ML17263A667: Difference between revisions

From kanterella
Jump to navigation Jump to search
(Created page by program invented by StriderTol)
(Created page by program invented by StriderTol)
 
(One intermediate revision by the same user not shown)
Line 16: Line 16:


=Text=
=Text=
{{#Wiki_filter:ACCELERATED DISTRIBUTION DEMONSTRATION SYSTEM REGULATORY INFORMATION DISTRIBUTION-SYSTEM (RIDS)ACCESSION NBR:9406030044 DOC.DATE: 94/05/27 NOTARIZED:
{{#Wiki_filter:ACCELERATED DISTRIBUTION DEMONSTRATION SYSTEM REGULATORY INFORMATION DISTRIBUTION- SYSTEM (RIDS)
NO FACIL:50-244 Robert Emmet Ginna Nuclear Plant, Unit 1, Rochester G AUTH.NAME AUTHOR AFFILIATION ST.MARTIN,J.T.
ACCESSION NBR:9406030044             DOC.DATE: 94/05/27     NOTARIZED: NO           DOCKET g FACIL:50-244 Robert Emmet Ginna Nuclear Plant, Unit 1, Rochester                 G 05000244 AUTH. NAME           AUTHOR AFFILIATION ST.MARTIN,J.T.     Rochester Gas & Electric Corp.
Rochester Gas&Electric Corp.MECREDY,R.C.
MECREDY,R.C.       Rochester Gas & Electric Corp.
Rochester Gas&Electric Corp.RECIP.NAME RECIPIENT AFFILIATION I  
RECIP.NAME           RECIPIENT AFFILIATION                                                 .R I


==SUBJECT:==
==SUBJECT:==
LER 94-007-00:on 940427,feedwater transient occurred due to loss of ability to control feedwater regulatinq valve, causing lo lo SG level reactor trip.Caused by improperly secured stroke adjust set screw.W/940527 ltr.DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR j ENCL/SIZE: TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.DOCKET g 05000244.R D 8 NOTES:License Exp date in accordance with 10CFR2,2.109(9/19/72).
LER 94-007-00:on 940427,feedwater transient occurred due to loss of ability to control feedwater regulatinq valve, causing lo lo SG level reactor trip. Caused by improperly                           D secured stroke adjust set screw.W/940527 ltr.
05000244 A RECIPIENT ID CODE/NAME PD1-3 PD INTERNAL: AEOD/DOA AEOD/ROAB/DSP NRR/DE/EMEB NRR/DRCH/HHFB NRR/DRCH/HOLB NRR/DRSS/PRPB NRR/DSSA/SRXB RES/DSIR/EIB I EXTERNAL: EG&G BRYCE,J.H NRC PDR NSIC POOREiW~COPIES LTTR ENCL 1 1 1 1 2 2 1 1 1 1 1 1 2 2 1 1 1 1 2 2 1 1 1 1 RECIPIENT ID CODE/NAME JOHNSON,A AEOD/DSP/TPAB NRR/DE/EELB NRR/DORS/OEAB NRR/DRCH/HICB NRR/DRIL/RPEB NRR/~SSA/S PLB REGFFL~02 G 1 FILE 01 L ST LOBBY WARD NSIC MURPHY,G.A NUDOCS FULL TXT COPIES LTTR ENCL 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1.1 1,1 1'1 1 D D D NOTE TO ALL"RIDS" RECIPIENTS:
DISTRIBUTION CODE: IE22T           COPIES RECEIVED:LTR TITLE: 50.73/50.9 Licensee Event Report (LER),           j  ENCL Incident NOTES:License Exp date in accordance with 10CFR2,2.109(9/19/72).
A D D PLEASE HELP US TO REDUCE WASTE!CONTACT THE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT.20079)TO ELIMINATE YOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 27 ENCL 27 A sr ROCHESTER GAS AND ELECTRIC CORPORATION ROBERT C.MECREOY Vice Preridr nr Cinna Crurlesr Producuon rr C~~~~v r 4'r roe rr Scare 89 EAST AVENUE, ROCHESTER N.Y.14649-0001 TELEPHONE AicEA coDE 716 546'2700 May 27, 1994 U.S.Nuclear Regulatory Commission Attn: Allen R.Johnson PWR Project Directorate I-3 Document Control Desk Washington, DC 20555  
                                                                      /    SIZE:
Rpt, etc.
05000244 A 8
RECIPIENT              COPIES          RECIPIENT                               D COPIES ID CODE/NAME           LTTR ENCL      ID CODE/NAME        LTTR ENCL            D PD1-3 PD                   1    1    JOHNSON,A              1      1 INTERNAL: AEOD/DOA                     1    1    AEOD/DSP/TPAB          1      1 AEOD/ROAB/DSP               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/DRIL/RPEB          1      1 NRR/DRSS/PRPB               2    2    NRR/~SSA/S PLB          1      1 NRR/DSSA/SRXB               1    1    REGFFL~        02      1      1 RES/DSIR/EIB               1    1      G 1    FILE 01        1  . 1 I
EXTERNAL: EG&G BRYCE,J.H NRC PDR 2
1 2
1 L ST LOBBY WARD NSIC MURPHY,G.A 1,1 1
NSIC POOREiW    ~          1     1     NUDOCS FULL TXT        1     1 D
A D
D NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT. 20079) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR             27   ENCL   27
 
rr C ~
                                                                                                ~ ~ ~ v r A sr                                                                                        4'r roe rr Scare ROCHESTER GAS AND ELECTRIC CORPORATION                    89 EAST AVENUE, ROCHESTER N. Y. 14649-0001 ROBERT C. MECREOY                                                                          TELEPHONE Vice Preridr nr AicEA coDE 716 546'2700 Cinna Crurlesr Producuon May 27, 1994 U.S. Nuclear Regulatory Commission Attn:                 Allen R. Johnson PWR Project Directorate I-3 Document Control Desk Washington, DC 20555


==Subject:==
==Subject:==
LER 94-007, Feedwater Transient, Due to Loss of Ability to Control Feedwater Regulating Valve, Causes a Lo Lo Steam Generator Level Reactor Tl lp R.E.Ginna Nuclear Power Plant Docket No.50-244 In accordance with 10 CFR 50.73, Licensee Event Report System, item (a)(2)(iv), which requires a report of,"any event or condition that resulted in a manual or automatic actuation of any engineered safety feature (ESF), including the reactor protection system (RPS)", the attached Licensee Event Report LER 94-007 is hereby submitted.
LER 94-007, Feedwater Transient, Due to Loss of Ability to Control Feedwater Regulating Valve, Causes a Lo Lo Steam Generator Level Reactor Tl lp R.E. Ginna Nuclear Power Plant Docket No. 50-244 In accordance with 10 CFR 50.73, Licensee Event Report System, item (a) (2) (iv),
This event has in no way affected the public's health and safety.Very truly yours, g.P~g'~/r X.C~Robert C.Mecredy xc: U.S.Nuclear Regulatory Commission Region I 475 Allendale Road King of Prussia, PA 19406 Ginna USNRC Senior Resident Inspector 9406030044
which requires a report of, "any event or condition that resulted in a manual or automatic actuation of any engineered safety feature (ESF), including the reactor protection system (RPS)", the attached Licensee Event Report LER 94-007 is hereby submitted.
'ss40527 PDR ADOCK 05000244 C~PDR NRC FORH 366 (5-92)U.S.NUCLEAR REGULATORY C(NHI SSIOH PROVED BY MS NO.3150-0104 EXPIRES 5/31/95 LICENSEE EVENT REPORT (LER)(See reverse for required nunber of digits/characters for each block)ESTIHATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMA'IE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (HNBB 7714), U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-000'I AND TO THE PAPERWORK REDUCTION PROJECT (3140 0104), OFFICE OF MANAGEHENT AND BUDGET WASHINGTON DC 20503.FAGILITY NAME (1)R.E~Ginna Nuclear Power Plant DOCKET HNNIER (2)05000244 PAGE (3)10F9 TITLE (4)Feedwater Transient, Due to Loss of Ability to Control Feedwater Regulating Valve, Causes a Lo Lo Steam Generator Level Reactor Trip HONTH DAY YEAR EVENT DATE 5 YEAR LER NINBER 6 SEQUENTIAL NUMBER REVISION NUMBER MONTH DAY YEAR REPORT DATE 7 OTHER FACILITIES INVOLVED 8 DOCKET NUMBER FACILITY NAME 04 27 94 94--007--00 05 27 FACILITY HAHE DOCKET NUMBER OPERATING MODE (9)POWER LEVEL (10)N 045 THIS REPORT IS SUBMITTED PURSUANT 20.402(b)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) 20.405(c)50.36(c)(1) 50.36(c)(2) 50.73(a)(2)(i) 50.73(a)(2)(ii) 50.73(a)(2)(iii)
This event has in no way affected the public's health and safety.
X 50.73(a)(2)(iv) 50.73(a)(2)(v) 50.73(a)(2)(vii) 50.73<a)(2)(vIII)(A) 50.73<a)(2)(viii)(B) 50.73(a)(2)(x) 73.71(b)73~71(c)OTHER (Specify in Abstract belo~and in Text, NRC Form 366A TO THE REQUIREMENTS OF 10 CFR: (Check one or more 11 LICENSEE CONTACT FOR THIS LER 12 NAME John T.St.Martin-Director, Operating Experience TELEPHONE NUMBER (Include Area Code)(315)524.4446 C(NPLETE ONE LINE FOR EACH COHPOHENT FAILURE DESCRIBED IN THIS REPORT 13 CAUSE SYSTEH B JB LCV B042 COMPONENT MANUFACTURER REPORTABLE TO NPRDS Pj's)kj~';.CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE TO NPRDS SUPPLEMENTAL REPORT EXPECTED 14 YES (If yes, coaplete EXPECTED SUBMISSION DATE).X NO EXPECTED SUBHI SSI ON DATE (15)MONTH DAY YEAR ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines)(16)On April 27, 1994, at approximately 1407 EDST, with the reactor at approximately 454 reactor power, the ability to control the"A" main feedwater regulating valve was lost.At 1410 EDST, the reactor tripped on Lo Lo level ((/=17%)in the"A" Steam Generator.
Very truly yours, g.P~g'~/r       X.C~
The Control Room operators performed the actions of procedures E-0 and ES-0.1.The underlying cause was determined to be an improperly secured stroke adjust set screw for the valve positioner signal diaphragm assembly for the"A" main feedwater regulating valve.This event is NUREG-1022 Cause Code (B),"Design, Manufacturing, Construction/Installation." Immediate corrective action was to install a new valve positioner of a previous design.Corrective action to preclude repetition is outlined in Section V (B).NRC FORM 366 (5-92)
Robert C. Mecredy xc:       U.S. Nuclear Regulatory Commission Region I 475 Allendale Road King of Prussia, PA 19406 Ginna USNRC Senior Resident Inspector 9406030044 'ss40527 PDR           ADOCK 05000244 C~                             PDR
NRC FORM 366A (5.92)U.S.NUCLEAR REGULATORY COMMISSIOH LICENSEE EVENT REPORT (LER)TEXT CONTINUATION PROVED BY QHI NO.3150-0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY MITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORNARD COMMENTS REGARDIHG BURDEN ESTIMATE TO THE INFORMATION AHD RECORDS MANAGEHENT BRANCH (MHBB 7714), U.S.NUCLEAR REGULATORY COMMISSION, NASHINGTON, DC 20555-0001 AND TO THE PAPERHORK REDUCTION PROJECT (3140.0104), OFFICE OF MANAGEMENT AHD BUDGET llASHINGTON DC 20503.FACILITY NAME 1 R.E.Ginna Nuclear Power Plant DOCKET NMBER 2 05000244 YEAR 94 LER NUMBER 6 SEQUENTIAL
 
--007--REVISION 00 PAGE 3 2 OF 9 TEXT (If more space is required, use additional copies of HRC Form 366A)(17)PRE-EVENT PLANT CONDITIONS The plant achieved full power operation on April 23, 1994, after completion of the 1994 annual refueling and maintenance outage.On April 26, 1994, the plant was manually shut down to repair a small steam leak on an instrument fitting on the high pressure (HP)turbine.Due to stability problems with control, of feedwater flow to the"A" Steam Generator (S/G)at steady state conditions, the valve positioner for the"A" main feedwater regulating valve (MFRV)was replaced during this brief shutdown.On April 27, 1994, a load increase was in progress, controlled by Plant Operating Procedure 0-1.2,"Plant-Startup from Hot Shutdown to Full Load".The plant was at approximately 45%reactor power.Preparations were being made to start a second main feedwater pump, per System Operating Procedure T-4.F,"Restoring 1B Feedwater Pump to Service After Maintenance or Power Reduction".
NRC FORH   366                                     U.S. NUCLEAR REGULATORY C(NHI SSIOH                       PROVED BY     MS NO. 3150-0104 (5-92)                                                                                                                EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.
II.DESCRIPTION OF EVENT A.DATES AND APPROXIMATE TIMES OF MAJOR OCCURRENCES:
LICENSEE EVENT REPORT (LER)                                                  FORWARD COMMENTS REGARDING BURDEN ESTIMA'IE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (HNBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, (See reverse    for required  nunber of    digits/characters for      each    block)      WASHINGTON, DC 20555-000'I         AND TO THE PAPERWORK REDUCTION     PROJECT     (3140 0104),       OFFICE   OF MANAGEHENT AND BUDGET WASHINGTON DC 20503.
o April 27, 1994, 1410 EDST: Event date and time.o April 27, 1994, 1410 EDST: Discovery date and time.o April 27, 1994, 1410 EDST: Control Room operators verify both reactor trip breakers open, and all control and shutdown rods inserted.o April 27, 1994, 1412 EDST: Control Room operators manually stop the operating main feedwater pump to limit a reactor coolant system cooldown.o April 27, 1994, 1416 EDST: Control Room operators manually close both main steam isolation valves to limit a reactor coolant system cooldown.o April 27, 1994, 1440 EDST: Plant stabilized at hot shutdown condition.
FAGILITY NAME   (1)   R. E ~ Ginna Nuclear Power Plant                                       DOCKET HNNIER     (2)                     PAGE   (3) 05000244                              10F9 TITLE (4) Feedwater Transient,       Due   to Loss of Ability to Control Feedwater Regulating Valve,               Causes   a Lo Lo Steam     Generator Level Reactor Trip EVENT DATE     5                   LER NINBER     6                 REPORT DATE       7               OTHER   FACILITIES INVOLVED 8 SEQUENTIAL        REVISION                              FACILITY NAME                          DOCKET NUMBER HONTH    DAY      YEAR      YEAR                                      MONTH    DAY      YEAR NUMBER          NUMBER 04       27         94     94       --007--               00         05       27 FACILITY HAHE                         DOCKET NUMBER OPERATING                 THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10              CFR    :    (Check one or more      11 MODE  (9)         N       20.402(b)                             20.405(c)                      X  50.73(a)(2)(iv)                 73.71(b)
NRC FORM 366A (5-92)
POWER 20.405(a   )(1)(i)                   50.36(c)(1)                         50.73(a)(2)(v)                 73 71(c)
NRC FORM 366A (5-92)U.S.NUCLEAR REGULATORY CQOIISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY Q(B HO.3150-0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS IHFORMATION COLLECTIOH REQUEST: 50.0 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (MNBB 7714), U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (31/0-0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.FACILITY NAME 1 R.E.Ginna Nuclear Power Plant DOCKET HQIBER 2 YEAR 05000244 94 LER NUMBER 6 SEOUENTIAL M--007--REVISION 00 PAGE 3 3 OF 9 TEXT (If more space is required, use additional copies of HRC Form 366A)(17)B.EVENT: On April 27, 1994, a load increase was in progress, following the brief plant shutdown on April 26, 1994.Plant Operating Procedure 0-1.2 was being followed to control the load increase.Only one main feedwater pump was in operation, and preparations were being made to start the second main feedwater pump and to continue with the load increase.On April 27, 1994, at approximately 1407 EDST, the Control Room operators noticed a slight decrease in feedwater flow to the"A" S/G.They attempted to manually increase feedwater flow, but the"A" MFRV did not respond to the demand signal to open the valve from the Main Control Board.At approximately 1408 EDST, Main Control Board annunciator G-22,"ADFCS System Trouble" alarmed, due to a deviation between the demand signal and actual position of the"A" MFRV.Level continued to decrease in the"A" S/G.The Shift Supervisor ordered a rapid load reduction, in an attempt to decrease the need for feedwater flow.Within two minutes, power had been decreased by approximately 15%, and actual feedwater flow being delivered to the"A" S/G exceeded steam flow.However, level in the"A" S/G decrea'sed to (17oI resulting in a reactor trip on S/G Lo Lo level, at 1410 EDST.The Control Room operators performed the immediate actions of Emergency Operating Procedure E-O,"Reactor Trip or Safety Injection", and transitioned to Emergency Operating Procedure ES-0.1',"Reactor Trip Response", when it was verified that both reactor trip breakers were open, all control and shutdown rods were inserted, and safety injection was not actuated or required.During performance of ES-0.1, the Control Room operators noted that an anticipated reactor coolant system (RCS)cooldown was occurring, and manually stopped the operating main feedwater pump.In addition, both main steam isolation valves (MSIVs)were manually closed by the Control Room operators.
                                                                                                                                              ~
These actions mitigated the RCS cooldown.During this event, pressurizer (PRZR)level decreased below the setpoint for letdown isolation, closing the letdown isolation valves and deenergizing the PRZR heaters.After PRZR level was restored above the setpoint, the Control Room Foreman directed that letdown and PRZR heaters be restored to service.The plant was subsequently stabilized in hot shutdown (at approximately 1440 EDST)using Plant Operating Procedures 0-3,"Hot Shutdown with Xenon Present", and 0-2,"Plant Shutdown".
045                                                                                  50.73(a)(2)(vii)
HRC FORM 366A (5-92)
LEVEL  (10)                 20.405(a)(1)(ii)                       50.36(c)(2)                                                         OTHER 20.405(a)(1)(iii)                     50.73(a)(2)(i)                     50.73<a)(2)(vIII)(A) (Specify in 20.405(a)(1)(iv)                       50.73(a)(2)(ii)                     50.73<a)(2)(viii)(B) Abstractand in Text, belo~
HRC FORM 366A (5-92).S.NUCLEAR REGUULTORY COMMISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION PROVED BY OIB NO.3150-0104 EXP I RES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTIOH REQUEST: 50.0 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE INFORMATIOH AHD RECORDS MANAGEMENT BRANCH (MNBB 7714), U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.FACILITY NAME 1 R.E.Ginna Nuclear Power Plant DOCKET NMBER 2 05000244 i LER NMBER 6 YEAR SEQUEH'TIAL 94--007 REVISION 00 PAGE 3 4 OF 9 TEXT (If more space is required, use additional copies of NRC Form 366A)(17)C~I NOPERABLE STRUCTURES I COMPONENTS I OR SYSTEMS THAT CONTRIBUTED TO THE EVENT: None D.OTHER'YSTEMS OR SECONDARY FUNCTIONS AFFECTED: None E.METHOD OF DISCOVERY:
20.405(a)(1)(v)                        50.73(a)(2)(iii)                   50.73(a)(2)(x)              NRC Form 366A LICENSEE CONTACT FOR THIS LER         12 NAME   John T. St. Martin - Director, Operating Experience                                             TELEPHONE NUMBER       (Include Area Code)
This event was apparent due to Main Control Board indications of the loss of ability to control feedwater flow to the"A" S/G.The reactor trip was immediately apparent due to alarms and indications in the Control Room.F.OPERATOR ACTION: After the reactor trip, the Control Room operators performed the actions of Emergency Operating Procedures E-O,"Reactor Trip or Safety Injection" and ES-0.1,"Reactor Trip Response".
(315) 524.4446 C(NPLETE ONE LINE FOR EACH COHPOHENT FAILURE DESCRIBED IN THIS REPORT                     13 REPORTABLE                                                                            REPORTABLE CAUSE     SYSTEH       COMPONENT      MANUFACTURER                                    CAUSE    SYSTEM    COMPONENT        MANUFACTURER TO NPRDS                                                                              TO NPRDS B         JB           LCV             B042 Pj's)kj~ ';.
The operating main feedwater pump was manually stopped, and the MSIVs were manually closed to limit further RCS cooldown.The plant was stabilized at hot shutdown.Subsequently, the Control Room operators notified higher supervision and the Nuclear Regulatory Commission per 10CFR50.72, Non-Emergency, 4 Hour Notification.
SUPPLEMENTAL REPORT EXPECTED         14                                       EXPECTED              MONTH      DAY        YEAR YES                                                                                               SUBHI SSI ON (If yes,   coaplete   EXPECTED SUBMISSION     DATE).                 X   NO DATE   (15)
G.SAFETY SYSTEM RESPONSES:
ABSTRACT     (Limit to   1400 spaces,   i.e., approximately     15 single-spaced       typewritten lines)     (16)
None III.CAUSE OF EVENT A.IMMEDIATE CAUSE: The reactor trip was due to"A" S/G Lo Lo level ((/=17%), caused by decreased feedwater flow to the"A" S/G.B.INTERMEDIATE CAUSE: The decreased feedwater flow to the"A" S/G was due to loss of ability to control the"A" MFRV, caused by the valve positioner for the"A" MFRV not responding to the demand open signal.HRC FORM 366A (5-92)
On   April 27, 1994, at approximately 1407 EDST, with the reactor at approximately 454 reactor power, the ability to control the "A" main feedwater regulating valve was lost. At 1410 EDST, the reactor tripped on Lo Lo level ((/= 17%) in the "A" Steam Generator.                                                             The Control Room operators performed the actions of procedures E-0 and ES-0.1.
HRC FORM 366A (5-92)U.S.NUCLEAR REGULATORY COMMISSION LICENSEE.EVENT REPORT (LER)TEXT CONTINUATION PROVED BY OMB NO.3150-0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.'ORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (MNBB 7714), U.S.NUCLEAR REGULATORY COMMISSIOH, WASHINGTON, DC 20555-0001, AND TO THE PAPERWORK REDUCTION PROJECT (3150 0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.FACILITY NAME 1'R.E.Ginna Nuclear Power Plant DOCKET NWBER 2 05000244 LER NI&#xc3;BER 6)YEAR SEQUENTIAL 94--007--REVISION ,00 PACE 3 5 OF 9 TEXT (lf more space is required, use additional copies of HRC Form 366A)(17)C.ROOT CAUSE: The underlying cause of the valve positioner for the"A" MFRV not properly responding to a change in input, demand signal from the controller on the Main Control Board was an improperly secured stroke adjust set screw.The set screw was found in a backed out condition in the valve position signal diaphragm assembly for the"A" MFRV.It is postulated that this stroke adjust allen head set screw did not have adequate thread sealant to prevent it from backing out of the signal diaphragm assembly cover when subjected-to vibration.
The underlying cause was determined to be an improperly secured stroke adjust set screw for the valve positioner signal diaphragm assembly for the "A" main feedwater regulating valve. This event is NUREG-1022 Cause Code (B), "Design, Manufacturing, Construction/Installation."
With the set screw backed out, the signal diaphragm was restricted from responding to an input demand signal to open the MFRV.Note that the set screw is a factory-set adjustment.
Immediate corrective action was to install a new valve positioner of a previous design. Corrective action to preclude repetition is outlined in Section V (B).
This particular set screw backed out when subjected to less than twelve hours of operation, and this failure mode has not occurred in other valve positioners that have'accumulated thousands of hours of operation.
NRC FORM 366   (5-92)
This event is NUREG-1022 Cause Code (B),"Design, Manufacturing, Construction/Installation." IV.ANALYSIS OF EVENT This event is reportable in accordance with 10 CFR 50.73, Licensee Event Report System, item (a)(2)(iv), which requires a report of,"any event or condition that resulted in manual or automatic actuation of any engineered safety feature (ESF)including the reactor protection system (RPS)".The"A" S/G Lo Lo level reactor trip was an automatic actuation of the RPS.An assessment was performed considering both the safety consequen-ces and implications of this event with the following results and conclusions:
 
o There were no safety consequences or implications attributed to the reactor trip because:*The two reactor trip breakers opened as required.*All control and shutdown rods inserted as designed.*The plant was stabilized at hot shutdown.HRC FORM 366A (5-92)
NRC FORM 366A                               U.S. NUCLEAR REGULATORY COMMISSIOH               PROVED BY QHI NO. 3150-0104 (5.92)                                                                                              EXPIRES   5/31/95 ESTIMATED BURDEN PER RESPONSE         TO COMPLY MITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.
NRC FORH 366A (5-92)U.S NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY (HGI NO.3150-0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLEC'IIOH REQUEST: 50.0 HRS~FORNARD COMMENTS REGARDING BURDEN ESTIMATE TO tHE INFORMATION AND RECORDS MANAGEMENT BRANCH (MNBB 7714), U.S.NUCLEAR REGULATORY COMMISSION, MASHIHGTON, DC 20555-0001, AND TO THE PAPERNORK REDUCTION PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET MASHINGTON DC 20503.FACILITY NAME 1 R.E.Ginna Nuclear Power Plant DOCKET HINSER 2 I 05000244 YEAR 94--007 00 LER NIMBER 6 SEQUENTIAL REVISION PAGE 3 6 OF 9 TEXT (If more space is required, use additional copies of NRC Form 366A)(17)o The Ginna Updated Final Safety Analysis Report (UFSAR)transient, as described in Chapter 15.2.6,"Loss of Normal Feedwater", describes a condition where the reactor trips on Lo Lo S/G level.This UFSAR transient was reviewed and compared to the plant response for this event.The UFSAR transient is a complete loss of Main Feedwater (MFW)at full power, with only one auxiliary feedwater (AFW)pump available one (1)minute after the loss of MFW, and secondary steam relief (i.e., decay heat removal)through the safety valves only.The protection against a loss of MFW includes the reactor trip on Lo Lo S/G level and the start of the AFW pumps.These protection features operated as designed.Based on the above evaluation, the plant transient of April 27, 1994, is bounded by the UFSAR Safety Analysis assumptions.
FORNARD COMMENTS REGARDIHG BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER)                                    THE INFORMATION AHD RECORDS MANAGEHENT BRANCH TEXT CONTINUATION                                      (MHBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, NASHINGTON, DC 20555-0001       AND TO THE PAPERHORK REDUCTION     PROJECT     (3140.0104),     OFFICE   OF MANAGEMENT AHD BUDGET llASHINGTON DC 20503.
o Technical Specifications (TS)were reviewed with respect to the post trip review data.'he following are the results of that review:*Following the reactor trip, PRZR water level decreased'o approximately 12.5%due to a moderate RCS cooldown.This cooldown occurred during the post trip recovery period.This cooldown was bounded by the plant accident analysis, and did not exceed the TS limit of 100 degrees F per hour.Additional mitigation was provided by closing the MSIVs and stopping-the main feedwater pump.TS 3.1.1.5 states, in part, that when the RCS temperature is at or above 350 degrees F, at least 100 KW of PRZR heaters will be operable.TS 3.1.1.5 also states, in part, that if the PRZR,is inoperable due to heaters, restore the PRZR'to operable status within six (6)hours.PRZR water level was restored above the setpoint for letdown isolation within two (2)minutes, restoring the PRZR heaters to operable status, well before the six'(6)hour action statement.
FACILITY NAME   1                     DOCKET NMBER  2              LER NUMBER    6                  PAGE  3 SEQUENTIAL      REVISION YEAR R.E. Ginna Nuclear Power Plant                               05000244           94   -- 007--               00         2 OF 9 TEXT (If more space is required, use additional copies of HRC Form 366A) (17)
NRC FORM 366A (5-92)
PRE-EVENT PLANT CONDITIONS The     plant achieved full power operation on April 23, 1994, after completion of the 1994 annual refueling and maintenance outage. On April 26, 1994, the plant was manually shut down to repair a small steam leak on an instrument fitting on the high pressure (HP) turbine. Due to stability problems with control, of feedwater flow to the "A" Steam Generator (S/G) at steady state conditions, the valve positioner for the "A" main feedwater regulating valve (MFRV) was replaced during this brief shutdown.
NRC FORH 366A (5.92)U.S.NUCLEAR REGULATORY COMHISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY QGI NO.3150-0104 EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REOUEST: 50.0 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MANAGEHENT BRANCH (MNBB 7714), U.ST NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140 0104), OFFICE OF HANAGEMENT AND BUDGET WASHINGTON DC 20503.FACILITY NAHE 1 R.E.Ginna Nuclear Power Plant DOCKET NINBER 2 05000244 LER NUMBER 6 YEAR SEOUENTIAL 94--007--REVISION 00 PAGE 3 7 OF 9 TEXT (If more space is required, use additional copies of NRC Form 366A)(17)*Both S/G levels decreased following the reactor trip."A" S/G level decreased to<04, and"B" S/G level decreased to<14'.This is an expected transient.
On April 27, 1994, a load increase was in progress, controlled by Plant Operating Procedure 0-1.2, "Plant -Startup from Hot Shutdown to Full Load". The plant was at approximately 45% reactor power.
TS 4.3.5.5 states that in order to demonstrate that a reactor coolant loop is operable, the S/G water level shall be>/=169.Thus, both coolant loops were.inoperable, even though both loops were still in operation and performing their intended function of decay heat removal.Both S/Gs were available as a heat sink, and sufficient AFW flow was maintained for adequate steam release from both S/Gs.TS 3.1.1.1(c) states, in part, that except for special tests, when the RCS temperature is at or above 350 degrees F with the reactor power less than or equal to 130 MWT (8.5%), at least one reactor coolant loop and its associated S/G and reactor coolant pump shall be in operation.
Preparations were being made to start a second main feedwater pump, per System Operating Procedure T-4.F, "Restoring 1B Feedwater Pump to Service After Maintenance or Power Reduction".
Both reactor coolant loops were in operation, but the S/Gs were inoperable due to level indication.
II.       DESCRIPTION OF EVENT A. DATES         AND APPROXIMATE TIMES OF MAJOR OCCURRENCES:
Both loops were restored to operable status when S/G levels were restored to>/=164 ("B" S/G level in less than four (4)minutes, and"A" S/G level in approximately ten (10)minutes).Based on the above and a review of post trip data and past plant transients, it can be concluded that the plant operated as designed, that there were no unreviewed safety questions, and that the public's health and safety was assured at all times.NRC FORM 366A (5-92)
o     April 27, 1994, 1410 EDST: Event date and time.
NRC FORH 366A (5-92)U.S.NUCLEAR REGULATORY C(SOIISSIOH LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY MB NO.3150-0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORWARD COMMENTS REGARDIHG BURDEN'STIMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (MHBB 7714), U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF MANAGEMENT AND BUDGET'WASHINGTON DC 20503.FACILITY NAME 1 R.E.Ginna Nuclear Power Plant DOCKET NQIBER 2 05000244 YEAR 94--007--00 LER HINBER 6 SEQUENTIAL REVISION M PAGE 3 8 OF 9 TEXT (If more space is required, use additional copies of NRC Form 366A)(17)V.CORRECTIVE ACTION A.ACTION TAKEN TO RETURN AFFECTED SYSTEMS TO PRE-EVENT NORMAL STATUS: o The valve positioner for the"A" MFRV (Bailey Model AV112100I or"Type AV1")had been replaced on April 26, 1994, with another Type AV1 positioner.
o       April 27, 1994, 1410 EDST: Discovery date and time.
This specific positioner failed in less than twelve hours of use and was replaced after this event (on April 28, 1994)with a Bailey Model 5321030A10 (or"5321030")
o       April 27, 1994, 1410 EDST: Control Room operators verify both reactor trip breakers open, and all control and shutdown rods             inserted.
valve positioner.
o       April 27,       1994, 1412 EDST:             Control       Room     operators manually stop the operating main feedwater                                 pump     to limit a reactor coolant system cooldown.
The Bailey Model 5321030 is the original model of valve positioner for the MFRV application and had operated successfully since plant startup in 1969.This positioner model was changed out in 1991 as part of EWR 4773, which installed the Advanced Digital Feedwater Control System (ADFCS).The Type AV1 positioners have had a history of reliability and stability concerns in this MFRV application.
o       April 27,       1994, 1416 EDST:             Control       Room     operators manually close both main steam isolation valves to limit a reactor coolant system cooldown.
o The valve positioner for the"B" MFRV was also replaced on April 28, 1994, for the reasons discussed above.o Valve.ramp and step change diagnostic testing was performed for both MFRVs to verify proper valve positioning and response.B.ACTION TAKEN OR PLANNED TO PREVENT RECURRENCE:
o       April 27,       1994, 1440 EDST:             Plant stabilized at hot shutdown     condition.
o The positioners for both MFRVs were replaced with Model 5321030 positioners as discussed above.HRC FORM 366A (5-92)
NRC FORM 366A (5-92)
NRC FORM 366A (5-92)I.S.NUCLEAR REGULATORY CQOIISSIOH LICENSEE EVENT REPORT (LER)TEXT CONTINUATION PROVED BY OMB NO.3150-0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTIOH REDUEST: 50.0 HRS.FORWARD COMMENTS REGARDIHG BURDEH ESTIMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (MHBB 7714), U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001 AHD TO THE PAPERWORK REDUCTION PROJECT (3140.0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.FACILITY NAME 1 R.E.Ginna Nuclear Power Plant DOCKET NUMBER 2 05000244 YEAR 94 LER NUMBER 6 SEOUENTIAL M--007--REVISION 00 PAGE 3 9 OF 9 TEXT (If more space is required, use additional copies of HRC Form 366A)(17)VI.ADDITIONAL INFORMATION A.FAILED COMPONENTS:
 
The failed component was the stroke adjust allen head set screw for the valve positioner signal diaphragm assembly for the"A" MFRV.The positioner is a Model AV112100 positioner, manufactured by Bailey Controls Inc.B.PREVIOUS LERs ON SIMILAR EVENTS: A similar LER event historical search was conducted with the following results: no documentation of similar LER events with the same root cause at Ginna Nuclear Power Plant could be iden-tified;however, LER 93-006 was a similar event, in that there was loss of ability to control the"A" MFRV;and LERs 88-005, 90 007 I and 90-0 1 0 were simi lar events with dif f erent root causes.C.SPECIAL COMMENTS: None HRC FORM 366A (5-92)}}
NRC FORM 366A                               U.S. NUCLEAR REGULATORY CQOIISSION             APPROVED BY Q(B HO. 3150-0104 (5-92)                                                                                              EXPIRES   5/31/95 ESTIMATED BURDEN PER RESPONSE       TO COMPLY WITH THIS IHFORMATION COLLECTIOH REQUEST: 50.0 HRS.
FORWARD COMMENTS REGARDING     BURDEN   ESTIMATE TO LICENSEE EVENT REPORT (LER)                                    THE INFORMATION AND RECORDS MANAGEMENT BRANCH (MNBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, TEXT CONTINUATION                                      WASHINGTON, DC 20555-0001     AND TO THE PAPERWORK REDUCTION   PROJECT     (31/0-0104),     OFFICE   OF MANAGEMENT AND BUDGET     WASHINGTON   DC 20503.
FACILITY NAME   1                     DOCKET HQIBER  2              LER NUMBER  6                  PAGE    3 SEOUENTIAL      REVISION YEAR R.E. Ginna Nuclear Power Plant                             05000244 M
94   -- 007--             00         3 OF 9 TEXT (If more space is required, use additional copies of HRC Form 366A)   (17)
B. EVENT:
On   April 27, 1994, a load increase was in progress,                                       following the     brief     plant     shutdown       on   April     26,     1994.     Plant       Operating Procedure 0-1.2 was being followed to control the load                                             increase.
Only one main feedwater pump was in operation, and preparations were being made to start the second main feedwater pump and to continue with the load increase.
On   April 27, 1994, at approximately 1407 EDST, the Control Room operators noticed a slight decrease in feedwater flow to the "A" S/G. They attempted to manually increase feedwater flow, but the "A" MFRV did not respond to the demand signal to open the valve from the Main Control Board. At approximately 1408 EDST, Main Control Board annunciator G-22, "ADFCS System Trouble" alarmed, due to a deviation between the demand signal and actual position of the "A" MFRV. Level continued to decrease in the "A" S/G. The Shift Supervisor ordered a rapid load reduction, in an attempt to decrease the need for feedwater flow. Within two minutes, power had been decreased by approximately 15%, and actual feedwater flow being delivered                             to the "A" S/G exceeded steam flow. However,                 level     in   the     "A"     S/G decrea'sed to ( 17oI resulting in         a   reactor     trip   on S/G Lo Lo           level, at         1410 EDST.
The Control Room operators performed the immediate actions of Emergency Operating Procedure E-O, "Reactor Trip or Safety Injection", and transitioned to Emergency Operating Procedure ES-0.1',       "Reactor Trip Response", when all it was verified that both reactor       trip   breakers       were   open, injection control not and shutdown rods actuated          or were inserted,           and   safety                       was required. During performance of ES-0.1, the Control Room operators noted that an anticipated reactor coolant system (RCS) cooldown was occurring, and manually stopped the operating main feedwater pump. In addition, both main steam isolation valves (MSIVs) were manually closed by the Control Room operators.
These actions mitigated the RCS cooldown.
During this event, pressurizer (PRZR) level decreased below the setpoint for letdown isolation, closing the letdown isolation valves and deenergizing the PRZR heaters. After PRZR level was restored above the setpoint, the Control Room Foreman directed that letdown and PRZR heaters be restored to service. The plant was subsequently stabilized in hot shutdown (at approximately 1440 EDST) using Plant Operating Procedures 0-3, "Hot Shutdown with Xenon Present", and 0-2, "Plant Shutdown".
HRC FORM 366A (5-92)
 
HRC FORM 366A                                   .S. NUCLEAR REGUULTORY COMMISSION                 PROVED BY OIB NO. 3150-0104 (5-92)                                                                                                  EXP I RES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTIOH REQUEST: 50.0 HRS.
FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER)                                        THE INFORMATIOH AHD RECORDS MANAGEMENT BRANCH TEXT CONTINUATION                                        (MNBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001         AND TO THE PAPERWORK REDUCTION     PROJECT     (3140-0104),   OFFICE   OF MANAGEMENT AND BUDGET       WASHINGTON DC 20503.
FACILITY NAME   1                       DOCKET NMBER   2             i LER NMBER     6               PAGE  3 YEAR SEQUEH'TIAL       REVISION R.E. Ginna Nuclear Power Plant                                05000244            94   -- 007                 00       4 OF 9 TEXT (If more space   is required, use additional copies of NRC Form 366A)   (17)
C~     INOPERABLE          STRUCTURES I COMPONENTS I OR SYSTEMS THAT CONTRIBUTED TO THE EVENT:
None D.     OTHER'YSTEMS             OR SECONDARY FUNCTIONS AFFECTED:
None E.     METHOD OF DISCOVERY:
This event was apparent due to Main Control Board indications of the loss of ability to control feedwater flow to the "A" S/G.
The reactor trip was immediately apparent due to alarms and indications in the Control Room.
F.     OPERATOR ACTION:
After the reactor trip, the Control Room operators performed the actions of Emergency Operating Procedures E-O, "Reactor Trip or Safety Injection" and ES-0.1, "Reactor Trip Response". The operating main feedwater pump was manually stopped, and the MSIVs were manually closed to limit further RCS cooldown.                                                   The plant was stabilized at hot shutdown. Subsequently,                                               the   Control Room operators notified higher supervision and the Nuclear Regulatory Commission per 10CFR50.72, Non-Emergency, 4 Hour Notification.
G.     SAFETY SYSTEM RESPONSES:
None III.     CAUSE OF EVENT A. IMMEDIATE CAUSE:
The     reactor       trip was       due   to "A"     S/G Lo Lo           level ((/=           17%),
caused by decreased                 feedwater flow to the "A" S/G.
B. INTERMEDIATE CAUSE:
The decreased           feedwater flow to the "A" S/G was due to loss of ability to           control the "A" MFRV, caused by the valve positioner for the       "A"   MFRV not responding to the demand open signal.
HRC FORM 366A   (5-92)
 
HRC FORM 366A                               U.S. NUCLEAR REGULATORY COMMISSION               PROVED BY OMB NO. 3150-0104 (5-92)                                                                                              EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE       TO COMPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 COMMENTS REGARDING BURDEN ESTIMATE TO HRS.'ORWARD LICENSEE. EVENT REPORT (LER)                                    THE INFORMATION AND RECORDS MANAGEMENT BRANCH (MNBB 7714), U.S. NUCLEAR REGULATORY COMMISSIOH, TEXT CONTINUATION                                      WASHINGTON, DC 20555-0001, AND TO THE PAPERWORK REDUCTION     PROJECT   (3150 0104),     OFFICE               OF MANAGEMENT AND BUDGET     WASHINGTON   DC 20503.
FACILITY NAME   1                       DOCKET NWBER    2              LER NI&#xc3;BER   6)               PACE  3 SEQUENTIAL      REVISION YEAR
  'R.E. Ginna Nuclear Power Plant                              05000244            94   -- 007--           ,00         5 OF 9 TEXT (lf more space is required, use additional copies of HRC Form 366A)   (17)
C. ROOT CAUSE:
The   underlying cause of the valve positioner for the "A" MFRV not properly responding to a change in input, demand signal from the controller on the Main Control Board was an improperly secured stroke adjust set screw. The set screw was found in a backed out condition in the valve position signal diaphragm assembly for the "A" MFRV. It is postulated that this stroke adjust allen head set screw did not have adequate thread sealant to prevent           it from backing out of the signal diaphragm assembly cover when subjected- to vibration. With the set screw backed out, the signal diaphragm was restricted from responding to an input demand signal to open the MFRV. Note that the set screw is a factory-set adjustment. This particular set screw backed out when subjected to less than twelve hours of operation, and this failure mode has not occurred in other valve positioners that have 'accumulated thousands of hours of operation. This event is NUREG-1022 Cause Code (B), "Design, Manufacturing, Construction/Installation."
IV.     ANALYSIS OF EVENT This event is reportable in accordance with 10 CFR 50.73, Licensee Event Report System, item (a) (2) (iv), which requires a report of, "any event or condition that resulted in manual or automatic actuation of any engineered safety feature                                   (ESF) including the reactor protection system (RPS)".                             The   "A"     S/G Lo Lo level reactor trip was an automatic actuation                         of   the   RPS.
An assessment was performed considering both the safety consequen-ces and implications of this event with the following results and conclusions:
o     There were no safety consequences                         or implications attributed to the reactor trip because:
* The two       reactor trip breakers opened as required.
* All control and shutdown rods inserted as designed.
* The plant was stabilized at hot shutdown.
HRC FORM 366A (5-92)
 
NRC FORH 366A                               U.S NUCLEAR REGULATORY COMMISSION             APPROVED BY (HGI NO. 3150-0104 (5-92)                                                                                            EXPIRES   5/31/95 ESTIMATED BURDEN PER RESPONSE       TO COMPLY WITH THIS INFORMATION COLLEC'IIOH REQUEST: 50.0 HRS ~
FORNARD COMMENTS REGARDING BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER)                                      tHE INFORMATION AND RECORDS MANAGEMENT BRANCH TEXT CONTINUATION                                      (MNBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, MASHIHGTON, DC 20555-0001, AND TO THE PAPERNORK REDUCTION   PROJECT     (3150-0104),     OFFICE   OF MANAGEMENT AND BUDGET MASHINGTON DC 20503.
FACILITY NAME   1                     DOCKET HINSER  2              LER NIMBER    6                  PAGE  3 I                YEAR SEQUENTIAL      REVISION R.E. Ginna Nuclear Power Plant                             05000244           94   --   007             00         6 OF 9 TEXT (If more space   is required, use additional copies of NRC Form 366A) (17) o     The Ginna Updated Final Safety Analysis Report (UFSAR) transient, as described in Chapter 15.2.6, "Loss of Normal Feedwater", describes a condition where the reactor trips on Lo Lo S/G level. This UFSAR transient was reviewed and compared to the plant response for this event. The UFSAR transient is a complete loss of Main Feedwater (MFW) at full power, with only one auxiliary feedwater (AFW) pump available one (1) minute after the loss of MFW, and secondary steam relief (i.e., decay heat removal) through the safety valves only. The protection against       a loss of MFW includes the reactor trip on Lo Lo S/G level     and   the start of the AFW pumps. These protection features operated as designed.
Based on the above evaluation, the plant transient of April 27, 1994, is bounded by the UFSAR Safety Analysis assumptions.
o     Technical Specifications (TS) were reviewed with respect to the post trip review data. 'he following are the results of that review:
                        'oFollowing      the reactor         trip,     PRZR     water level decreased approximately 12.5             %   due   to   a   moderate       RCS     cooldown.
This cooldown occurred during the post trip recovery period. This cooldown was bounded by the plant accident analysis, and did not exceed the TS limit of 100 degrees F per hour. Additional mitigation was provided by closing the MSIVs and stopping -the main feedwater pump. TS 3.1.1.5 states, in part, that when the RCS temperature is at or above 350 degrees F, at least 100 KW of PRZR heaters will be operable. TS 3.1.1.5 also states, in part, that inoperable due to heaters, restore the PRZR'to operable if  the PRZR,is status within six (6) hours. PRZR water level was restored above the setpoint for letdown isolation within two (2) minutes, restoring the PRZR heaters to operable status, well before the six '(6) hour action statement.
NRC FORM 366A (5-92)
 
NRC FORH 366A                               U.S. NUCLEAR REGULATORY COMHISSION             APPROVED BY QGI NO. 3150-0104 (5.92)                                                                                                EXPIRES   5/31/95 ESTIHATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REOUEST: 50.0 HRS.
FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER)                                      THE INFORMATION AND RECORDS MANAGEHENT BRANCH TEXT CONTINUATION                                        (MNBB 7714), U.ST NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001       AND TO THE PAPERWORK REDUCTION     PROJECT     (3140 0104),     OFFICE   OF HANAGEMENT AND BUDGET     WASHINGTON   DC 20503.
FACILITY NAHE   1                       DOCKET NINBER  2              LER NUMBER    6                  PAGE  3 SEOUENTIAL      REVISION YEAR R.E. Ginna Nuclear Power Plant                               05000244             94   -- 007--             00         7 OF 9 TEXT (If more   space is required, use additional copies of NRC Form 366A)   (17)
* Both S/G levels decreased following the reactor trip. "A" S/G level decreased to < 04, and "B" S/G level decreased to
                          < 14'.       This is an expected transient. TS 4.3.5.5 states that in order to demonstrate that a reactor coolant loop is operable, the S/G water level shall be >/= 169. Thus, both coolant loops were. inoperable, even though both loops were still in       operation and performing their intended function of decay heat removal.                 Both S/Gs were available as a heat sink, and sufficient AFW flow was maintained for adequate steam release from both S/Gs. TS 3.1.1.1(c) states, in part, that except for special tests, when the RCS temperature is at or above 350 degrees F with the reactor power less than or equal to 130 MWT (8.5%), at least one reactor coolant loop and its associated S/G and reactor coolant pump shall be in operation. Both reactor coolant loops were in operation, but the S/Gs were inoperable due to level indication. Both loops were restored to operable status when S/G levels were restored to >/= 164 ("B" S/G level in less than four (4) minutes, and "A" S/G level in approximately ten (10) minutes).
Based on the above and a review of post trip data and past plant transients,           it   can be concluded that the plant operated as designed, that there were no unreviewed safety questions, and that the public's health and safety was assured at all times.
NRC FORM 366A (5-92)
 
NRC FORH 366A                               U.S. NUCLEAR REGULATORY C(SOIISSIOH             APPROVED BY   MB NO. 3150-0104 (5-92)                                                                                                EXPIRES   5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.
FORWARD COMMENTS REGARDIHG BURDEN'STIMATE TO LICENSEE EVENT REPORT (LER)                                      THE INFORMATION AND RECORDS MANAGEMENT BRANCH TEXT CONTINUATION                                        (MHBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001       AND TO THE PAPERWORK REDUCTION   PROJECT     (3140-0104),   OFFICE   OF MANAGEMENT AND BUDGET     'WASHINGTON DC 20503.
FACILITY NAME   1                     DOCKET NQIBER    2              LER HINBER    6                PAGE  3 YEAR SEQUENTIAL      REVISION R.E. Ginna Nuclear Power Plant                               05000244 M
94   -- 007--             00       8 OF 9 TEXT (If more space is required, use additional copies of NRC Form 366A)   (17)
V.       CORRECTIVE ACTION A. ACTION TAKEN             TO RETURN AFFECTED SYSTEMS TO PRE-EVENT NORMAL STATUS:
o       The valve positioner for the "A" MFRV (Bailey Model AV112100I or "Type AV1") had been replaced on April 26, 1994, with another Type AV1 positioner.                                 This specific positioner failed in less than twelve hours of use and was replaced after this event (on April 28, 1994) with a Bailey Model 5321030A10 (or "5321030") valve positioner.
The Bailey Model 5321030 is the original model of valve positioner for the MFRV application and had operated successfully since plant startup in 1969. This positioner model was changed out in 1991 as part of EWR 4773, which installed the Advanced Digital Feedwater Control System (ADFCS). The Type AV1 positioners have had a history of reliability and stability concerns in this MFRV application.
o       The valve positioner for the "B" MFRV was also replaced on April 28, 1994, for the reasons discussed above.
o       Valve. ramp and step change diagnostic testing was performed for both MFRVs to verify proper valve positioning and response.
B. ACTION TAKEN OR PLANNED TO PREVENT RECURRENCE:
o       The positioners for both MFRVs were replaced                                   with Model 5321030 positioners as discussed above.
HRC FORM 366A (5-92)
 
NRC FORM 366A                                 .S. NUCLEAR REGULATORY CQOIISSIOH               PROVED BY OMB NO. 3150-0104 (5-92)                                                                                                EXPIRES   5/31/95 I
ESTIMATED BURDEN PER RESPONSE       TO COMPLY WITH THIS INFORMATION COLLECTIOH REDUEST: 50.0 HRS.
FORWARD COMMENTS REGARDIHG BURDEH ESTIMATE TO LICENSEE EVENT REPORT (LER)                                      THE INFORMATION AND RECORDS MANAGEMENT BRANCH TEXT CONTINUATION                                        (MHBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001       AHD TO THE PAPERWORK REDUCTION     PROJECT     (3140.0104),     OFFICE   OF MANAGEMENT AND BUDGET     WASHINGTON   DC 20503.
FACILITY NAME   1                       DOCKET NUMBER  2              LER NUMBER    6                  PAGE    3 YEAR SEOUENTIAL      REVISION R.E. Ginna Nuclear Power Plant                               05000244 M
94   -- 007--             00         9 OF 9 TEXT (If more   space is required, use additional copies of HRC Form 366A)   (17)
VI.       ADDITIONAL INFORMATION A. FAILED COMPONENTS:
The     failed component was the stroke adjust allen head set screw for the valve positioner signal diaphragm assembly for the "A" MFRV. The positioner is a Model AV112100 positioner, manufactured by Bailey Controls Inc.
B. PREVIOUS LERs ON SIMILAR EVENTS:
A   similar LER event historical search was conducted with the following results: no documentation of similar LER events with the same root cause at Ginna Nuclear Power Plant could be iden-tified; however, LER 93-006 was a similar event, in that there was loss of ability to control the "A" MFRV; and LERs 88-005, 90 007 I and 90-0 1 0 were simi lar events with different root causes.
C. SPECIAL COMMENTS:
None HRC FORM 366A (5-92)}}

Latest revision as of 09:32, 4 February 2020

LER 94-007-00:on 940427,feedwater Transient Occurred Due to Loss of Ability to Control Feedwater Regulating Valve, Causing Lo Lo SG Level Reactor Trip.Caused by Improperly Secured Stroke Adjust Set screw.W/940527 Ltr
ML17263A667
Person / Time
Site: Ginna Constellation icon.png
Issue date: 05/27/1994
From: Mecredy R, St Martin J
ROCHESTER GAS & ELECTRIC CORP.
To:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
LER-94-007, LER-94-7, NUDOCS 9406030044
Download: ML17263A667 (11)


Text

ACCELERATED DISTRIBUTION DEMONSTRATION SYSTEM REGULATORY INFORMATION DISTRIBUTION- SYSTEM (RIDS)

ACCESSION NBR:9406030044 DOC.DATE: 94/05/27 NOTARIZED: NO DOCKET g FACIL:50-244 Robert Emmet Ginna Nuclear Plant, Unit 1, Rochester G 05000244 AUTH. NAME AUTHOR AFFILIATION ST.MARTIN,J.T. Rochester Gas & Electric Corp.

MECREDY,R.C. Rochester Gas & Electric Corp.

RECIP.NAME RECIPIENT AFFILIATION .R I

SUBJECT:

LER 94-007-00:on 940427,feedwater transient occurred due to loss of ability to control feedwater regulatinq valve, causing lo lo SG level reactor trip. Caused by improperly D secured stroke adjust set screw.W/940527 ltr.

DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR TITLE: 50.73/50.9 Licensee Event Report (LER), j ENCL Incident NOTES:License Exp date in accordance with 10CFR2,2.109(9/19/72).

/ SIZE:

Rpt, etc.

05000244 A 8

RECIPIENT COPIES RECIPIENT D COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL D PD1-3 PD 1 1 JOHNSON,A 1 1 INTERNAL: AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DSP 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/DRIL/RPEB 1 1 NRR/DRSS/PRPB 2 2 NRR/~SSA/S PLB 1 1 NRR/DSSA/SRXB 1 1 REGFFL~ 02 1 1 RES/DSIR/EIB 1 1 G 1 FILE 01 1 . 1 I

EXTERNAL: EG&G BRYCE,J.H NRC PDR 2

1 2

1 L ST LOBBY WARD NSIC MURPHY,G.A 1,1 1

NSIC POOREiW ~ 1 1 NUDOCS FULL TXT 1 1 D

A D

D NOTE TO ALL "RIDS" RECIPIENTS:

PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT. 20079) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!

FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 27 ENCL 27

rr C ~

~ ~ ~ v r A sr 4'r roe rr Scare ROCHESTER GAS AND ELECTRIC CORPORATION 89 EAST AVENUE, ROCHESTER N. Y. 14649-0001 ROBERT C. MECREOY TELEPHONE Vice Preridr nr AicEA coDE 716 546'2700 Cinna Crurlesr Producuon May 27, 1994 U.S. Nuclear Regulatory Commission Attn: Allen R. Johnson PWR Project Directorate I-3 Document Control Desk Washington, DC 20555

Subject:

LER 94-007, Feedwater Transient, Due to Loss of Ability to Control Feedwater Regulating Valve, Causes a Lo Lo Steam Generator Level Reactor Tl lp R.E. Ginna Nuclear Power Plant Docket No. 50-244 In accordance with 10 CFR 50.73, Licensee Event Report System, item (a) (2) (iv),

which requires a report of, "any event or condition that resulted in a manual or automatic actuation of any engineered safety feature (ESF), including the reactor protection system (RPS)", the attached Licensee Event Report LER 94-007 is hereby submitted.

This event has in no way affected the public's health and safety.

Very truly yours, g.P~g'~/r X.C~

Robert C. Mecredy xc: U.S. Nuclear Regulatory Commission Region I 475 Allendale Road King of Prussia, PA 19406 Ginna USNRC Senior Resident Inspector 9406030044 'ss40527 PDR ADOCK 05000244 C~ PDR

NRC FORH 366 U.S. NUCLEAR REGULATORY C(NHI SSIOH PROVED BY MS NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.

LICENSEE EVENT REPORT (LER) FORWARD COMMENTS REGARDING BURDEN ESTIMA'IE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (HNBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, (See reverse for required nunber of digits/characters for each block) WASHINGTON, DC 20555-000'I AND TO THE PAPERWORK REDUCTION PROJECT (3140 0104), OFFICE OF MANAGEHENT AND BUDGET WASHINGTON DC 20503.

FAGILITY NAME (1) R. E ~ Ginna Nuclear Power Plant DOCKET HNNIER (2) PAGE (3) 05000244 10F9 TITLE (4) Feedwater Transient, Due to Loss of Ability to Control Feedwater Regulating Valve, Causes a Lo Lo Steam Generator Level Reactor Trip EVENT DATE 5 LER NINBER 6 REPORT DATE 7 OTHER FACILITIES INVOLVED 8 SEQUENTIAL REVISION FACILITY NAME DOCKET NUMBER HONTH DAY YEAR YEAR MONTH DAY YEAR NUMBER NUMBER 04 27 94 94 --007-- 00 05 27 FACILITY HAHE DOCKET NUMBER OPERATING THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR  : (Check one or more 11 MODE (9) N 20.402(b) 20.405(c) X 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)

~

045 50.73(a)(2)(vii)

LEVEL (10) 20.405(a)(1)(ii) 50.36(c)(2) OTHER 20.405(a)(1)(iii) 50.73(a)(2)(i) 50.73<a)(2)(vIII)(A) (Specify in 20.405(a)(1)(iv) 50.73(a)(2)(ii) 50.73<a)(2)(viii)(B) Abstractand in Text, belo~

20.405(a)(1)(v) 50.73(a)(2)(iii) 50.73(a)(2)(x) NRC Form 366A LICENSEE CONTACT FOR THIS LER 12 NAME John T. St. Martin - Director, Operating Experience TELEPHONE NUMBER (Include Area Code)

(315) 524.4446 C(NPLETE ONE LINE FOR EACH COHPOHENT FAILURE DESCRIBED IN THIS REPORT 13 REPORTABLE REPORTABLE CAUSE SYSTEH COMPONENT MANUFACTURER CAUSE SYSTEM COMPONENT MANUFACTURER TO NPRDS TO NPRDS B JB LCV B042 Pj's)kj~ ';.

SUPPLEMENTAL REPORT EXPECTED 14 EXPECTED MONTH DAY YEAR YES SUBHI SSI ON (If yes, coaplete EXPECTED SUBMISSION DATE). X NO DATE (15)

ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) (16)

On April 27, 1994, at approximately 1407 EDST, with the reactor at approximately 454 reactor power, the ability to control the "A" main feedwater regulating valve was lost. At 1410 EDST, the reactor tripped on Lo Lo level ((/= 17%) in the "A" Steam Generator. The Control Room operators performed the actions of procedures E-0 and ES-0.1.

The underlying cause was determined to be an improperly secured stroke adjust set screw for the valve positioner signal diaphragm assembly for the "A" main feedwater regulating valve. This event is NUREG-1022 Cause Code (B), "Design, Manufacturing, Construction/Installation."

Immediate corrective action was to install a new valve positioner of a previous design. Corrective action to preclude repetition is outlined in Section V (B).

NRC FORM 366 (5-92)

NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSIOH PROVED BY QHI NO. 3150-0104 (5.92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY MITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.

FORNARD COMMENTS REGARDIHG BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER) THE INFORMATION AHD RECORDS MANAGEHENT BRANCH TEXT CONTINUATION (MHBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, NASHINGTON, DC 20555-0001 AND TO THE PAPERHORK REDUCTION PROJECT (3140.0104), OFFICE OF MANAGEMENT AHD BUDGET llASHINGTON DC 20503.

FACILITY NAME 1 DOCKET NMBER 2 LER NUMBER 6 PAGE 3 SEQUENTIAL REVISION YEAR R.E. Ginna Nuclear Power Plant 05000244 94 -- 007-- 00 2 OF 9 TEXT (If more space is required, use additional copies of HRC Form 366A) (17)

PRE-EVENT PLANT CONDITIONS The plant achieved full power operation on April 23, 1994, after completion of the 1994 annual refueling and maintenance outage. On April 26, 1994, the plant was manually shut down to repair a small steam leak on an instrument fitting on the high pressure (HP) turbine. Due to stability problems with control, of feedwater flow to the "A" Steam Generator (S/G) at steady state conditions, the valve positioner for the "A" main feedwater regulating valve (MFRV) was replaced during this brief shutdown.

On April 27, 1994, a load increase was in progress, controlled by Plant Operating Procedure 0-1.2, "Plant -Startup from Hot Shutdown to Full Load". The plant was at approximately 45% reactor power.

Preparations were being made to start a second main feedwater pump, per System Operating Procedure T-4.F, "Restoring 1B Feedwater Pump to Service After Maintenance or Power Reduction".

II. DESCRIPTION OF EVENT A. DATES AND APPROXIMATE TIMES OF MAJOR OCCURRENCES:

o April 27, 1994, 1410 EDST: Event date and time.

o April 27, 1994, 1410 EDST: Discovery date and time.

o April 27, 1994, 1410 EDST: Control Room operators verify both reactor trip breakers open, and all control and shutdown rods inserted.

o April 27, 1994, 1412 EDST: Control Room operators manually stop the operating main feedwater pump to limit a reactor coolant system cooldown.

o April 27, 1994, 1416 EDST: Control Room operators manually close both main steam isolation valves to limit a reactor coolant system cooldown.

o April 27, 1994, 1440 EDST: Plant stabilized at hot shutdown condition.

NRC FORM 366A (5-92)

NRC FORM 366A U.S. NUCLEAR REGULATORY CQOIISSION APPROVED BY Q(B HO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS IHFORMATION COLLECTIOH REQUEST: 50.0 HRS.

FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER) THE INFORMATION AND RECORDS MANAGEMENT BRANCH (MNBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, TEXT CONTINUATION WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (31/0-0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.

FACILITY NAME 1 DOCKET HQIBER 2 LER NUMBER 6 PAGE 3 SEOUENTIAL REVISION YEAR R.E. Ginna Nuclear Power Plant 05000244 M

94 -- 007-- 00 3 OF 9 TEXT (If more space is required, use additional copies of HRC Form 366A) (17)

B. EVENT:

On April 27, 1994, a load increase was in progress, following the brief plant shutdown on April 26, 1994. Plant Operating Procedure 0-1.2 was being followed to control the load increase.

Only one main feedwater pump was in operation, and preparations were being made to start the second main feedwater pump and to continue with the load increase.

On April 27, 1994, at approximately 1407 EDST, the Control Room operators noticed a slight decrease in feedwater flow to the "A" S/G. They attempted to manually increase feedwater flow, but the "A" MFRV did not respond to the demand signal to open the valve from the Main Control Board. At approximately 1408 EDST, Main Control Board annunciator G-22, "ADFCS System Trouble" alarmed, due to a deviation between the demand signal and actual position of the "A" MFRV. Level continued to decrease in the "A" S/G. The Shift Supervisor ordered a rapid load reduction, in an attempt to decrease the need for feedwater flow. Within two minutes, power had been decreased by approximately 15%, and actual feedwater flow being delivered to the "A" S/G exceeded steam flow. However, level in the "A" S/G decrea'sed to ( 17oI resulting in a reactor trip on S/G Lo Lo level, at 1410 EDST.

The Control Room operators performed the immediate actions of Emergency Operating Procedure E-O, "Reactor Trip or Safety Injection", and transitioned to Emergency Operating Procedure ES-0.1', "Reactor Trip Response", when all it was verified that both reactor trip breakers were open, injection control not and shutdown rods actuated or were inserted, and safety was required. During performance of ES-0.1, the Control Room operators noted that an anticipated reactor coolant system (RCS) cooldown was occurring, and manually stopped the operating main feedwater pump. In addition, both main steam isolation valves (MSIVs) were manually closed by the Control Room operators.

These actions mitigated the RCS cooldown.

During this event, pressurizer (PRZR) level decreased below the setpoint for letdown isolation, closing the letdown isolation valves and deenergizing the PRZR heaters. After PRZR level was restored above the setpoint, the Control Room Foreman directed that letdown and PRZR heaters be restored to service. The plant was subsequently stabilized in hot shutdown (at approximately 1440 EDST) using Plant Operating Procedures 0-3, "Hot Shutdown with Xenon Present", and 0-2, "Plant Shutdown".

HRC FORM 366A (5-92)

HRC FORM 366A .S. NUCLEAR REGUULTORY COMMISSION PROVED BY OIB NO. 3150-0104 (5-92) EXP I RES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTIOH REQUEST: 50.0 HRS.

FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER) THE INFORMATIOH AHD RECORDS MANAGEMENT BRANCH TEXT CONTINUATION (MNBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.

FACILITY NAME 1 DOCKET NMBER 2 i LER NMBER 6 PAGE 3 YEAR SEQUEH'TIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 94 -- 007 00 4 OF 9 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)

C~ INOPERABLE STRUCTURES I COMPONENTS I OR SYSTEMS THAT CONTRIBUTED TO THE EVENT:

None D. OTHER'YSTEMS OR SECONDARY FUNCTIONS AFFECTED:

None E. METHOD OF DISCOVERY:

This event was apparent due to Main Control Board indications of the loss of ability to control feedwater flow to the "A" S/G.

The reactor trip was immediately apparent due to alarms and indications in the Control Room.

F. OPERATOR ACTION:

After the reactor trip, the Control Room operators performed the actions of Emergency Operating Procedures E-O, "Reactor Trip or Safety Injection" and ES-0.1, "Reactor Trip Response". The operating main feedwater pump was manually stopped, and the MSIVs were manually closed to limit further RCS cooldown. The plant was stabilized at hot shutdown. Subsequently, the Control Room operators notified higher supervision and the Nuclear Regulatory Commission per 10CFR50.72, Non-Emergency, 4 Hour Notification.

G. SAFETY SYSTEM RESPONSES:

None III. CAUSE OF EVENT A. IMMEDIATE CAUSE:

The reactor trip was due to "A" S/G Lo Lo level ((/= 17%),

caused by decreased feedwater flow to the "A" S/G.

B. INTERMEDIATE CAUSE:

The decreased feedwater flow to the "A" S/G was due to loss of ability to control the "A" MFRV, caused by the valve positioner for the "A" MFRV not responding to the demand open signal.

HRC FORM 366A (5-92)

HRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION PROVED BY OMB NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 COMMENTS REGARDING BURDEN ESTIMATE TO HRS.'ORWARD LICENSEE. EVENT REPORT (LER) THE INFORMATION AND RECORDS MANAGEMENT BRANCH (MNBB 7714), U.S. NUCLEAR REGULATORY COMMISSIOH, TEXT CONTINUATION WASHINGTON, DC 20555-0001, AND TO THE PAPERWORK REDUCTION PROJECT (3150 0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.

FACILITY NAME 1 DOCKET NWBER 2 LER NIÃBER 6) PACE 3 SEQUENTIAL REVISION YEAR

'R.E. Ginna Nuclear Power Plant 05000244 94 -- 007-- ,00 5 OF 9 TEXT (lf more space is required, use additional copies of HRC Form 366A) (17)

C. ROOT CAUSE:

The underlying cause of the valve positioner for the "A" MFRV not properly responding to a change in input, demand signal from the controller on the Main Control Board was an improperly secured stroke adjust set screw. The set screw was found in a backed out condition in the valve position signal diaphragm assembly for the "A" MFRV. It is postulated that this stroke adjust allen head set screw did not have adequate thread sealant to prevent it from backing out of the signal diaphragm assembly cover when subjected- to vibration. With the set screw backed out, the signal diaphragm was restricted from responding to an input demand signal to open the MFRV. Note that the set screw is a factory-set adjustment. This particular set screw backed out when subjected to less than twelve hours of operation, and this failure mode has not occurred in other valve positioners that have 'accumulated thousands of hours of operation. This event is NUREG-1022 Cause Code (B), "Design, Manufacturing, Construction/Installation."

IV. ANALYSIS OF EVENT This event is reportable in accordance with 10 CFR 50.73, Licensee Event Report System, item (a) (2) (iv), which requires a report of, "any event or condition that resulted in manual or automatic actuation of any engineered safety feature (ESF) including the reactor protection system (RPS)". The "A" S/G Lo Lo level reactor trip was an automatic actuation of the RPS.

An assessment was performed considering both the safety consequen-ces and implications of this event with the following results and conclusions:

o There were no safety consequences or implications attributed to the reactor trip because:

  • All control and shutdown rods inserted as designed.
  • The plant was stabilized at hot shutdown.

HRC FORM 366A (5-92)

NRC FORH 366A U.S NUCLEAR REGULATORY COMMISSION APPROVED BY (HGI NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLEC'IIOH REQUEST: 50.0 HRS ~

FORNARD COMMENTS REGARDING BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER) tHE INFORMATION AND RECORDS MANAGEMENT BRANCH TEXT CONTINUATION (MNBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, MASHIHGTON, DC 20555-0001, AND TO THE PAPERNORK REDUCTION PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET MASHINGTON DC 20503.

FACILITY NAME 1 DOCKET HINSER 2 LER NIMBER 6 PAGE 3 I YEAR SEQUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 94 -- 007 00 6 OF 9 TEXT (If more space is required, use additional copies of NRC Form 366A) (17) o The Ginna Updated Final Safety Analysis Report (UFSAR) transient, as described in Chapter 15.2.6, "Loss of Normal Feedwater", describes a condition where the reactor trips on Lo Lo S/G level. This UFSAR transient was reviewed and compared to the plant response for this event. The UFSAR transient is a complete loss of Main Feedwater (MFW) at full power, with only one auxiliary feedwater (AFW) pump available one (1) minute after the loss of MFW, and secondary steam relief (i.e., decay heat removal) through the safety valves only. The protection against a loss of MFW includes the reactor trip on Lo Lo S/G level and the start of the AFW pumps. These protection features operated as designed.

Based on the above evaluation, the plant transient of April 27, 1994, is bounded by the UFSAR Safety Analysis assumptions.

o Technical Specifications (TS) were reviewed with respect to the post trip review data. 'he following are the results of that review:

'oFollowing the reactor trip, PRZR water level decreased approximately 12.5  % due to a moderate RCS cooldown.

This cooldown occurred during the post trip recovery period. This cooldown was bounded by the plant accident analysis, and did not exceed the TS limit of 100 degrees F per hour. Additional mitigation was provided by closing the MSIVs and stopping -the main feedwater pump. TS 3.1.1.5 states, in part, that when the RCS temperature is at or above 350 degrees F, at least 100 KW of PRZR heaters will be operable. TS 3.1.1.5 also states, in part, that inoperable due to heaters, restore the PRZR'to operable if the PRZR,is status within six (6) hours. PRZR water level was restored above the setpoint for letdown isolation within two (2) minutes, restoring the PRZR heaters to operable status, well before the six '(6) hour action statement.

NRC FORM 366A (5-92)

NRC FORH 366A U.S. NUCLEAR REGULATORY COMHISSION APPROVED BY QGI NO. 3150-0104 (5.92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REOUEST: 50.0 HRS.

FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER) THE INFORMATION AND RECORDS MANAGEHENT BRANCH TEXT CONTINUATION (MNBB 7714), U.ST NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140 0104), OFFICE OF HANAGEMENT AND BUDGET WASHINGTON DC 20503.

FACILITY NAHE 1 DOCKET NINBER 2 LER NUMBER 6 PAGE 3 SEOUENTIAL REVISION YEAR R.E. Ginna Nuclear Power Plant 05000244 94 -- 007-- 00 7 OF 9 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)

  • Both S/G levels decreased following the reactor trip. "A" S/G level decreased to < 04, and "B" S/G level decreased to

< 14'. This is an expected transient. TS 4.3.5.5 states that in order to demonstrate that a reactor coolant loop is operable, the S/G water level shall be >/= 169. Thus, both coolant loops were. inoperable, even though both loops were still in operation and performing their intended function of decay heat removal. Both S/Gs were available as a heat sink, and sufficient AFW flow was maintained for adequate steam release from both S/Gs. TS 3.1.1.1(c) states, in part, that except for special tests, when the RCS temperature is at or above 350 degrees F with the reactor power less than or equal to 130 MWT (8.5%), at least one reactor coolant loop and its associated S/G and reactor coolant pump shall be in operation. Both reactor coolant loops were in operation, but the S/Gs were inoperable due to level indication. Both loops were restored to operable status when S/G levels were restored to >/= 164 ("B" S/G level in less than four (4) minutes, and "A" S/G level in approximately ten (10) minutes).

Based on the above and a review of post trip data and past plant transients, it can be concluded that the plant operated as designed, that there were no unreviewed safety questions, and that the public's health and safety was assured at all times.

NRC FORM 366A (5-92)

NRC FORH 366A U.S. NUCLEAR REGULATORY C(SOIISSIOH APPROVED BY MB NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.

FORWARD COMMENTS REGARDIHG BURDEN'STIMATE TO LICENSEE EVENT REPORT (LER) THE INFORMATION AND RECORDS MANAGEMENT BRANCH TEXT CONTINUATION (MHBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF MANAGEMENT AND BUDGET 'WASHINGTON DC 20503.

FACILITY NAME 1 DOCKET NQIBER 2 LER HINBER 6 PAGE 3 YEAR SEQUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 M

94 -- 007-- 00 8 OF 9 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)

V. CORRECTIVE ACTION A. ACTION TAKEN TO RETURN AFFECTED SYSTEMS TO PRE-EVENT NORMAL STATUS:

o The valve positioner for the "A" MFRV (Bailey Model AV112100I or "Type AV1") had been replaced on April 26, 1994, with another Type AV1 positioner. This specific positioner failed in less than twelve hours of use and was replaced after this event (on April 28, 1994) with a Bailey Model 5321030A10 (or "5321030") valve positioner.

The Bailey Model 5321030 is the original model of valve positioner for the MFRV application and had operated successfully since plant startup in 1969. This positioner model was changed out in 1991 as part of EWR 4773, which installed the Advanced Digital Feedwater Control System (ADFCS). The Type AV1 positioners have had a history of reliability and stability concerns in this MFRV application.

o The valve positioner for the "B" MFRV was also replaced on April 28, 1994, for the reasons discussed above.

o Valve. ramp and step change diagnostic testing was performed for both MFRVs to verify proper valve positioning and response.

B. ACTION TAKEN OR PLANNED TO PREVENT RECURRENCE:

o The positioners for both MFRVs were replaced with Model 5321030 positioners as discussed above.

HRC FORM 366A (5-92)

NRC FORM 366A .S. NUCLEAR REGULATORY CQOIISSIOH PROVED BY OMB NO. 3150-0104 (5-92) EXPIRES 5/31/95 I

ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTIOH REDUEST: 50.0 HRS.

FORWARD COMMENTS REGARDIHG BURDEH ESTIMATE TO LICENSEE EVENT REPORT (LER) THE INFORMATION AND RECORDS MANAGEMENT BRANCH TEXT CONTINUATION (MHBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001 AHD TO THE PAPERWORK REDUCTION PROJECT (3140.0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.

FACILITY NAME 1 DOCKET NUMBER 2 LER NUMBER 6 PAGE 3 YEAR SEOUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 M

94 -- 007-- 00 9 OF 9 TEXT (If more space is required, use additional copies of HRC Form 366A) (17)

VI. ADDITIONAL INFORMATION A. FAILED COMPONENTS:

The failed component was the stroke adjust allen head set screw for the valve positioner signal diaphragm assembly for the "A" MFRV. The positioner is a Model AV112100 positioner, manufactured by Bailey Controls Inc.

B. PREVIOUS LERs ON SIMILAR EVENTS:

A similar LER event historical search was conducted with the following results: no documentation of similar LER events with the same root cause at Ginna Nuclear Power Plant could be iden-tified; however, LER 93-006 was a similar event, in that there was loss of ability to control the "A" MFRV; and LERs88-005, 90 007 I and 90-0 1 0 were simi lar events with different root causes.

C. SPECIAL COMMENTS:

None HRC FORM 366A (5-92)