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| | issue date = 06/09/1994 | | | issue date = 06/09/1994 |
| | title = LER 94-005-00:on 931228,TS Surveillance Was Missed Due to Failure of Individual to Perform Assigned Duties. Developed Random Monitoring Program & Revised Fire Watch Patrol Training & Implementing procedures.W/940609 Ltr | | | title = LER 94-005-00:on 931228,TS Surveillance Was Missed Due to Failure of Individual to Perform Assigned Duties. Developed Random Monitoring Program & Revised Fire Watch Patrol Training & Implementing procedures.W/940609 Ltr |
| | author name = BLIND A A, HODGE W M | | | author name = Blind A, Hodge W |
| | author affiliation = INDIANA MICHIGAN POWER CO. (FORMERLY INDIANA & MICHIG | | | author affiliation = INDIANA MICHIGAN POWER CO. (FORMERLY INDIANA & MICHIG |
| | addressee name = | | | addressee name = |
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| {{#Wiki_filter:ACCEI ERAT 0 DOCUMENT DISTR>BVTION SYSTEM'E It I REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)ACCESSION NBR:9406160028 DOC.DATE: 94/06/09 NOTARIZED: | | {{#Wiki_filter:'E ACCEI ERAT 0 DOCUMENT DISTR>BVTION SYSTEM ItI REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS) |
| NO DOCKET FACIL:50-315 Donald C.Cook Nuclear Power Plant, Unit 1, Indiana M 05000315 R AUTH.NAME AUTHOR AFFILIATION HODGE,W.M. | | ACCESSION NBR:9406160028 DOC.DATE: 94/06/09 NOTARIZED: NO DOCKET FACIL:50-315 Donald C. Cook Nuclear Power Plant, Unit 1, Indiana M 05000315 AUTH. NAME AUTHOR AFFILIATION R HODGE,W.M. Indiana Michigan Power Co. (formerly Indiana & Michigan Ele BLIND,A.A. Indiana Michigan Power Co. (formerly Indiana & Michigan Ele RECIP.NAME RECIPIENT AFFILIATION, D |
| Indiana Michigan Power Co.(formerly Indiana&Michigan Ele BLIND,A.A. | |
| Indiana Michigan Power Co.(formerly Indiana&Michigan Ele RECIP.NAME RECIPIENT AFFILIATION, D | |
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| ==SUBJECT:== | | ==SUBJECT:== |
| LER 94-005-00:on 931228,TS surveillance was missed due to failure of individual to perform assigned duties.Developed random monitoring, program&revised fire watch patrol training&implementing procedures.W/940609 ltr.DISTRIBUTION CODE: IE22T COPIES RECEIVED: LTR (ENCL L SIZE: TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.NOTES'ECIPIENT ID CODE/NAME PD3-1 PD INTERNAL: AEOD/DSP/TPAB NRR/DE/EELB NRR/DORS/OEAB NRR/DRCH/HICB NRR/DRSS/PRPB p NRR/'DSSA/SRXB ttZRE~Q LE+02 RGN3'ILE 01 EXTERNAL: EG&G BRYCE,J.H NRC PDR NSIC POOREiW~COPIES LTTR ENCL 1 1 1 1 1 1 1 1 1 1 2 2.1 1 1 1 1 1 2 2 1 1 1 1 RECIPIENT ID CODE/NAME HICKMAN,J AEOD/ROAB/DS P NRR/DE/EMEB NRR/DRCH/HHFB NRR/DRCH/HOLB NRR/DSSA/SPLB NRR/PMAS/IRCB-E RES/DSIR/EIB L ST LOBBY WARD NSIC MURPHY,G.A NUDOCS FULL TXT COPIES LTTR ENCL 1 1 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 D D D D NOTE TO ALL"RIDS" RECIPIENTS: | | LER 94-005-00:on 931228,TS surveillance was missed due to failure of individual to perform assigned duties. |
| PLEASE HELP US TO REDUCE WASTE!CONTACT THE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT.504-2065)TO ELIMINATE YOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 26 ENCL 26 D Indiana Michigan Power Company Cook Nuclear Plam One Cook Place Bridgman, Ml 49106 616 465 5901 lNDMNA NICHIGAN POMfER June 9, 1994 United States Nuclear Regulatory Commission Document Control Desk Rockville, Maryland 20852 Operating Licenses DPR-58 Docket No.50-315 Document Control Manager: In accordance with the criteria established by 10 CFR 50.73 entitled Licensee Event Re ort S stem the following report is being submitted:
| | Developed random monitoring, program & revised fire watch patrol training & implementing procedures.W/940609 ltr. |
| 94-005-00 Sincerely, A.A.Blind Plant Manager/sb Attachment c J.,B.Martin, Region III E.E.Fitzpatrick P.A.Barrett R.F.Kroeger M.A.Bailey-Ft.Wayne NRC Resident Inspector J.B.Hickman-NRC J.R.Padgett G.Charnoff, Esq.D.Hahn INPO S.J.Brewer 9406160028 940609 PDR ADOCK 05000315 8 PDR I yP%
| | DISTRIBUTION CODE: IE22T COPIES RECEIVED: LTR ( ENCL TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc. L SIZE: |
| NRC F RM 366 (5-92)U.S.NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO.3150%104 EXPIRES 5/31/95 LICENSEE EVENT REPORT (LER)(See reverse for required number of digits/characters for each block)ESllMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECllON REOUEST: 50.0 HRS.FORWARD COMMENTS REGARDING BURDEN ESllMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (MNBB 771e), U,S, NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 205550001~AND TO THE PAPERWORK REDUCTION PROJECT (51500104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20505.FACIUTY NAME (I)D.C.Cook Nuclear Plant-Unit 1 DOCKET NUMBER (2)05000 315 PAGE R)10F 3 TITLE (I)Failure of Fire Watch Personnel to Perform Assigned Duties Resulting in Missed TS Required Surveillance EVENT DATE 5 LER NUMBER 6 REPORT NUMBER 7 OTHER FACILITIES INVOLVED 6 MONTH DAY YEAR YEAR SEOUENTIAL NUMBER REVISION NUMBER DAY YEAR FACIUTY NAME DOCKET NUMBER 05000 FACIUTY NAME 12 28 93 94 0005 00 THIS REPORT IS SUBMITTED PURSUA OPERATING MODE (9)20.402(b)06 09 94 NT TO THE REQUIREMENTS OF 10 CFR R Check one or m 50.73(a)(2)(iv) 20.405(c)DOCKET NUMBER 05000 ore 11 73.71(b)POWER LEVEL (10)100 20.405(a)(1)(i)20.405(a)(1)(ii)20.405(a)(1)(iii) 20.405(a)(1)(iv)20.405(a}(1)(v} | | NOTES'ECIPIENT D COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD3-1 PD 1 1 HICKMAN,J 1 1 D INTERNAL: AEOD/DSP/TPAB 1 1 AEOD/ROAB/DS P 2 2 NRR/DE/EELB 1 1 NRR/DE/EMEB 1 1 NRR/DORS/OEAB 1 1 NRR/DRCH/HHFB 1 1 NRR/DRCH/HICB 1 1 NRR/DRCH/HOLB 1 1 NRR/DRSS/PRPB 2 2. NRR/DSSA/SPLB 1 1 p NRR/'DSSA/SRXB 1 1 NRR/PMAS/IRCB-E 1 1 ttZRE~Q LE+ 02 1 1 RES/DSIR/EIB RGN3 'ILE 01 1 1 1 1 EXTERNAL: EG&G BRYCE,J.H 2 2 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHY,G.A 1 1 NSIC POOREiW ~ 1 1 NUDOCS FULL TXT 1 1 D |
| 50.36(c)(1)50.36(c)(2)
| | D D |
| X 50.73(a)(2)(I) 50.73(a)(2)(ii)50.73(a)(2}(iii)LICENSEE CONTACT FOR THIS LER 12 50.73(a)(2}(v)50.73(a)(2)(vii) 50.73(a)(2)(viii)(A)50.73(a)(2)(viii)(8)50.73(a)(2)(x)73.71(c)OTHER{Stree'IIy In AIrelfasl belowandrn Tern, NRC Form 566A)NAME W.M.Hodge-Plant Protection Superintendent T(LEPHONE NUMBER (Inolrrde Area Code)616-465-5901 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 13 CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE TO NPRDS SYSTEM COMPONENT MAN{)FACTURER REPORTABLE TO NPRDS SUPPLEMENTAL REPORT EXPECTED 14 YES (tl yea, complete EXPECTED SUBMISSION DATE)NO ABSTRACT (Umit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines)(16)EXP ECTFD MONTH DAY YEAR SUBMISSION DATE (15), On 6/1/92, the fi.re protection for multiple areas of the Plant was declared inoperable due to the uncertainties regarding the fire proofing material used to protect components and cabling within those areas.Compensatory actions required by the Technical Specifications (TS)were established.
| | NOTE TO ALL"RIDS" RECIPIENTS: |
| On 2/11/94, a routine review of completed Fire Watch (FW)patrol records identified three (3)discrepancies in which an hourly FW patrol on the Essential Service Water (ESW)pump room was not conducted for a period of 1 hour 29 minutes on 12/28/93, 1 hour 38 minutes on 12/30/93 and 1 hour 29 minutes on 12/31/93.Additional reviews were conducted and identified one (1)additional discrepancy in which an hourly FW patrol was not conducted on the U-1 CD Emergency Diesel Generator (EDG)room for 1 hour 22 minutes on 2/24/94.A random monitori,ng program has been developed to review FW tours.These events, lessons learned from these events, and management expectations were conveyed to Plant Protection personnel. | | PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT. 504-2065) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED! |
| FW patrol training and implementing procedures are being revised to incorporate the lessons learned from these events.NRC FORM 066{5-92) | | FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 26 ENCL 26 |
| NRC FORM 3SSA (589 I U.S.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED OMB NO.31504(0O EXPIRES: O/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REOUEST: 500 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH IPJ(30I.U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31504(0(). | | |
| OFFICE Of MANAGEMENT AND BUDGET.WASHINGTON. | | Indiana Michigan Power Company Cook Nuclear Plam One Cook Place Bridgman, Ml 49106 616 465 5901 lNDMNA NICHIGAN POMfER June 9, 1994 United States Nuclear Regulatory Commission Document Control Desk Rockville, Maryland 20852 Operating Licenses DPR-58 Docket No. 50-315 Document Control Manager: |
| DC 20503.FACILI'TY NAME (1)DOCKET NUMBER (2l LER NUMBER (SI~AGE LSI D.C.Cook Nuclear Plant-Unit 1 TEXT///more opoce/1 reOMPer/, oeo/reo/oo~/I/RC Form 3/I(/AB/I(TI 0 5 0 0 0 3 1 5 YEAR ro4 9 4 SEQUENTIAL NUM Ell PS(A 0 5-rl (VIS IO N NUM 9 II 0 002 QF 0 3 C I 0 T On 6/1/92, the fire protection for multiple areas of the Plant was declared inoperable due to the uncertainties regarding the fire proofing material used to protect components and cabling within those areas.(,, On 2/11/94, a routine review of completed FW patrol tour records associated with TS related Fire Doors (FD)and other non.>>safety related FD for the months of November and December 1993, and January 1994, was conducted. | | In accordance with the criteria established by 10 CFR 50.73 entitled Licensee Event Re ort S stem the following report is being submitted: |
| This review revealed five discrepancies attributed to a single FW individual at the Unit 1 ESW pump room (door designation 1-GT-SCN212A-323). | | 94-005-00 Sincerely, A. A. Blind Plant Manager |
| From this review, the FW tour records generated by this individual for the time period November 17 through December 31, 1993 were examined to determine the extent of the problem.Twenty-two (22)total discrepancies were identified for this individual. | | /sb Attachment c J.,B. Martin, Region III E. E. Fitzpatrick P. A. Barrett R. F. Kroeger M. A. Bailey Ft. Wayne NRC Resident Inspector J. B. Hickman NRC J. R. Padgett G. Charnoff, Esq. |
| Of the 22 discrepancies, three (3)were determined to have exceeded the requirements of TS 3.7.10.The other nineteen (19)were determined to have violated procedural requirements. | | D. Hahn INPO S. J. Brewer I |
| No compensatory actions were taken as this review was of past events.Based on these two reviews, a review was conducted of an additional 10%of the TS related FW patrols/tours and other non-safety related FW and FD tours for the period December 1993 through February 1994.This review identified six (6)additional procedural violations and one (1)discrepancy that had exceeded the requirements of TS 3.7.10.The discrepancy involved the U-1 CD EDG room.CAUSE OF EVENT For the documentation reviewed, it appears the cause was the failure of the individual(s) to perform their assigned duties.A contributing cause to these events was that management follow-up/monitoring of activities did not identify the discrepancies. | | 9406160028 940609 PDR ADOCK 05000315 8 PDR yP% |
| AL SIS OF EVENT The TS 3.7.10 action statement for an inoperable fire rated assembly requires that"...within 1 hour: 1)verify that the fire detectors and/or fire suppression system on at least one side of the inoperable assembly are OPERABLE and establish an hourly fire watch patrol, or 2)establish a continuous fire watch patrol on one side of the penetration...". | | |
| | NRC F RM 366 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150%104 (5-92) EXPIRES 5/31/95 ESllMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECllON REOUEST: 50.0 HRS. FORWARD LICENSEE EVENT REPORT (LER) COMMENTS REGARDING BURDEN ESllMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (MNBB 771e), U,S, NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 205550001 ~ AND TO THE PAPERWORK REDUCTION PROJECT (51500104), OFFICE OF (See reverse for required number of digits/characters for each block) MANAGEMENTAND BUDGET, WASHINGTON, DC 20505. |
| | FACIUTY NAME (I) DOCKET NUMBER (2) PAGE R) |
| | D. C. Cook Nuclear Plant Unit 1 05000 315 10F 3 TITLE (I) Failure of Fire Watch Personnel to Perform Assigned Duties Resulting in Missed TS Required Surveillance EVENT DATE 5 LER NUMBER 6 REPORT NUMBER 7 OTHER FACILITIES INVOLVED 6 FACIUTY NAME DOCKET NUMBER SEOUENTIAL REVISION MONTH DAY YEAR YEAR DAY YEAR NUMBER NUMBER 05000 FACIUTY NAME DOCKET NUMBER 12 28 93 94 0005 00 06 09 94 05000 OPERATING THIS REPORT IS SUBMITTED PURSUA NT TO THE REQUIREMENTS OF 10 CFR R Check one or m ore 11 MODE (9) 20.402(b) 20.405(c) 50.73(a)(2)(iv) 73.71(b) |
| | POWER 20.405(a) (1) (i) 50.36(c) (1) 50.73(a) (2}(v) 73.71(c) |
| | LEVEL (10) 100 20.405(a) (1) (ii) 50.36(c)(2) 50.73(a)(2)(vii) OTHER |
| | {Stree'IIy In AIrelfasl 20.405(a)(1)(iii) X 50.73(a)(2)(I) 50.73(a)(2)(viii) (A) belowandrn Tern, NRC 20.405(a) (1) (iv) 50.73(a) (2) (ii) 50.73(a) (2) (viii)(8) Form 566A) 20.405(a}(1)(v} 50.73(a) (2}(iii) 50.73(a) (2) (x) |
| | LICENSEE CONTACT FOR THIS LER 12 NAME T(LEPHONE NUMBER (Inolrrde Area Code) |
| | W. M. Hodge Plant Protection Superintendent 616-465-5901 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 13 REPORTABLE REPORTABLE CAUSE SYSTEM COMPONENT MANUFACTURER SYSTEM COMPONENT MAN{)FACTURER TO NPRDS TO NPRDS SUPPLEMENTAL REPORT EXPECTED 14 EXP ECTFD MONTH DAY YEAR YES SUBMISSION NO (tl yea, complete EXPECTED SUBMISSION DATE) DATE (15), |
| | ABSTRACT (Umit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) (16) |
| | On 6/1/92, the fi.re protection for multiple areas of the Plant was declared inoperable due to the uncertainties regarding the fire proofing material used to protect components and cabling within those areas. Compensatory actions required by the Technical Specifications (TS) were established. On 2/11/94, a routine review of completed Fire Watch (FW) patrol records identified three (3) discrepancies in which an hourly FW patrol on the Essential Service Water (ESW) pump room was not conducted for a period of 1 hour 29 minutes on 12/28/93, 1 hour 38 minutes on 12/30/93 and 1 hour 29 minutes on 12/31/93. |
| | Additional reviews were conducted and identified one (1) additionalU-1 discrepancy in which an hourly FW patrol was not conducted on the CD Emergency Diesel Generator (EDG) room for 1 hour 22 minutes on 2/24/94. |
| | A random monitori,ng program has been developed to review FW tours. These events, lessons learned from these events, and management expectations were conveyed to Plant Protection personnel. FW patrol training and implementing procedures are being revised to incorporate the lessons learned from these events. |
| | NRC FORM 066 {5-92) |
| | |
| | NRC FORM 3SSA U.S. NUCLEAR REGULATORY COMMISSION (589 I APPROVED OMB NO. 31504(0O EXPIRES: O/30/92 LICENSEE EVENT REPORT (LER) ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REOUEST: 500 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH IPJ(30I. U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31504(0(). OFFICE Of MANAGEMENTAND BUDGET. WASHINGTON. DC 20503. |
| | FACILI'TY NAME (1) DOCKET NUMBER (2l LER NUMBER (SI ~ AGE LSI YEAR SEQUENTIAL rl( VIS IO N ro4 NUM Ell PS(A NUM 9 II D. C. Cook Nuclear Plant - Unit 1 0 5 0 0 0 3 1 5 9 4 0 50 002 QF 0 3 TEXT ///more opoce /1 reOMPer/, oeo /reo/oo ~ /I/RC Form 3/I(/AB/ I(TI C I 0 T On 6/1/92, the fire protection for multiple areas of the Plant was declared inoperable due to the uncertainties regarding the fire proofing material used to protect components and cabling within those areas. |
| | (,, |
| | On 2/11/94, a routine review of completed FW patrol tour records associated with TS related Fire Doors (FD) and other non.>>safety related FD for the months of November and December 1993, and January 1994, was conducted. This review revealed five discrepancies attributed to a single FW individual at the Unit 1 ESW pump room (door designation 1-GT-SCN212A-323). |
| | From this review, the FW tour records generated by this individual for the time period November 17 through December 31, 1993 were examined to determine the extent of the problem. Twenty-two (22) total discrepancies were identified for this individual. Of the 22 discrepancies, three (3) were determined to have exceeded the requirements of TS 3.7.10. The other nineteen (19) were determined to have violated procedural requirements. No compensatory actions were taken as this review was of past events. |
| | Based on these two reviews, a review was conducted of an additional 10% of the TS related FW patrols/tours and other non-safety related FW and FD tours for the period December 1993 through February 1994. This review identified six (6) additional procedural violations and one (1) discrepancy that had exceeded the requirements of TS 3.7.10. The discrepancy involved the U-1 CD EDG room. |
| | CAUSE OF EVENT For the documentation reviewed, it appears the cause was the failure of the individual(s) to perform their assigned duties. A contributing cause to these events was that management follow-up/monitoring of activities did not identify the discrepancies. |
| | AL SIS OF EVENT The TS 3.7.10 action statement for an inoperable fire rated assembly requires that "...within 1 hour: 1) verify that the fire detectors and/or fire suppression system on at least one side of the inoperable assembly are OPERABLE and establish an hourly fire watch patrol, or 2) establish a continuous fire watch patrol on one side of the penetration...". |
| Failure to maintain an hourly FW patrol was a violation of TS 3.7.10 and is reportable under 10 CFR 50.73(a)(2)(i)(B). | | Failure to maintain an hourly FW patrol was a violation of TS 3.7.10 and is reportable under 10 CFR 50.73(a)(2)(i)(B). |
| The U-1 ESW pump room (Fire Zone 29-G)and U-1 CD EDG room (Fire Zone 15)was being toured because it contains fire protective coating material which the Plant declared inoperable on 6/1/92.The hourly FW patrol was not conducted for a period of 1 hour 29 minutes on 12/28/93, 1 hour 38 minutes on 12/30/93 and 1 hour 29 minutes on 12/31/93 in the ESW pump room.The hourly FW patrol was not conducted for a period of 1 hour 22 minutes on 2/24/94 in the U-l CD NRC Fonrr SSSA (5891 NRCFORMSSSA (EBB)U.S.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT ILER>TEXT CONTINUATION APPROVED 0MB NO.315001(M EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE.TO COMPLY WTH THIS INFORMATION COLLECTION REOUESTI 50A)HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH IP430), U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAI'ERWORK REDUCTION PRO/ECT (3(500(0(), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503.FACILITY NAME (1)DOCKET NUMBER (2)YEAR LER NUMBER (5)~SSOUENTIAL r?A NUM ER ASH'(EvrSION | | The U-1 ESW pump room (Fire Zone 29-G) and U-1 CD EDG room (Fire Zone 15) was being toured because it contains fire protective coating material which the Plant declared inoperable on 6/1/92. The hourly FW patrol was not conducted for a period of 1 hour 29 minutes on 12/28/93, 1 hour 38 minutes on 12/30/93 and 1 hour 29 minutes on 12/31/93 in the ESW pump room. The hourly FW patrol was not conducted for a period of 1 hour 22 minutes on 2/24/94 in the U-l CD NRC Fonrr SSSA (5891 |
| 'rrvMef R PAGE (31 D.C.Cook Nuclear Plant-Unit 1 TEXT Il/more Aoece*eePr/'red. | | |
| oee eddro'orre/HRC Form 35BA'e/(17)o s o o o 315 94 005-0 0 03oF 0 3 NALYSIS OF EVENT cont'd EDG room.The analysis of this event concludes that in the unlikely event of a fire, personnel would have been promptly aware of its presence and would have extinguished the fire without significant spreading of the fire or equipment damage.This conclusion is based on the following: | | NRCFORMSSSA U.S. NUCLEAR REGULATORY COMMISSION (EBB) APPROVED 0MB NO. 315001(M EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE. TO COMPLY WTH THIS LICENSEE EVENT REPORT ILER> INFORMATION COLLECTION REOUESTI 50A) HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH IP430), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAI'ERWORK REDUCTION PRO/ECT (3(500(0(), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503. |
| 2~The detection for FZ 29-G and FZ-15 was in an operable state, in the event of a fire, the detectors would have alarmed in the U-l Control Room, which is manned 24 hours a day.This alarm condition would have been investigated and the appropriate Fire Brigade resources would have been dispatched to mitigate the fire.1 Manual fire protection equipment was readily available for Fire Brigade use if they deemed necessary.
| | FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (5) PAGE (31 SSOUENTIAL ASH'(EvrSION YEAR r?A |
| Although an hourly FW patrol was not conducted for 1 hour 29 minutes, 1 hour 38 minutes, 1 hour 29 minutes and 1 hour 22 minutes respectively, it is concluded that the alanna/detection associated with the affected FZ would have allowed timely identification of a fire.Therefore, these events are not considered to have created a significant safety concern, nor did it create a significant hazard to the health and safety of the general public.CORRECTIVE ACTION 2~3~A random monitoring program was developed to review fire watch tours.These events, lessons learned and management expectations were conveyed to Plant Protection personnel during meetings held during the month of May 1994.Fire Watch patrol training and implementing procedures are being revised to incorporate the lessons learned from these events.PREVIOUS SIMII.AR EVENTS" None NRC Fono 35BA (689)}} | | ~ |
| | NUM ER ' rrvMefR D. C. Cook Nuclear Plant Unit 1 o s o o o 315 94 005 0 0 03oF 0 3 TEXT Il/more Aoece *eePr/'red. oee eddro'orre/HRC Form 35BA'e/ (17) |
| | NALYSIS OF EVENT cont'd EDG room. The analysis of this event concludes that in the unlikely event of a fire, personnel would have been promptly aware of its presence and would have extinguished the fire without significant spreading of the fire or equipment damage. This conclusion is based on the following: |
| | The detection for FZ 29-G and FZ-15 was in an operable state, in the event of a fire, the detectors would have alarmed in the U-l Control Room, which is manned 24 hours a day. This alarm condition would have been investigated and the appropriate Fire Brigade resources would have been dispatched to mitigate the fire. 1 2 Manual fire protection equipment was readily available for Fire Brigade |
| | ~ |
| | use if they deemed necessary. |
| | Although an hourly FW patrol was not conducted for 1 hour 29 minutes, 1 hour 38 minutes, 1 hour 29 minutes and 1 hour 22 minutes respectively, concluded that the alanna/detection associated with the affected FZ would have it is allowed timely identification of a fire. Therefore, these events are not considered to have created a significant safety concern, nor did significant hazard to the health and safety of the general public. |
| | it create a CORRECTIVE ACTION A random monitoring program was developed to review fire watch tours. |
| | 2 ~ These events, lessons learned and management expectations were conveyed to Plant Protection personnel during meetings held during the month of May 1994. |
| | 3 ~ Fire Watch patrol training and implementing procedures are being revised to incorporate the lessons learned from these events. |
| | PREVIOUS SIMII.AR EVENTS None NRC Fono 35BA (689)}} |
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MONTHYEARML17335A5641999-10-18018 October 1999 LER 99-024-00:on 990708,literal TS Requirements Were Not Met by Accumlator Valve Surveillance.Caused by Misjudgement Made in Conversion from Initial DC Cook TS to W Std Ts.Submitted License Amend Request.With 991018 Ltr ML17335A5531999-10-0707 October 1999 LER 99-023-00:on 990907,inadequate TS Surveillance Testing of ESW Pump ESF Response Time Noted.Caused by Inadequate Understanding of Plant Design Basis.Surveillance Tests Will Be Revised & Implemented ML17326A1291999-09-17017 September 1999 LER 99-022-00:on 990609,electrical Bus Degraded Voltage Setpoints Too Low for Safety Related Loads,Was Discovered. Caused by Lack of Understanding of Design of Plant.No Immediate Corrective Actions Necessary ML17326A1121999-08-27027 August 1999 LER 99-021-00:on 990728,determined That GL 96-01 Test Requirements Were Not Met in Surveillance Tests.Caused by Failure to Understand Full Extent of GL Requirements. Surveillance Procedures Will Be Revised or Developed ML17326A1011999-08-26026 August 1999 LER 99-020-00:on 990727,EDGs Were Declared Inoperable.Caused by Inadequate Protection of Air Intake,Exhaust & Room Ventilation Structures from Tornado Missile Hazards. Implemented Compensatory Measures in Form of ACs ML17326A0911999-08-16016 August 1999 LER 99-019-00:on 990716,noted Victoreen Containment Hrrms Not Environmentally Qualified to Withstand post-LOCA Conditions.Caused by Inadequate Design Control.Reviewing Options to Support Hrrms Operability in Modes 1-4 ML17326A0771999-08-0404 August 1999 LER 98-029-01:on 980422,noted That Fuel Handling Area Ventilation Sys Was Inoperable.Caused by Original Design Deficiency.Radiological Analysis for Spent Fuel Handling Accidents in Auxiliary Bldg Will Be Redone by 990830 ML17326A0741999-07-29029 July 1999 LER 99-018-00:on 990629,determined That Valve Yokes May Yield Under Combined Stress of Seismic Event & Static,Valve Closed,Stem Thrust.Caused by Inadequate Design of Associated Movs.Operability Determinations Were Performed for Valves ML17326A0661999-07-26026 July 1999 LER 99-017-00:on 990625,noted That Improperly Installed Fuel Oil Return Relief Valve Rendered EDG Inoperable.Caused by Personnel Error.Fuel Oil Return Valve Was Replaced with Valve in Correct Orientation.With 990722 Ltr ML17326A0651999-07-22022 July 1999 LER 98-014-03:on 980310,noted That Response to high-high Containment Pressure Procedure Was Not Consistent with Analysis of Record.Caused by Inadequate Interface with W. FRZ-1 Will Be Revised to Be Consistent with New Analysis ML17326A0491999-07-13013 July 1999 LER 99-016-00:on 990615,TS Requirements for Source Range Neutron Flux Monitors Not Met.Caused by Failure to Understand Design Basis of Plant.Procedures Revised.With 990713 Ltr ML17326A0331999-07-0101 July 1999 LER 99-004-01:on 971030,failure to Perform TS Surveillance Analyses of Reactor Coolant Chemistry with Fuel Removed Was Noted.Caused by Ineffective Mgt of Tss.Chemistry Personnel Have Been Instructed on Requirement to Follow TS as Written ML17326A0151999-06-18018 June 1999 LER 99-014-00:on 990521,determined That Boron Injection Tank Manway Bolts Were Not Included in ISI Program,Creating Missed Exam for Previous ISI Interval.Caused by Programmatic Weakness.Isi Program & Associated ISI Database Modified ML17325B6311999-06-0101 June 1999 LER 99-S03-00:on 990430,vital Area Barrier Degradation Was Noted.Caused by Inadequate Insp & Maint of Vital Area Barrier.Repairs & Mods Were Made to Barriers to Eliminate Degraded & Nonconforming Conditions ML17325B6421999-06-0101 June 1999 LER 99-013-00:on 990327,safety Injection & Centrifugal Charging Throttle Valve Cavitation During LOCA Could Have Led to ECCS Pump Failure.Caused by Inadequate Original Design Application of Si.Throttle Valves Will Be Developed ML17325B6351999-05-28028 May 1999 LER 99-S02-00:on 990428,vulnerability in Safeguard Sys That Could Allow Unauthorized Access to Protected Area Was Noted. Caused by Inadequate Original Plant Design.Mods Were Made to Wall Opening to Eliminate Nonconforming Conditions ML17265A8231999-05-24024 May 1999 LER 98-037-01:on 990422,determined That Ice Condenser Bypass Leakage Exceeds Design Basis Limit.Caused by Pressure Seal Required by Revised W Design Not Incorporated Into Aep Design.Numerous Matl Condition Walkdowns & Assessments Made ML17325B6001999-05-20020 May 1999 LER 99-012-00:on 990420,concluded That Auxiliary Bldg ESF Ventilation Sys Not Capable of Maintaining ESF Room Temps post-accident.Caused by Inadequate Control of Sys Design Inputs.Comprehensive Action Plan Being Developed ML17325B5861999-05-10010 May 1999 LER 99-002-00:on 990415,discovered That TS 4.0.5 Requirements Were Not Met Due to Improperly Performed Test. Caused by Incorrect Interpretation of ASME Code.App J Testing Will Be Completed & Procedures Will Be Revised ML17325B5811999-05-0404 May 1999 LER 99-011-00:on 990407,air Sys for EDG Will Not Support Long Operability.Caused by Original Design Error.Temporary Mod to Supply Makeup Air Capability in Modes 5 & 6 Was Prepared ML17325B5771999-05-0303 May 1999 LER 99-010-00:on 990401,RCS Leak Detection Sys Sensitivity Not in Accordance with Design Requirements Occurred.Caused by Inadequate Original Design of Containment Sump Level. Evaluation Will Be Performed to Clearly Define Design ML17325B5581999-04-16016 April 1999 LER 99-006-00:on 990115,personnel Identified Discrepancy Between TS 3.9.7 Impact Energy Limit & Procedure 12 Ohp 4030.STP.046.Caused by Lack of Design Basis Control.Placed Procedure 12 Ohp 4030.STP.046 on Administrative Hold ML17325B5471999-04-12012 April 1999 LER 99-009-00:on 990304,as-found RHR Safety Relief Valve Lift Setpoint Greater than TS Limit Occurred.Cause Investigation for Condition Has Not Been Completed.Update to LER Will Be Submitted,Upon Completion of Investigation ML17325B5321999-04-0707 April 1999 LER 99-S01-00:on 990308,discovered That Lock for Vital Gate Leading to Plant 4KV Switchgear Area Was Nonconforming & Vulnerable to Unauthorized Access.Caused by Inadequate Gate Design & Inadequate Procedures.Mods Are Being Made to Gate ML17325B5161999-04-0101 April 1999 LER 99-007-00:on 981020,calculations Showed That Divider Barrier Between Upper & Lower Containment Vols Were Overstressed.Engineers Are Currently Working on Analyses of Loads & Stress on Enclosures ML17325B5221999-03-29029 March 1999 LER 99-001-00:on 960610,degraded Component Cooling Water Flow to Containment Main Steam Line Penetrations,Identified on 990226.Caused by Inadequate Understanding of Design Basis.Additional Investigations Ongoing ML17325B4801999-03-18018 March 1999 LER 99-004-00:on 971030,failure to Perform TS Surveillance Analyses of Rc Chemistry with Fuel Removed Was Noted.Cause of Event Is Under Investigation.Corrected Written Job Order Activities Used to Control SD Chemistry Sampling ML17325B4741999-03-18018 March 1999 LER 99-005-00:on 940512,determined That Rt Breaker Manual Actuations During Rod Drop Testing Were Not Previously Reported.Caused by Lack of Training.Addl Corrective Actions,Including Preventative Actions May Be Developed ML17325B4571999-02-24024 February 1999 LER 99-003-00:on 990107,CR Pressurization Sys Surveillance Test Did Not Test Sys in Normal Operating Condition.Caused by Failure to Recognize Door 12DR-AUX415 as Part of CR Pressure Boundary.Performed Walkdown of Other Doors ML17335A5171999-02-11011 February 1999 LER 99-002-00:on 990112,determined That RCS Pressurizer PORVs Had Not Been Tested,Per Ts.Caused by Inadequate Scheduling Controls Allowing Personnel Error.Surveillance Procedure Was Completed & Updated LER Will Be Submitted ML17335A5141999-02-10010 February 1999 LER 99-001-00:on 990106,noted That GE Hfa Relays Installed in EDGs May Not Meet Seismic Qualification.Caused by Operating Experience Info Incorrectly Dispositioned in 1985. Updated LER Will Be Submitted by 990405 ML17335A5011999-02-0101 February 1999 LER 98-060-00:on 981231,identified That Rt Sys Response Time Testing Did Not Comply with TS Definition.Caused by Inadequate Procedures.Corrective Actions Will Be Developed & Update to LER Will Be Submitted by 990415.With 990201 Ltr ML17335A4951999-01-29029 January 1999 LER 98-059-00:on 981230,interim LER -single Failure in Containment Spray Sys Could Result in Containment Spray Ph Outside Design Occurred.Investigation Into Condition Continuing.Update Will Be Submitted by 990514 Ltr ML17335A4961999-01-27027 January 1999 LER 98-057-00:on 981228,discovered That AFW Valves Were Not Tested IAW Inservice Testing Program.Caused by Failure to Recognize Design Bases Features Re Afws by Personnel. Updated LER Will Be Submittted by 990415.With 990127 Ltr ML17335A4921999-01-19019 January 1999 LER 98-052-01:on 981128,no Analysis for NSR Sc Manual Loader for Tdafwp Could Be Found in Original Design.Cause Due to All Failure Modes Not Considered When Compressed Air Sys Originally Designed.Performed Review of Components ML17335A4721999-01-0606 January 1999 LER 98-055-00:on 981207,potential for Condition Outside of Design Bases for Rod Control Sys Was Noted.Caused by Calibration Error Coupled with Single Rod Failure.Condition Rept Investigation Is Ongoing ML17335A4691999-01-0606 January 1999 LER 98-056-00:on 981211,hot Leg Nozzle Gaps Resulted in Plant Being in Unanalyzed Condition.Analyses Are Being Performed by W to Resolve Problem.Updated LER Will Be Submitted by 990211.With 990106 Ltr ML17335A4661999-01-0505 January 1999 LER 98-049-00:on 981020,emergency Boron Injection Flow Path Was Inoperable.Caused by Original Design Deficiency. Engineering Evaluation of Event Is Continuing ML17335A4631999-01-0404 January 1999 LER 98-054-00:on 981202,discovered That at Least One MSSV Had Not Been Reset as Required by Ts.Engineering Is Continuing Review of Extent of Condition for Event.Updated LER Will Be Submitted by 990129.With 990104 Ltr ML17335A4481998-12-30030 December 1998 LER 98-053-00:on 981130,discovered Use of Inoperable Substitute Subcooling Margin Monitor.Caused by Condition Existing Since Installation of Plant Process Computer in 1992.Updated LER Will Be Submitted.With 981230 Ltr ML17335A4581998-12-28028 December 1998 LER 98-052-00:on 981128,turbine Driven AFW Pump Speed Controller Failure Mode Occurred.Caused Because Not All Failure Modes Were Considered When Compressed Air Sys Was Originally Designed.Verified Current Design Change Process ML17335A4281998-12-22022 December 1998 LER 98-051-00:on 981122,reactor Trip Signal from Manual Safety Injection Not Verified as Required by TS Surveillance,Was Discovered.Maintenance Currently Evaluating Significance & Cause of Event ML17335A4111998-12-17017 December 1998 LER 98-047-00:on 981117,potential for Increase Leakage from Reactor Coolant Pump Seals Was Identified.Util Is Working with W to Resolve Issue.Current Expectations Are to Submit Update to LER by 990215.With 981217 Ltr ML17335A4141998-12-16016 December 1998 LER 98-058-00:on 981216,postulated High Line Break Could Result in Condition Outside Design Bases for AF Occurred. Caused by Deficiencies Associated with Administration of HELB Program.Analysis of AF Will Be Completed by 990122 ML17335A4181998-12-16016 December 1998 LER 98-050-00:on 980814,ancillary Equipment Installed in Ice Condenser Was Not Designed to Withstand Design Basis Accident/Earthquake Loads.Caused by Lack of Established Design Criteria.Developed Design Criteria ML17335A3871998-12-11011 December 1998 LER 98-031-01:on 980610,potential Common Mode Failure of RHR Pumps Were Noted.Caused by Inaccurate Values.Accurate Miniflow Numbers Have Been Determined by Flow Testing ML17335A3821998-12-0808 December 1998 LER 98-039-01 Re EOP Step Conflicts with Small Break LOCA Analysis.Ler 98-039-00 Has Been Canceled.With 981208 Ltr ML17335A3781998-12-0707 December 1998 LER 98-007-00:on 981106,high Energy Line Break Effects in Auxiliary FW Sys Was Noted.Cause of Event Is Under Investigation & Will Be Completed by 990220.Updated LER Will Be Submitted by 990310.With 981207 Ltr ML17335A3771998-12-0303 December 1998 LER 98-046-00:on 981103,determined That Afs Was Unable to Meet Design Flow Requirements During Special Test.Caused by Failure to Consider All Aspects of Sys Operation in Design of Suction Basket Strainers.Sys Will Be Redesigned ML17335A3741998-12-0202 December 1998 LER 97-011-02:on 970822,operation Was Noted Outside Design Bases for ECCS & CSP for Switchover to Recirculation Sump Suction.Caused by Ineffective Change Mgt.Revised Procedure for Switchover 01(02) Ohp 4023.ES-1.3 1999-09-17
[Table view] Category:RO)
MONTHYEARML17335A5641999-10-18018 October 1999 LER 99-024-00:on 990708,literal TS Requirements Were Not Met by Accumlator Valve Surveillance.Caused by Misjudgement Made in Conversion from Initial DC Cook TS to W Std Ts.Submitted License Amend Request.With 991018 Ltr ML17335A5531999-10-0707 October 1999 LER 99-023-00:on 990907,inadequate TS Surveillance Testing of ESW Pump ESF Response Time Noted.Caused by Inadequate Understanding of Plant Design Basis.Surveillance Tests Will Be Revised & Implemented ML17326A1291999-09-17017 September 1999 LER 99-022-00:on 990609,electrical Bus Degraded Voltage Setpoints Too Low for Safety Related Loads,Was Discovered. Caused by Lack of Understanding of Design of Plant.No Immediate Corrective Actions Necessary ML17326A1121999-08-27027 August 1999 LER 99-021-00:on 990728,determined That GL 96-01 Test Requirements Were Not Met in Surveillance Tests.Caused by Failure to Understand Full Extent of GL Requirements. Surveillance Procedures Will Be Revised or Developed ML17326A1011999-08-26026 August 1999 LER 99-020-00:on 990727,EDGs Were Declared Inoperable.Caused by Inadequate Protection of Air Intake,Exhaust & Room Ventilation Structures from Tornado Missile Hazards. Implemented Compensatory Measures in Form of ACs ML17326A0911999-08-16016 August 1999 LER 99-019-00:on 990716,noted Victoreen Containment Hrrms Not Environmentally Qualified to Withstand post-LOCA Conditions.Caused by Inadequate Design Control.Reviewing Options to Support Hrrms Operability in Modes 1-4 ML17326A0771999-08-0404 August 1999 LER 98-029-01:on 980422,noted That Fuel Handling Area Ventilation Sys Was Inoperable.Caused by Original Design Deficiency.Radiological Analysis for Spent Fuel Handling Accidents in Auxiliary Bldg Will Be Redone by 990830 ML17326A0741999-07-29029 July 1999 LER 99-018-00:on 990629,determined That Valve Yokes May Yield Under Combined Stress of Seismic Event & Static,Valve Closed,Stem Thrust.Caused by Inadequate Design of Associated Movs.Operability Determinations Were Performed for Valves ML17326A0661999-07-26026 July 1999 LER 99-017-00:on 990625,noted That Improperly Installed Fuel Oil Return Relief Valve Rendered EDG Inoperable.Caused by Personnel Error.Fuel Oil Return Valve Was Replaced with Valve in Correct Orientation.With 990722 Ltr ML17326A0651999-07-22022 July 1999 LER 98-014-03:on 980310,noted That Response to high-high Containment Pressure Procedure Was Not Consistent with Analysis of Record.Caused by Inadequate Interface with W. FRZ-1 Will Be Revised to Be Consistent with New Analysis ML17326A0491999-07-13013 July 1999 LER 99-016-00:on 990615,TS Requirements for Source Range Neutron Flux Monitors Not Met.Caused by Failure to Understand Design Basis of Plant.Procedures Revised.With 990713 Ltr ML17326A0331999-07-0101 July 1999 LER 99-004-01:on 971030,failure to Perform TS Surveillance Analyses of Reactor Coolant Chemistry with Fuel Removed Was Noted.Caused by Ineffective Mgt of Tss.Chemistry Personnel Have Been Instructed on Requirement to Follow TS as Written ML17326A0151999-06-18018 June 1999 LER 99-014-00:on 990521,determined That Boron Injection Tank Manway Bolts Were Not Included in ISI Program,Creating Missed Exam for Previous ISI Interval.Caused by Programmatic Weakness.Isi Program & Associated ISI Database Modified ML17325B6311999-06-0101 June 1999 LER 99-S03-00:on 990430,vital Area Barrier Degradation Was Noted.Caused by Inadequate Insp & Maint of Vital Area Barrier.Repairs & Mods Were Made to Barriers to Eliminate Degraded & Nonconforming Conditions ML17325B6421999-06-0101 June 1999 LER 99-013-00:on 990327,safety Injection & Centrifugal Charging Throttle Valve Cavitation During LOCA Could Have Led to ECCS Pump Failure.Caused by Inadequate Original Design Application of Si.Throttle Valves Will Be Developed ML17325B6351999-05-28028 May 1999 LER 99-S02-00:on 990428,vulnerability in Safeguard Sys That Could Allow Unauthorized Access to Protected Area Was Noted. Caused by Inadequate Original Plant Design.Mods Were Made to Wall Opening to Eliminate Nonconforming Conditions ML17265A8231999-05-24024 May 1999 LER 98-037-01:on 990422,determined That Ice Condenser Bypass Leakage Exceeds Design Basis Limit.Caused by Pressure Seal Required by Revised W Design Not Incorporated Into Aep Design.Numerous Matl Condition Walkdowns & Assessments Made ML17325B6001999-05-20020 May 1999 LER 99-012-00:on 990420,concluded That Auxiliary Bldg ESF Ventilation Sys Not Capable of Maintaining ESF Room Temps post-accident.Caused by Inadequate Control of Sys Design Inputs.Comprehensive Action Plan Being Developed ML17325B5861999-05-10010 May 1999 LER 99-002-00:on 990415,discovered That TS 4.0.5 Requirements Were Not Met Due to Improperly Performed Test. Caused by Incorrect Interpretation of ASME Code.App J Testing Will Be Completed & Procedures Will Be Revised ML17325B5811999-05-0404 May 1999 LER 99-011-00:on 990407,air Sys for EDG Will Not Support Long Operability.Caused by Original Design Error.Temporary Mod to Supply Makeup Air Capability in Modes 5 & 6 Was Prepared ML17325B5771999-05-0303 May 1999 LER 99-010-00:on 990401,RCS Leak Detection Sys Sensitivity Not in Accordance with Design Requirements Occurred.Caused by Inadequate Original Design of Containment Sump Level. Evaluation Will Be Performed to Clearly Define Design ML17325B5581999-04-16016 April 1999 LER 99-006-00:on 990115,personnel Identified Discrepancy Between TS 3.9.7 Impact Energy Limit & Procedure 12 Ohp 4030.STP.046.Caused by Lack of Design Basis Control.Placed Procedure 12 Ohp 4030.STP.046 on Administrative Hold ML17325B5471999-04-12012 April 1999 LER 99-009-00:on 990304,as-found RHR Safety Relief Valve Lift Setpoint Greater than TS Limit Occurred.Cause Investigation for Condition Has Not Been Completed.Update to LER Will Be Submitted,Upon Completion of Investigation ML17325B5321999-04-0707 April 1999 LER 99-S01-00:on 990308,discovered That Lock for Vital Gate Leading to Plant 4KV Switchgear Area Was Nonconforming & Vulnerable to Unauthorized Access.Caused by Inadequate Gate Design & Inadequate Procedures.Mods Are Being Made to Gate ML17325B5161999-04-0101 April 1999 LER 99-007-00:on 981020,calculations Showed That Divider Barrier Between Upper & Lower Containment Vols Were Overstressed.Engineers Are Currently Working on Analyses of Loads & Stress on Enclosures ML17325B5221999-03-29029 March 1999 LER 99-001-00:on 960610,degraded Component Cooling Water Flow to Containment Main Steam Line Penetrations,Identified on 990226.Caused by Inadequate Understanding of Design Basis.Additional Investigations Ongoing ML17325B4801999-03-18018 March 1999 LER 99-004-00:on 971030,failure to Perform TS Surveillance Analyses of Rc Chemistry with Fuel Removed Was Noted.Cause of Event Is Under Investigation.Corrected Written Job Order Activities Used to Control SD Chemistry Sampling ML17325B4741999-03-18018 March 1999 LER 99-005-00:on 940512,determined That Rt Breaker Manual Actuations During Rod Drop Testing Were Not Previously Reported.Caused by Lack of Training.Addl Corrective Actions,Including Preventative Actions May Be Developed ML17325B4571999-02-24024 February 1999 LER 99-003-00:on 990107,CR Pressurization Sys Surveillance Test Did Not Test Sys in Normal Operating Condition.Caused by Failure to Recognize Door 12DR-AUX415 as Part of CR Pressure Boundary.Performed Walkdown of Other Doors ML17335A5171999-02-11011 February 1999 LER 99-002-00:on 990112,determined That RCS Pressurizer PORVs Had Not Been Tested,Per Ts.Caused by Inadequate Scheduling Controls Allowing Personnel Error.Surveillance Procedure Was Completed & Updated LER Will Be Submitted ML17335A5141999-02-10010 February 1999 LER 99-001-00:on 990106,noted That GE Hfa Relays Installed in EDGs May Not Meet Seismic Qualification.Caused by Operating Experience Info Incorrectly Dispositioned in 1985. Updated LER Will Be Submitted by 990405 ML17335A5011999-02-0101 February 1999 LER 98-060-00:on 981231,identified That Rt Sys Response Time Testing Did Not Comply with TS Definition.Caused by Inadequate Procedures.Corrective Actions Will Be Developed & Update to LER Will Be Submitted by 990415.With 990201 Ltr ML17335A4951999-01-29029 January 1999 LER 98-059-00:on 981230,interim LER -single Failure in Containment Spray Sys Could Result in Containment Spray Ph Outside Design Occurred.Investigation Into Condition Continuing.Update Will Be Submitted by 990514 Ltr ML17335A4961999-01-27027 January 1999 LER 98-057-00:on 981228,discovered That AFW Valves Were Not Tested IAW Inservice Testing Program.Caused by Failure to Recognize Design Bases Features Re Afws by Personnel. Updated LER Will Be Submittted by 990415.With 990127 Ltr ML17335A4921999-01-19019 January 1999 LER 98-052-01:on 981128,no Analysis for NSR Sc Manual Loader for Tdafwp Could Be Found in Original Design.Cause Due to All Failure Modes Not Considered When Compressed Air Sys Originally Designed.Performed Review of Components ML17335A4721999-01-0606 January 1999 LER 98-055-00:on 981207,potential for Condition Outside of Design Bases for Rod Control Sys Was Noted.Caused by Calibration Error Coupled with Single Rod Failure.Condition Rept Investigation Is Ongoing ML17335A4691999-01-0606 January 1999 LER 98-056-00:on 981211,hot Leg Nozzle Gaps Resulted in Plant Being in Unanalyzed Condition.Analyses Are Being Performed by W to Resolve Problem.Updated LER Will Be Submitted by 990211.With 990106 Ltr ML17335A4661999-01-0505 January 1999 LER 98-049-00:on 981020,emergency Boron Injection Flow Path Was Inoperable.Caused by Original Design Deficiency. Engineering Evaluation of Event Is Continuing ML17335A4631999-01-0404 January 1999 LER 98-054-00:on 981202,discovered That at Least One MSSV Had Not Been Reset as Required by Ts.Engineering Is Continuing Review of Extent of Condition for Event.Updated LER Will Be Submitted by 990129.With 990104 Ltr ML17335A4481998-12-30030 December 1998 LER 98-053-00:on 981130,discovered Use of Inoperable Substitute Subcooling Margin Monitor.Caused by Condition Existing Since Installation of Plant Process Computer in 1992.Updated LER Will Be Submitted.With 981230 Ltr ML17335A4581998-12-28028 December 1998 LER 98-052-00:on 981128,turbine Driven AFW Pump Speed Controller Failure Mode Occurred.Caused Because Not All Failure Modes Were Considered When Compressed Air Sys Was Originally Designed.Verified Current Design Change Process ML17335A4281998-12-22022 December 1998 LER 98-051-00:on 981122,reactor Trip Signal from Manual Safety Injection Not Verified as Required by TS Surveillance,Was Discovered.Maintenance Currently Evaluating Significance & Cause of Event ML17335A4111998-12-17017 December 1998 LER 98-047-00:on 981117,potential for Increase Leakage from Reactor Coolant Pump Seals Was Identified.Util Is Working with W to Resolve Issue.Current Expectations Are to Submit Update to LER by 990215.With 981217 Ltr ML17335A4141998-12-16016 December 1998 LER 98-058-00:on 981216,postulated High Line Break Could Result in Condition Outside Design Bases for AF Occurred. Caused by Deficiencies Associated with Administration of HELB Program.Analysis of AF Will Be Completed by 990122 ML17335A4181998-12-16016 December 1998 LER 98-050-00:on 980814,ancillary Equipment Installed in Ice Condenser Was Not Designed to Withstand Design Basis Accident/Earthquake Loads.Caused by Lack of Established Design Criteria.Developed Design Criteria ML17335A3871998-12-11011 December 1998 LER 98-031-01:on 980610,potential Common Mode Failure of RHR Pumps Were Noted.Caused by Inaccurate Values.Accurate Miniflow Numbers Have Been Determined by Flow Testing ML17335A3821998-12-0808 December 1998 LER 98-039-01 Re EOP Step Conflicts with Small Break LOCA Analysis.Ler 98-039-00 Has Been Canceled.With 981208 Ltr ML17335A3781998-12-0707 December 1998 LER 98-007-00:on 981106,high Energy Line Break Effects in Auxiliary FW Sys Was Noted.Cause of Event Is Under Investigation & Will Be Completed by 990220.Updated LER Will Be Submitted by 990310.With 981207 Ltr ML17335A3771998-12-0303 December 1998 LER 98-046-00:on 981103,determined That Afs Was Unable to Meet Design Flow Requirements During Special Test.Caused by Failure to Consider All Aspects of Sys Operation in Design of Suction Basket Strainers.Sys Will Be Redesigned ML17335A3741998-12-0202 December 1998 LER 97-011-02:on 970822,operation Was Noted Outside Design Bases for ECCS & CSP for Switchover to Recirculation Sump Suction.Caused by Ineffective Change Mgt.Revised Procedure for Switchover 01(02) Ohp 4023.ES-1.3 1999-09-17
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17335A5641999-10-18018 October 1999 LER 99-024-00:on 990708,literal TS Requirements Were Not Met by Accumlator Valve Surveillance.Caused by Misjudgement Made in Conversion from Initial DC Cook TS to W Std Ts.Submitted License Amend Request.With 991018 Ltr ML17335A5531999-10-0707 October 1999 LER 99-023-00:on 990907,inadequate TS Surveillance Testing of ESW Pump ESF Response Time Noted.Caused by Inadequate Understanding of Plant Design Basis.Surveillance Tests Will Be Revised & Implemented ML17335A5631999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for DC Cook Nuclear Plant,Unit 1.With 991012 Ltr ML17335A5621999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for DC Cook Nuclear Plant,Unit 2.With 991012 Ltr ML17335A5481999-09-30030 September 1999 Non-proprietary DC Cook Nuclear Plant Units 1 & 2 Mods to Containment Sys W SE (Secl 99-076,Rev 3). ML17335A5451999-09-28028 September 1999 Rev 1 to Containment Sump Level Design Condition & Failure Effects Analysis for Potential Draindown Scenarios. ML17326A1291999-09-17017 September 1999 LER 99-022-00:on 990609,electrical Bus Degraded Voltage Setpoints Too Low for Safety Related Loads,Was Discovered. Caused by Lack of Understanding of Design of Plant.No Immediate Corrective Actions Necessary ML17326A1481999-09-17017 September 1999 Independent Review of Control Rod Insertion Following Cold Leg Lbloca,Dc Cook,Units 1 & 2. ML17326A1211999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Cook Nuclear Plant, Unit 2.With 990915 Ltr ML17326A1201999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Cook Nuclear Plant, Unit 1.With 990915 Ltr ML17326A1121999-08-27027 August 1999 LER 99-021-00:on 990728,determined That GL 96-01 Test Requirements Were Not Met in Surveillance Tests.Caused by Failure to Understand Full Extent of GL Requirements. Surveillance Procedures Will Be Revised or Developed ML17326A1011999-08-26026 August 1999 LER 99-020-00:on 990727,EDGs Were Declared Inoperable.Caused by Inadequate Protection of Air Intake,Exhaust & Room Ventilation Structures from Tornado Missile Hazards. Implemented Compensatory Measures in Form of ACs ML17326A0911999-08-16016 August 1999 LER 99-019-00:on 990716,noted Victoreen Containment Hrrms Not Environmentally Qualified to Withstand post-LOCA Conditions.Caused by Inadequate Design Control.Reviewing Options to Support Hrrms Operability in Modes 1-4 ML17326A0771999-08-0404 August 1999 LER 98-029-01:on 980422,noted That Fuel Handling Area Ventilation Sys Was Inoperable.Caused by Original Design Deficiency.Radiological Analysis for Spent Fuel Handling Accidents in Auxiliary Bldg Will Be Redone by 990830 ML17335A5461999-08-0202 August 1999 Rev 0 to Evaluation of Cook Recirculation Sump Level for Reduced Pump Flow Rates. ML17326A0871999-07-31031 July 1999 Monthly Operating Rept for July 1999 for DC Cook Nuclear Plant,Unit 1.With 990812 Ltr ML17326A0861999-07-31031 July 1999 Monthly Operating Rept for July 1999 for DC Cook Nuclear Plant,Units 2.With 990812 Ltr ML17326A0741999-07-29029 July 1999 LER 99-018-00:on 990629,determined That Valve Yokes May Yield Under Combined Stress of Seismic Event & Static,Valve Closed,Stem Thrust.Caused by Inadequate Design of Associated Movs.Operability Determinations Were Performed for Valves ML17326A0661999-07-26026 July 1999 LER 99-017-00:on 990625,noted That Improperly Installed Fuel Oil Return Relief Valve Rendered EDG Inoperable.Caused by Personnel Error.Fuel Oil Return Valve Was Replaced with Valve in Correct Orientation.With 990722 Ltr ML17326A0651999-07-22022 July 1999 LER 98-014-03:on 980310,noted That Response to high-high Containment Pressure Procedure Was Not Consistent with Analysis of Record.Caused by Inadequate Interface with W. FRZ-1 Will Be Revised to Be Consistent with New Analysis ML17326A0491999-07-13013 July 1999 LER 99-016-00:on 990615,TS Requirements for Source Range Neutron Flux Monitors Not Met.Caused by Failure to Understand Design Basis of Plant.Procedures Revised.With 990713 Ltr ML17326A0331999-07-0101 July 1999 LER 99-004-01:on 971030,failure to Perform TS Surveillance Analyses of Reactor Coolant Chemistry with Fuel Removed Was Noted.Caused by Ineffective Mgt of Tss.Chemistry Personnel Have Been Instructed on Requirement to Follow TS as Written ML17326A0511999-06-30030 June 1999 Monthly Operating Rept for June 1999 for DC Cook Nuclear Plant,Unit 2.With 990709 Ltr ML17326A0501999-06-30030 June 1999 Monthly Operating Rept for June 1999 for DC Cook Nuclear Plant,Unit 1.With 990709 Ltr ML17326A0151999-06-18018 June 1999 LER 99-014-00:on 990521,determined That Boron Injection Tank Manway Bolts Were Not Included in ISI Program,Creating Missed Exam for Previous ISI Interval.Caused by Programmatic Weakness.Isi Program & Associated ISI Database Modified ML17325B6421999-06-0101 June 1999 LER 99-013-00:on 990327,safety Injection & Centrifugal Charging Throttle Valve Cavitation During LOCA Could Have Led to ECCS Pump Failure.Caused by Inadequate Original Design Application of Si.Throttle Valves Will Be Developed ML17325B6311999-06-0101 June 1999 LER 99-S03-00:on 990430,vital Area Barrier Degradation Was Noted.Caused by Inadequate Insp & Maint of Vital Area Barrier.Repairs & Mods Were Made to Barriers to Eliminate Degraded & Nonconforming Conditions ML17326A0061999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Dcp.With 990609 Ltr ML17326A0071999-05-31031 May 1999 Monthly Operating Rept for May 1999 for DC Cook Nuclear Plant,Unit 2.With 990609 Ltr ML17325B6351999-05-28028 May 1999 LER 99-S02-00:on 990428,vulnerability in Safeguard Sys That Could Allow Unauthorized Access to Protected Area Was Noted. Caused by Inadequate Original Plant Design.Mods Were Made to Wall Opening to Eliminate Nonconforming Conditions ML17265A8231999-05-24024 May 1999 LER 98-037-01:on 990422,determined That Ice Condenser Bypass Leakage Exceeds Design Basis Limit.Caused by Pressure Seal Required by Revised W Design Not Incorporated Into Aep Design.Numerous Matl Condition Walkdowns & Assessments Made ML17325B6001999-05-20020 May 1999 LER 99-012-00:on 990420,concluded That Auxiliary Bldg ESF Ventilation Sys Not Capable of Maintaining ESF Room Temps post-accident.Caused by Inadequate Control of Sys Design Inputs.Comprehensive Action Plan Being Developed ML17325B5861999-05-10010 May 1999 LER 99-002-00:on 990415,discovered That TS 4.0.5 Requirements Were Not Met Due to Improperly Performed Test. Caused by Incorrect Interpretation of ASME Code.App J Testing Will Be Completed & Procedures Will Be Revised ML17325B5811999-05-0404 May 1999 LER 99-011-00:on 990407,air Sys for EDG Will Not Support Long Operability.Caused by Original Design Error.Temporary Mod to Supply Makeup Air Capability in Modes 5 & 6 Was Prepared ML17325B5771999-05-0303 May 1999 LER 99-010-00:on 990401,RCS Leak Detection Sys Sensitivity Not in Accordance with Design Requirements Occurred.Caused by Inadequate Original Design of Containment Sump Level. Evaluation Will Be Performed to Clearly Define Design ML17335A5301999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for DC Cook Nuclear Plant,Unit 1.With 990508 Ltr ML17335A5291999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for DC Cook Nuclear Plant,Unit 2.With 990508 Ltr ML17325B5581999-04-16016 April 1999 LER 99-006-00:on 990115,personnel Identified Discrepancy Between TS 3.9.7 Impact Energy Limit & Procedure 12 Ohp 4030.STP.046.Caused by Lack of Design Basis Control.Placed Procedure 12 Ohp 4030.STP.046 on Administrative Hold ML17325B5471999-04-12012 April 1999 LER 99-009-00:on 990304,as-found RHR Safety Relief Valve Lift Setpoint Greater than TS Limit Occurred.Cause Investigation for Condition Has Not Been Completed.Update to LER Will Be Submitted,Upon Completion of Investigation ML17325B5321999-04-0707 April 1999 LER 99-S01-00:on 990308,discovered That Lock for Vital Gate Leading to Plant 4KV Switchgear Area Was Nonconforming & Vulnerable to Unauthorized Access.Caused by Inadequate Gate Design & Inadequate Procedures.Mods Are Being Made to Gate ML17325B5161999-04-0101 April 1999 LER 99-007-00:on 981020,calculations Showed That Divider Barrier Between Upper & Lower Containment Vols Were Overstressed.Engineers Are Currently Working on Analyses of Loads & Stress on Enclosures ML17325B5491999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for DC Cook Nuclear Plant Unit 2.With 990408 Ltr ML17325B5441999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for DC Cook Nuclear Plant,Unit 1.With 990408 Ltr ML17325B5221999-03-29029 March 1999 LER 99-001-00:on 960610,degraded Component Cooling Water Flow to Containment Main Steam Line Penetrations,Identified on 990226.Caused by Inadequate Understanding of Design Basis.Additional Investigations Ongoing ML17325B4801999-03-18018 March 1999 LER 99-004-00:on 971030,failure to Perform TS Surveillance Analyses of Rc Chemistry with Fuel Removed Was Noted.Cause of Event Is Under Investigation.Corrected Written Job Order Activities Used to Control SD Chemistry Sampling ML17325B4741999-03-18018 March 1999 LER 99-005-00:on 940512,determined That Rt Breaker Manual Actuations During Rod Drop Testing Were Not Previously Reported.Caused by Lack of Training.Addl Corrective Actions,Including Preventative Actions May Be Developed ML17325B5671999-03-0202 March 1999 Summary of Unit 1 Steam Generator Layup Chemistry from 980101 to 990218. ML17325B4631999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for DC Cook Nuclear Power Station,Unit 2.With 990308 Ltr ML17325B4621999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for DC Cook Nuclear Plant,Unit 1.With 990308 Ltr ML17325B4571999-02-24024 February 1999 LER 99-003-00:on 990107,CR Pressurization Sys Surveillance Test Did Not Test Sys in Normal Operating Condition.Caused by Failure to Recognize Door 12DR-AUX415 as Part of CR Pressure Boundary.Performed Walkdown of Other Doors 1999-09-30
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'E ACCEI ERAT 0 DOCUMENT DISTR>BVTION SYSTEM ItI REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9406160028 DOC.DATE: 94/06/09 NOTARIZED: NO DOCKET FACIL:50-315 Donald C. Cook Nuclear Power Plant, Unit 1, Indiana M 05000315 AUTH. NAME AUTHOR AFFILIATION R HODGE,W.M. Indiana Michigan Power Co. (formerly Indiana & Michigan Ele BLIND,A.A. Indiana Michigan Power Co. (formerly Indiana & Michigan Ele RECIP.NAME RECIPIENT AFFILIATION, D
SUBJECT:
LER 94-005-00:on 931228,TS surveillance was missed due to failure of individual to perform assigned duties.
Developed random monitoring, program & revised fire watch patrol training & implementing procedures.W/940609 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED: LTR ( ENCL TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc. L SIZE:
NOTES'ECIPIENT D COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD3-1 PD 1 1 HICKMAN,J 1 1 D INTERNAL: AEOD/DSP/TPAB 1 1 AEOD/ROAB/DS P 2 2 NRR/DE/EELB 1 1 NRR/DE/EMEB 1 1 NRR/DORS/OEAB 1 1 NRR/DRCH/HHFB 1 1 NRR/DRCH/HICB 1 1 NRR/DRCH/HOLB 1 1 NRR/DRSS/PRPB 2 2. NRR/DSSA/SPLB 1 1 p NRR/'DSSA/SRXB 1 1 NRR/PMAS/IRCB-E 1 1 ttZRE~Q LE+ 02 1 1 RES/DSIR/EIB RGN3 'ILE 01 1 1 1 1 EXTERNAL: EG&G BRYCE,J.H 2 2 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHY,G.A 1 1 NSIC POOREiW ~ 1 1 NUDOCS FULL TXT 1 1 D
D D
NOTE TO ALL"RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT. 504-2065) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 26 ENCL 26
Indiana Michigan Power Company Cook Nuclear Plam One Cook Place Bridgman, Ml 49106 616 465 5901 lNDMNA NICHIGAN POMfER June 9, 1994 United States Nuclear Regulatory Commission Document Control Desk Rockville, Maryland 20852 Operating Licenses DPR-58 Docket No. 50-315 Document Control Manager:
In accordance with the criteria established by 10 CFR 50.73 entitled Licensee Event Re ort S stem the following report is being submitted:
94-005-00 Sincerely, A. A. Blind Plant Manager
/sb Attachment c J.,B. Martin, Region III E. E. Fitzpatrick P. A. Barrett R. F. Kroeger M. A. Bailey Ft. Wayne NRC Resident Inspector J. B. Hickman NRC J. R. Padgett G. Charnoff, Esq.
D. Hahn INPO S. J. Brewer I
9406160028 940609 PDR ADOCK 05000315 8 PDR yP%
NRC F RM 366 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150%104 (5-92) EXPIRES 5/31/95 ESllMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECllON REOUEST: 50.0 HRS. FORWARD LICENSEE EVENT REPORT (LER) COMMENTS REGARDING BURDEN ESllMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (MNBB 771e), U,S, NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 205550001 ~ AND TO THE PAPERWORK REDUCTION PROJECT (51500104), OFFICE OF (See reverse for required number of digits/characters for each block) MANAGEMENTAND BUDGET, WASHINGTON, DC 20505.
FACIUTY NAME (I) DOCKET NUMBER (2) PAGE R)
D. C. Cook Nuclear Plant Unit 1 05000 315 10F 3 TITLE (I) Failure of Fire Watch Personnel to Perform Assigned Duties Resulting in Missed TS Required Surveillance EVENT DATE 5 LER NUMBER 6 REPORT NUMBER 7 OTHER FACILITIES INVOLVED 6 FACIUTY NAME DOCKET NUMBER SEOUENTIAL REVISION MONTH DAY YEAR YEAR DAY YEAR NUMBER NUMBER 05000 FACIUTY NAME DOCKET NUMBER 12 28 93 94 0005 00 06 09 94 05000 OPERATING THIS REPORT IS SUBMITTED PURSUA NT TO THE REQUIREMENTS OF 10 CFR R Check one or m ore 11 MODE (9) 20.402(b) 20.405(c) 50.73(a)(2)(iv) 73.71(b)
POWER 20.405(a) (1) (i) 50.36(c) (1) 50.73(a) (2}(v) 73.71(c)
LEVEL (10) 100 20.405(a) (1) (ii) 50.36(c)(2) 50.73(a)(2)(vii) OTHER
{Stree'IIy In AIrelfasl 20.405(a)(1)(iii) X 50.73(a)(2)(I) 50.73(a)(2)(viii) (A) belowandrn Tern, NRC 20.405(a) (1) (iv) 50.73(a) (2) (ii) 50.73(a) (2) (viii)(8) Form 566A) 20.405(a}(1)(v} 50.73(a) (2}(iii) 50.73(a) (2) (x)
LICENSEE CONTACT FOR THIS LER 12 NAME T(LEPHONE NUMBER (Inolrrde Area Code)
W. M. Hodge Plant Protection Superintendent 616-465-5901 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 13 REPORTABLE REPORTABLE CAUSE SYSTEM COMPONENT MANUFACTURER SYSTEM COMPONENT MAN{)FACTURER TO NPRDS TO NPRDS SUPPLEMENTAL REPORT EXPECTED 14 EXP ECTFD MONTH DAY YEAR YES SUBMISSION NO (tl yea, complete EXPECTED SUBMISSION DATE) DATE (15),
ABSTRACT (Umit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) (16)
On 6/1/92, the fi.re protection for multiple areas of the Plant was declared inoperable due to the uncertainties regarding the fire proofing material used to protect components and cabling within those areas. Compensatory actions required by the Technical Specifications (TS) were established. On 2/11/94, a routine review of completed Fire Watch (FW) patrol records identified three (3) discrepancies in which an hourly FW patrol on the Essential Service Water (ESW) pump room was not conducted for a period of 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 29 minutes on 12/28/93, 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 38 minutes on 12/30/93 and 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 29 minutes on 12/31/93.
Additional reviews were conducted and identified one (1) additionalU-1 discrepancy in which an hourly FW patrol was not conducted on the CD Emergency Diesel Generator (EDG) room for 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 22 minutes on 2/24/94.
A random monitori,ng program has been developed to review FW tours. These events, lessons learned from these events, and management expectations were conveyed to Plant Protection personnel. FW patrol training and implementing procedures are being revised to incorporate the lessons learned from these events.
NRC FORM 066 {5-92)
NRC FORM 3SSA U.S. NUCLEAR REGULATORY COMMISSION (589 I APPROVED OMB NO. 31504(0O EXPIRES: O/30/92 LICENSEE EVENT REPORT (LER) ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REOUEST: 500 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH IPJ(30I. U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31504(0(). OFFICE Of MANAGEMENTAND BUDGET. WASHINGTON. DC 20503.
FACILI'TY NAME (1) DOCKET NUMBER (2l LER NUMBER (SI ~ AGE LSI YEAR SEQUENTIAL rl( VIS IO N ro4 NUM Ell PS(A NUM 9 II D. C. Cook Nuclear Plant - Unit 1 0 5 0 0 0 3 1 5 9 4 0 50 002 QF 0 3 TEXT ///more opoce /1 reOMPer/, oeo /reo/oo ~ /I/RC Form 3/I(/AB/ I(TI C I 0 T On 6/1/92, the fire protection for multiple areas of the Plant was declared inoperable due to the uncertainties regarding the fire proofing material used to protect components and cabling within those areas.
(,,
On 2/11/94, a routine review of completed FW patrol tour records associated with TS related Fire Doors (FD) and other non.>>safety related FD for the months of November and December 1993, and January 1994, was conducted. This review revealed five discrepancies attributed to a single FW individual at the Unit 1 ESW pump room (door designation 1-GT-SCN212A-323).
From this review, the FW tour records generated by this individual for the time period November 17 through December 31, 1993 were examined to determine the extent of the problem. Twenty-two (22) total discrepancies were identified for this individual. Of the 22 discrepancies, three (3) were determined to have exceeded the requirements of TS 3.7.10. The other nineteen (19) were determined to have violated procedural requirements. No compensatory actions were taken as this review was of past events.
Based on these two reviews, a review was conducted of an additional 10% of the TS related FW patrols/tours and other non-safety related FW and FD tours for the period December 1993 through February 1994. This review identified six (6) additional procedural violations and one (1) discrepancy that had exceeded the requirements of TS 3.7.10. The discrepancy involved the U-1 CD EDG room.
CAUSE OF EVENT For the documentation reviewed, it appears the cause was the failure of the individual(s) to perform their assigned duties. A contributing cause to these events was that management follow-up/monitoring of activities did not identify the discrepancies.
AL SIS OF EVENT The TS 3.7.10 action statement for an inoperable fire rated assembly requires that "...within 1 hour: 1) verify that the fire detectors and/or fire suppression system on at least one side of the inoperable assembly are OPERABLE and establish an hourly fire watch patrol, or 2) establish a continuous fire watch patrol on one side of the penetration...".
Failure to maintain an hourly FW patrol was a violation of TS 3.7.10 and is reportable under 10 CFR 50.73(a)(2)(i)(B).
The U-1 ESW pump room (Fire Zone 29-G) and U-1 CD EDG room (Fire Zone 15) was being toured because it contains fire protective coating material which the Plant declared inoperable on 6/1/92. The hourly FW patrol was not conducted for a period of 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 29 minutes on 12/28/93, 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 38 minutes on 12/30/93 and 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 29 minutes on 12/31/93 in the ESW pump room. The hourly FW patrol was not conducted for a period of 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 22 minutes on 2/24/94 in the U-l CD NRC Fonrr SSSA (5891
NRCFORMSSSA U.S. NUCLEAR REGULATORY COMMISSION (EBB) APPROVED 0MB NO. 315001(M EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE. TO COMPLY WTH THIS LICENSEE EVENT REPORT ILER> INFORMATION COLLECTION REOUESTI 50A) HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH IP430), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAI'ERWORK REDUCTION PRO/ECT (3(500(0(), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (5) PAGE (31 SSOUENTIAL ASH'(EvrSION YEAR r?A
~
NUM ER ' rrvMefR D. C. Cook Nuclear Plant Unit 1 o s o o o 315 94 005 0 0 03oF 0 3 TEXT Il/more Aoece *eePr/'red. oee eddro'orre/HRC Form 35BA'e/ (17)
NALYSIS OF EVENT cont'd EDG room. The analysis of this event concludes that in the unlikely event of a fire, personnel would have been promptly aware of its presence and would have extinguished the fire without significant spreading of the fire or equipment damage. This conclusion is based on the following:
The detection for FZ 29-G and FZ-15 was in an operable state, in the event of a fire, the detectors would have alarmed in the U-l Control Room, which is manned 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> a day. This alarm condition would have been investigated and the appropriate Fire Brigade resources would have been dispatched to mitigate the fire. 1 2 Manual fire protection equipment was readily available for Fire Brigade
~
use if they deemed necessary.
Although an hourly FW patrol was not conducted for 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 29 minutes, 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 38 minutes, 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 29 minutes and 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 22 minutes respectively, concluded that the alanna/detection associated with the affected FZ would have it is allowed timely identification of a fire. Therefore, these events are not considered to have created a significant safety concern, nor did significant hazard to the health and safety of the general public.
it create a CORRECTIVE ACTION A random monitoring program was developed to review fire watch tours.
2 ~ These events, lessons learned and management expectations were conveyed to Plant Protection personnel during meetings held during the month of May 1994.
3 ~ Fire Watch patrol training and implementing procedures are being revised to incorporate the lessons learned from these events.
PREVIOUS SIMII.AR EVENTS None NRC Fono 35BA (689)