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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20024J2601994-10-0404 October 1994 LER 94-006-00:on 940913,automatic Reactor/Turbine Trip Occurred on Over Power Differential Temperature.Caused by Equipment Failure.Replaced Relay & Evaluated Failure Rate of Types of relays.W/941004 Ltr ML20029D1011994-04-20020 April 1994 LER 93-003-01:on 930925,reactor Tripped Due to Inadvertent Closure of Msiv.Caused by Inadequate Checking.Corrective Actions:Cros Throttled CA Flow & Entered Procedure EP/2/A/5000/01.W/940420 Ltr ML20046D5871993-08-17017 August 1993 LER 93-008-00:on 930718,reactor Tripped & Auxiliary Feedwater Sys Automatic Start Due to low-low-level in SG 1A. Developed General Troubleshooting procedure.W/930817 Ltr ML20045H2421993-07-12012 July 1993 LER 93-006-00:on 930612,automatic Reactor Trip Initiated by intermediate-range Channel N35 Hi Flux Reactor Trip Bistable.Caused by Blown Fuse in Channel.Entire Drawer Replaced & Channel Placed Back in svc.W/930712 Ltr ML20024G9751991-05-0909 May 1991 LER 91-004-00:on 910410,tech Spec Violation Occurred Re Containment Valve Injection Water Sys Being Inoperable. Caused by Inapropriate Action.Maint Staff Instructed Supervisors & Technicians of Correcting cause.W/910509 Ltr ML20024G7371991-04-18018 April 1991 LER 91-006-00:on 910323,nuclear Svc Water Valves Left W/O Emergency Power Supply.Caused by Inappropriate Action Due to Misreading of Operator Aid Computer (Oac) Graphics.Oac Graphics Training Will Be provided.W/910418 Ltr ML20029A3311991-02-12012 February 1991 LER 91-002-00:on 910113,reactor Exceeded 5% Power Level W/ RHR Sys Pump 1A Inoperable Due to Closed Suction Valve. Caused by Inappropriate Action & Procedural Deficiency. Incident Discussed W/Involved personnel.W/910212 Ltr ML20044B1761990-07-10010 July 1990 LER 90-013-00:on 900611,approx 5,000 Gallons of RCS Water Inadvertently Transferred to Refueling Water Storage Tank. Caused by Inappropriate Action.Proper Sys Parameters Restored & Analysis of Event performed.W/900709 Ltr ML20043G6441990-06-14014 June 1990 LER 90-008-00:on 900430,high Pressure CO2 Discharge Occurred on Auxiliary Feedwater Fire Protection Sys.Caused by Const/ Installation Deficiency in Solenoids.Solenoids Orientation Verified to Be Installed correctly.W/900614 Ltr ML20043C8951990-05-29029 May 1990 LER 89-010-01:on 880314,auxiliary Feedwater Pump 2A Discharge to Steam Generator 2A Isolation Failed to Completely Close.Caused by Design Deficiency.Mods to Actuator Torque Switch Setting increased.W/900524 Ltr ML20042G6301990-05-0909 May 1990 LER 90-025-00:on 900409,unexpected ESFs Actuation Occurred During Performance of Incore Thermocouple Testing.Caused by Deficient Procedure.Procedure Revised & Reviewed W/Personnel Lessons Learned from event.W/900503 Ltr ML20043A9271990-05-0303 May 1990 LER 89-030-01:on 890726,Tech Spec Violation Occurred Due to Shipment of Two Liners of Secondary Bead & Powdex Resin Mixture.On 891215,same Tech Spec Violation Occurred.Caused by Mgt Deficiency.Shipments suspended.W/900503 Ltr ML20042F4721990-05-0303 May 1990 LER 90-015-00:on 900402,Tech Spec 3.0.3 Entered When Both Trains of Containment Valve Injection Water Sys Rendered Inoperable.Caused by Supervisor Incorrectly Denoting Valve Position.Valves 1RN-493 & 494 closed.W/900430 Ltr ML20042F4741990-05-0303 May 1990 LER 90-006-00:on 900321,discovered That Nuclear Svc Water Sys Assured Makeup Source to Containment Valve Injection Water Sys Surge Chamber 2A Would Not Provide Adequate Flow. Caused by Clogged pipe.W/900430 Ltr ML20042E3141990-04-0303 April 1990 LER 90-002-01:on 900103,containment Air Return Fan Failed to Start During Test & Breaker FO1A in Motor Control Ctr Opened.Caused by Inappropriate Action.Measures Taken to Ensure Positions of Breakers verified.W/900409 Ltr ML20012C6881990-03-15015 March 1990 LER 90-011-00:on 900215,discovered That Control Room Doors Were More Difficult to Open than Normal.Ventilation Sys Found to Be Incapable of Maintaining Positive Pressure. Caused by Design Deficiency.Walls sealed.W/900315 Ltr ML20012C6901990-03-15015 March 1990 LER 90-005-01:on 900126,Tech Spec 3.0,3 Entered Due to More than One Power Range Nuclear Instrumentation Channel Exceeding 5% Deviation.Caused by Mgt Deficiency.Operations Procedure revised.W/900314 Ltr ML20012C3741990-03-13013 March 1990 LER 90-012-00:on 900127,central Alarm Station Operator Noted That Controlled Access Door Not Closed.Caused by Inappropriate Action Taken Which Was Unauthorized.Personnel Counseled on Importance of Sys operability.W/900313 Ltr ML20012C5091990-03-13013 March 1990 LER 90-009-00:on 900212,containment Purge Sys Heaters Not Being Verified to Be Running During Monthly Surveillance as Required by Tech Specs.Caused by Defective Procedures,Due to Incomplete Info.Procedures revised.W/900313 Ltr ML20012C5111990-03-12012 March 1990 LER 90-007-01:on 891108,discovered That Transmission Procedures Used to Perform Undervoltage Relay Tests Revealed That Test Acceptance Criteria Did Not Agree W/Tech Specs & Relays Not Being Adjusted as required.W/900316 Ltr ML20012B8121990-03-0909 March 1990 LER 90-008-00:on 900203,discovered That Insulation Removed from Main Steam Auxiliary Equipment Piping to Auxiliary Feedwater Pump Turbine.Caused by Design Oversight Due to Unanticipated Interaction of sys.W/900309 Ltr ML20012C4961990-03-0707 March 1990 LER 90-010-00:on 900205,discovered That Standby Shutdown Facility Wide Range RCS Temp Indications Had Not Been Subj to Monthly Channel Check as Required by Tech Spec 4.7.13.6. Caused by Defective procedure.W/900307 Ltr ML20012A1781990-02-27027 February 1990 LER 90-005-00:on 900126,Tech Spec 3.0.3 Entered Due to Inoperable Power Range Nuclear Instrumentation (Prni) During Unit Shutdown.Caused by Mgt Deficiency.Action Developed to Better Anticipate & Carry Out Prni calibr.W/900227 Ltr ML20006E8231990-02-14014 February 1990 LER 90-004-00:on 900104,contact Carrier Screws in nonsafety- Related Breaker Found Loose & in Bottom of Motor Control Ctr Cubicle.Caused by Mfg Deficiency.Loose Screws Secured. Part 21 related.W/900215 Ltr ML20006D4861990-02-0707 February 1990 LER 90-001-00:on 900105,unexpected Auxiliary Feedwater Automatic Startup Occurred During Periodic Cabinet Test. Caused by Procedure Deficiency.Procedures to Be Revised to Prevent recurrence.W/900207 Ltr ML20011E2281990-02-0202 February 1990 LER 90-002-00:on 900103,containment Air Return Fan 1B Failed to Start During Quarterly Test & Breaker F01A in Motor Control Ctr Discovered Open.Caused by Inappropriate Operator Action.Lockout Breakers closed.W/900202 Ltr ML20011E3951990-02-0202 February 1990 LER 90-001-00:on 891116,potential Concern Identified W/ Pressurizer Safety Valve Blowdown Being Greater than Assumed in Safety Analyses.Caused by Functional Design Deficiency. Also Reportable Per Part 21.W/900202 Ltr ML19354E0191990-01-19019 January 1990 LER 89-020-01:on 891118,Tech Spec 3.0.3 Entered & 5-month Auxiliary Bldg Ventilation Sys Inoperability Occurred as Result of Low Filter Exhaust Flow Condition on 891111.Caused by Design Oversight.Duct Will Be cleaned.W/900119 Ltr ML19354E0931990-01-18018 January 1990 LER 89-025-01:on 890922,power Lost to Condenser Circulating Water Cooling Tower Fans Due to Deenergization of 13.8 Kv Auxiliary Switchgear.Caused by Weather Conditions.Reactor Power Reduced to Maintain Condenser vacuum.W/900119 Ltr ML19354E0201990-01-18018 January 1990 LER 89-016-01:on 890913,generator 1B Power Circuit Breaker Opened,Causing Unit Runback to 54% Power & Failure of Generator Breaker Air Pressure Gauge.Caused by Equipment Failure.Pneumatic Gauge replaced.W/900117 Ltr ML19354D8261990-01-15015 January 1990 LER 89-029-00:on 891213,determined That Max Actuator Torque Switch Setting Insufficient to Overcome Friction Force Due to Age Hardening of Elastomeric Seat Matl on Bif/General Signal Corp Valve.Also Reported Per Part 21.W/900112 Ltr ML20005G4261990-01-12012 January 1990 LER 89-013-00:on 890726,two Carbon Steel Liners,Containing Mixture of Powdex & Bead Resins,Shipped to Barnwell,Sc,In Violation of Process Control Program.Caused by Mgt Deficiency.Shipment suspended.W/900112 Ltr ML20005G3061990-01-0909 January 1990 LER 89-020-00:on 890921,abnormal Degradation of Steel Containment Vessels Observed.Caused by Corrosion by Standing Water in Annulus Areas.Steel Containment Vessels Will Be Recoated During Next Refueling outage.W/900109 Ltr ML20005E4021989-12-29029 December 1989 LER 89-028-00:on 891204,steam Generator 1D Power Operated Relief Valve Did Not Close on Train a Main Steam Isolation Signal During Valve Inservice Test.Caused by Failed Fuse. Fuse replaced.W/891229 Ltr ML20011D3321989-12-20020 December 1989 LER 89-021-00:on 890821,hydrogen Skimmer Fan 2A Declared Inoperable in Order to Replace Breaker,In Response to NRC Bulletin 88-010.On 890825,breaker Tripped & Power Reduction Resumed.Caused by Inappropriate action.W/891222 Ltr ML20011D3351989-12-20020 December 1989 LER 89-027-00:on 891120,chemical & Vol Control Sys Centrifugal Charging Pump 1B Declared Inoperable Due to Inability to Maintain Sufficient Charging Flow.Cause Not determined.Power-range Detector replaced.W/891222 Ltr ML20011D2321989-12-18018 December 1989 LER 89-020-00:on 891111,low Filtered Exhaust Flow Discovered by Control Room Operators During Observation of Indications. Caused by Design Oversight Re Interaction of Sys/Components. Clothes Dryer Filters to Be modified.W/891218 Ltr ML19332E7201989-12-0606 December 1989 LER 89-023-01:on 890915,Tech Spec 3.0.3 Entered as Result of Both Trains of Control Room Area Ventilation Sys Being Inoperable.Caused by Equipment Malfunctions.Control Room & Area Pressurization Flow Rates revised.W/891120 Ltr ML19324B1141989-10-20020 October 1989 LER 89-024-00:on 890920,safety Review Group Staff Member Identified Committed Fire Door S102A as Possibly Inadequate. Caused by Design Deficiency.Fire Watch Established & Door repaired.W/891019 Ltr ML19324B4091989-10-20020 October 1989 LER 89-025-00:on 890922,13.8 Kv Auxiliary Switchgear Deenergized Resulting in Loss of Power to Condenser Circulating Water Cooling Tower Fans.Power Reduction Due to Hurricane Hugo.W/891019 Ltr ML19325C6381989-10-11011 October 1989 LER 89-023-00:on 890915,Tech Spec 3.0.3 Entered Due to Both Trains of Control Room Area Ventilation Sys Being Inoperable.Caused by Defective pre-operational Testing Procedure.Train a Control Room Damper adjusted.W/891011 Ltr ML19325C6401989-10-11011 October 1989 LER 89-016-00:on 890913,four Channels of Power Range Instrumentation Showed Greater than 5% Allowable Mismatch Between Rated Thermal Power & Nuclear Power.Caused by Equipment Failure.Pneumatic Gauge replaced.W/891011 Ltr ML19325C6441989-10-11011 October 1989 LER 89-019-00:on 890912,capability of Switches 2CA-15A & 2CA-18B Disabled Rendering Feedwater Pumps 2A & 2B Inoperable.Caused by Defective Procedure & Inappropriate Actions.Procedure Revised & Update issued.W/891011 Ltr ML19325C1961989-10-0404 October 1989 LER 89-026-00:on 890823,tested Breaker Replaced W/Traceable Breaker in Response to Bulletin 88-010.Breaker Tripped. Caused by Mfg Deficiency.Work Request Written.Item Reportable Per Part 21.W/891003 Ltr ML19327B6071989-09-20020 September 1989 LER 89-025-00:on 890922,auxiliary Switchgear Deenergized, Resulting in Loss of Power to Condenser Circulating Water Cooling Tower Fans.Caused by Inoperable power-range Instrumentation Due to Hurricane Hugo.W/890920 Ltr ML17303B1821986-12-30030 December 1986 LER 86-058-01:on 861111 & 18,overtemp Delta T Reactor Trip Occurred on Increasing Reactor Coolant Temp Rate.Caused by Spike on Potentiometer.Valve Realigned & Unit Returned to Previous status.W/861230 Ltr 1994-04-20
[Table view] Category:RO)
MONTHYEARML20024J2601994-10-0404 October 1994 LER 94-006-00:on 940913,automatic Reactor/Turbine Trip Occurred on Over Power Differential Temperature.Caused by Equipment Failure.Replaced Relay & Evaluated Failure Rate of Types of relays.W/941004 Ltr ML20029D1011994-04-20020 April 1994 LER 93-003-01:on 930925,reactor Tripped Due to Inadvertent Closure of Msiv.Caused by Inadequate Checking.Corrective Actions:Cros Throttled CA Flow & Entered Procedure EP/2/A/5000/01.W/940420 Ltr ML20046D5871993-08-17017 August 1993 LER 93-008-00:on 930718,reactor Tripped & Auxiliary Feedwater Sys Automatic Start Due to low-low-level in SG 1A. Developed General Troubleshooting procedure.W/930817 Ltr ML20045H2421993-07-12012 July 1993 LER 93-006-00:on 930612,automatic Reactor Trip Initiated by intermediate-range Channel N35 Hi Flux Reactor Trip Bistable.Caused by Blown Fuse in Channel.Entire Drawer Replaced & Channel Placed Back in svc.W/930712 Ltr ML20024G9751991-05-0909 May 1991 LER 91-004-00:on 910410,tech Spec Violation Occurred Re Containment Valve Injection Water Sys Being Inoperable. Caused by Inapropriate Action.Maint Staff Instructed Supervisors & Technicians of Correcting cause.W/910509 Ltr ML20024G7371991-04-18018 April 1991 LER 91-006-00:on 910323,nuclear Svc Water Valves Left W/O Emergency Power Supply.Caused by Inappropriate Action Due to Misreading of Operator Aid Computer (Oac) Graphics.Oac Graphics Training Will Be provided.W/910418 Ltr ML20029A3311991-02-12012 February 1991 LER 91-002-00:on 910113,reactor Exceeded 5% Power Level W/ RHR Sys Pump 1A Inoperable Due to Closed Suction Valve. Caused by Inappropriate Action & Procedural Deficiency. Incident Discussed W/Involved personnel.W/910212 Ltr ML20044B1761990-07-10010 July 1990 LER 90-013-00:on 900611,approx 5,000 Gallons of RCS Water Inadvertently Transferred to Refueling Water Storage Tank. Caused by Inappropriate Action.Proper Sys Parameters Restored & Analysis of Event performed.W/900709 Ltr ML20043G6441990-06-14014 June 1990 LER 90-008-00:on 900430,high Pressure CO2 Discharge Occurred on Auxiliary Feedwater Fire Protection Sys.Caused by Const/ Installation Deficiency in Solenoids.Solenoids Orientation Verified to Be Installed correctly.W/900614 Ltr ML20043C8951990-05-29029 May 1990 LER 89-010-01:on 880314,auxiliary Feedwater Pump 2A Discharge to Steam Generator 2A Isolation Failed to Completely Close.Caused by Design Deficiency.Mods to Actuator Torque Switch Setting increased.W/900524 Ltr ML20042G6301990-05-0909 May 1990 LER 90-025-00:on 900409,unexpected ESFs Actuation Occurred During Performance of Incore Thermocouple Testing.Caused by Deficient Procedure.Procedure Revised & Reviewed W/Personnel Lessons Learned from event.W/900503 Ltr ML20043A9271990-05-0303 May 1990 LER 89-030-01:on 890726,Tech Spec Violation Occurred Due to Shipment of Two Liners of Secondary Bead & Powdex Resin Mixture.On 891215,same Tech Spec Violation Occurred.Caused by Mgt Deficiency.Shipments suspended.W/900503 Ltr ML20042F4721990-05-0303 May 1990 LER 90-015-00:on 900402,Tech Spec 3.0.3 Entered When Both Trains of Containment Valve Injection Water Sys Rendered Inoperable.Caused by Supervisor Incorrectly Denoting Valve Position.Valves 1RN-493 & 494 closed.W/900430 Ltr ML20042F4741990-05-0303 May 1990 LER 90-006-00:on 900321,discovered That Nuclear Svc Water Sys Assured Makeup Source to Containment Valve Injection Water Sys Surge Chamber 2A Would Not Provide Adequate Flow. Caused by Clogged pipe.W/900430 Ltr ML20042E3141990-04-0303 April 1990 LER 90-002-01:on 900103,containment Air Return Fan Failed to Start During Test & Breaker FO1A in Motor Control Ctr Opened.Caused by Inappropriate Action.Measures Taken to Ensure Positions of Breakers verified.W/900409 Ltr ML20012C6881990-03-15015 March 1990 LER 90-011-00:on 900215,discovered That Control Room Doors Were More Difficult to Open than Normal.Ventilation Sys Found to Be Incapable of Maintaining Positive Pressure. Caused by Design Deficiency.Walls sealed.W/900315 Ltr ML20012C6901990-03-15015 March 1990 LER 90-005-01:on 900126,Tech Spec 3.0,3 Entered Due to More than One Power Range Nuclear Instrumentation Channel Exceeding 5% Deviation.Caused by Mgt Deficiency.Operations Procedure revised.W/900314 Ltr ML20012C3741990-03-13013 March 1990 LER 90-012-00:on 900127,central Alarm Station Operator Noted That Controlled Access Door Not Closed.Caused by Inappropriate Action Taken Which Was Unauthorized.Personnel Counseled on Importance of Sys operability.W/900313 Ltr ML20012C5091990-03-13013 March 1990 LER 90-009-00:on 900212,containment Purge Sys Heaters Not Being Verified to Be Running During Monthly Surveillance as Required by Tech Specs.Caused by Defective Procedures,Due to Incomplete Info.Procedures revised.W/900313 Ltr ML20012C5111990-03-12012 March 1990 LER 90-007-01:on 891108,discovered That Transmission Procedures Used to Perform Undervoltage Relay Tests Revealed That Test Acceptance Criteria Did Not Agree W/Tech Specs & Relays Not Being Adjusted as required.W/900316 Ltr ML20012B8121990-03-0909 March 1990 LER 90-008-00:on 900203,discovered That Insulation Removed from Main Steam Auxiliary Equipment Piping to Auxiliary Feedwater Pump Turbine.Caused by Design Oversight Due to Unanticipated Interaction of sys.W/900309 Ltr ML20012C4961990-03-0707 March 1990 LER 90-010-00:on 900205,discovered That Standby Shutdown Facility Wide Range RCS Temp Indications Had Not Been Subj to Monthly Channel Check as Required by Tech Spec 4.7.13.6. Caused by Defective procedure.W/900307 Ltr ML20012A1781990-02-27027 February 1990 LER 90-005-00:on 900126,Tech Spec 3.0.3 Entered Due to Inoperable Power Range Nuclear Instrumentation (Prni) During Unit Shutdown.Caused by Mgt Deficiency.Action Developed to Better Anticipate & Carry Out Prni calibr.W/900227 Ltr ML20006E8231990-02-14014 February 1990 LER 90-004-00:on 900104,contact Carrier Screws in nonsafety- Related Breaker Found Loose & in Bottom of Motor Control Ctr Cubicle.Caused by Mfg Deficiency.Loose Screws Secured. Part 21 related.W/900215 Ltr ML20006D4861990-02-0707 February 1990 LER 90-001-00:on 900105,unexpected Auxiliary Feedwater Automatic Startup Occurred During Periodic Cabinet Test. Caused by Procedure Deficiency.Procedures to Be Revised to Prevent recurrence.W/900207 Ltr ML20011E2281990-02-0202 February 1990 LER 90-002-00:on 900103,containment Air Return Fan 1B Failed to Start During Quarterly Test & Breaker F01A in Motor Control Ctr Discovered Open.Caused by Inappropriate Operator Action.Lockout Breakers closed.W/900202 Ltr ML20011E3951990-02-0202 February 1990 LER 90-001-00:on 891116,potential Concern Identified W/ Pressurizer Safety Valve Blowdown Being Greater than Assumed in Safety Analyses.Caused by Functional Design Deficiency. Also Reportable Per Part 21.W/900202 Ltr ML19354E0191990-01-19019 January 1990 LER 89-020-01:on 891118,Tech Spec 3.0.3 Entered & 5-month Auxiliary Bldg Ventilation Sys Inoperability Occurred as Result of Low Filter Exhaust Flow Condition on 891111.Caused by Design Oversight.Duct Will Be cleaned.W/900119 Ltr ML19354E0931990-01-18018 January 1990 LER 89-025-01:on 890922,power Lost to Condenser Circulating Water Cooling Tower Fans Due to Deenergization of 13.8 Kv Auxiliary Switchgear.Caused by Weather Conditions.Reactor Power Reduced to Maintain Condenser vacuum.W/900119 Ltr ML19354E0201990-01-18018 January 1990 LER 89-016-01:on 890913,generator 1B Power Circuit Breaker Opened,Causing Unit Runback to 54% Power & Failure of Generator Breaker Air Pressure Gauge.Caused by Equipment Failure.Pneumatic Gauge replaced.W/900117 Ltr ML19354D8261990-01-15015 January 1990 LER 89-029-00:on 891213,determined That Max Actuator Torque Switch Setting Insufficient to Overcome Friction Force Due to Age Hardening of Elastomeric Seat Matl on Bif/General Signal Corp Valve.Also Reported Per Part 21.W/900112 Ltr ML20005G4261990-01-12012 January 1990 LER 89-013-00:on 890726,two Carbon Steel Liners,Containing Mixture of Powdex & Bead Resins,Shipped to Barnwell,Sc,In Violation of Process Control Program.Caused by Mgt Deficiency.Shipment suspended.W/900112 Ltr ML20005G3061990-01-0909 January 1990 LER 89-020-00:on 890921,abnormal Degradation of Steel Containment Vessels Observed.Caused by Corrosion by Standing Water in Annulus Areas.Steel Containment Vessels Will Be Recoated During Next Refueling outage.W/900109 Ltr ML20005E4021989-12-29029 December 1989 LER 89-028-00:on 891204,steam Generator 1D Power Operated Relief Valve Did Not Close on Train a Main Steam Isolation Signal During Valve Inservice Test.Caused by Failed Fuse. Fuse replaced.W/891229 Ltr ML20011D3321989-12-20020 December 1989 LER 89-021-00:on 890821,hydrogen Skimmer Fan 2A Declared Inoperable in Order to Replace Breaker,In Response to NRC Bulletin 88-010.On 890825,breaker Tripped & Power Reduction Resumed.Caused by Inappropriate action.W/891222 Ltr ML20011D3351989-12-20020 December 1989 LER 89-027-00:on 891120,chemical & Vol Control Sys Centrifugal Charging Pump 1B Declared Inoperable Due to Inability to Maintain Sufficient Charging Flow.Cause Not determined.Power-range Detector replaced.W/891222 Ltr ML20011D2321989-12-18018 December 1989 LER 89-020-00:on 891111,low Filtered Exhaust Flow Discovered by Control Room Operators During Observation of Indications. Caused by Design Oversight Re Interaction of Sys/Components. Clothes Dryer Filters to Be modified.W/891218 Ltr ML19332E7201989-12-0606 December 1989 LER 89-023-01:on 890915,Tech Spec 3.0.3 Entered as Result of Both Trains of Control Room Area Ventilation Sys Being Inoperable.Caused by Equipment Malfunctions.Control Room & Area Pressurization Flow Rates revised.W/891120 Ltr ML19324B1141989-10-20020 October 1989 LER 89-024-00:on 890920,safety Review Group Staff Member Identified Committed Fire Door S102A as Possibly Inadequate. Caused by Design Deficiency.Fire Watch Established & Door repaired.W/891019 Ltr ML19324B4091989-10-20020 October 1989 LER 89-025-00:on 890922,13.8 Kv Auxiliary Switchgear Deenergized Resulting in Loss of Power to Condenser Circulating Water Cooling Tower Fans.Power Reduction Due to Hurricane Hugo.W/891019 Ltr ML19325C6381989-10-11011 October 1989 LER 89-023-00:on 890915,Tech Spec 3.0.3 Entered Due to Both Trains of Control Room Area Ventilation Sys Being Inoperable.Caused by Defective pre-operational Testing Procedure.Train a Control Room Damper adjusted.W/891011 Ltr ML19325C6401989-10-11011 October 1989 LER 89-016-00:on 890913,four Channels of Power Range Instrumentation Showed Greater than 5% Allowable Mismatch Between Rated Thermal Power & Nuclear Power.Caused by Equipment Failure.Pneumatic Gauge replaced.W/891011 Ltr ML19325C6441989-10-11011 October 1989 LER 89-019-00:on 890912,capability of Switches 2CA-15A & 2CA-18B Disabled Rendering Feedwater Pumps 2A & 2B Inoperable.Caused by Defective Procedure & Inappropriate Actions.Procedure Revised & Update issued.W/891011 Ltr ML19325C1961989-10-0404 October 1989 LER 89-026-00:on 890823,tested Breaker Replaced W/Traceable Breaker in Response to Bulletin 88-010.Breaker Tripped. Caused by Mfg Deficiency.Work Request Written.Item Reportable Per Part 21.W/891003 Ltr ML19327B6071989-09-20020 September 1989 LER 89-025-00:on 890922,auxiliary Switchgear Deenergized, Resulting in Loss of Power to Condenser Circulating Water Cooling Tower Fans.Caused by Inoperable power-range Instrumentation Due to Hurricane Hugo.W/890920 Ltr ML17303B1821986-12-30030 December 1986 LER 86-058-01:on 861111 & 18,overtemp Delta T Reactor Trip Occurred on Increasing Reactor Coolant Temp Rate.Caused by Spike on Potentiometer.Valve Realigned & Unit Returned to Previous status.W/861230 Ltr 1994-04-20
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217H0201999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Catawba Nuclear Station,Units 1 & 2 ML20216E5401999-09-0707 September 1999 Special Rept:On 990826,discovered That Meteorological Sys Upper Wind Speed Cup Set Broken,Causing Upper Wind Channel to Be Inoperable.Cup Set Replaced & Channel Restored to Operable Status on 990826 ML20212B4711999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Catawba Nuclear Station,Units 1 & 2 ML20217H0321999-08-31031 August 1999 Revised Monthly Operating Rept for Aug 1999 for Catawba Nuclear Station,Units 1 & 2 ML20211B1281999-08-31031 August 1999 Dynamic Rod Worth Measurement Using Casmo/Simulate ML20211A9791999-08-20020 August 1999 Safety Evaluation Granting Licensee Request for Approval of Proposed Relief from Volumetric Exam Requirements of ASME B&PV Code,Section Xi,For Plant,Unit 2 ML20211F3441999-08-17017 August 1999 Updated non-proprietary Page 2-4 of TR DPC-NE-2009 ML20211C1291999-08-17017 August 1999 ISI Rept Unit 1 Catawba 1999 RFO 11 ML20210R1051999-08-0606 August 1999 Special Rept:On 990628,cathodic Protection Sys Was Declared Inoperable After Sys Did Not Pass Acceptance Criteria of Bimonthly Surveillance.Work Request 98085802 Was Initiated & Connections on Well Anode Were Cleaned or Replaced ML20210S2891999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Catawba Nuclear Station,Units 1 & 2 ML20212B4871999-07-31031 July 1999 Revised Monthly Operating Rept for July 1999 for Catawba Nuclear Station,Units 1 & 2 ML20209E4361999-07-0909 July 1999 SER Agreeing with Licensee General Interpretation of TS LCO 3.0.6,but Finds No Technical Basis or Guidance That Snubbers Could Be Treated as Exception to General Interpretation ML20196K6631999-07-0707 July 1999 Safety Evaluation Supporting Licensee 990520 Position Re Inoperable Snubbers ML20210S2951999-06-30030 June 1999 Revised Monthly Operating Rept for June 1999 for Catawba Nuclear Station,Units 1 & 2 ML20209H4501999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Catawba Nuclear Station,Units 1 & 2 ML20209H4561999-05-31031 May 1999 Revised Monthly Operating Rept for May 1999 for Catawba Nuclear Station,Units 1 & 2 ML20206T4771999-05-31031 May 1999 Rev 3 to UFSAR Chapter 15 Sys Transient Analysis Methodology ML20196L1881999-05-31031 May 1999 Non-proprietary Rev 1 to DPC-NE-3004, Mass & Energy Release & Containment Response Methodology ML20196A0001999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Catawba Nuclear Station,Units 1 & 2 ML20206P5201999-05-14014 May 1999 Safety Evaluation Accepting GL 96-05, Periodic Verification of Design-Basis Capability of Safety-Related Motor-Operated Valves ML20206N8391999-05-0404 May 1999 Rev 16 to CNEI-0400-24, Catawba Unit 1 Cycle 12 Colr ML20206R1811999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Catawba Nuclear Station,Units 1 & 2 ML20196A0041999-04-30030 April 1999 Revised Monthly Operating Repts for Apr 1999 for Catawba Nuclear Station,Units 1 & 2 ML20206N8261999-04-22022 April 1999 Rev 15 to CNEI-0400-24, Catawba Unit 1 Cycle 12 Colr. Page 145 of 270 of Incoming Submittal Not Included ML20205S5551999-04-21021 April 1999 Safety Evaluation Accepting Response to GL 96-06, Assurance of Equipment Operability & Containment Integrity During Design Basis Accident Conditions ML20205N3651999-04-12012 April 1999 Safety Evaluation Accepting IPE of External Events Submittal ML18016A9011999-04-12012 April 1999 Part 21 Rept Re Defect in Component of DSRV-16-4,Enterprise DG Sys.Caused by Potential Problem with Connecting Rod Assemblies Built Since 1986,that Have Been Converted to Use Prestressed Fasteners.Affected Rods Should Be Inspected ML20206R1931999-03-31031 March 1999 Revised Monthly Operating Repts for Apr 1999 for Catawba Nuclear Station,Units 1 & 2 ML20205P9521999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Catawba Nuclear Station,Units 1 & 2 ML20205P9561999-02-28028 February 1999 Revised Monthly Operating Repts for Feb 1999 for Catawba Nuclear Station,Units 1 & 2 ML20204C9111999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Catawba Nuclear Station,Units 1 & 2 ML20203A2581999-02-0505 February 1999 Safety Evaluation of TR DPC-NE-3002-A,Rev 2, UFSAR Chapter 15 Sys Transient Analysis Methodology. Rept Acceptable. Staff Requests Duke Energy Corp to Publish Accepted Version of TR within 3 Months of Receipt of SE ML20204C9161999-01-31031 January 1999 Revised Monthly Operating Repts for Jan 1999 for Catawba Nuclear Station,Units 1 & 2 ML20199K8711999-01-13013 January 1999 Inservice Insp Rept for Unit 2 Catawba 1998 Refueling Outage 9 ML20199E3071998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Catawba Nuclear Station,Units 1 & 2 ML20216F9931998-12-31031 December 1998 Piedmont Municipal Power Agency 1998 Annual Rept ML20205E9441998-12-31031 December 1998 1998 10CFR50.59 Rept for Catawba Nuclear Station,Units 1 & 2, Containing Brief Description of Changes,Tests & Experiments,Including Summary of Ses.With ML20206P2081998-12-31031 December 1998 Special Rept:On 981218,inoperability of Meteorological Monitoring Instrumentation Channels,Was Observed.Caused by Data Logger Overloading Circuit.Replaced & Repaired Temp Signal Processor ML20203A4101998-12-22022 December 1998 Rev 16 to CNEI-0400-25, Catawba Unit 2 Cycle 10 Colr ML20203A4041998-12-22022 December 1998 Rev 14 to CNEI-0400-24, Catawba Unit 1 Cycle 11 Colr ML20198B1341998-12-14014 December 1998 Revised Special Rept:On 980505,discovered That Certain Fire Barriers Appeared to Be Degraded.Caused by Removal of Firestop Damming Boards.Hourly Fire Watches Established in Affected Areas ML20196J8351998-12-0808 December 1998 Safety Evaluation Granting Relief Request Re Relief Valves in Diesel Generator Fuel Oil Sys ML20199E3221998-11-30030 November 1998 Revised MOR for Nov 1998 for Catawba Nuclear Station,Units 1 & 2 Re Personnel Exposure ML20198E3151998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Catawba Nuclear Station,Units 1 & 2 ML20196C0251998-11-27027 November 1998 SER Accepting Clarification on Calibration Tolerances on Trip Setpoints for Catawba Nuclear Station ML20196A6881998-11-25025 November 1998 Safety Evaluation Granting Relief Request 98-02 Re Limited Exam for Three Welds ML20196D4041998-11-19019 November 1998 Rev 1 to Special Rept:On 980618,determined That Method Used to Calibrate Wind Speed Instrumentation Loops of Meteorological Monitoring Instrumentation Sys Does Not Meet TS Definition for Channel Calibration.Procedure Revised ML20195E5521998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Catawba Nuclear Station,Units 1 & 2 ML20198E3261998-10-31031 October 1998 Revised Monthly Operating Repts for Oct 1998 for Catawba Nuclear Station,Units 1 & 2 ML20154M7661998-10-12012 October 1998 LER 98-S01-00:on 980913,terminated Vendor Employee Entered Protected Area.Caused by Computer Interface Malfunction. Security Retained Vendor Employee Badge to Prevent Further Access & Computer Malfunction Was Repaired.With 1999-09-07
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Duke hwer Conga ~y (803) U I 3000 Catauha Nudrar Station PO Bra!% .
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DUKEPOWER February 7, 1990 l
Document Control Dcsk
~U. S. Nuc1 car Regulatory Commission Washington, D. C. 20555
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Subject:
Catawba Nuclear Station Docket No. 50-414 LER 414/90-01 i Gentlement Attached is Licensee Event Report 414/90-01, concerning AUXILIARY FEEDWATER AUTOMATIC START DUE TO AN INADEQUATE PERIODIC TEST
i This event was considered to bc of no significanco with respect to the health and safety of the public.
i very truly yours, f
'l l Tony B. Owen Station Manager
! keb\LER-NRC.TBO xct Mr. S. D. Ebneter American Nuclear Insurers
" Regional Administrator, Region 11 c/o Dottie Sherman, ANI Library U. S. Nuclear Regulator Commission The Exchange, Suite 245 101 Marietta Street, NW, Suite 2900 270 Farmington Avenue Atlanta, GA 30323 Farmington, CT 06032 Mr. K.,Jabbour M & M Nuclear Consultants 1221 Avenues of the Araericas U. S. Nuclear Regulatory Commission New York, NY 10020 Office of Nuclear Reactor Regulation Washington, D. C. 20555
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- INPO Records Center Suite 1500 Mr. W. T. Orders 1300 circle 75 Parkway NRC Resident inspector Atlanta, GA 30339 Catawba Nuclear Station l
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., . <. ,,,. . n.. ,. ., n e i 014 115 910 On Januqry 5, 1990, Unit 2 was in Mode 3. Hot Standby, in order to repair a Steam Generator Blowdown containment isolation valve actuator. During the performance of PT/2/A/4200/09A, Auxiliary Safeguards Test Cabinet Periodic Test, an unexpected Auxiliary Feedwater (CA) automatic start occurred coincident with the reset of the Diesel Generator (D/G) 2B sequencer at 2103:43 hours. The CA System was subsequently reset. After review of the test procedure and electrical elementaries did not reveal the cause, permission was obtained to repeat the test while personnel observed key relays. The loss of Main Feedwater (CF) Pumps relay was identified as the initiating relay in the second test.
Further review determined that the loss of CF Pumps relay is de-energized when the sequencer relays are actuated. Therefore the loss of CF Pumps relay is re-energized when the sequencer is reset if the CF Pumps are in a tripped condition. This problem is attributed to a procedure deficiency and procedures will be revised to prevent recurrence. This incident is reportable pursuant to 10CFR 50.73, Section (a)(2)(iv) and 10CFR 50.72, Section (b)(2)(ii),
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and one 100% capacity Turbine Driven CA Pump (CAPT). The Motor Driven CA Pumps automatically start on loss of both CF Pumps or 2 of 4 low level indication on
- any one S/G. The Motor Driven CA Pumps are also automatically started in load '
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group 7 of the 0/G Load Sequencer [EIIS:EK] during a blackout and/or a LOCA.
A CA automatic start is an Engineered Safety Features [E!!S:JE] (ESF) Actuation and is reportable pursuant to 10CFR 50.73, Section (a)(2)(iv) and 50.72, Section ,
.. (b)(2)(ii). During a CA automatic start the Motor Driven CA Pumps start, the CA
..: discharge valves [EIIS:V) for each train fully open, the S/G Blowdown [EIIS:WI]
1 (BB) System isolates and the Nuclear Sampling (EIIS:KN] (NM) System from the h, S/Gs isolates.
The load sequencer functions to automatically energize the necessary blackout
- . and/or LOCA required loads in a definite progressive sequence in such a manner J' -that the D/G [E!!S
- EK] or Auxiliary transformer [EIIS:XFMR] is not momentarily overloaded. A loss of voltage at the 4.16 KV essential switchgear or a Safety o Injection Actuation Signal (Ss) from the Solid State Protection System [EIIS:JC]
(SSPS) will actuate the sequencer for each train.
PT/2/A/4200/09A, Auxiliary Safeguards Test Cabinet Periodic Test, tests the o operability of the final actuating device for nuclear safety related equipment while the Unit is in service without disturbing the operation of the Unit. ,
O- Section 12.42 verifies the logic of Train B Safety Injection Relay [EIIS:RLY]
K608. Components tested in this section include the 2B D/G Load Sequencer and Valves 2ND60, ND Hx 2B Outlet Control, IND61, ND Hx 28 Flow Control, and 2RN351, KC Hx 2B Outlet Throttle.
EVENT DESCRIPTION On January 5, 1990, Unit 2 was in Mode 3, Hot Standby, in order to repair the actuator on 2BB19A, S/G 2B Blowdown Containment Isolation Valve. Other maintenance and testing activities requiring Mode 3 status were also being performed. These activities included shaft realignment of CF Pumps 2A and 28.
The CF Pumps were tripped and the S/G levels were being maintained by CA Pumps 2A and 28. The Control Room Operators (CR0s) were manually controlling the S/G 1evels with the CA Control Valves. The CA System was in standby readiness since Reactor Coolant [EIIS:AB] System pressure was above 1955 psig.
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itxt a . m =ac e anwim f-- At 2103:43 hours, an unexpected Train B CA Automatic Start occurred coincident with the reset of the 2B D/G Sequencer per PT/2/A/4200/09A, Section 12.42.
Since CA Pumps 2A and 2B were already in operation, the Valve isolation.
Control Train B reset status light going dark, and Train B B the CA Control Valves to prevent overfill of the S/Gs and realigned NM and BB.
Additional Performance personnel were contacted inprocedure order to determine the reason Review of the test and for the unexpected CA automatic start.
electrical Therefore, elementaries did not reveal the wascause of the CA automatic star the Shift Supervisors permission obtained to repeat Section 12.42 of PT/2/A/4200/09A while personnel were stationed to observe the operation of key relays.
At 0300:57 hours, on January 6, a second CA automatic start occurred coincident with the reset of the D/G 2B sequencer while personnel observed the associated relays. The loss of CF Pumps relay was identified as the initiating relay in the second test. By 0302 hours0.0035 days <br />0.0839 hours <br />4.993386e-4 weeks <br />1.14911e-4 months <br />, the CR0s had realigned from the Trai automatic start.
the negative leg of the loss of CF Pump relay is opened During when the sequen relays are actuated.
the sequencer is reset if both CF Pumps are in a tripped condition.
previous performance of this test, this sequence of events pressure.
CONCLUSION This incident has been attributed to inadequate procedural precautions.
PT/2/A/4200/09A allowed Section 12.42 to be completed in Mode 3 with CA automatic start enabled and bothPT/1(2)/A/4200/09A CF pumps trippedalong without withcompensating other test measures to prevent a CA automatic start. procedures that involve testing of the D prevent the recurrence of thisInproblem. Nuclear Station were contacted to re addition, Design Engineering is elementaries for a similar problem. investigating the circuitry for appropriate s operation, Review of the OEP database yields three previous LER events414/88-05,involving Unexpected ESF actuations due to p mcedural deficiencies in the past two years.
Auxiliary F0edwater Autostart Occurs During Testing Due to Unknown Cause and lack of Proredural Precautions, involved the CA, CF, Turbine Interlocks Periodic Test procedure which did not ensure that the CA The automatic CA automatic startstartlogic was in a reset shtus prior to removing the autostart414/85-05 defeat. in that the "CA Valve described in this report differs from LERControl Train A(B)" reset status Feedwater Isolation on Hi Hi S/G Level Ouring sequencer. LER 414/89-013,
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] Testing Due to Inadequate Procedure Precautions, also involves the CA, CF, Turbine Interlocks test. The procedural deficiency identified in LER 414/89-013 involved the operational interaction of the systems and components being tested whereas the procedure deficiency in this incident involves misinterpretation of '
- design drawings. LER 413/89-019 Two Unplanned Automatic Alignments of the Nuclear Service Water System To The Standby Nuclear Service Water Pond, involves procedural deficiencies associated with a Maintenance and a modification procedure used for the first time. The above incidents meet the Duke Power Nuclear Safety Assurance definition of a recurring problem. The corrective J action prescribed in the previous incidents would not have prevented the incident described in this report. Due to the complexity of the design of the circuit and the number of conditions that had to be met to cause the CA automatic start, it is doubtful that procedure review would have prevented this :
type of incident. Therefore, no other corrective actions are recommended at 1
- this time, other than the revision of the procedures that apply to the CA j J automatic start circuit when the D/G sequencer is placed in test.
l The review of the OEP database also identified five CA automatic starts over the past two years (LER 414/89-015,414/88-032,414/88-024,414/88-014,414/88-05).
LER 414/88-05, as described in the above paragraph, involves a procedural 4 deficiency, therefore, this incident also meets the Duke Power Nuclear Safety :
Assurance definition of a Recurring Event. The remaining CA automatic starts were caused by equipment malfunction or inappropriate action. For the reasons stated in the preceding paragraph, a generic procedure review is not being recommended at this time.
Station Management will meet to review these events to determine whether any further corrective actions are warranted to address the recurring problem of procedure deficiencies.
CORRECTIVE ACTION IMMEDIATE
- 1) The CR0s reset CA and throttled the CA control valves to maintain S/G level, and realigned affected BB and NM valves.
SUBSEQUENT
- 1) Performance repeated Section 12.42 of PT/2/A/4200/09A to determine .
I cause of the CA automatic start.
- 2) Performance determined that the CA automatic start was caused by the
- re-initiation of the CF pump trip caused by the D/G sequencer reset. l
- 3) Performance alerted McGuire Nuclear Station (MNS) performance of the i problem so that applicability to MNS could be investigated.
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6 4) Performance determined which other periodic test involving testing of f the 0/G sequencer relays that will require revision to prevent an unexpected CA autostart.
. 1 i PLANNED )
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- 1) PT/1(2)/A/4200/09A and other applicable periodic test procedures 1 involving testing of the D/G sequencer relays will be revised to
, prevent unexpected CA automatic starts during testing.
- 2) The need for changes to IP/1(2)/3670/01A(01B), Load Sequencer limer L Calibration, to prevent unexpected CA automatic starts will be investigated.
p). 3) The CA automatic start circuitry will be investigated for appropriate
> system response during all modes of operation and the possibilities and consequences of a " relay race" during sequencer reset if CA has already been reset will be evaluated.
, 4) A meeting will be held between the management of Performance,
Operations, Maintenance Engineering Services and the Catawba Safety Review Group to determine whether further corrective action can be taken to prevent further ESF actuations due to procedure deficiencies.
- 5) This report will be revised to reflect any additional corrective r actions identified. .
[ SAFETY ANALYSIS ,
' This incident occurred during testing with Unit 2 in Mode 3 with both Motor Driven CA Pumps in operation to maintain S/G level. The Auxiliary Safeguards test caused the B Train CA automatic start due to re-initiation of the loss of CF Pumps relay when the D/G 2B sequencer was reset. The Train B components .
responded as designed to the Train B automatic start signal and the CR0s properly responded by resetting the CA System and throttling the CA control valves to maintain the proper S/G levels. The CA System maintained its safety function to provide decay heat removal for the Reactor Coolant System.
Therefore, the health and safety of the public were unaffected by this incident.
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