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               ,.                                  (TEMPORARY FO?li)                                CONTROL NO:
               ,.                                  (TEMPORARY FO?li)                                CONTROL NO:
FILE:
FILE:
FROM:                                    DATE OF DCC      DATE REC'D          LTR          TWX      RPT          OTHER Met'ropoli. tan Edison Company Reading, Penn. 19603 Mr. R.C. Arnold                                6-14-74        6-18-74                X TO:                                          ORIG          CC    OTHi.R                  SENT AEC PDR              XXX
FROM:                                    DATE OF DCC      DATE REC'D          LTR          TWX      RPT          OTHER Met'ropoli. tan Edison Company Reading, Penn. 19603 Mr. R.C. Arnold                                6-14-74        6-18-74                X TO:                                          ORIG          CC    OTHi.R                  SENT AEC PDR              XXX AEC                                            1 siened CLASS    UNCLASS          PROP IhTO        INPUT        NO CYS REC'D                    DOCKET NO:
                                                                                                                    '
AEC                                            1 siened CLASS    UNCLASS          PROP IhTO        INPUT        NO CYS REC'D                    DOCKET NO:
XXX                                                1                  50-289 DESCRIPTION:                                              ENCLOSURES:
XXX                                                1                  50-289 DESCRIPTION:                                              ENCLOSURES:
Ltr reporting an abnormal occurrence at the Three N ' e Island Unit #1...concerning
Ltr reporting an abnormal occurrence at the Three N ' e Island Unit #1...concerning
                                                                               ' ' ~ ~                                  '
                                                                               ' ' ~ ~                                  '
Inadequate Administrative Control of Valve and
Inadequate Administrative Control of Valve and Startup Checklists and Operational Procedures...
                                                                              "--
Startup Checklists and Operational Procedures...
PLANT NAME:        Three Mile Island Unit #1                          [C            .
PLANT NAME:        Three Mile Island Unit #1                          [C            .
                                                                                                                  -
FOR AC ION /INFORMATION                      6-I9-;4            .19 BUTLER (L)      ''SCHRENCER(L)            ZIDiANN(L)            REGAN(E)
FOR AC ION /INFORMATION                      6-I9-;4            .19 BUTLER (L)      ''SCHRENCER(L)            ZIDiANN(L)            REGAN(E)
W/ Copies            W/7 Copies              W/ Copies              W/ Copies CLARK (L)            STOLZ(L)                DICKER (E)
W/ Copies            W/7 Copies              W/ Copies              W/ Copies CLARK (L)            STOLZ(L)                DICKER (E)
Line 36: Line 31:
       '.!/ C ;ic:          "/ C:pic:              U/ C:pic:              9/ C pic:
       '.!/ C ;ic:          "/ C:pic:              U/ C:pic:              9/ C pic:
KNIEL(L)            PURPLE (L)              YOUNGBLOOD(E)
KNIEL(L)            PURPLE (L)              YOUNGBLOOD(E)
W/ Copies            W/ Copies              W/ Copies              W/ Copies
W/ Copies            W/ Copies              W/ Copies              W/ Copies INTERNAL DISTRIBUTICN F                              TECH RWIE*J        DENTON                                              A/T IND
.
INTERNAL DISTRIBUTICN F                              TECH RWIE*J        DENTON                                              A/T IND
           'G FILJ 4C Ra                  'rENDRIE                              LIC ASST GRIMES                                              BRAITMA'1
           'G FILJ 4C Ra                  'rENDRIE                              LIC ASST GRIMES                                              BRAITMA'1
   ~/0GC, ROOM P-506A            SCHROEDER          GAMMILL                                              SALTZMAN DIGCS (L) p4fUNTZING/ STAFF        /MACCARY              KASINER GEARIN (L)                        B. WRT
   ~/0GC, ROOM P-506A            SCHROEDER          GAMMILL                                              SALTZMAN DIGCS (L) p4fUNTZING/ STAFF        /MACCARY              KASINER GEARIN (L)                        B. WRT
Line 52: Line 45:
     / MORRIS                  / ENAR0YA            HARLESS
     / MORRIS                  / ENAR0YA            HARLESS
   /STEELE                      VOLIFER WILSON (L) 1dkk
   /STEELE                      VOLIFER WILSON (L) 1dkk
                                                                                                *    '
                                                                                                               \UL              .
                                                                                                               \UL              .
EXTE3NAL uiSTRI3UTICN                                                        /IMA V1 - LOCAL PDR 'Harrisburw. P n                                                                                              [
EXTE3NAL uiSTRI3UTICN                                                        /IMA V1 - LOCAL PDR 'Harrisburw. P n                                                                                              [
Line 60: Line 52:
1-GERALD ULRIKSON...CRFL                      l-RD.. MULLER..F-300 GT 6-19-74              1-3 &.M SWINE 3RCAD, En E-201 GT 7910250 f 3 g                            3
1-GERALD ULRIKSON...CRFL                      l-RD.. MULLER..F-300 GT 6-19-74              1-3 &.M SWINE 3RCAD, En E-201 GT 7910250 f 3 g                            3


                                      -          .
h l$m$u.I 7Av .-..'. 's    me 7:n **xons METROPOLITAN EDISON COMPANY DOCT CFFICE BOX 542 PEAclNG, PENNSYLVANI A 19603                                                  TELEPwCNE 215 - 929 3 01 June ik, 197h                ,. --- .
        .
- .
* h l$m$u.I 7Av .-..'. 's    me 7:n **xons
  .
METROPOLITAN EDISON COMPANY
                                                      . . .      -.                -
DOCT CFFICE BOX 542 PEAclNG, PENNSYLVANI A 19603                                                  TELEPwCNE 215 - 929 3 01 June ik, 197h                ,. --- .
GQL OC8h
GQL OC8h
                                                                                                             ?
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                                                                                                               , f. -, 1. . ' s7,.N
                                                                                                               , f. -, 1. . ' s7,.N s , ?, ' ' ' / .                          Gf %/, , ,,        p ;. , N b .
                                                                                                                ,
                                                                                                                                                '
s , ?, ' ' ' / .                          Gf %/, , ,,        p ;. , N b .
i ''l.'./g''f. LILl A .' / if l I'y            \
i ''l.'./g''f. LILl A .' / if l I'y            \
Director                                (.c'W  f        :::Ica'.'Y?r                                            ,
Director                                (.c'W  f        :::Ica'.'Y?r                                            ,
                                                                                                                                  '''
(!
(!
                                                                                                                                              ,-
Directorate of Licensing U. S. Atcmic Energy Cen=issicr---
Directorate of Licensing U. S. Atcmic Energy Cen=issicr---
                                                   ,/c MI', AU . ,, ,NO'                    .-;_,        (] Jygij U 734 31i g ,,;;y, ' ? a;,.
                                                   ,/c MI', AU . ,, ,NO'                    .-;_,        (] Jygij U 734 31i g ,,;;y, ' ? a;,.
Washington, D. C.        205h5 i]-                                              fj i J.            nu-., . ., , .. . t          '.l          1      k.&,
Washington, D. C.        205h5 i]-                                              fj i J.            nu-., . ., , .. . t          '.l          1      k.&,
                                                                                                                       .  ;"nf;
                                                                                                                       .  ;"nf;
                                                                                                                                                  .
                                                 @6              w t si:: a g                                                ._ a      f ,/
                                                 @6              w t si:: a g                                                ._ a      f ,/
                                                             \    CGCLU CL W              N                        6%
                                                             \    CGCLU CL W              N                        6%
Line 90: Line 69:
s .: .
s .: .
                                                                                                                                   . s O. - '/
                                                                                                                                   . s O. - '/
y, h                      /y .-X Cperating i'dtnseGD .-50 Dceket No. Su-cvy
y, h                      /y .-X Cperating i'dtnseGD .-50 Dceket No. Su-cvy In acecrdance with the Technical Specificatiens fcr the Three Mile Island Nuclear Statien, Unit 1, we are reporting the folleving abncrnal occur-rence:
    .
In acecrdance with the Technical Specificatiens fcr the Three Mile Island Nuclear Statien, Unit 1, we are reporting the folleving abncrnal occur-rence:
(1)    Repcrt Nu=ber: A0 50-289/Th-7 (2a) Report Date: June 14, 197h (2b) Occurrence Date: June h, 197h (3)    Facility: Three Mile Island Nuclear Generating Statien, Unit 1 (h)    Identificatien of Occurrence:
(1)    Repcrt Nu=ber: A0 50-289/Th-7 (2a) Report Date: June 14, 197h (2b) Occurrence Date: June h, 197h (3)    Facility: Three Mile Island Nuclear Generating Statien, Unit 1 (h)    Identificatien of Occurrence:


Line 98: Line 75:
Inadequate Administrative Centrol of Valve and Startup Checklists and Cperational Precedures Type:    Viclation of Technical Specificaticns, paragraph 6.7.2a.5 which ecnstitutes an abncr=al occurrence as defined by the Technical Specificatiens, paragraph 1.8g, in that the inadequate Administrative Centrol of valve and startup checklists and cperaticnal procedures might have threatened to cause an unsafe condition in the operation of the plant.
Inadequate Administrative Centrol of Valve and Startup Checklists and Cperational Precedures Type:    Viclation of Technical Specificaticns, paragraph 6.7.2a.5 which ecnstitutes an abncr=al occurrence as defined by the Technical Specificatiens, paragraph 1.8g, in that the inadequate Administrative Centrol of valve and startup checklists and cperaticnal procedures might have threatened to cause an unsafe condition in the operation of the plant.
(5)    Ccnditiens Prior to Occurrence: Hot shutdcyn, in preparation fcr initial criticality with plant parameters as follevs:
(5)    Ccnditiens Prior to Occurrence: Hot shutdcyn, in preparation fcr initial criticality with plant parameters as follevs:
Pcver:            Core: 0 Elec: 0 RC Flev:          138 X 10 lb/hr                                                          j    }]]           ~
Pcver:            Core: 0 Elec: 0 RC Flev:          138 X 10 lb/hr                                                          j    }))           ~
                                                                                                                                           "O
                                                                                                                                           "O


    -
Directorate of Licensing                                June 14, 19Th RC Pressure: 2155 psig RC Te=p.:        532 F FRZR Level:      100" PRZR Temp.:      6h5 F (6)  Descriptien cf Occurrence: Cn June h, 197h, several cutdated valve and startup checklists from outdated procedures were fcund to have been used in the course of plant heatup, and, in ene case, an cut-dated procedure was used to operate a system. The cutdated check-lists and procedure were prc=ptly replaced with current ecpies.
      .
,
Directorate of Licensing                                June 14, 19Th
  .
RC Pressure: 2155 psig RC Te=p.:        532 F FRZR Level:      100" PRZR Temp.:      6h5 F (6)  Descriptien cf Occurrence: Cn June h, 197h, several cutdated valve and startup checklists from outdated procedures were fcund to have been used in the course of plant heatup, and, in ene case, an cut-dated procedure was used to operate a system. The cutdated check-lists and procedure were prc=ptly replaced with current ecpies.
A ccmparison of current and previcus editions was made and no unsafe ccnditicns were found to exist as a result of having used the outdated editiens.
A ccmparison of current and previcus editions was made and no unsafe ccnditicns were found to exist as a result of having used the outdated editiens.
(T)  Apparent Cause of Occurrence: Personnel, in that although a precedure exists which requires perscnnel using procedures er parts of procedures (which includes checklists) to ensure they are current, the cperaticns persennel involved in this incident did not ensure that the precedures they were using were the current editions.
(T)  Apparent Cause of Occurrence: Personnel, in that although a precedure exists which requires perscnnel using procedures er parts of procedures (which includes checklists) to ensure they are current, the cperaticns persennel involved in this incident did not ensure that the precedures they were using were the current editions.
Line 117: Line 89:
: b. a =emo be written to (1) define those individuals responsible fcr maintaining up-tc-date procedure files, and (2) reiterate to plant persennel the importance of assuring they use cnly current precedures.                              ,
: b. a =emo be written to (1) define those individuals responsible fcr maintaining up-tc-date procedure files, and (2) reiterate to plant persennel the importance of assuring they use cnly current precedures.                              ,
l'481 178
l'481 178
                                                                          -
                                                                              .


                                                        .
Directorate of Licensing                              June IL, 197L The Station Superintendent concurred with PCRC's findings, the first audit has been conducted, and the menc has been written.
    .
.
Directorate of Licensing                              June IL, 197L
  .
      ,
The Station Superintendent concurred with PCRC's findings, the first audit has been conducted, and the menc has been written.
(10) Failure Data:
(10) Failure Data:
: a. Previcus failures: Uct Applicatie.
: a. Previcus failures: Uct Applicatie.
: b. Equipment identificaticn: Not Applicable.
: b. Equipment identificaticn: Not Applicable.
Sincerely, R. C. ARNCLD Vice President-Generatien RCA; LNG:sh ec: Directorate of Regulatory Operations, Regicn 1 U. S. Atomic Energy Cen=ission 631 Esrk Avenue King of Prussia, Pennsylvania    19h06 File 20.1.1 77351
Sincerely, R. C. ARNCLD Vice President-Generatien RCA; LNG:sh ec: Directorate of Regulatory Operations, Regicn 1 U. S. Atomic Energy Cen=ission 631 Esrk Avenue King of Prussia, Pennsylvania    19h06 File 20.1.1 77351 g81      179      :}}
                                                      .
                                        '
                                                  '
g81      179      :}}

Latest revision as of 13:42, 16 March 2020

Abnormal Occurrence 50-289/74-07:on 740604,outdated Procedures Found Used During Plant Heatup & Sys Operation. Caused by Personnel Negligence.Checklists & Procedure Replaced W/Current Copies.Responsibility Defined
ML19261F218
Person / Time
Site: Three Mile Island Constellation icon.png
Issue date: 06/14/1974
From: Arnold R
METROPOLITAN EDISON CO.
To:
References
GQL-0084, GQL-84, NUDOCS 7910250638
Download: ML19261F218 (4)


Text

,AFC DI F**UTION FOR PART 50 DOCZET MAT L- 5490

,. (TEMPORARY FO?li) CONTROL NO:

FILE:

FROM: DATE OF DCC DATE REC'D LTR TWX RPT OTHER Met'ropoli. tan Edison Company Reading, Penn. 19603 Mr. R.C. Arnold 6-14-74 6-18-74 X TO: ORIG CC OTHi.R SENT AEC PDR XXX AEC 1 siened CLASS UNCLASS PROP IhTO INPUT NO CYS REC'D DOCKET NO:

XXX 1 50-289 DESCRIPTION: ENCLOSURES:

Ltr reporting an abnormal occurrence at the Three N ' e Island Unit #1...concerning

' ' ~ ~ '

Inadequate Administrative Control of Valve and Startup Checklists and Operational Procedures...

PLANT NAME: Three Mile Island Unit #1 [C .

FOR AC ION /INFORMATION 6-I9-;4 .19 BUTLER (L) SCHRENCER(L) ZIDiANN(L) REGAN(E)

W/ Copies W/7 Copies W/ Copies W/ Copies CLARK (L) STOLZ(L) DICKER (E)

W/ Copies W/ Copies W/ Copies W/ Copies PARR(L) VASSALLO(L) KNIGHION(E)

'.!/ C ;ic: "/ C:pic: U/ C:pic: 9/ C pic:

KNIEL(L) PURPLE (L) YOUNGBLOOD(E)

W/ Copies W/ Copies W/ Copies W/ Copies INTERNAL DISTRIBUTICN F TECH RWIE*J DENTON A/T IND

'G FILJ 4C Ra 'rENDRIE LIC ASST GRIMES BRAITMA'1

~/0GC, ROOM P-506A SCHROEDER GAMMILL SALTZMAN DIGCS (L) p4fUNTZING/ STAFF /MACCARY KASINER GEARIN (L) B. WRT

/ CASE / KNIGHT BALLARD PLANS

/ t0ULBOUR'iE (L) '

GIR!BUSSO ./PAWLICKI SPANGLER Lgg (L) MCDONALD BOYD /SHAO MAIGRET (L) DUBE w/ input

/ MOORE (L)(57R) /STELLO ENVIRO REED (E) CHAPMAN DEYOUNG(L)(?WR) /EOUSTON MULLER NO SERVICE (L)

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Directorate of Licensing U. S. Atcmic Energy Cen=issicr---

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Dear Sir:

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y, h /y .-X Cperating i'dtnseGD .-50 Dceket No. Su-cvy In acecrdance with the Technical Specificatiens fcr the Three Mile Island Nuclear Statien, Unit 1, we are reporting the folleving abncrnal occur-rence:

(1) Repcrt Nu=ber: A0 50-289/Th-7 (2a) Report Date: June 14, 197h (2b) Occurrence Date: June h, 197h (3) Facility: Three Mile Island Nuclear Generating Statien, Unit 1 (h) Identificatien of Occurrence:

Title:

Inadequate Administrative Centrol of Valve and Startup Checklists and Cperational Precedures Type: Viclation of Technical Specificaticns, paragraph 6.7.2a.5 which ecnstitutes an abncr=al occurrence as defined by the Technical Specificatiens, paragraph 1.8g, in that the inadequate Administrative Centrol of valve and startup checklists and cperaticnal procedures might have threatened to cause an unsafe condition in the operation of the plant.

(5) Ccnditiens Prior to Occurrence: Hot shutdcyn, in preparation fcr initial criticality with plant parameters as follevs:

Pcver: Core: 0 Elec: 0 RC Flev: 138 X 10 lb/hr j })) ~

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Directorate of Licensing June 14, 19Th RC Pressure: 2155 psig RC Te=p.: 532 F FRZR Level: 100" PRZR Temp.: 6h5 F (6) Descriptien cf Occurrence: Cn June h, 197h, several cutdated valve and startup checklists from outdated procedures were fcund to have been used in the course of plant heatup, and, in ene case, an cut-dated procedure was used to operate a system. The cutdated check-lists and procedure were prc=ptly replaced with current ecpies.

A ccmparison of current and previcus editions was made and no unsafe ccnditicns were found to exist as a result of having used the outdated editiens.

(T) Apparent Cause of Occurrence: Personnel, in that although a precedure exists which requires perscnnel using procedures er parts of procedures (which includes checklists) to ensure they are current, the cperaticns persennel involved in this incident did not ensure that the precedures they were using were the current editions.

Another cause which centributed to the cccurrence was trccedure in that responsibilities were not well enough defined regarding the maintaining of procedure files.

(8) Analysis of Cecurrence: This cccurrence did not result in a threat to public health or safety in that no unsafe conditions were caused to exist.

(9) Corrective Acticns:  !=nediate corrective actions were as described in the above analysis.

The Plant Operations Review Cc==ittee met promptly after the incident and recen= ended to the Station Superintendent thr.' :

a. a cceplete audit be ccnducted of all precedure files , to include:

(1) replacing outdated precedures with current editions, (2) destroying extra copies of procedures and extra ecpies of parts cf procedures, and (3) conducting the audit en a periodic basis, and

b. a =emo be written to (1) define those individuals responsible fcr maintaining up-tc-date procedure files, and (2) reiterate to plant persennel the importance of assuring they use cnly current precedures. ,

l'481 178

Directorate of Licensing June IL, 197L The Station Superintendent concurred with PCRC's findings, the first audit has been conducted, and the menc has been written.

(10) Failure Data:

a. Previcus failures: Uct Applicatie.
b. Equipment identificaticn: Not Applicable.

Sincerely, R. C. ARNCLD Vice President-Generatien RCA; LNG:sh ec: Directorate of Regulatory Operations, Regicn 1 U. S. Atomic Energy Cen=ission 631 Esrk Avenue King of Prussia, Pennsylvania 19h06 File 20.1.1 77351 g81 179  :