ML17227A719

LER 93-001-00:on 930108,chemistry Technician Failed to Sample Third SI Tank & Sampling of SI Tank 2A1 Not Performed within TS Required Interval After Filling Tank.Caused by Personnel Error.Personnel counseled.W/930205 Ltr

ML17227A719
Person / Time
Site:	Saint Lucie
Issue date:	02/05/1993
From:	HURCHALLA J A, SAGER D A FLORIDA POWER & LIGHT CO.
To:	NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
L-93-30, LER-93-001-01, LER-93-1-1, NUDOCS 9302110293
Download: ML17227A719 (5)

Text

ACCEIERDDOCUMENTDISIBVTIONSYSTEMREGULRYINFORMATIONDISTRIBUTSYSTEM(RIDS)ACCESSIONNBR:9302110293DOC.DATE:93/02/05NOTARIZED:NOFACIL:50-389St.LuciePlant,Unit2,FloridaPower&LightCo.AUTH.NAMEAUTHORAFFILIATIONHURCHALLA,J.A.FloridaPowerELightCo.SAGER,D.A.-FloridaPower6LightCo.RECIP.NAMERECIPIENTAFFILIATIONDOCKET05000389

SUBJECT:

LER93-001-00:on930108,chemistrytechnicianfailedtosamplethirdSItank6samplingofSItank2A1notperformedwithinTSrequiredintervalafterfillingtank.Causedbypersonnelerror.Personnelcounseled.W/930205ltr.DISTRIBUTIONCODE:IE22TCOPIESRECEIVED:LTRgENCLgSIZE:TITLE:50.73/50.9LicenseeEventReport(LER)-,IncidentRpt,etc.NOTES:RECiPIENTIDCODE/NAMEPD2-2LANORRIS,JINTERNAL:ACNWAEOD/DOA.AEOD/ROAB/DSPNRR/DLPQ/LHFB10NRR/DOEA/OEABNRR/DST/SELB8DNR~SPLB8DlREGFILE02GN2~LE01EXTERNAL:EGErGBRYCE,J.HNRCPDRNSICPOORE,W.COPIESLTTRENCL1111221122111111111111221111RECIPIENTIDCODE/NAMEPD2-2PDACRSAEOD/DSP/TPABNRR/DET/EMEB7ENRR/DLPQ/LPEB10NRR/DREP/PRPB11NRR/DST/SICB8H3NRR/DST/SRXB8ERES/DSIR/EIBLSTLOBBYWARDNSICMURPHY,G.ANUDOCSFULLTXTCOPIESLTTRENCL1-12211111122111111111111RNOTETOALL"RIDS"RECIPIENTS:PLEASEHELPUSTOREDUCEWASTE!CONTACTTHEDOCUMENTCONTROLDESK,ROOMPl-37(EXT.504-2065)TOELIMINATEYOURNAMEFROMDISTRIBUTIONLISTSFORDOCUMENTSYOUDON'TNEED!LSFULLTEXTCONVERSIONREQUIREDTOTALNUMBEROFCOPIESREQUIRED:LTTR31ENCL31 P.O.Box128,Ft.Pierce,FL3o954-0128February5,1993L-'93-3010CFR50.73U.S.NuclearRegulatoryCommissionAttn:DocumentControlDeskWashington,D.C.20555Re:St.LucieUnit2DocketNo.50-389ReportableEvent:93-001DateofEvent:January8,1993MissedSurveillanceforSafetyInectionTankSamlinDuetoPersonnelErrorTheattachedLicenseeEventReportisbeingsubmittedpursuanttotherequirementsof10CFR50.73toprovidenotificationofthesubjectevent.Verytrulyyours,D.A.SVicePSt.LugersidentePlantDAS/JWH/kwAttachmentcc:StewartD.Ebneter,RegionalAdministrator,USNRCRegionII.SeniorResident,Inspector,USNRC,St.LuciePlantDAS/PSLN857-933.000429302110293930205PDRADOCK050003B98PDRanFPLGroupcompany~/gJI FPLFscsirriisoiNRCFormS68(e.es)VS.NLCLEARREGULATORYCOMMISSIONLICENSEEEVENTREPORT(LER)APPITCYT0CNSISA$150010lEXP'.l1500tESTNEEDNATCEN005PESPONSEToCOWLYWITHTHEPPOISAATIONCOLLECTONINOLEST150ll550$,TONWAAOCONMENTSPECAIEANO55505tH5STNAATETOTIEPECOPOSANCINPCTTTSIIANAOENENTTTLFNCH(P~LLS,IACLENLINQAATOIYCONLPSSCFLWANANCTCN.CCt05NLAIOTOTHEPAPENFICFIAFETACTCNPNCVECTOl50010PACF5IcEoFNANAEELENTNoNAxft.wASFNIOTIPLoct05NLFACILITYNAME(1)DOCKETNUMBER(2)St.LucieUnit2A05000389103T'TLE{)MissedSurveillanceforSafetyInjectionTankSamplingDuetoPersonnelErrorEVENTDATE(5)LERNUMBER(6)REPORTDATE(7)OTHERFACILITIESINVOLVED(8)01DAY08YEAR93YEAR93,.'IAL001gR0002DAYYEAR0593FACILITYNAMESN/AN/ADOCKETNUMBER(S)050005000OPERATINGMODE(9)POWERLEVEL(10)100;Cgjlr20.402(b)20.405(a)(1)(i)20.405(c)50.36(c)(1)20A05(a)(1)(II)50.36(c)(2)20.405(a)(1)(iii)20.405(a)(1)(iv)20.405(a)(1)(v)50.73(a)(2)(I)50.73(a)(2)(ii)50.73(a)(2)(iii)LICENSEECONTACTFORTHISLER1250.73(a)(2)(iv)50.73(a){2){v)50.73(a)(2)(vii)50.73(a)(2)(viii)(A)50.73(a)(2)(viii)(B)50.73(a)(2)(x)THISREPORTISSUBMITTEDPURSUANTTOTHEREQUIREMENTSOF10CFR:Checkoneormoreofthefollowin,(11)73.71(b)73;71{c)OTHER(SpecifyinAbstractbelowandinTextNRCForm366A)NAMEJamesA.Hurchalla,ShiftTechnicalAdvisorTELEPONENUMBERAREACODE407465-3550COMPLETEONELINEFOREACHCOMPONENTFAILUREDESCRIBEDINTHISREPORT13CAUSESYSTEMCOMPONENTREPORTABLETONPRDSSYSTEMCOMPONENTMANUFACREPORTABLETURERTONPRDSSUPPLEMENTALREPORTEXPECTED14YES(Ifyes,completeEXPECTEDSUBMISSIONDATE)XNOIIIEXPECTEDMONTHDAYYEARSUBMISSIONDATE(15)ABSTRACT'(Limitto1400spaces.i.e.approximatelyfifteensingle-spacetypewrittenlines)(16)OnJanuary8,at0500aReactorControlOperator(RCO)filledthe2A1,2A2,and2B2SafetytnjectionTanks'SITs)andsubsequentlynotifiedChemistry.AChemistrytechniciansamptedtwooftheSITspertherequiredsurveillancebutfaitedtosamplethethird.OnJanuary8,1993,at2300theUnit2AssistantNuclearPlantSupervisordiscoveredthatthesamplingofthe2A1SafetyInjectionTankhadnotbeenperformedbyChemistrywithintherequiredtimeintervalatterfillingthetank.Using,the25%maximumallowableextensionpermittedby.TechnicalSpecification(TS)4.0.2,thelatesttimeatwhichthesamplingcouldhavebeenperformedontimewasJanuary8,at1230.TherootcauseoftheeventwaspersonnelerrorbyaChemistrytechnicianresponsibleforthesampling.WheninformedbyOperationsthatspecificSITshavebeenfilleditistheresponsibilityoftheChemistrydepartmentpersonnelonshifttosampletheseSITsfortherequiredboronconcentrationperTS4.5.1.1.b.Inaddition,therewasafailureonthepartofthecontrolroompersonneltorealizethatoneofthethreefilledSITshadnotbeensampledwhenChemistrynotifiedthemthattwoSITswerewithinspecification.Correctiveactionswere;1)Performthe2A1SITsutveiltance.2)CreateastatusboardbywhichChemistrycaninsurethattheappropriateSITshavebeensampled.3)TheChemistrypersonnelinvolvedwerecounselled.4)Operationspersonnelhavebeencounselled.5)AHumanPerformanceEvaluationSystemevaluationwassubsequentlyconductedwhosefindingsagreewiththisreport.FPLFacsimileofNRCForm366(6-89)

PPLPSCSIITTleOtNRCFOTm&OSl689)U.S.NUCLEARREGULATORYCOMMISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATlON'APPROITOCAATKLSITCSIPAlsplpaaACGITTSTPAATTOIMICTNPTRRTSPONSlTOOOINTTWITHTIPSPPOISAAOCNCOIlfCTONRTOUTSTIISAIPTSIORNNOCCANRNT0RTGARTNICTAPSXNTSTINATlTOPICRTCORCSAICIISPORTSNANAGTASNTSRANCHTP000AU0,IAICI0AITRlOIAATORYOAA+CSSN70WANTNCTON,OCT000SNAPTOTIRPAPTRWOPNRTOVCTIONPRORCTI'TIICCISPAOIIICCOPNANAKNTNTAM)TANCTT.WANSNCTOIAOCPPNOFACILITYNAME(1)St.LucieUnit2DOCKETNUMBER(2)YEAREQUENTIALNUMBER."T',."REVISIONvlNUMBERLERNUMBER(6)PAGE(3)05000389TEXT(Ifmorespaceisreqoired,tjseadditionalNRCForm366A's)(17)9300000203OperationsfillsSafetyInjectionTanks(SIT)(EIIS:BP)asnecessarytomaintaintherequiredTechnicalSpecification(TS)level.SubsequentlytheseSITsmustbesampledinaccordancewith-ChemistryOperatingProcedure2-C-60within6hourstoensurethattherequiredTSboronconcentrationhasbeenmaintained.OnJanuary8,1993,at0500aReactorControlOperator(RCO)filledthe2A1,2A2,and2B2SITs.At0530henotifiedtheonshiftChemistrytechnician.TheChemistrytechnicianwhoreceivedthecallturnedthesamplingresponsibilityovertoanoncomingtechnicianonthenextshift.ThistechnicianreceivedtheappropriateverbalinstructionsofwhichSITstocheckbutonlysampledthe2A2and2B2SITs.At0830henotifiedthecontrolroomthattheseSITsweresatisfactorywilhrespecttoboronconcentration.OperationspersonnelreceivedthecallandfailedtonoticethatoneoftheSITshadnotbeensampled.At2314theoncomingAssistantNuclearPlantSupervisorwasreviewingtheRCOchronologicalloganddiscoveredthe2A1SIThadnotbeensampled.TheSITwasadministrativelydeclaredoutofserviceandChemistrywasnotifiedtosampleit.Thesampleshowedsatisfactoryboronconcentrationandthe2A1SITwasdeclaredbackinserviceat2345.VTherootcauseoftheeventiscognitivepersonnelerrorbyautilityChemistrytechnicianbyfailingtoensurethesamplingoftheappropriateSITs.AcontributingfactoristhattherewasnomethodotherthanverbalrequestturnoverbetweenChemistrytechnicianstoinsurethatthecorrectSITsaresampled.ThisplacesthefullresponsibilityforthecorrectnessandtimelinessofthisTSsurveillanceonverbalcommunicationwithnorecordedinformationfortheChemistrytechniciantoreference.Inaddition,therewasafailureonthepartofcontrolroompersonneltorealizethatoneofthethreeSITshadnotbeensampledwhenChemistrynotifiedthemthattwoSITswerewithinspecification.Therewerenounusualcharacteristicsoftheworklocationwhichcontributedtothisevent.TVThiseventisreportableunder10CFR50.73.a.2.i.b,asamissedsurveillancerequiredbyTechnicalSpecifications.TechnicalSpecification4.5.1.1.bstatesthateachSafetyInjectionTankshallbedemonstratedoperablewithin6hoursaftereachsolutionvolumeincreasegreaterthanorequalto1%oftankvolumebyverifyingtheboronconcentrationofthesolution.ThepurposeofthissamplingistoprovideassurancethattheboronconcentrationoftheSITshasnotbeenchangedtoavalue-outsidethebandoftheTechnicalSpecificationrequirements.ThisassuresthattheassumptionsusedfortheSITsintheFinalUpdatedSafetyAnalysisReport(FUSAR)arevalid.Thesurveillanceofthe2A1SITwascompletedat2340,or12hoursand40minutespasttherequiredTechnicalSpecificationsampletime.FPLFacsimileofNRCForm366(6-89)

FPLFacsimrootrNRCForm666(669t.U.S.NUCLEARREGULATORYCOMMISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATlONAPPAOVTOCallNCI0ll00IOI000TIES.0000000TAAATTOnvexNPTfrfE0PONTEToCOAWlvvATNTI0000aNAAOONCcuTCTEPIIEOIE00I0000000fCTIWATErCCANENT0IECANONCTAPCTN00TINATKToOETECOII0AlafEPTNTCNANACTAENTCPlANCNIP0000uaIAcTTArlTEaAATONT~WASHNCTON,OC00000APATToTIE0APTfrWONATECOCTIONPNOEC'0fll000IOl00ÃfICTOfNANACTIENTAIOTANCET.WACIIAOT000OC00NO.FACILITYNAME{1)St.LUCieUnit2DOCKETNUMBER(2)YEARLERNUMBER{6)EQUENTIALNUMBERREVISIONNUMBERPAGE(3)0500038993TEXT(Ifmorespaceisrequired,useadditionalNRCForm366A's)(17)0010003003TheresultsofthechemistrysampleshowedtheboronconcentrationtobewithinTechnicalSpecification3.5.1.c.The2A1SafetyInjectionTankwascapableofperformingitsintendedsafetyfunctionassetforthintheassumptionsoftheFUSAR,sections6.3.2.2.1and6.3.3.4.3.f.TI;erefore,lhehealthandsafetyofthepublicwasnotaffectedbythisevent.1)The2A1SafetyInjectionTank(SIT)ChemistrySurveillancewasperformedwithsatisfactoryresultsJanuary8,1993at2340hours.2)TheChemistrydepartmentnowusesastatusboardtotrackregulatoryrequiredsurveillancesthatarenotperiodicallyscheduled..3)ThepersonnelinvolvedinthiseventhavebeencounselledbytheChemistrysupervisorontheimportanceofmeetingsurveillancerequirements.-4)TheOperationssupervisorhasissuedaNightOrderonthiseventwhichemphasizestheneedforoperatorstotracksurveillancessuchastheonedescribedintheLERviatheoperatorturnoversheet,andtheneedfortheoncomingcrewstocarefullyreviewthechronologicallog.5)AHumanPerformanceEnhancementSystem(HPES)evaluationwasperformed.TheresultsagreewiththeconclusionsofthisLicenseeEventReport.ITINAFnnFilTherewerenocomponentfailuresinvolvedinthisevent.VIAprevioussimilareventisdescribedinLER389-89-008,whichdescribesamissedsurveillanceforSafetyInjectionLoopHeadervalvesfollowingthefillingoftwoSITs.FPLFacsimileofNRCForm366(6.89)