inverters. In addition, the procedure in use at the time of the event will be revised to require that the oper'ator verify that the inverter to be de-energized is not supplying power to the bus.
rC7 x 89P1PSP:Sc:-,": 12ZP PElh ADOCVi P SPP<)25P PDC NRC Form 300 (9 53)
NRC Form 38SA U.S. NUCLEAR REGULATORY COMMISSION (98'i LICENSEE E NT REPORT HLER) TEXT CONTINUA N APPROVED OMS NO. 3150-0104 EXPIRES: 8/31/88 FACILITY NAME tll DOCKET NUMBER (2) LER NUMBER Ld) PAGE (3)
SEQUENTIAL g+g REVISION YEAR g@ NI/MSER '/8 NVM8ER Turkey Point Unit 3 0 5 0 0 0 88 03 2 00 0 2 0 3 TENT /S'm<<o Nw>>)4 roSI>><</, I>>o<<//Sor>>l HRC Form Sr)SASJ (IT)
DESCRIPTION OF THE EVENT
'n December 2, 1988, at 0500, with Unit 3 in cold shutdown and Unit 4 defueled, a Nuclear Turbine Operator (NTO) (non-licensed utility employee) was attempting to remove the 4B normal inverter (EIIS:EF; component: INVT) from service to allow maintenance to be performed. The NTO had previously transferred the load from the 4B normal inverter to the "B" spare inverter. Following the load transfer, the NTO mistakenly opened the output breaker for the "B" spare inverter, instead of opening the output breaker for the 4B normal 'inverter. This resulted in a loss of power to the 120 volt AC vital'us 4P08. The process radiation monitoring rack is powered from bus 4P08. Therefore, the loss of bus 4P08 resulted in the loss of the process radiation monitoring rack. The loss of the process radiation monitoring rack resulted in the automatic isolation of the Containment Ventilation System (EIIS:VA) and the Control Room Ventilation System (EIIS:VI). Breaker 4P08 was reclosed approximately 30 seconds after being opened. At 0515 the 4B normal inverter was de-energized. At 0540, the Control Room Ventilation System was returned to its normal configuration.
CAUSE OF THE EVENT The cause of the'event was personnel error in that the NTO opened the output breaker for the "B" spare inverter instead of the output breaker for the 4B normal inverter. Human factors considerations contributed to the cause of this event. The section of the procedure used to de-energize an inverter is labeled "De-energizing a Standby Inverter." The procedure requires that the operator "Perform the following steps at the affected inverter panel." In this event, the affected inverter was the 4B normal inverter. In addition, the "B" spare inverter was mis-labeled as "B Standby Inverterou The NTO apparently became confused about which inverter was the "affected inverter" and opened the wrong breaker.
ANALYSIS The Containment Ventilation System and the Control Room Ventilation System isolated as designed on a loss of power to the process radiation monitoring rack. No plant equipment was damaged as a result of this event. Based on the above, this event had no effect on the health and safety of the public.
CORRECTIVE ACTIONS
- 1) Breaker 4P08 was reclosed, within approximately 30 seconds, restoring power to the bus.
- 2) The NTO and the other operators on the same shift were counseled on the importance of recognizing the goals of the evolution being performed, and the relationship between those goals and the procedural steps being performed. In addition, a night order was issued to instruct all shifts to verify that an inverter being removed from service is not carrying any load prior to opening the output breaker .
NRC FORM SddA oU.8 GPO:1986 0.624 538r455 (94)3)
NRC Form 3BSA (9 "3) U.S. NUCLEAR REOULATORY COMMISSIO LICENSEE VENT REPORT (LER) TEXT CONTINUATION APPROVED OMB NO. 3150&104 EXPIRES: 8/31/88 FACILITY NAME (I) DOCKET NUMBER (2)
LER NUMBER (8) PACE (3)
YEAR @Q BEOUENTIAL NUMBER j.m REVISION reer NUMBER Turkey Point Unit 3 o s o o o 8 8 032 00 03 OF 0 3 TEXT /8'Rlrro Nwor H /BBoled, I/ro aAWons/HRC %%dri 3854'r/ nl)
- 3) The spare inverters will be re-labeled as spare inverters. 'This action will be completed by February 24, 1989.
- 4) Procedure O-OP-003.3 will be revised to require that the operator verify that the inverter to be de-energized is not supplying power by checking the associated ammeter prior to opening the breakers . This action will be completed by February 10, 1989.
ADDITIONAL INFORMATION Similar events:LERs 251-88-002 and 250-87-032 describe similar events.
NRC FORM 34BA *U,S.OPO.'(988 0 824 538/455 (983)
P.O. Box 14000, Juno Beach, FL 33408-0420
. OEGEMBER 5 O ~9<~
L-88-555 10 CFR 50.73 U. S. Nuclear Regulatory Commission Attn: Document Control Desk Washington, D. C. 20555 Gentlemen:.
Re: Turkey Point Units 3 and 4 Docket Nos. 50-250 and 50-251 Reportable Event: 250-88-32 Date of Event: December 2, 1988 Personnel Error Results in Loss of Power to Vital Instrument Bus and Automatic Isolation of Control Room and- Containment Ventilation The attached License Event Report (LER) is being submitted pursuant to the requirements of 10 CFR 50.73 to provide notification of the subject event.
Very truly yours, W. F. Conw y Senior Vice President Nuclear WFC/RHF/gp Attachment CC Malcolm L. Ernst, Acting Regional Administrator, Region II, USNRC Senior Resident Inspector, USNRC, Turkey Point Plant an Fpt. Group company
