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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17313B0751999-08-27027 August 1999 LER 99-002-00:on 990730,test Mode Trip Bypass for EDG Output Breakers Not Surveilled.Cause Under Investigation.Operations Personnel Conservatively Invoked SR 3.0.3 for SR 3.8.1.13. with 990827 Ltr ML17313B0191999-07-16016 July 1999 LER 99-005-00:on 990618,RT on Low DNBR Was Noted.Caused by Hardware Induced Calculation Error.Cr Operator Was Taken to Place Reactor in Stable Condition IAW Appropriate Operating Procedure ML17313A9281999-05-0707 May 1999 LER 99-004-00:on 990408,PSV Lift Pressures Were Outside of TS Limits.Caused by Lift Pressure Setpoint Drift.Psvs Have Been Tested,Disassembled,Inspected,Reassembled & Certified at Wyle Labs ML17313A8951999-04-14014 April 1999 LER 99-003-00:on 990317,required Surveillance Requirement Not Completed Due to Deficient Procedure,Was Determined. Caused by Cognitive Personnel Error.St Procedures Revised to Require Chiller to Be Operating & Oil Temperature Checked ML17313A8921999-04-13013 April 1999 LER 98-003-01:on 980902,discovered That MSSV as-found Lift Pressures Were Outside TS Limits.Caused by Bonding of Valve Disc to Nozzle Seat.Affected Valves Were Adjusted,Retested & Returned to Svc ML17313A8891999-04-0909 April 1999 LER 99-001-00:on 990310,RT on High Pressurizer Pressure Was Noted.Caused by Loss of Heat Removal.Cr Supervisor Was Removed from Shift Duties for Diagnostics Skills Training. with 990409 Ltr ML17313A8361999-03-0101 March 1999 LER 99-001-00:on 990103,TS Violation for Power Dependent Insertion Limit Alarm Being Inoperable.Caused by Personnel Error.Revised Procedure to Clarify How Computer Point Is to Be Returned to Scan Mode.With 990302 Ltr ML17313A7701999-01-15015 January 1999 LER 96-008-00:on 960507,inadequate Procedure Results in Nuclear Power Channels Not Calibrated During Power Ascension Tests Occurred.Caused by Deficient Procedure.Procedure Revised ML17313A6611998-10-24024 October 1998 LER 98-008-00:on 980729,EQ of Electrical Connectors Were Not Adequately Demonstrated.Caused Because Test Was Conducted with Only Single Lv Connector & Without Fully Ranged Inputs. Revised EQ Requirements ML17313A5961998-09-14014 September 1998 LER 98-002-00:on 980814,B Train H Recombiner Was Noted Inoperable Due to cross-wired Power Receptacle.Cause of Event Is Under investigation.Cross-wired Power Supply Receptacle for B Train H Recombiner Was re-wired ML17313A5761998-09-0808 September 1998 LER 98-003-01:on 980113,discovered That One Channel of RWT Level Sys Had Failed High.Caused by Water Intrusion Into Electrical Termination Pull Box.Weep Holes Were Drilled Into Bottoms of Pull Boxes Nearest Level Transmitters ML17313A5591998-08-28028 August 1998 LER 98-001-00:on 980730,entered TS 3.0.3 Due to Safety Injection Flow Instruments Being Removed from Svc.Caused by Personnel Error.Transmitters Were Unisolated & Returned to svc.W/980828 Ltr ML17313A5201998-07-30030 July 1998 LER 98-004-00:on 980630,personnel Discovered That Pressure Safety Valve Had Not Received Periodic Set Pressure Test for ASME Class 1 Pressure Safety Valve.Caused by Personnel Error.Pressure Safety Valve reviewed.W/980730 Ltr ML17313A4671998-06-19019 June 1998 LER 98-007-00:on 980520,CR Personnel Observed Flow & Pressure Perturbations on Chemical & Vol Control Sys Letdown Sys.Caused by Cyclic Fatigue Due to Dynamic Pressure Transients.Unit Letdown Piping Replaced ML17313A4131998-06-0505 June 1998 LER 98-006-00:on 980507,determined That Plant Was Outside Design Basis Due to SI Discharge Check Valve Reverse Flow. Check Valve Was Disassembled,Examined & Reassembled, Whereupon Valve Met Acceptance Criteria ML17313A3951998-05-26026 May 1998 LER 98-005-00:on 980428,noted That Required Response Time Testing Had Not Been Performed.Caused by Personnel Error. Coached I&C Personnel Responsible for Reviewing Work Authorization Documentation ML17313A3251998-04-0101 April 1998 LER 98-004-00:on 980304,safety Valves as-found Pressures Out of Tolerance.Cause of Event Is Under Investigation.Three Mssv'S & Psv Will Be Replaced W/Refurbished & Recertified Valves During Refueling Outage U1R7 ML17313A3131998-03-21021 March 1998 LER 98-001-00:on 980301,surveillance Test Deficiency Found During Qaa Leads to TS 3.0.3/4.0.3 Entry.Caused by Personnel Error.Personnel Responsible for Inadequately Performed SR Were Coached ML17313A2251998-03-0505 March 1998 LER 93-005-00:on 930309,CR Personnel Discovered Missed TS LCO Action & Subsequently Performed Surveillance Satisfactorily.Caused by Personnel Error.Appropriate Disciplinary Action issued.W/980305 Ltr ML17313A2241998-02-26026 February 1998 LER 98-001-00:on 980130,reactor Protection & ESFAS Instrumentation Not Bypassed within one-hour Allowed by TS Occurred.Caused by Inadequate Procedures.Expectation to Detect Alarm Conditions Was Emphasized to CR Personnel ML17313A2081998-02-10010 February 1998 LER 97-007-00:on 971006,TS Violation Occurred Due to Inadequate Shutdown Cooling Flow During Modes 5 & 6 Operation.Independent Investigation of Event Was Conducted IAW APS CA program.W/980210 Ltr ML17313A2041998-02-0505 February 1998 LER 97-006-00:on 971028,missed TS 4.0.5 SR Was Noted.Caused by Personnel Error.Independent Investigation of Event Is Being Conducted IAW W/Aps Corrective Action Program ML17313A1201997-11-12012 November 1997 LER 97-006-00:on 971020,manual Reactor Trip Occurred Due to Vibration & Bearing Temp Increases in Reactor Coolant Pump. Caused by Failed Lower Journal Bearing.Bearing Assembly Was Disassembled,Inspected & Rebuilt ML17312B7181997-10-0707 October 1997 LER 97-003-00:on 970907,inadvertent Loss of Power & EDG Start Occurred Due to Procedural Error.Changed Train a & Train B Edg/Ist ST Procedures to Consistently Reflect Proper Pretest Staging Hand switches.W/971007 Ltr ML17312B7051997-09-26026 September 1997 LER 97-003-01:on 970215,seven Main Steam Safety Valves Were Found Out of Tolerance Prior to Refueling Outage.Safety Analysis Performed Based Upon as-found MSSV Data Which Demonstrated That MSSVs Would Perform Safety Functions ML17312B5531997-07-0707 July 1997 LER 97-002-00:on 970528,SR for Core Protection Was Not Performed Due to Inadequate Procedures.Revised Procedures ML17312B5501997-07-0707 July 1997 LER 97-003-00:on 970211,notified of Trevitest Activities Indicating That Total of Seven MSSVs Had as-found Lift Set Pressures Greater than 3 Percent Allowed by TS 3.7.1.1. Investigation Conducted.Seven MSSVs replaced.W/970707 Ltr ML17312B4971997-06-13013 June 1997 LER 97-002-00:on 970531,RT Occurred.Caused by Spurious Opening of All Four Rt Switchgear Breakers.Independent Investigation of Event Being Conducted in Accordance W/Util Corrective Action Program ML17312B1461996-12-17017 December 1996 LER 96-007-00:on 961119,surveillance Test Deficiencies Were Found During GL 96-01 Review Leading to TS 3.0.3 Entries. Caused by Increase in Scope of Required Testing.Supplement Will Be submitted.W/961217 Ltr ML17312A9511996-09-0404 September 1996 LER 96-003-00:on 960809,open Auxiliary Bldg Door Caused Full Bldg Essential Filtration Inoperability.Caused by Personnel Error.C/As Under consideration.W/960904 Ltr ML17312A8641996-07-17017 July 1996 LER 96-001-00:on 960621,inaccurate Gas Calculations for Post Accident Sampling Sys Occurred.Caused by Surveillance Test Worksheet Errors.Independent Investigation of Event Being conducted.W/960717 Ltr ML17300B2541996-06-11011 June 1996 LER 96-001-01:on 960404,inappropriate Grounding of Equipment Resulted in Condition Outside Design Basis of Plant. Established Fire Watches Required for Affected Areas ML17312A8081996-06-0909 June 1996 LER 96-002-00:on 960514,Tech Spec Violation Occurred Due to Erroneous Surveillance Requirement.Caused by Incorporation of C-E Generic Ts.Investigation Being conducted.W/960609 Ltr ML17312A7751996-05-17017 May 1996 LER 96-003-00:on 960122,missed Surveillance for Logic Check of Logs 1 & 2 Safety Excore Bypasses.Caused by Procedural Error.Log Power Functional Test Revised to Check Logs 1 & 2 Bypasses Regardless of Power level.W/960517 Ltr ML17312A7511996-05-0606 May 1996 LER 96-001-00:on 960404,smoke Discovered in Back Boards Area of CR by Security Officer,Performing Hourly Fire Watch Tour. Caused by Improperly Grounded Circuit.Investigation for Inappropriate Grounding of Low Voltage Power Sys Initiated ML17312A7241996-04-25025 April 1996 LER 96-002-00:on 960401,inappropriate Work Practice Resulted in Esfa of Train B Edg.Night Order Was Issued to All Three Units Describing event.W/960425 Ltr ML17312A6861996-04-0606 April 1996 LER 95-007-01:on 950512,determined That Bench Settings of air-operated Letdown & Containment Isolation Valves Adversely Affected Ability of Valves to Perform 10CFR50 App R Safety Function.Affected Valves Modified ML17312A5631996-02-22022 February 1996 LER 95-016-00:on 951212,containment Spray TS Violation Occurred Due to Unrecognized Valve Failure.Shim/Band Was Placed Around Stator of 1JSIBUV665 Motor Operator to Maintain Stator in Correct position.W/960222 Ltr ML17311B3381996-01-0909 January 1996 LER 95-014-00:on 951209,reactor Tripped Following Degradation of Main FW Flow.Caused by Malfunction of Fwcs Power supply,NNN-D11,transfer switch.NNN-D11 Aligned to Normal Power supply.W/960109 Ltr ML17311B3331995-12-31031 December 1995 LER 95-013-00:on 951201,AFW Sys Was Outside Design Basis of Plant.Caused by Design Error.Performed Assessment to Demonstrate That Existing Condition Does Not Pose Addl Safety concerns.W/951231 Ltr ML17311B2801995-11-23023 November 1995 LER 95-011-00:on 951018,identified Procedural Deficiency W/Msiv & FWIV ISTs Due to Personnel Error.Verified Operability of MSIVs & FWIVs.W/951123 Ltr ML17311B2531995-10-20020 October 1995 LER 95-002-00:on 950924,identified That Abnormal Blowdown Valves to Blowdown Flash Tank (Bft) Isolated,Resulting in Reactor Core Power Exceeding 3,800 Mwt Due to Personnel Error.Procedure for Aligning Blowdown to Bft Revised ML17311B1991995-09-21021 September 1995 LER 95-010-00:on 950727,equipment Qualification of Air Handling Unit Caused Essential Cw Pump to Be Inoperable. Used Work Orders to Drill Weep Holes in Motor Lead Connection boxes.W/950921 Ltr ML17311B1741995-09-0404 September 1995 LER 95-004-01:on 950329,containment Electrical Penetration Overcurrent Protective Devices Found Outside Design Basis. Caused by Error on Part of Original Architect Engineer. Modified Affected Circuits Critical to Normal Operational ML17311B1561995-08-27027 August 1995 LER 95-003-00:on 950729,switchyard Voltage Dropped Below Administratively Imposed Limit of 524 Kv for Approx 10 Seconds Due to Transient Grid Voltage.No C/A Taken Since Transmission Sys Transient Short duration.W/950827 Ltr ML17311B1551995-08-25025 August 1995 LER 95-002-01:on 950303,identified That Slb Analyses Failed to Consider as Initial Condition One Percent SDM for All Rods in (ARI) Due to Lack of Coordination & Unclear Div of Responsibilities.Ari Core Data Book SDM Curves Modified ML17311B1211995-08-16016 August 1995 LER 95-005-00:on 950717,RT on Low SG Water Level Was Result Following Degradation of MFW Flow.Completed Evaluation of Event ML17311B0841995-07-28028 July 1995 LER 94-005-01:on 941019,completed TS Required Shutdown Due to Expiration of LCO Time Limit.Design Change Options Identified & Will Be Reviewed to Determine If Valve &/Or Motor Operator Replacement or Mod Necessary ML17311B0721995-07-20020 July 1995 LER 95-004-00:on 950706,identified Four Occassions Between 950407 & 0630 When Conditional Surveillance in TS LCO 3.8.4.1 Action a Not Performed Due to Inattention to Detail. CR Copy of Temporary Procedure 40TP-9ZZ04 Corrected ML17311B0081995-07-0606 July 1995 LER 95-003-00:on 950613,TS LCO 3.0.3 Entered Following Loss of Both Trains of Essential Cw Sys & Both Hydrogen Recombiners.Caused by Spurious Actuations Due to Broken EDG Speed Probe Connector.Connector replaced.W/950706 Ltr 1999-08-27
[Table view] Category:RO)
MONTHYEARML17313B0751999-08-27027 August 1999 LER 99-002-00:on 990730,test Mode Trip Bypass for EDG Output Breakers Not Surveilled.Cause Under Investigation.Operations Personnel Conservatively Invoked SR 3.0.3 for SR 3.8.1.13. with 990827 Ltr ML17313B0191999-07-16016 July 1999 LER 99-005-00:on 990618,RT on Low DNBR Was Noted.Caused by Hardware Induced Calculation Error.Cr Operator Was Taken to Place Reactor in Stable Condition IAW Appropriate Operating Procedure ML17313A9281999-05-0707 May 1999 LER 99-004-00:on 990408,PSV Lift Pressures Were Outside of TS Limits.Caused by Lift Pressure Setpoint Drift.Psvs Have Been Tested,Disassembled,Inspected,Reassembled & Certified at Wyle Labs ML17313A8951999-04-14014 April 1999 LER 99-003-00:on 990317,required Surveillance Requirement Not Completed Due to Deficient Procedure,Was Determined. Caused by Cognitive Personnel Error.St Procedures Revised to Require Chiller to Be Operating & Oil Temperature Checked ML17313A8921999-04-13013 April 1999 LER 98-003-01:on 980902,discovered That MSSV as-found Lift Pressures Were Outside TS Limits.Caused by Bonding of Valve Disc to Nozzle Seat.Affected Valves Were Adjusted,Retested & Returned to Svc ML17313A8891999-04-0909 April 1999 LER 99-001-00:on 990310,RT on High Pressurizer Pressure Was Noted.Caused by Loss of Heat Removal.Cr Supervisor Was Removed from Shift Duties for Diagnostics Skills Training. with 990409 Ltr ML17313A8361999-03-0101 March 1999 LER 99-001-00:on 990103,TS Violation for Power Dependent Insertion Limit Alarm Being Inoperable.Caused by Personnel Error.Revised Procedure to Clarify How Computer Point Is to Be Returned to Scan Mode.With 990302 Ltr ML17313A7701999-01-15015 January 1999 LER 96-008-00:on 960507,inadequate Procedure Results in Nuclear Power Channels Not Calibrated During Power Ascension Tests Occurred.Caused by Deficient Procedure.Procedure Revised ML17313A6611998-10-24024 October 1998 LER 98-008-00:on 980729,EQ of Electrical Connectors Were Not Adequately Demonstrated.Caused Because Test Was Conducted with Only Single Lv Connector & Without Fully Ranged Inputs. Revised EQ Requirements ML17313A5961998-09-14014 September 1998 LER 98-002-00:on 980814,B Train H Recombiner Was Noted Inoperable Due to cross-wired Power Receptacle.Cause of Event Is Under investigation.Cross-wired Power Supply Receptacle for B Train H Recombiner Was re-wired ML17313A5761998-09-0808 September 1998 LER 98-003-01:on 980113,discovered That One Channel of RWT Level Sys Had Failed High.Caused by Water Intrusion Into Electrical Termination Pull Box.Weep Holes Were Drilled Into Bottoms of Pull Boxes Nearest Level Transmitters ML17313A5591998-08-28028 August 1998 LER 98-001-00:on 980730,entered TS 3.0.3 Due to Safety Injection Flow Instruments Being Removed from Svc.Caused by Personnel Error.Transmitters Were Unisolated & Returned to svc.W/980828 Ltr ML17313A5201998-07-30030 July 1998 LER 98-004-00:on 980630,personnel Discovered That Pressure Safety Valve Had Not Received Periodic Set Pressure Test for ASME Class 1 Pressure Safety Valve.Caused by Personnel Error.Pressure Safety Valve reviewed.W/980730 Ltr ML17313A4671998-06-19019 June 1998 LER 98-007-00:on 980520,CR Personnel Observed Flow & Pressure Perturbations on Chemical & Vol Control Sys Letdown Sys.Caused by Cyclic Fatigue Due to Dynamic Pressure Transients.Unit Letdown Piping Replaced ML17313A4131998-06-0505 June 1998 LER 98-006-00:on 980507,determined That Plant Was Outside Design Basis Due to SI Discharge Check Valve Reverse Flow. Check Valve Was Disassembled,Examined & Reassembled, Whereupon Valve Met Acceptance Criteria ML17313A3951998-05-26026 May 1998 LER 98-005-00:on 980428,noted That Required Response Time Testing Had Not Been Performed.Caused by Personnel Error. Coached I&C Personnel Responsible for Reviewing Work Authorization Documentation ML17313A3251998-04-0101 April 1998 LER 98-004-00:on 980304,safety Valves as-found Pressures Out of Tolerance.Cause of Event Is Under Investigation.Three Mssv'S & Psv Will Be Replaced W/Refurbished & Recertified Valves During Refueling Outage U1R7 ML17313A3131998-03-21021 March 1998 LER 98-001-00:on 980301,surveillance Test Deficiency Found During Qaa Leads to TS 3.0.3/4.0.3 Entry.Caused by Personnel Error.Personnel Responsible for Inadequately Performed SR Were Coached ML17313A2251998-03-0505 March 1998 LER 93-005-00:on 930309,CR Personnel Discovered Missed TS LCO Action & Subsequently Performed Surveillance Satisfactorily.Caused by Personnel Error.Appropriate Disciplinary Action issued.W/980305 Ltr ML17313A2241998-02-26026 February 1998 LER 98-001-00:on 980130,reactor Protection & ESFAS Instrumentation Not Bypassed within one-hour Allowed by TS Occurred.Caused by Inadequate Procedures.Expectation to Detect Alarm Conditions Was Emphasized to CR Personnel ML17313A2081998-02-10010 February 1998 LER 97-007-00:on 971006,TS Violation Occurred Due to Inadequate Shutdown Cooling Flow During Modes 5 & 6 Operation.Independent Investigation of Event Was Conducted IAW APS CA program.W/980210 Ltr ML17313A2041998-02-0505 February 1998 LER 97-006-00:on 971028,missed TS 4.0.5 SR Was Noted.Caused by Personnel Error.Independent Investigation of Event Is Being Conducted IAW W/Aps Corrective Action Program ML17313A1201997-11-12012 November 1997 LER 97-006-00:on 971020,manual Reactor Trip Occurred Due to Vibration & Bearing Temp Increases in Reactor Coolant Pump. Caused by Failed Lower Journal Bearing.Bearing Assembly Was Disassembled,Inspected & Rebuilt ML17312B7181997-10-0707 October 1997 LER 97-003-00:on 970907,inadvertent Loss of Power & EDG Start Occurred Due to Procedural Error.Changed Train a & Train B Edg/Ist ST Procedures to Consistently Reflect Proper Pretest Staging Hand switches.W/971007 Ltr ML17312B7051997-09-26026 September 1997 LER 97-003-01:on 970215,seven Main Steam Safety Valves Were Found Out of Tolerance Prior to Refueling Outage.Safety Analysis Performed Based Upon as-found MSSV Data Which Demonstrated That MSSVs Would Perform Safety Functions ML17312B5531997-07-0707 July 1997 LER 97-002-00:on 970528,SR for Core Protection Was Not Performed Due to Inadequate Procedures.Revised Procedures ML17312B5501997-07-0707 July 1997 LER 97-003-00:on 970211,notified of Trevitest Activities Indicating That Total of Seven MSSVs Had as-found Lift Set Pressures Greater than 3 Percent Allowed by TS 3.7.1.1. Investigation Conducted.Seven MSSVs replaced.W/970707 Ltr ML17312B4971997-06-13013 June 1997 LER 97-002-00:on 970531,RT Occurred.Caused by Spurious Opening of All Four Rt Switchgear Breakers.Independent Investigation of Event Being Conducted in Accordance W/Util Corrective Action Program ML17312B1461996-12-17017 December 1996 LER 96-007-00:on 961119,surveillance Test Deficiencies Were Found During GL 96-01 Review Leading to TS 3.0.3 Entries. Caused by Increase in Scope of Required Testing.Supplement Will Be submitted.W/961217 Ltr ML17312A9511996-09-0404 September 1996 LER 96-003-00:on 960809,open Auxiliary Bldg Door Caused Full Bldg Essential Filtration Inoperability.Caused by Personnel Error.C/As Under consideration.W/960904 Ltr ML17312A8641996-07-17017 July 1996 LER 96-001-00:on 960621,inaccurate Gas Calculations for Post Accident Sampling Sys Occurred.Caused by Surveillance Test Worksheet Errors.Independent Investigation of Event Being conducted.W/960717 Ltr ML17300B2541996-06-11011 June 1996 LER 96-001-01:on 960404,inappropriate Grounding of Equipment Resulted in Condition Outside Design Basis of Plant. Established Fire Watches Required for Affected Areas ML17312A8081996-06-0909 June 1996 LER 96-002-00:on 960514,Tech Spec Violation Occurred Due to Erroneous Surveillance Requirement.Caused by Incorporation of C-E Generic Ts.Investigation Being conducted.W/960609 Ltr ML17312A7751996-05-17017 May 1996 LER 96-003-00:on 960122,missed Surveillance for Logic Check of Logs 1 & 2 Safety Excore Bypasses.Caused by Procedural Error.Log Power Functional Test Revised to Check Logs 1 & 2 Bypasses Regardless of Power level.W/960517 Ltr ML17312A7511996-05-0606 May 1996 LER 96-001-00:on 960404,smoke Discovered in Back Boards Area of CR by Security Officer,Performing Hourly Fire Watch Tour. Caused by Improperly Grounded Circuit.Investigation for Inappropriate Grounding of Low Voltage Power Sys Initiated ML17312A7241996-04-25025 April 1996 LER 96-002-00:on 960401,inappropriate Work Practice Resulted in Esfa of Train B Edg.Night Order Was Issued to All Three Units Describing event.W/960425 Ltr ML17312A6861996-04-0606 April 1996 LER 95-007-01:on 950512,determined That Bench Settings of air-operated Letdown & Containment Isolation Valves Adversely Affected Ability of Valves to Perform 10CFR50 App R Safety Function.Affected Valves Modified ML17312A5631996-02-22022 February 1996 LER 95-016-00:on 951212,containment Spray TS Violation Occurred Due to Unrecognized Valve Failure.Shim/Band Was Placed Around Stator of 1JSIBUV665 Motor Operator to Maintain Stator in Correct position.W/960222 Ltr ML17311B3381996-01-0909 January 1996 LER 95-014-00:on 951209,reactor Tripped Following Degradation of Main FW Flow.Caused by Malfunction of Fwcs Power supply,NNN-D11,transfer switch.NNN-D11 Aligned to Normal Power supply.W/960109 Ltr ML17311B3331995-12-31031 December 1995 LER 95-013-00:on 951201,AFW Sys Was Outside Design Basis of Plant.Caused by Design Error.Performed Assessment to Demonstrate That Existing Condition Does Not Pose Addl Safety concerns.W/951231 Ltr ML17311B2801995-11-23023 November 1995 LER 95-011-00:on 951018,identified Procedural Deficiency W/Msiv & FWIV ISTs Due to Personnel Error.Verified Operability of MSIVs & FWIVs.W/951123 Ltr ML17311B2531995-10-20020 October 1995 LER 95-002-00:on 950924,identified That Abnormal Blowdown Valves to Blowdown Flash Tank (Bft) Isolated,Resulting in Reactor Core Power Exceeding 3,800 Mwt Due to Personnel Error.Procedure for Aligning Blowdown to Bft Revised ML17311B1991995-09-21021 September 1995 LER 95-010-00:on 950727,equipment Qualification of Air Handling Unit Caused Essential Cw Pump to Be Inoperable. Used Work Orders to Drill Weep Holes in Motor Lead Connection boxes.W/950921 Ltr ML17311B1741995-09-0404 September 1995 LER 95-004-01:on 950329,containment Electrical Penetration Overcurrent Protective Devices Found Outside Design Basis. Caused by Error on Part of Original Architect Engineer. Modified Affected Circuits Critical to Normal Operational ML17311B1561995-08-27027 August 1995 LER 95-003-00:on 950729,switchyard Voltage Dropped Below Administratively Imposed Limit of 524 Kv for Approx 10 Seconds Due to Transient Grid Voltage.No C/A Taken Since Transmission Sys Transient Short duration.W/950827 Ltr ML17311B1551995-08-25025 August 1995 LER 95-002-01:on 950303,identified That Slb Analyses Failed to Consider as Initial Condition One Percent SDM for All Rods in (ARI) Due to Lack of Coordination & Unclear Div of Responsibilities.Ari Core Data Book SDM Curves Modified ML17311B1211995-08-16016 August 1995 LER 95-005-00:on 950717,RT on Low SG Water Level Was Result Following Degradation of MFW Flow.Completed Evaluation of Event ML17311B0841995-07-28028 July 1995 LER 94-005-01:on 941019,completed TS Required Shutdown Due to Expiration of LCO Time Limit.Design Change Options Identified & Will Be Reviewed to Determine If Valve &/Or Motor Operator Replacement or Mod Necessary ML17311B0721995-07-20020 July 1995 LER 95-004-00:on 950706,identified Four Occassions Between 950407 & 0630 When Conditional Surveillance in TS LCO 3.8.4.1 Action a Not Performed Due to Inattention to Detail. CR Copy of Temporary Procedure 40TP-9ZZ04 Corrected ML17311B0081995-07-0606 July 1995 LER 95-003-00:on 950613,TS LCO 3.0.3 Entered Following Loss of Both Trains of Essential Cw Sys & Both Hydrogen Recombiners.Caused by Spurious Actuations Due to Broken EDG Speed Probe Connector.Connector replaced.W/950706 Ltr 1999-08-27
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17300B3811999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Pvngs,Units 1,2 & 3.With 991007 Ltr ML17300B3271999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Pvngs,Units 1,2 & 3 ML17313B0751999-08-27027 August 1999 LER 99-002-00:on 990730,test Mode Trip Bypass for EDG Output Breakers Not Surveilled.Cause Under Investigation.Operations Personnel Conservatively Invoked SR 3.0.3 for SR 3.8.1.13. with 990827 Ltr ML17313B0611999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Pvngs,Units 1,2 & 3.With 990810 Ltr ML17313B0191999-07-16016 July 1999 LER 99-005-00:on 990618,RT on Low DNBR Was Noted.Caused by Hardware Induced Calculation Error.Cr Operator Was Taken to Place Reactor in Stable Condition IAW Appropriate Operating Procedure ML17300B3151999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Pvngs,Units 1,2 & 3.With 990714 Ltr ML17313A9921999-06-21021 June 1999 Special Rept:On 990525,RMS mini-computer Was Removed from Service to Implement Yr 2000 Mod & Was OOS Longer than 72 H Allowed.Caused by Planned Y2K Mods.Preplanned Alternate Sampling Program Was Initiated ML17313A9911999-06-18018 June 1999 Special Rept:On 990510,loose-part Detection Sys Channel 2 Was Declared Inoperable.Caused by Malfunction of Mineral Cable Connector to Accelerometer.Licensee Will Implement Modifications Which Will Enhance loose-part Detection Sys ML17313A9731999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Pvngs,Units 1,2 & 3.With 990608 Ltr ML17313A9281999-05-0707 May 1999 LER 99-004-00:on 990408,PSV Lift Pressures Were Outside of TS Limits.Caused by Lift Pressure Setpoint Drift.Psvs Have Been Tested,Disassembled,Inspected,Reassembled & Certified at Wyle Labs ML17313A9201999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Pvngs,Units 1,2 & 3.With 990512 Ltr ML17313A8951999-04-14014 April 1999 LER 99-003-00:on 990317,required Surveillance Requirement Not Completed Due to Deficient Procedure,Was Determined. Caused by Cognitive Personnel Error.St Procedures Revised to Require Chiller to Be Operating & Oil Temperature Checked ML17313A8921999-04-13013 April 1999 LER 98-003-01:on 980902,discovered That MSSV as-found Lift Pressures Were Outside TS Limits.Caused by Bonding of Valve Disc to Nozzle Seat.Affected Valves Were Adjusted,Retested & Returned to Svc ML17313A8891999-04-0909 April 1999 LER 99-001-00:on 990310,RT on High Pressurizer Pressure Was Noted.Caused by Loss of Heat Removal.Cr Supervisor Was Removed from Shift Duties for Diagnostics Skills Training. with 990409 Ltr ML17300B3071999-03-31031 March 1999 Seismic Portion of Submittal-Only Screening Review of Palo Verde Nuclear Generating Station Units Ipeee. ML17313A8801999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Pvngs,Units 1,2 & 3.With 990412 Ltr ML20207M9231999-03-12012 March 1999 Amended Part 21 Rept Re Cooper-Bessemer Ksv EDG Power Piston Failure.Total of 198 or More Pistons Have Been Measured at Seven Different Sites.All Potentially Defective Pistons Have Been Removed from Svc Based on Encl Results ML20207H7471999-03-10010 March 1999 1999 Emergency Preparedness Exercise 99-E-AEV-03003 ML17313A8361999-03-0101 March 1999 LER 99-001-00:on 990103,TS Violation for Power Dependent Insertion Limit Alarm Being Inoperable.Caused by Personnel Error.Revised Procedure to Clarify How Computer Point Is to Be Returned to Scan Mode.With 990302 Ltr ML17313A8501999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Palo Verde Nuclear Generating Station.With 990311 Ltr ML17313A7791999-02-0505 February 1999 Safety Evaluation Accepting Licensee Rev to Emergency Plan That Would Result in Two Less Radiation Protection Positions Immediatelu Available During Emergencies ML17313A8061999-01-31031 January 1999 Monthly Operating Repts for Jan 1999 for Pvngs,Units 1,2 & 3.With 990218 Ltr ML17313A7701999-01-15015 January 1999 LER 96-008-00:on 960507,inadequate Procedure Results in Nuclear Power Channels Not Calibrated During Power Ascension Tests Occurred.Caused by Deficient Procedure.Procedure Revised ML17313A7381998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Palo Verde Nuclear Generating Station,Units 1,2 & 3.With 990113 Ltr ML20206H2101998-12-31031 December 1998 SCE 1998 Annual Rept ML17313A7031998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Pvngs,Unit 1,2 & 3. with 981209 Ltr ML17313A6701998-11-0404 November 1998 Rev 2 to PVNGS Unit 2 Colr. ML17313A6741998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Pvngs,Units 1,2 & 3.With 981109 Ltr ML17313A6611998-10-24024 October 1998 LER 98-008-00:on 980729,EQ of Electrical Connectors Were Not Adequately Demonstrated.Caused Because Test Was Conducted with Only Single Lv Connector & Without Fully Ranged Inputs. Revised EQ Requirements ML17313A6561998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for PVNGS Units 1,2 & 3.With 981007 Ltr ML17313A5961998-09-14014 September 1998 LER 98-002-00:on 980814,B Train H Recombiner Was Noted Inoperable Due to cross-wired Power Receptacle.Cause of Event Is Under investigation.Cross-wired Power Supply Receptacle for B Train H Recombiner Was re-wired ML17313A5761998-09-0808 September 1998 LER 98-003-01:on 980113,discovered That One Channel of RWT Level Sys Had Failed High.Caused by Water Intrusion Into Electrical Termination Pull Box.Weep Holes Were Drilled Into Bottoms of Pull Boxes Nearest Level Transmitters ML17313A5591998-08-28028 August 1998 LER 98-001-00:on 980730,entered TS 3.0.3 Due to Safety Injection Flow Instruments Being Removed from Svc.Caused by Personnel Error.Transmitters Were Unisolated & Returned to svc.W/980828 Ltr ML20151S0941998-08-21021 August 1998 Rev 6 to COLR for PVNGS Unit 3 ML20151S0861998-08-21021 August 1998 Rev 4 to COLR for PVNGS Unit 1 ML20151S0901998-08-21021 August 1998 Rev 1 to COLR for PVNGS Unit 2 ML18066A2771998-08-13013 August 1998 Part 21 Rept Re Deficiency in CE Current Screening Methodology for Determining Limiting Fuel Assembly for Detailed PWR thermal-hydraulic Sa.Evaluations Were Performed for Affected Plants to Determine Effect of Deficiency ML17313A5401998-08-13013 August 1998 Special Rept:On 980715,declared PASS Inoperable.Caused by Failure of Offgas Flush/Purge Control Handswitch HS0101. Handswitch Replaced & Post Maintenance Retesting Was Initiated ML17313A5301998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Pvgns,Units 1,2 & 3.W/980812 Ltr ML17313A5201998-07-30030 July 1998 LER 98-004-00:on 980630,personnel Discovered That Pressure Safety Valve Had Not Received Periodic Set Pressure Test for ASME Class 1 Pressure Safety Valve.Caused by Personnel Error.Pressure Safety Valve reviewed.W/980730 Ltr ML17313A5791998-07-0707 July 1998 to PVNGS SG Tube ISI Results for Seventh Refueling Outage Mar & Apr 1998. ML17313A5001998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Palo Verde Nuclear Generating Station,Units 1,2 & 3.W/980710 Ltr ML17313A4671998-06-19019 June 1998 LER 98-007-00:on 980520,CR Personnel Observed Flow & Pressure Perturbations on Chemical & Vol Control Sys Letdown Sys.Caused by Cyclic Fatigue Due to Dynamic Pressure Transients.Unit Letdown Piping Replaced ML17313A4521998-06-19019 June 1998 Rev 5 to COLR for Pvngs,Unit 3. ML17313A4501998-06-19019 June 1998 Rev 4 to COLR for Pvngs,Unit 3. ML17313A4131998-06-0505 June 1998 LER 98-006-00:on 980507,determined That Plant Was Outside Design Basis Due to SI Discharge Check Valve Reverse Flow. Check Valve Was Disassembled,Examined & Reassembled, Whereupon Valve Met Acceptance Criteria ML17313A4211998-05-31031 May 1998 Monthly Operating Repts for May 1998 for Pvngs,Units 1,2 & 3.W/980609 Ltr ML17313A3951998-05-26026 May 1998 LER 98-005-00:on 980428,noted That Required Response Time Testing Had Not Been Performed.Caused by Personnel Error. Coached I&C Personnel Responsible for Reviewing Work Authorization Documentation ML17313A3691998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for PVNGS.W/980412 Ltr ML17313A3251998-04-0101 April 1998 LER 98-004-00:on 980304,safety Valves as-found Pressures Out of Tolerance.Cause of Event Is Under Investigation.Three Mssv'S & Psv Will Be Replaced W/Refurbished & Recertified Valves During Refueling Outage U1R7 1999-09-30
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Text
LICENSEE EVENT REPORT (LER)
FACILITYNAME {1) DOCKET NVMSER (2) PAOE 0 5 0 {) 0 OF TITLE (4)
Reactor EVENT DATE {6)
Tri Due to Loss of LER NUMBER d)
M i REPOR t DATE {7) OTHER FACILITIES INVOLVED(8)
MONTH YEAR YEAR FACIUTY NAMES DOCKET NUMBER(S)
DAY YEAR NUMBER NUMBER MONTH DAY
{) 5 {) 0 {)
{) 5 {) 0 {)
OPERATINO THIS REPORT IS SUBMITTED PURSUANT TO THE REOVIREMENTS OF 10 CFR I: (Check one or more of the tolbwtng) (11)
MODE (0) 20.402($ ) 20A05(c) 51k 73(a)(2)(tv) 73.7t(tr)
POWER 20A05(a)(1)g) 5046(c)(I) 50.73(a)(2)(v) 73.71(c)
LEVEL (10) 20.405(a)(I)gl) 5086(c)(2) 50.73(a)(2)(v6) OTHER (Specliyln Abed ect belorv anti ln Terr{ NRC Form 20A05(a)(1)(ie) 50.73(a) (2)(i) 50.73(a)(2) (vB)(A) 366A) 20 405(a)(1)(iv) 50.73(a) (2)gi) 50 73(aX2)(van) 20.405(a)(1)(v) 50.73(a) (2)(iii) 50.73(a)(2)(rr)
LICENSEE CONTACT FOR THIS LER (1 2)
NAME TELEPHONE NUMBER Thomas R. Brad '.sk'OMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCR ED IH THIS REPORT (13) htAN VFAC- MANUFAC-CAUSE SYSTEM COMPONENT TURER SYSTEM COMPONENT TURER X S J RG 60 8 0 N SUPPLEMENTAL REPORT EXPECTED (14) MONTH DAY YEAR EXPECTED SVBLISSION DATE (15)
YES (IIyea, complete EXPECTED SUBMISSION DATE) NO ABSTRACT (IJrrit ro f400 epecee, I e., approxlmatety EIteen elnJIe-apace type vrifiten Inc e] {1 6)
On February 4, 1993, at approximately 1523 MST, Palo Verde Unit 3 was in Mode 1 (POWER OPERATION), operating at approximately 100 percent power when a reactor trip occurred due to Steam Generator Number 2 (SG-2) water level reaching the Reactor Protection System trip setpoint for low steam generator water level following the loss of Main Feedwater Pump A. Innnediately following the reactor trip, a low steam generator water level alarm annunciated for SG-1, followed by the Engineered Safety Feature Actuation System (ESFAS) actuation of both Auxiliary Feedwater Actuation Systems (AFAS-1 and AFAS-2) on low-low steam generator water level for both steam generators.
The Steam Bypass Control System responded as designed to control the secondary system pressure. The injection of auxiliary feedwater to the steam generators, combined with the quick-opening of the steam bypass control valves (SBCVs), caused reactor coolant temperature to decrease, which resulted in a primary system pressure decrease below the low pressurizer pressure setpoint of 1837 pounds per square inch absolute (psia). Valid ESFAS actuations of the Safety Injection Actuation System (SIAS) and the Containment Isolation Actuation System (CIAS) occurred due to low pressurizer pressure. The event was diagnosed as an uncomplicated reactor trip: By approximately 1559 MST on February 4, 1993, the plant was stabilized in Mode 3 (HOT STANDBY).
There have been no previous similar events reported pursuant to 10CFR50.73.
This LER also serves as a Special Report prepared and submitted pursuant to PDR S 'DR Technical Specification (TS) 3,5.2 ACTION b and TS 6.9.2.
9'303150145 930304 ADOCK 05000530
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACiLITYNAME DOCKET NUMBER LER NUMBER PAOE gP SEOUENTIAL REVISION
<x'UMBER 52 NUMBER Palo Verde Unit 3 osooo53093 0 0 1 0 0 OF 1 0 TEXT DESCRIPTION OF WHAT OCCURRED:
A. Initial Conditions:
At 1523 MST on February 4, 1993, Palo Verde Unit 3 was in Mode 1 (POWER OPERATION) operating at approximately 100 .percent power.
B. Reportable Event Description (Including Dates and Approximate Times of Major Occurrences):
Event Classification: An event that resulted in automatic actuation of any Engineered Safety Feature (ESF) (JE), including the Reactor Protection System (RPS)
(JC)
At approximately 1523 MST on February 4, 1993, a reactor (AC) trip occurred when Steam Generator Number 2 (SG-2) (AB) water level reached the Reactor Protection System (RPS) trip setpoint for low steam generator water level following the loss of the steam-driven Main Feedwater Pump (MFWP) A (SJ)(P). . Immediately following the reactor trip, a low steam generator water level alarm annunciated for SG-l, followed by the Engineered Safety Feature Actuation System (ESFAS) actuation of both Auxiliary Feedwater Actuation Systems (AFAS-1 and AFAS-2) (JE)(BA) on low-low steam generator water level for both steam generators. The Steam Bypass Control System (SBCS) (JI) responded as designed to control the secondary system pressure. The injection of auxiliary feedwater to the steam generators, combined with the quick-opening of four steam bypass control valves (SBCVs), caused reactor coolant (AB) temperature to decrease, which resulted in a primary system pressure decrease below the low pressurizer (AB) pressure setpoint of 1837 pounds per square inch absolute (psia). Valid ESFAS actuations of the Safety Injection Actuation System (SIAS)
(JI)(BP) and the Containment Isolation Actuation System (CIAS)
(JI)(BD) occurred due to low pressurizer pressure. The Control Room Supervisor (CRS) (utility, licensed) diagnosed the event as an uncomplicated reactor trip. By approximately. 1559 MST on February 4, 1993, the plant was stabilized in Mode 3 (HOT STANDBY).
Prior to the reactor trip, at approximately 1522 MST, Control Room (NA) personnel (utility, licensed) observed that the MFWP A high vibration alarm flashed, that the MFWP A speed decreased rapidly from approximately 4900 revolutions per minute (rpm) to approximately 1000 rpm, and that both steam generator water levels were decreasing rapidly. Following an evaluation of plant conditions, the Shift Supervisor (utility, licensed) directed
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILITYNAME DOCKET NUMBER I
PAOE g~: SEQUENTIAL gP< REVISION NUMBER NUMBER Palo Verde Unit 3 o 5 o o o 530 9 3 00 1 0 0 0 30F Control Room personnel to manually trip MFWP A in order to initiate a reactor power cutback (RPCB) (JD) (i.e., an automatic pover reduction from 100 percent to belov 70 percent). MFWP B continued to operate properly. However, before Control Room personnel could complete the MFWP A trip directive, at approximately 1523 MST, a reactor trip occurred when SG-2 water level reached the RPS trip setpoint for low steam generator water level. All control element assemblies {CEA) {AA) inserted as designed.
Immediately. following the reactor trip, a low steam generator water level alarm annunciated for SG-1, followed by AFAS-1 and AFAS-2 ESFAS actuations on low-low steam generator water level for both steam generators'he AFAS actuations initiated auxiliary feedvater injection to both SGs. The SBCS responded as designed to control the secondary system pressure.
The injection of auxiliary feedwater to both SGs, combined with the quick-opening of four SBCVs, caused reactor coolant temperature to decrease which resulted in a primary system pressure decrease below the low pressurizer pressure setpoint of 1837 psia. At approximately 1524 MST, valid SIAS and CIAS HSFAS actuations occurred due to low pressurizer pressure.
Following 'the reactor trip, pressurizer pressure decreased to"a minimum value of approximately 1821 psia, while pressurizer level decreased to approximately 15 percent with pressurizer heater cutout occurring, at approximately 25 percent. as designed. A review of data acquired from the plant monitoring system (IQ) indicated that the SIAS and CIAS ESFAS actuations occurred 41 seconds after the reactor trip. Pressurizer pressure decreased below the discharge head of the safety injection pumps (BP){P) resulting in the injection of borated water into the reactor coolant syst'm (RCS) (AB).
Following the reactor trip, pressurizer pressure and level vere restored [i.e., per procedure, in response to the SIAS ESFAS actuation, Control Room personnel manually tripped two of the four reactor coolant pumps (RCP 1B and RCP 2B) (AB)(P), one per steam generator, and pressurizer pressure and level started to recover at a faster rate]. The injection of borated water into the reactor coolant system was less than 100 gallons. At approximately 1552 MST, safety injection was throttled and shutdown li.e., per procedure, Control Room personnel stopped Trains A and B Containment Spray pumps (P)(BE), High Pressure Safety Injection pumps (P)(BQ), and Lov Pressure Safety Injection pumps (P)(BP)]. The steam generator water levels were restored using auxiliary and main feedwater. The CRS diagnosed the event
~c LICENSEE EVENT REPORT (LER) TEXT CONTINUATION DOCKET NUMBER LER NUMBER PAOE FACILITYNAME M SEOUENTIAL REVISION Fg NUMBER NUMBER Palo Verde Unit 3 o s o o o 53 093 001 0 0 0 40F as an uncomplicated reactor trip in accordance with the emergency plan implementing procedures. By approximately 1559 MST on February 4, 1993, the plant was stabilized in Mode 3 (HOT STANDBY). No other safety system responses occurred and none were required.
At'pproximately 1546 MST on February 4, 1993, Unit 3 declared 'a Notification of Unusual Event. The Notification of Unusual Event was declared pursuant to Emergency Plan Implementing Procedure (EPIP-02) for 'an event resulting in a SIAS ESFAS'actuation caused by a valid low pressurizer pressure. At approximately 1700 MST on February 4, 1993, the Notification of Unusual Event was terminated in accordance with EPIP-03. By approximately 1811 MST on. February 4, 1993, the SIAS, CIAS, AFAS-1, and AFAS-2 ESFAS actuations were reset.
CD Status of structures, systems, or<<components that were inoperable at the start of the event that contributed to the event:
Not applicable - no structures, systems, or components were inoperable at the start of the event which contributed to this event.
D ~ Cause of each component or system failure, if "known:
An independent investigation of this event (i.e., a reactor trip on low steam generator water level following the loss of feedwater flow from MFWP A) is being conducted in accordance with the APS Incident Investigation Program. As part of the investigation, an equipment root cause of failure analysis (ERCFA) of MFWP A is being performed by APS Engineering personnel (utility, nonlicensed).
Following extensive troubleshooting, a preliminary ERCFA determined that the apparent failure mechanism'as related to the MFWP A main control system circuit board. When the MFWP A main control system circuit board was removed during troubleshooting and reinserted without being well-seated, the MFWP A exhibited similar symptoms (i.e., speed reduction) . No significant evolutions, maintenance, or troubleshooting activities were in progress that contributed to the failure of MFWP A. Since no other problems were found that could have contributed to the MFWP A coastdown, the MFWP A main control system circuit board was replaced, omnilight recorders were installed on the MFWP A control system to monitor specific test points, and MFWP A was returned to service.
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILITyNAME DOCKET NUMBER NUMBER PAOE yEAR '>'EQUENTIAL P REVISION Palo Verde Unit 3 30'ER NUMBER NUMBER 0 5 0 0 0 5 93 0 01 OF At approximately 1354 MST on February 17, 1993,,Control Room personnel (utility, licensed) observed that the MFWP A speed decreased rapidly and that both steam generator water levels rapidly. Control Room personnel manually tripped MFWP were'ecreasing A in order to initiate an RPCB. The plant was stabilized in Mode 1 at approximately 65 percent power. Following extensive analysis of the data retrieved from the omnilight recorders, APS Engineering personnel determined that the MFWP A electronic speed governor control system circuit board's -12 vdc voltage regulator failed when the temperature surrounding the circuit board reached approximately 140 degrees Fahrenheit. The voltage regulator is
,rated to approximately 250 degrees Fahrenheit. The MFWP A electronic speed governor control -system circuit board was replaced. APS Engineering has determined that voltage regulator failure is limited to the replaced circuit board and that the fail'ure is not generic to Units 1 or 2.
Failure known:
mode, mechanism, and effect of each failed component, if The ERCFA determined that when the MFWP A electronic speed governor control system circuit board's -12 vdc voltage regulator failed, the MFWP A control valves were driven closed. When the control valves closed, steam to the steam-driven MFWP A stopped, and MFWP A experienced a rapid reduction in speed from approximately 4900 rpm to 1000 rpm (i.e., coastdown). Because MFWP A did not trip (NOTE: the steam-driven MFWP is designed to trip on low suction or high discharge pressure, not on loss of steam flow), an RPCB (i.e., an automatic power reduction from 100 percent to below 70 percent) signal was not initiated. Both steam generator water levels decreased rapidly on loss of feedwater flow from MFWP A. Before Control Room personnel'ould complete the MFWP A trip directive, a reactor trip occurred when SG-2 water level reached the RPS trip setpoint for low steam generator water level.
For failures of components with multiple functions, list of systems or secondary functions that were also affected:
Not applicable - no failures of components with multiple functions were involved.
For a failure that rendered a train of a safety system time elapsed from the discovery of the failure inoperable,'stimated until the train was returned to service:
All equipment responded as designed to the RPS and ESFAS actuations with the exception of the SG-1 Train B Auxiliary
LtCENSEE EVENT REPORT (LER) TEXT CONTINUATlON FACILITYNAME DOCKET NUMBER LER NUMBEA PAGE Palo Verde Unit 3 5~~I SEQUENTIAL NUMBER I
'EVISION NUMBER 0 5 0 0 0 9 3 0 0 1 0 0 0 6OF Feedwater regulating valve (AFB-HV30). AFB-HV30 experienced a loss of power and failed to fully open following the receipt of the ESFAS AFAS-1 actuation. At approximately 1537 MST on February 4, 1993, Control Room personnel declared the Train B Auxiliary Feedwater pump (AFB-P01) inoperable and entered Technical Specification Limiting Condition for Operation (TS LCO) Remote Shutdown Systems 3.3.3.5 ACTION a and TS LCO Auxiliary Feedwater System (AFWS) 3.7.'1.2 ACTION a. Although Train B AFWS was declared inoperable, the AFWS was still able to perform its safety function (i.e., maintain feedwater inventory to the affected SGs during operation when the main feedwater system is inoperable) ~
Upon receipt of an AFAS-l, both essential AFWPs (AFA-P01 and AFB-P01) start and discharge through downstream motor operated crossover valves (regulating valves AFA-HV32 and AFB,-HV30) into the MFWS downcomer supply lines. The crossover valves allow each AFWP to supply the affected SG (i.e., SG-1). The two motor
'o open operated regulating valves,(AFA-HV32 and AFB-HV30) were designed automatically upon receipt of an ESFAS AFAS-1 actuation signal. The Train A AFWS regulating valve (AFA-HV32) continued to operate properly and supply feedwater flow to SG-1.
AFB-HV30's motor contiol center (MCC) breaker and motor operated valve (MOV) were quarantined. An ERCFA was initiated. The valve's MCC breaker was found in the trip position and the valve was found to be approximately five percent open. The preliminary ERCFA determined that the breaker's instantaneous overcurrent magnetic trip device had operated and apparently tripped the breaker and that the MOV was stroking in the open position when the breaker tripped.
Following pulse current injection testing, the magnetic trip devi.ce's phase C trip setting of 29.5 amps was found to be below the acceptance criteria of 31.5 amps. Phase A and phase B settings were found at 33.0 amps. The breaker's instantaneous overcurrent magnetic trip setpoints were initially set on March 18, 1986, during plant startup. The three phases A, B, and C were set at 38, 40, and 43 amps, respectively, The settings have not been adjusted since plant startup. However, on October 31, 1989, during the AFB-HV30 MCC monthly relay functional test, AFB-HV30's valve motor faulted (i.e., the motor was found to be solidly grounded), and the MCC breaker tripped and would not reset, until the ESFAS individual subgroup pushbutton was released. Following troubleshooting, the motor was replaced. A visual inspection of the breaker was performed and no problems were found. The postulated degradation of the magnetic trip settings may have occurred when the motor faulted.
.0 LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILITYNAME DOCKET NUMBER LER NUMBER PAGE
'j"I SEQUENTIAL REVISION P NUMBER Palo Verde Unit 3 05ooo OF TEXT No other problems (i.e., Phase C below acceptance criteria) have been found that could, have contributed to the, failure of AFB-HV30
. to fully open. The MCC breaker was replaced. In addition, weekly valve stroking is being performed until the ERCFA is completed.
APS Engineering is expected to complete the ERCFA by April 15, 1993. If the completed ERCFA results differ significantly from this determination, a supplement to this report will be submitted to describe the final ERCFA.
Additional problems discovered during the performance of the AFB-HV30 ERCFA are being investigated under the APS Incident Investigation Program. These include discrepancies found in the MCC breaker overcurrent magnetic trip relay setpoints and the possible replacement of MCC breakers following a fault interruption. The investigations and corrective actions will be tracked under the Commitment Action Tracking System.
At approximately 1116 MST on February 7, 1993, Control Room personnel declared the Train B Auxiliary Feedwater System operable and exited TS LCO'emote Shutdown Systems 3.3.3.5 ACTION a and TS LCO Auxiliary Feedwater System (AFWS) 3.7.1.2 ACTION a.
H: Method of discovery of each component or system failure or procedural error:
As discussed in Section I.D, the failure of the MFWP A electronic speed governor control system circuit board's -12 vdc voltage regulator was discovered during troubleshooting following a recurrence of the February 4th event.
As discussed in Section I.G, the failure of the AFB-HV30 to fully open following the receipt of the ESFAS AFAS-1 actuation was discovered following the event. At approximately 1537 MST on February 4, 1993, Control Room personnel declared the Train B Auxiliary Feedwater pump (AFB-POl) inoperable and entered TS LCO 3.3.3.5 ACTION a and TS LCO 3.7.1.2 ACTION a. There were no procedural errors which contributed to this event.
Cause of Event:
An independent investigation of this event (i.e., a reactor trip on low steam generator water level following the loss of feedwater flow from MFWP A) is being conducted in accordance with the APS Incident Investigation Program. As part of. the investigation, an ERCFA of MFWP A is being performed. by APS Engineering personnel.
As discussed in Section I.D and I.E, the ERCFA has 'determined that the apparent failure mechanism is related to a failure of the MFWP A electronic speed governor control system circuit board's -12 vdc
l LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILITYNAME DOCKET NUMBER LER NUMBER PAGE
<%~ SEOUENTIAL Fj REVIBION NUMBER NUMBER Palo Verde Unit 3 osooo OFI P voltage regulator (SALP Cause Code E: Component Failure). No additional problems were found that could have contributed to the MFWP A coastdown. No significant evolutions, maintenance, or troubleshooting activities were in progress that contributed to the failure of MFWP A. No unusual characteristics of the work location (e.g., noise, heat, poor lighting) directly contributed to this event. There were no personnel or procedural errors which contributed to this event.
J ~ Safety System Response:
The following safety systems actuated automatically as a result of the event:
Emergency Diesel Generators (EK), Trains A and B, Essential Spray Pond Systems (BS), Trains A and B, Essential Chilled Water System (KM)', Trains A and B, Essential Cooling Water System (BI), Trains A and B, High Pressure Safety Injection (BQ), Trains A and B, Low Pressure Safety Injection (BP), Trains A and B, Containment Spray System (BE), Trains A and B,
.Essential Auxiliary Feedwater System (BA), Trains A and B, Containment Isolation System (JM),
Control Room Essential Heating, Ventilation and Air Conditioning (HVAC) System (AHU), Trains A and B, Auxiliary Building Essential HVAC System (AHU)(VF), Trains. A and B, and Fuel Building Essential HVAC System (AHU)(VG), Trains A and B.
K. Failed Component Information:
The MFWP A electronic speed governor control system circuit board's -12 vdc voltage regulator is manufactured by General Electric. The model number is MDT-20.
II. ASSESSMENT OF THE SAFETY CONSEQUENCES AND IMPLICATIONS OF THIS EVENT:
l A safety limit evaluation was performed as part of the APS Incident Investigation Program. The evaluation determined that the plant responded as designed, that no safety limits were exceeded, and that the event was bounded by current safety analyses.
The event reported by this LER (530/93-001) is bounded by the Palo Verde Updated Final Safety Analysis Report (FSAR) Chapter 15 accident scenarios concerning decreases in heat removal by the secondary system.
In addition, the Updated FSAR Chapter 6 scenarios concerning loss of coolant accidents were not challenged by this event.
I I ~
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION DOCKET NUMBER LER NUMBER PACE FACILITYNAME YEAR SEQUENTIAL 5'EVISION NUMBER ~c4 NUMBER Palo Verde Unit 3 5 0 0 0 OF The impact of the transients (i.e., concurrent decrease in primary system temperature and pressure and pressurizer level) posed no threat to fuel integrity as adequate subcooling margin and RCS inventory were maintained throughout the event. The maximum RCS pressure recorded during the event was 2300 psia, which did not exceed the 2750 psia safety limit.
There were no Departure from Nucleate Boiling Ratio (DNBR) related fuel failures since the Specified Acceptable Fuel .Design Limit (SAFDL) for DNBR was not exceeded during the event. Therefore, there were no safety consequences or .implications as a result of this event. This event did not adversely affect the safe operation of the plant or health and safety of the public.
III. CORRECTIVE ACTION:
Immediate:
MFWP A and AFB-HV30 were quarantined pending troubleshooting.
B. Action to Prevent Recurrence:
An independent investigation of this event is being conducted in accordance with the APS Incident Investigation Program. As part of the investigation, an ERCFA of MFWP A is being"p'erformed by APS Engineering personnel. APS Engineering personnel determined that the'FWP A ele'ctronic speed governor control system circuit board's -12 vdc voltage regulator failed. The MFWP A electronic speed governor control system circuit board was replaced. APS Engineering has determined that voltage regulator failure is limited to the replaced circuit board and that the failure is not generic to Units 1 or 2.
I APS Engineering is expected to complete the ERCFA by April 15, 1993. If the, completed ERCFA results differ from this determination, a supplement to this report will be submitted to describe the final ERCFA.
The corrective actions for the failure of AFB-HV30 to fully open are discussed in Section I.G.
IV. PREVIOUS SIMILAR EVENTS:
Although reactor trips related to MFWPs have been previously reported, no other previous events have been reported pursuant to 10CFR50.73 where a MFWP did not trip as the pump speed, flow, and discharge pressure
l Vt LICENSEE EVENT REPORT (LER) TEXT CONTINUATION DOCKET NUMBER PAOE FACILITYNAME SEQUENTIAL REVISION YEAR NUMBER NUMBER Palo Verde Unit 3 0 5 0 0 0 5 3 0 001 001 oF10 TEXT approached zero (NOTE: the steam-driven MFWP is designed to trip on low suction or high discharge pre'ssure, not on loss of steam flow). Because MFWP A did not trip, an RPCB (i.e., an automatic power reduction from 100 percent to below 70 percent) was not initiated and the plant tripped on low steam generator water level.
V. ADDITIONAL INFORMATION:
Based on reviews by the Plant Review Board (PRB), the Management Response Team, and the Incident Investigation Team, unit restart was authorized by the Plant Manager in accordance with approved procedures.
Based on PRB approval, the unit was restored to 100 percent power with both MFWP A and MFWP B in service. On February 7, 1993, Unit 3 entered Mode 2 (STARTUP) at approximately 1453 MST and Mode 1 at approximately 1832 MST, and was synchronized on the grid at approximately 1512 MST on Febiuary 8, 1993.
VI. SPECIAL REPORT:,
This LER also serves as a Special Report prepared and submitted pursuant to Technical Specification (TS) 3.5.2 ACTION b and TS 6.9,2 to describe the circumstances of the Emergency Core Cooling System (ECCS) actuation and the total accumulated actuation cycles to date. The circumstances of the ECCS actuation are described in Section I.B of this report. In Palo Verde Unit 3, there have been 3 total accumulated actuation cycles of the ECCS to date.