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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20024J2481994-10-0707 October 1994 LER 94-012-00:on 940907,discovered Failure to Perform TS Surveillance Requirements.Caused by Misunderstanding & Inadequate Technical Reviews.Ts Bases for 3/4.8.1 Will Be revised.W/941007 Ltr ML20029E5581994-05-13013 May 1994 LER 94-005-00:on 940415,dicovered That Several Valves Were Not Being Tested Per Requirements of ASME Section Xi.Caused by Inappropriate Action.Corrective Action:Pump & Valve Team Has Been Formed to Perform in Depth reviews.W/940513 Ltr ML20029D9941994-05-11011 May 1994 LER 94-006-00:on 940415,determined That on 921103, Unidentified RCS Leak Rate of Greater than 1 Gpm Occurred. Caused by Error in RCS Mass Balance Equation.Approved Temporary Change to Procedure OP-903-024.W/940511 Ltr ML20045H4731993-07-15015 July 1993 LER 93-002-00:on 930615,reactor Tripped Due to High SG Level Caused by Failure of Feedwater Control Sys.Caused by Failure of Square Root Extractor in Feedwater Flow Circuit.Failed Components Replaced & Alarm Setpoints reviewed.W/930715 Ltr ML20029B6381991-03-0808 March 1991 LER 89-007-01:on 890331,inadequate Design of Air Accumulators Due to Inadequate Review of Design Requirements Implemented as Part of post-TMI Action Plan.Design Change 3195 Phase I implemented.W/910308 Ltr ML20029A8471991-02-28028 February 1991 LER 90-019-01:on 901212,both Trains of Control Room Heating Ventilation & Air Conditioning Sys Inoperable Due to Breach in Control Room Envelope.Caused by Air Flow Past Retaining Angle.Leakage Paths repaired.W/910228 Ltr ML20028G9631990-10-0202 October 1990 LER 90-013-00:on 900903,unsampled Gas Released from Gaseous Waste Mgt Sys.Caused by Internal Leakage Past Discharge Isolation Valves.Administrative Controls in Place to Ensure That Gas Decay Tanks Sampled Prior to release.W/901002 Ltr ML20028G9211990-09-24024 September 1990 LER 90-012-00:on 900825,reactor Tripped Due to Lightning Strike.Station Mod Request Issued to Provide Uninterruptable Power Source for Steam Bypass Control sys.W/900924 Ltr ML20044A6661990-06-27027 June 1990 LER 90-006-00:on 841218.determined That Shutdown Cooling Sys Relief Valve Setpoint Not Set,Per Tech Spec Requirement. Caused by Procedural Inadequacy.Procedure MM-007-006 revised.W/900627 Ltr ML20043G1961990-06-15015 June 1990 LER 90-001-01:on 900223,discovered Controlled Ventilation Area Sys Airlock Doors D-170 & D-171 Open.Caused by Inadequate Administrative Controls.Procedural Instructions Developed to Govern Control of Air Lock doors.W/900615 Ltr ML20043G2041990-06-14014 June 1990 LER 89-006-01:on 870105,safety Class Break Requirements Not Met.Caused by Programmatic Breakdown in Administrative Controls.Valves Closed & Design Drawings & Procedures revised.W/900614 Ltr ML20043B1121990-05-21021 May 1990 LER 90-005-00:on 900420,condenser Vacuum Pump Discharge Wide Range Gas Monitor Setpoint Discovered to Be Incorrect.Caused by Inadequate Change Procedure for Data Base Manual. Administrative Procedures revised.W/900521 Ltr ML20042F7501990-05-0707 May 1990 LER 90-004-00:on 900408,partial Actuation of Emergency Feedwater Sys Occurred During Scheduled Test of Plant Protection Sys.Caused by Test Circuit Malfunction.Relay Hold Pushbutton Assembly replaced.W/900507 Ltr ML20012D6671990-03-23023 March 1990 LER 90-001-00:on 900223,discovered Controlled Ventilation Area Sys Airlock Doors D-170 & D-171 Open.Caused by Inadequate Administrative Controls.Procedural Instructions Will Be developed.W/900323 Ltr ML19354E0181990-01-22022 January 1990 LER 89-024-00:on 891223,manual Trip of Plant Initiated in Response to Decreasing Level in Steam Generator.Caused Probably by Anomaly in Main Feed Regulating Valve Pneumatic Control Sys.Tent Erected Around valve.W/900122 Ltr ML19354E0171990-01-19019 January 1990 LER 89-023-00:on 890927,MSIV 2MS-124B,determined to Have Broken Stem.Caused by MSIV Hydraulic Control Unit Thermal Valve Leakage.Replacement MSIV Stems W/Increased Blend Radius Designed to Decrease Stress installed.W/900119 Ltr ML20005E0971989-12-29029 December 1989 LER 89-017-01:on 890819,automatic Reactor Trip Initiated by Plant Protection Sys Response to Variations in Core Axial Shape Index.Caused by Failure of Pulldown & Lower Gripper Coil Current Sensors.Equipment replaced.W/891229 Ltr ML20011D2541989-12-20020 December 1989 LER 89-022-00:on 891128,plant Operated in Condition Prohibited by Tech Specs When Emergency Diesel Generator a Inoperable More than 24 H.Caused by Personnel Error.Ltr Issued to All Shift supervisors.W/891220 Ltr ML20011F4591989-12-18018 December 1989 LER 89-021-00:on 891116,emergency Diesel Generator a Declared Inoperable When Essential Svcs Chiller a Declared Inoperable W/O Verifying Availability of Offsite Ac Power. Caused by Personnel Error.Supervisor counseled.W/891218 Ltr ML19332C5781989-11-20020 November 1989 LER 89-020-00:on 891031,containment Fan Cooler C Motor Ran in Reverse Direction Reducing Air Flow & Cooling Capacity. Caused by Personnel Not Performing Surveillance Testing. Motor Rewired for Correct Slow Speed operation.W/891120 Ltr ML19327C1111989-11-13013 November 1989 LER 89-002-01:on 890125,discovered That Safety Classification of Instrument Air Tubing That Supplies Outlet Isolation Valves Installed as non-nuclear Safety.Caused by Use of Weld Filler Matl.Tech Spec Change Sent ML19324C4611989-11-13013 November 1989 LER 89-019-00:on 891012,4.16-kV Bus 3A2 Metering Potential Transformer Fuse Door Inadvertently Opened,Causing Feeder Breaker & Supply Breaker to Open & Load Sequencer to Reset. Caused by Personnel Error.Drawers relabeled.W/891113 Ltr ML19327B3511989-10-23023 October 1989 LER 89-018-00:on 890921,while Testing Main Steam Safety Valve,Lift Pressure Found to Be Below Tech Spec Allowable Value.Caused by Error in Judgement by Plant Supervisors. Event Will Be Discussed by superintendent.W/891023 Ltr 1994-05-13
[Table view] Category:RO)
MONTHYEARML20024J2481994-10-0707 October 1994 LER 94-012-00:on 940907,discovered Failure to Perform TS Surveillance Requirements.Caused by Misunderstanding & Inadequate Technical Reviews.Ts Bases for 3/4.8.1 Will Be revised.W/941007 Ltr ML20029E5581994-05-13013 May 1994 LER 94-005-00:on 940415,dicovered That Several Valves Were Not Being Tested Per Requirements of ASME Section Xi.Caused by Inappropriate Action.Corrective Action:Pump & Valve Team Has Been Formed to Perform in Depth reviews.W/940513 Ltr ML20029D9941994-05-11011 May 1994 LER 94-006-00:on 940415,determined That on 921103, Unidentified RCS Leak Rate of Greater than 1 Gpm Occurred. Caused by Error in RCS Mass Balance Equation.Approved Temporary Change to Procedure OP-903-024.W/940511 Ltr ML20045H4731993-07-15015 July 1993 LER 93-002-00:on 930615,reactor Tripped Due to High SG Level Caused by Failure of Feedwater Control Sys.Caused by Failure of Square Root Extractor in Feedwater Flow Circuit.Failed Components Replaced & Alarm Setpoints reviewed.W/930715 Ltr ML20029B6381991-03-0808 March 1991 LER 89-007-01:on 890331,inadequate Design of Air Accumulators Due to Inadequate Review of Design Requirements Implemented as Part of post-TMI Action Plan.Design Change 3195 Phase I implemented.W/910308 Ltr ML20029A8471991-02-28028 February 1991 LER 90-019-01:on 901212,both Trains of Control Room Heating Ventilation & Air Conditioning Sys Inoperable Due to Breach in Control Room Envelope.Caused by Air Flow Past Retaining Angle.Leakage Paths repaired.W/910228 Ltr ML20028G9631990-10-0202 October 1990 LER 90-013-00:on 900903,unsampled Gas Released from Gaseous Waste Mgt Sys.Caused by Internal Leakage Past Discharge Isolation Valves.Administrative Controls in Place to Ensure That Gas Decay Tanks Sampled Prior to release.W/901002 Ltr ML20028G9211990-09-24024 September 1990 LER 90-012-00:on 900825,reactor Tripped Due to Lightning Strike.Station Mod Request Issued to Provide Uninterruptable Power Source for Steam Bypass Control sys.W/900924 Ltr ML20044A6661990-06-27027 June 1990 LER 90-006-00:on 841218.determined That Shutdown Cooling Sys Relief Valve Setpoint Not Set,Per Tech Spec Requirement. Caused by Procedural Inadequacy.Procedure MM-007-006 revised.W/900627 Ltr ML20043G1961990-06-15015 June 1990 LER 90-001-01:on 900223,discovered Controlled Ventilation Area Sys Airlock Doors D-170 & D-171 Open.Caused by Inadequate Administrative Controls.Procedural Instructions Developed to Govern Control of Air Lock doors.W/900615 Ltr ML20043G2041990-06-14014 June 1990 LER 89-006-01:on 870105,safety Class Break Requirements Not Met.Caused by Programmatic Breakdown in Administrative Controls.Valves Closed & Design Drawings & Procedures revised.W/900614 Ltr ML20043B1121990-05-21021 May 1990 LER 90-005-00:on 900420,condenser Vacuum Pump Discharge Wide Range Gas Monitor Setpoint Discovered to Be Incorrect.Caused by Inadequate Change Procedure for Data Base Manual. Administrative Procedures revised.W/900521 Ltr ML20042F7501990-05-0707 May 1990 LER 90-004-00:on 900408,partial Actuation of Emergency Feedwater Sys Occurred During Scheduled Test of Plant Protection Sys.Caused by Test Circuit Malfunction.Relay Hold Pushbutton Assembly replaced.W/900507 Ltr ML20012D6671990-03-23023 March 1990 LER 90-001-00:on 900223,discovered Controlled Ventilation Area Sys Airlock Doors D-170 & D-171 Open.Caused by Inadequate Administrative Controls.Procedural Instructions Will Be developed.W/900323 Ltr ML19354E0181990-01-22022 January 1990 LER 89-024-00:on 891223,manual Trip of Plant Initiated in Response to Decreasing Level in Steam Generator.Caused Probably by Anomaly in Main Feed Regulating Valve Pneumatic Control Sys.Tent Erected Around valve.W/900122 Ltr ML19354E0171990-01-19019 January 1990 LER 89-023-00:on 890927,MSIV 2MS-124B,determined to Have Broken Stem.Caused by MSIV Hydraulic Control Unit Thermal Valve Leakage.Replacement MSIV Stems W/Increased Blend Radius Designed to Decrease Stress installed.W/900119 Ltr ML20005E0971989-12-29029 December 1989 LER 89-017-01:on 890819,automatic Reactor Trip Initiated by Plant Protection Sys Response to Variations in Core Axial Shape Index.Caused by Failure of Pulldown & Lower Gripper Coil Current Sensors.Equipment replaced.W/891229 Ltr ML20011D2541989-12-20020 December 1989 LER 89-022-00:on 891128,plant Operated in Condition Prohibited by Tech Specs When Emergency Diesel Generator a Inoperable More than 24 H.Caused by Personnel Error.Ltr Issued to All Shift supervisors.W/891220 Ltr ML20011F4591989-12-18018 December 1989 LER 89-021-00:on 891116,emergency Diesel Generator a Declared Inoperable When Essential Svcs Chiller a Declared Inoperable W/O Verifying Availability of Offsite Ac Power. Caused by Personnel Error.Supervisor counseled.W/891218 Ltr ML19332C5781989-11-20020 November 1989 LER 89-020-00:on 891031,containment Fan Cooler C Motor Ran in Reverse Direction Reducing Air Flow & Cooling Capacity. Caused by Personnel Not Performing Surveillance Testing. Motor Rewired for Correct Slow Speed operation.W/891120 Ltr ML19327C1111989-11-13013 November 1989 LER 89-002-01:on 890125,discovered That Safety Classification of Instrument Air Tubing That Supplies Outlet Isolation Valves Installed as non-nuclear Safety.Caused by Use of Weld Filler Matl.Tech Spec Change Sent ML19324C4611989-11-13013 November 1989 LER 89-019-00:on 891012,4.16-kV Bus 3A2 Metering Potential Transformer Fuse Door Inadvertently Opened,Causing Feeder Breaker & Supply Breaker to Open & Load Sequencer to Reset. Caused by Personnel Error.Drawers relabeled.W/891113 Ltr ML19327B3511989-10-23023 October 1989 LER 89-018-00:on 890921,while Testing Main Steam Safety Valve,Lift Pressure Found to Be Below Tech Spec Allowable Value.Caused by Error in Judgement by Plant Supervisors. Event Will Be Discussed by superintendent.W/891023 Ltr 1994-05-13
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217F2891999-10-13013 October 1999 Drill 99-08 Emergency Preparedness Exercise on 991013 ML20217G7211999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Waterford 3 Ses. with ML20211Q2141999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Waterord 3 Ses.With ML20210Q6361999-07-31031 July 1999 Corrected Monthly Operating Rept for July 1999 for Waterford 3 ML20210S0581999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Waterford 3.With ML20210D8951999-07-23023 July 1999 Safety Evaluation Accepting First 10-yr Interval Inservice Insp Plan Requests for Relief ISI-018 - ISI-020 ML20209H3781999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Waterford 3 Ses. with ML20195J8951999-06-17017 June 1999 Safety Evaluation Granting Relief for Listed ISI Parts for Current Interval,Per 10CFR50.55a(g)(5)(iii) ML20207E8631999-06-0303 June 1999 Safety Evaluation Accepting Licensee 990114 Submittal of one-time Request for Relief from ASME B&PV Code IST Requirements for Pressure Safety Valves at Plant,Unit 3 ML20195K3391999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Waterford 3 Ses.With ML20195C3041999-05-28028 May 1999 Annual Rept on Abb CE ECCS Performance Evaluation Models ML20206S7401999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Waterford 3.With ML20205T2621999-04-22022 April 1999 LER 99-S02-00:on 990216,contract Employee Inappropriately Granted Unescorted Access to Plant Protected Area.Caused by Personnel Error.Security Personnel Performed Review of Work & Work Area That Individual Was Involved with ML20205N9671999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Waterford 3 Ses.With ML20205E8531999-03-30030 March 1999 Corrected Pages COLR 3/4 1-4 & COLR 3/4 2-6 to Rev 1, Cycle 10, Colr ML20205A6331999-03-25025 March 1999 SER Accepting Request to Use Mechanical Nozzle Seal Assemblies as an Alternative Repair Method,Per 10CFR50.55a(a)(3)(i) for Reactor Coolant Sys Applications at Plant,Unit 3 ML20204H1401999-03-23023 March 1999 Rev 1 to Engineering Rept C-NOME-ER-0120, Design Evaluation of Various Applications at Waterford Unit 3 ML20204H1231999-03-22022 March 1999 Rev 1 to Design Rept C-PENG-DR-006, Addendum to Cenc Rept 1444 Analytical Rept for Waterford Unit 3 Piping ML20204H2451999-03-22022 March 1999 Rev 2 to C-NOME-SP-0067, Design Specification for Mechanical Nozzle Seal Assembly (Mnsa) Waterford Unit 3 ML20204F0791999-03-17017 March 1999 Rev 1 to Waterford 3 COLR for Cycle 10 ML20207M9231999-03-12012 March 1999 Amended Part 21 Rept Re Cooper-Bessemer Ksv EDG Power Piston Failure.Total of 198 or More Pistons Have Been Measured at Seven Different Sites.All Potentially Defective Pistons Have Been Removed from Svc Based on Encl Results ML20207F3491999-03-0505 March 1999 LER 99-S01-00:on 990203,contraband Was Discovered in Plant Protected Area.Bottle Was Determined to Have Been There Since Original Plant Construction.Bottle Was Removed & Security Personnel Performed Search of Area.With ML20204B5141999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Waterford 3.With ML20203H8591999-02-17017 February 1999 Safety Evaluation Accepting Licensee Second Ten Year ISI Program & Associated Relief Requests for Plant,Unit 3 ML20199H6261999-01-21021 January 1999 Safety Evaluation Accepting Classification of Instrument Air Tubing & Components for Safety Related Valve Top Works.Staff Recommends That EOI Revise Licensing Basis to Permit Incorporation of Change ML20199C9101998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Waterford 3.With ML20196F4911998-12-0101 December 1998 SER Accepting Request for Relief ISI2-09 for Waterford Steam Electric Station,Unit 3 & Arkansas Nuclear One,Unit 2 ML20206N4131998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Waterford 3.With ML20195C4841998-11-0606 November 1998 SER Accepting QA Program Change to Consolidate Four Existing QA Programs for Arkansas Nuclear One,Grand Gulf Nuclear Station,River Bend Station & Waterford 3 Steam Electric Station Into Single QA Program ML20195E5161998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Waterford 3.With ML20155C1351998-10-26026 October 1998 Rev B to Entergy QA Program Manual ML20154K0801998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Waterford 3 Ses. with ML20151W8331998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Waterford,Unit 3. with ML20237B6831998-08-17017 August 1998 LER 98-S01-00:on 980723,discovered That Waterford 3 Physical Security Plan,Safeguards Document Was Not Under Positive Control of Authorized Person at All Times.Caused by Human Error/Inappropriate Action.Counseled Employee Involved ML20237C5661998-08-17017 August 1998 Safety Evaluation Accepting Licensee Request for Exemption from Section Iii.O of Appendix R to 10CFR50 ML18066A2771998-08-13013 August 1998 Part 21 Rept Re Deficiency in CE Current Screening Methodology for Determining Limiting Fuel Assembly for Detailed PWR thermal-hydraulic Sa.Evaluations Were Performed for Affected Plants to Determine Effect of Deficiency ML20237B5261998-07-31031 July 1998 Monthly Operating Rept for July 1998 for Waterford 3 ML20236S9031998-07-22022 July 1998 SER Accepting Rev 19 to Quality Assurance Program for Waterford Steam Electric Station,Unit 3 ML20198H3911998-07-14014 July 1998 Non-proprietary Rev 5 to HI-961586, Thermal-Hydraulic Analysis of Waterford-3 Spent Fuel Pool ML20236N4181998-06-30030 June 1998 Monthly Operating Rept for June 1998 for Waterford,Unit 3 ML20248E7781998-06-0101 June 1998 Annual Rept on Abb CE ECCS Performance Evaluation Models ML20249A4711998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Waterford 3 Ses ML20196A4051998-05-31031 May 1998 Rept of Facility Changes,Tests & Experiments,Per 10CFR50.59 for 970601-980531. with ML20198H4681998-05-20020 May 1998 Non-proprietary Rev 1 to HI-981942, Independent Review of Waterford Unit 3 Spent Fuel Pool Cfd Model ML20247A3891998-05-0101 May 1998 SG Eddy Current Examination (8th Refueling Outage) ML20247F6761998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for Waterford,Unit 3.W/ ML20217M8951998-04-30030 April 1998 QA Program Manual ML20217P8281998-04-0707 April 1998 Safety Evaluation Accepting Relief Authorization for Alternative to Requirements of ASME Section Xi,Subarticle IWA-5250 Bolting Exam for Plants,Per 10CFR50.55a(a)(3)(i) ML20216B1751998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for Waterford 3 Ses ML20217M1411998-03-0303 March 1998 Rev 2 of Waterford 3 Cycle 9 Colr 1999-09-30
[Table view] |
Text
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.Ref: 10CFR50.73(e)(2)(iv) =i 7[6 s'
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Louisiana POWER & LIGHT WATERFORD 3 SES
- P.O. 00X B + KILLONA. LA 70066-0751
-EuidIEsY$ W3A89-0217.
A4.05' p QA. .
9 December 29.-1989- #
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'U.S.. Nuclear Regulatory Commission '
'l
' ATTENTION: Document Control Desk
' g. '
. Washington.-D.C. ~20555 ,
LSubject's Waterford13 SES Docket No. 50-382 License No. NPF-38 Reporting'of Licensee Event Report
Dear Gentlemen:
Attached is Licensee Event Report Number LER-89-017-01 for Waterford j Steam' Electric Station Unit 3. This: Licensee Event Report is submitted
' j pursuant-to 10CFR50.73(a)(2)(iv)-and provides supplemental information i
' required by 10CFR50.73 which addresses the concerns raised in Inspection J Report 50-382/89-34.- l 1
i 'Very truly yours, l
J
' J. R. McGaha .
Plant Manager.- Nuclear 1
- n. LJRM/KTWigip (w/ Attachment) I cc Messrs. R.D. Martin l J.T. Wheelock - INPO Records Center E.L. Blake W.M. Stevenson D.L. 'Wigginton NRC Resident Inspectors Office 1
L l
l 9001030256 891229 /
PDR ADOCK 05000382
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, U $ NUCLEAM S.E EULATOAY COMMISSION i
k~ APPROVED OM8 NO 31400104 LICENSEE EVENT REPORT (LER) ' " a t * """
t F ACILITY NAME til DOCKET NUMOER til PAGEi3-Waterford Steam Electric Station Unit 3 0 l5 l 0 t o l o 131812 1 lOFl 0 l c; TITLt 648 Reactor Trip due to Complications Associated with Control Element Assembly Malfunction SVENT DATE (El LER NUMetR tel REPORT DATE 47) OTHER F ACILITIES INVOLVED 181 y(AR 3I L gONTH DOCKET NUMClitf S)
MONTH DAY YlAR N s DAY y(AR F ACILIT Y N AMES N/A 0 l 5 l 0 l 010 l' l l
~ ~
0l 8 1l 9 8 9 819 0l1l7 0 l1 1l2 '2 l 9 8l9 N/A 0l5j0l0gol l l THl$ REPORT 18 SUSMITTED PURSUANT Tf1 THE REQUIREMENTS OF 10 CFR l ICaect one e,,mo e or rne Nuieweg1 (til DPE R ATING
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20 406(eH1Hien 60.73teH2H4 to.73tell2Hud HAl Js4A1 to 406telq1Havl 60.73teH2Hal 60.73tell2HveHBI 20 408tell1Hel 5013teH2HM 50.73teH2 Hul LICENSEE CONT ACT FOR THit LER dits NAME TELEPMONE NUMBER AHE A CODE R.S. Starkey, Operations Superintendent 5 l 0l4 4l6 4l 1 31 134 1 1 1 COMPLETE ONE LINE FOR E ACH COMPONENT F AILURE DESCRISED IN THIS REPORT (131 C
CAust 8v51EM COMPONENT MQNC' "E'n y y",I,*k CAust system COMPONENT y yC R Q"T,Ag
, E B AA ;- l l Ell l 4 l6 Y l i I I I I I I I l 1 1 I I I I I I I I I SUPPLEMENTAL REPORT EMPECTED lidi MONTH DAY VEAR Sv8Mr $$40N 4E S Ili vos, concorere EXPECTEC SusMISSION DA TEI NO l l l Ans,R ACT w , to Im wem , e . coo,e. ew, r.,mn ,,e ue ran.,,ne n., n s, At 1319 hours0.0153 days <br />0.366 hours <br />0.00218 weeks <br />5.018795e-4 months <br /> on August 19, 1989, an automatic reactor trip of Waterford Steam Electric Station Unit 3 occurred while operating at 23% power. The trip was initiated by the Plant Protection System (PPS) in response to variations in core axial- shape index (ASI), a measure of core power distribution, induced by the down power required for an abnormal control element assembly (CEA) configuration. This event is reportable as an automatic reactor protection system actuation.
The root cause of this event is equipment malfunction. During routine CEA operability testing, CEA 18 would not move in either direction. After repairs were made to CEA control circuitry, CEA 18 was inserted below the Technical Specification (TS) limit of 145 inches while verifying response. CEA 18 would not withdraw, necessitating a reactor power reduction per TSs. While attempting to control ASI subsequent to the power reduction, the reactor ;'
tripped. The defective equipment has been replaced and tested satisfactorily.
Because protective features functioned as designed, the health and safety of the general public or plant personnel was not adversely affected by this event.
gC,,,e,-x.
sent Pere 3304 U.S NUCLE A3 T.EUULATORY COMMISSION T" UCENSEE EVENT REPORT (LER) TEXT CONTINUATl3N nenovio ove ho. 31soloio4 EXPtRES. $/3i/SB f ACfuTY NAmt tu. DOCILET NUMBER (2)
LER NUMetR (6) PAQt (3)
Waterford Steam ve*a 51gj;p a,5J *,y; Electric Station Unit 3 0 l5 l0 l0 l0 l 3l8 l2 8]9 -
0l1l7 -
0l1 0l2 OF 0 l5 rsxt in n.ae a,ea e m. en enMeaw mc rom. ma w tm 4
At 1319 hours0.0153 days <br />0.366 hours <br />0.00218 weeks <br />5.018795e-4 months <br /> on August 19, 1989, an automatic reactor trip of Waterford Steam Electric Station Unit 3'o occurred while operating at 2'3% power. The trip was initiated by the Plant Protection System (PPS) (EIIS Identifier - JC) in '
response to changes in core axial shape index (ASI) induced by the down power required for an abnormal control element assembly (CEA) (EIIS Identifier AA-ROD) configuration. This event is reportable as an automatic reactor protection system actuation.
At 0925 hours0.0107 days <br />0.257 hours <br />0.00153 weeks <br />3.519625e-4 months <br /> on August 19, 1989, during CEA testing per Operating Procedure (0P) 903-005, "CEA Operability Check", CEA 18 failed to move in either direction. Operations personnel immediately entered OP-901-009, "CEA/ Control Element Drive Mechanism Control System (CEDMCS) Malfunction," while Instrumentation and Controls (I&C) personnel initiated troubleshooting to determine the cause of the CEA malfunction. Technical Specifiention (TS) 3.1.3.1 action requirement f was also entered which allows continued operation in modes 1 and 2 provided the CEA remains above 145 inches. The " pulldown" and
" lower gripper" coil current sensors for the CEA were replaced. At 1040 hours0.012 days <br />0.289 hours <br />0.00172 weeks <br />3.9572e-4 months <br /> CEA 18 was inserted to 140 inches, below the TS limit of 145 inches, while verifying the operability of the replacement sensors. The operator attempted to withdraw CEA 18 above 145 inches but the CEA failed to move outward. TS 3.1.3.1 action requirement d and 3.1.3.5 action requirement b were then ,
implemented.
The Waterford 3 PPS utilizee core protection calculators (CPCs) (EIIS Identifier IC-CPU). The CPCs are computers that monitor plant parameters to calculate Local Power Density (LPD) and Departure from Nucleate Boiling Ratio (DNBR) and l
initiate a reactor trip at predetermined values. The CEA input to each CPC is unique in'that 23 CEAs are targeted to each CPC. CEA 18 is targeted to PPS l channel "A" and its insertion affected the CPC calculation resulting in a trip of the "A" PPS on high LPD and low DNBR. With channel "A" tripped, no reacter
{
trip would occur but the PPS would now be effectively in a 1 out of 3 logic vice the normal 2 out of 4 logic on DNBR and LPD.
granu 3 . .u.s. cro, n ,,-s2e oso o m o
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' . u.a. =UcLen mutuoAy coMaussion 7" '
UCENSEE EVENT REPORT (LER) TEXT CONTINUATION uctiovio oue no. aino-oio4 exmts: swes
- 9 ACILITY NA486 til DOCKET NUM ER tal LER NUMPER til PA06 (31 Waterford Steam
~ vi.. in g g*' .
-Electric Station Unit 3 TtKT IN neere enere h reeured, var eenhuonelNnc Form anA's)l1h 0 l5 l0 l0 l0 l 3l 8l 2 8l 9 0]1l7 -
0l 1 0 l3 OF 0 l5 TS 3.1.3.5.b requires all shutdown CEAs to be withdrawn greater than 145 inches during Modes 1 and 2 or the shutdown margin (SDM) requirements of TS 3.1.1.1
.must be satisfied within one hour and the plant placed in hot standby within 6 L hours. Additionally, with CEA 18 at the 140 inches withdrawn position, a l
deviation of 8 inches er.isted between CEA 18 and the other CEAs in its group.
TS 3.1.3.1.d requires that with greater than 7 inches misalignment between CEAs in the same group, power shall be reduced by 30%, or to below 60% power within I
1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br />. The required power reduction was commenced at 1057 hours0.0122 days <br />0.294 hours <br />0.00175 weeks <br />4.021885e-4 months <br /> and completed at 1136 hours0.0131 days <br />0.316 hours <br />0.00188 weeks <br />4.32248e-4 months <br />. SDM requirements were believed to be' satisfied per TS o- 4.1.1.1.1.b; however, coincident with the power reduction, SDM calculations were commenced per OP-903-090, " Shutdown Margin". One additional action requirement of TS 3.1.3.1.d was not satisfied: aligning the remainder of the CEAs 1n the group with the inoperable CEA to within 7 inches. This established the 6 hour6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> hot standby requirement of TS 3.1.3.1.d and TS 3.1.3.5.b as the controlling action.
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01 1 0l4 OF 0 l5 TEXT (# more space a esewed, wee adsbeonet NAC Form JAM'sJ (171 The reactor was nearing End of Core Life (E0L) and xenon buildup resulting from l the 30% power reduction caused variations in ASI, making ASI control difficult, i ASI is derived by dividing the difference between power generated in the lower and upper halves of the core by the total power generated in the core. With ASI trending increasingly negative, group 6 and Part-Length CEAs (PLCEAs) were inserted in an attempt to establish ASI control. Step 8.5 of OP-903-090 incorrectly specified additional boron required for an inoperable CEA; therefore, after calculating SDM, a batch addition of boric acid was made to ,,
the Reactor Coolant System (RCS) (EIIS Identifier - AB) commencing at 1226 hours0.0142 days <br />0.341 hours <br />0.00203 weeks <br />4.66493e-4 months <br />. Group 6 CEAs were then withdrawn to compensate for the negative reactAvity inserted by the boration in order to level power and RCS temperature. However, because of confusion over the SDM calculation procedure, boron added to meet TS'3.1.1.1 was later determined to be not required. An immediate change to OP-903-090 step 8.5 was made to correctly require additional boron for "An Immovable /Untrippable" CEA vice "An Inoperable" CEA. ;
Boration was secured at 1250 hours0.0145 days <br />0.347 hours <br />0.00207 weeks <br />4.75625e-4 months <br />, but the addition of boron resulted in a rapid power. reduction to a lower power level than required. At 1307 hours0.0151 days <br />0.363 hours <br />0.00216 weeks <br />4.973135e-4 months <br />,
-ASI was observed to be -0.25, bordering on the TS 3.2.7 requirement of -0.27.
RCS dilution to reduce boron concentration was commenced but was unable to j stabilize power. At 1319 the reactor tripped on a CPC Channel "C" auxiliary trip _(ASI greater than -0.5) with CPC Channel "A" in trip from the CEA 18 insertion. An auxiliary trip initiates LPD and DNBR trips when certain variables used in the CPC algorithm exceed their limits. ASI more negative than -0.5 is a CPC algorithm limit.
The root cause of the event that led to the reactor trip is equipment malfunction. Failure of the pulldown and lower gripper coil current sensors impaired the operation of CEA 18. The cause of the reactor trip was personnel error in that the licensed operator inserted CEA 18 below its TS limit of 145 inches. Contributing to the event was an inadequate procedure (OP 903-090) which hampered timely calculation of SDM. After initial corrective action the operator attempted to withdraw CEA 18 in accordance with TS 3.1.3.5, but the replacement pulldown coil current sensor drawn from warehouse supplies did not function as required, preventing withdrawal of CEA 18.
N FORM 3eeA 'U.S. GPos 1988 520-589 00070
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The current sensors involved are supplied by Electro Mechanics company (a 1
division of Combustion Engineering) and are factory adjusted. A method to
. perform on-site operability verification of these compone'nts is being pursued
< _ .to preclude the installation of defective components during troubleshooting and repairs. This method should be in place by June 30, 1990. Station Modification Request (SMR) CED-003 is being reviewed for impicmentation to modify CEA l' software to enlarge the window of acceptabic current received from the current sensors in the CEA circuitry. This modification would improve the circuit l
ll compatibility of replacement components.
l The operator involved in inserting CEA 18 below the TS limit has been counselled on proper monitoring of CEA position indication during manual CEA motion, l OP- 903-090 has been revised to remove'the inconsistencies in the SDM calculation.
l ASI control becomes difficult late in core life as the peak power distribution moves up.in the core. The TS requirement for a large power reduction (30%) in l a relatively short time (1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br />) further aggravates this condition. TS 3.1.3.1.d. will be evaluated for possible changes in order to allow for more manageable ASI control late in core life. A case study has been developed for use in operator training which emphasizes the importance of maintaining proper CEA alignment and control of reactor power, especially late-in core life. Because l all protective features functioned as designed, this event did not threaten the health and safety of the general public or plant personnel.
1.
i- Similar events where a reactor trip occurred due to ASI being outside of the 1
allowable algorithm range of + or - 0.5, resulting in a CPC initiated auxiliary trip were reported in LERs85-032, 86-025, and 88-001.
PLANT CONTACT R.S. Starkey, Operations Superintendent, 504/464-3134 3 1
NHC FORM 364A 'U.S. CPUs 1968-SJ0-589 000FU l9 83) w