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{{#Wiki_filter:F'RIORIY'Y IACCELER.ATED RIDSPROC!%SIXREGULATORY INFORMATION DISTRIBUTION SYSTEM(RIDS)ACCESSION NBR:9410270363 DOC.DATE:
{{#Wiki_filter:F'RIORIY'Y IACCELER.ATED RIDS PROC!%SIX REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)ACCESSION NBR:9410270363 DOC.DATE: 94/10/17 NOTARIZED:
94/10/17NOTARIZED:
NO FACIL:50-244 Robert Emmet Ginna Nuclear Plant, Unit 1, Rochester G AUTH.NAME AUTHOR AFFILIATION ST MARTIN,J.T.
NOFACIL:50-244 RobertEmmetGinnaNuclearPlant,Unit1,Rochester GAUTH.NAMEAUTHORAFFILIATION STMARTIN,J.T.
Rochester Gas&Electric Corp.MECREDY,R.C.
Rochester Gas&ElectricCorp.MECREDY,R.C.
Rochester Gas&Electric Corp.RECIP.NAME RECIPIENT AFFILIATION DOCKET N 05000244
Rochester Gas&ElectricCorp.RECIP.NAME RECIPIENT AFFILIATION DOCKETN05000244


==SUBJECT:==
==SUBJECT:==
LER94-010-00:on 940916,volt bus12Binadvertenly tripped.Causedbydefective procedure.
LER 94-010-00:on 940916,volt bus 12B inadvertenly tripped.Caused by defective procedure.
Normalpowersupple.es restored&"B"emeregency dieselgenerator stopped&alignedforautostandby.W/941017 ltr.DISTRIBUTION CODE:IE22TCOPIESRECEIVED:LTR ENCLSIZE:TITLE:50.73/50.9 LicenseeEventReport(LER),IncidentRpt,etc.NOTES:License Expdateinaccordance with10CFR2,2.109(9/19/72).
Normal power supple.es restored&"B" emeregency diesel generator stopped&aligned for auto standby.W/941017 ltr.DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE: TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.NOTES:License Exp date in accordance with 10CFR2,2.109(9/19/72).
05000244RECIPIENT IDCODE/NAME PD1-3PDINTERNALAEOD/~GAB/DSQ XHXF~02NRR/DE/EMEB NRR/DRCH/HHFB NRR/DRCH/HOLB NRR/DSSA/SPLB NRR/PMAS/IRCB-E RGN1FILE01EXTERNAL:
05000244 RECIPIENT ID CODE/NAME PD1-3 PD INTERNAL AEOD/~GAB/DSQ XHXF~02 NRR/DE/EMEB NRR/DRCH/HHFB NRR/DRCH/HOLB NRR/DSSA/SPLB NRR/PMAS/IRCB-E RGN1 FILE 01 EXTERNAL: EG&G BRYCE,J.H NOAC MURPHY 1 G A NRC PDR COPIES LTTR ENCL 1 1 2 2 1 1 l.1 1 1 1 1 1 1 1 1 1 1 2 2 1 1 1 1 RECIPIENT ID CODE/NAME JOHNSON,A AEOD/SPD/RRAB NRR/DE/EELB NRR/DORS/OEAB NRR/DRCH/HICB NRR/DRSS/PRPB NRR/DSSA/SRXB RES/DSIR/EIB L ST LOBBY WARD NOAC POORE,W.NUDOCS FULL TXT COPIES LTTR ENCL 1 1 1 1 1 1'1 1 1 2 2 1 1 1 1 1 1 1 1 1 1 N VOTE TO ALL"Rl DS" RECIPIENTS:
EG&GBRYCE,J.H NOACMURPHY1GANRCPDRCOPIESLTTRENCL112211l.11111111111221111RECIPIENT IDCODE/NAME JOHNSON,A AEOD/SPD/RRAB NRR/DE/EELB NRR/DORS/OEAB NRR/DRCH/HICB NRR/DRSS/PRPB NRR/DSSA/SRXB RES/DSIR/EIB LSTLOBBYWARDNOACPOORE,W.NUDOCSFULLTXTCOPIESLTTRENCL111111'111221111111111NVOTETOALL"RlDS"RECIPIENTS:
PLEASE HELP L!S TO REDUCE iVASTE!CONTACTTIIE DOCL'iIEiTCOiTROL DESK, ROOXI PI-37 (EXT, 504-2033)TO ELIilliATE VOL'R RAMIE PROil DISTRIBL'TIOi LIS'I'S I'OR DOCL'iIEi'I'S 5'OL'Oi"I'L'I'.I)!
PLEASEHELPL!STOREDUCEiVASTE!CONTACTTIIE DOCL'iIEiTCOiTROL DESK,ROOXIPI-37(EXT,504-2033)TOELIilliATE VOL'RRAMIEPROilDISTRIBL'TIOi LIS'I'SI'ORDOCL'iIEi'I'S 5'OL'Oi"I'L'I'.I)!
FULL TEXT CONVERSXON REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 26 ENCL 26
FULLTEXTCONVERSXON REQUIREDTOTALNUMBEROFCOPIESREQUIRED:
LTTR26ENCL26
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r10ecStAICROCHESTER GASANDELECTRICCORPORATION
r 10ec StAIC ROCHESTER GAS AND ELECTRIC CORPORATION
~89EASTAVENUE,ROCHESTER N.Y.f4649-000f ROBERTC.MECREDYVicePresident GinnedNuclearProduction TELEPHOME AAEACQM7165462700October17,1994UPS.NuclearRegulatory Commission DocumentControlDeskAttn:AllenR.JohnsonPWRProjectDirectorate I-3Washington, D.C.20555
~89 EAST AVENUE, ROCHESTER N.Y.f4649-000f ROBERT C.MECREDY Vice President Ginned Nuclear Production TELEPHOME AAEA CQM 716 546 2700 October 17, 1994 UPS.Nuclear Regulatory Commission Document Control Desk Attn: Allen R.Johnson PWR Project Directorate I-3 Washington, D.C.20555  


==Subject:==
==Subject:==
LER94-010,Lossof4160VoltBus12B,DuetoDefective Procedure, ResultsinAutomatic Startof"B"Emergency DieselGenerator R.E.GinnaNuclearPowerPlantDocketNo.50-244Inaccordance with10CFR50.73,LicenseeEventReportSystem,item(a)(2)(iv),whichrequiresareportof,"anyeventorcondition thatresultedinamanualor"automatic actuation ofanyengineered safetyfeature(ESF),including thereactorprotection system(RPS)",theattachedLicenseeEventReportLER94-010isherebysubmitted.
LER 94-010, Loss of 4160 Volt Bus 12B, Due to Defective Procedure, Results in Automatic Start of"B" Emergency Diesel Generator R.E.Ginna Nuclear Power Plant Docket No.50-244 In accordance with 10 CFR 50.73, Licensee Event Report System, item (a)(2)(iv), which requires a report of,"any event or condition that resulted in a manual or"automatic actuation of any engineered safety feature (ESF), including the reactor protection system (RPS)", the attached Licensee Event Report LER 94-010 is hereby submitted.
Thiseventhasinnowayaffectedthepublic'shealthandsafety.Verytrulyyours,RobertC.Mecredyxc:U.S.NuclearRegulatory Commission RegionI475Allendale RoadKingofPrussia,PA19406GinnaUSNRCSeniorResidentInspector 9410270363 941017PDRADOCK05000244SPDR NRCFORH366(5-92)U.S.NUCLEARREGULATORY COHHISSION APPROVEDBYOHBNO.3150~0104EXPIRES5/31/95LICENSEEEVENTREPORT(LER)(Seereverseforrequirednumberofdigits/characters foreachblock)ESTIHATED BURDENPERRESPONSETOCOHPLYHITHTHISIHFORHATION COLLECTION REQUEST:50.0HRS.FORHARDCOMMENTSREGARDIHG BURDENESTIHATETOTHEINFORMATION ANDRECORDSHANAGEMENT BRANCH(HNBB7714),U.STNUCLEARREGULATORY COHHISSION
This event has in no way affected the public's health and safety.Very truly yours, Robert C.Mecredy xc: U.S.Nuclear Regulatory Commission Region I 475 Allendale Road King of Prussia, PA 19406 Ginna USNRC Senior Resident Inspector 9410270363 941017 PDR ADOCK 05000244 S PDR NRC FORH 366 (5-92)U.S.NUCLEAR REGULATORY COHHISSION APPROVED BY OHB NO.3150~0104 EXPIRES 5/31/95 LICENSEE EVENT REPORT (LER)(See reverse for required number of digits/characters for each block)ESTIHATED BURDEN PER RESPONSE TO COHPLY HITH THIS IHFORHATION COLLECTION REQUEST: 50.0 HRS.FORHARD COMMENTS REGARDIHG BURDEN ESTIHATE TO THE INFORMATION AND RECORDS HANAGEMENT BRANCH (HNBB 7714), U.ST NUCLEAR REGULATORY COHHISSION
~llASHIHGTON, DC20555-0001, ANDTOTHEPAPERNORK REDUCTION PROJECT(3150-0104),
~llASHIHGTON, DC 20555-0001, AND TO THE PAPERNORK REDUCTION PROJECT (3150-0104), OFFICE OF HANAGEMENT AND BUDGET WASHINGTON DC 20503.FACILITY NAME (1)R.E.Ginna Nuclear Power Plant DOCKET NUHBER (2)05000244 PAGE (3)10F 10-TITLE (4)Loss of 4160 Volt Bus 12B, Due to Defective Procedure, Results in Automatic Start of"B" Emergency Diesel Generator MONTH 09 DAY YEAR 16 94 EVENT DATE (5)YEAR 94 LER NUHBER (6)SEQUENTIAL HUHBER--010--REVISION NUHBER MONTH 00 10 DAY YEAR 17 94 REPORT DATE (7)FACILITY HAHE FACILITY HAHE DOCKET NUHBER DOCKET HUHBER OTHER FACILITIES INVOLVED (8)OPERATING HODE (9)N THIS REPORT IS SUBHITTED PURSUANT 20.402(b)e)(11)TO THE RE UIREHENTS OF 10 CFR 5: (Check one or mor 73.71(b)50.73(a)(2)(iv) 20.405(c)PNER LEVEL (10)20.405(a)(1)(i)20.405(a)(1)(ii) 20.405(a)(1)(iii) 20'05(a)(1)(iv) 20.405(a)(1)(v) 50.36(c)(1) 50.36(c)(2) 50.73(a)(2)(i) 50.73(a)(2)(ii) 50.73(a)(2)(III)
OFFICEOFHANAGEMENT ANDBUDGETWASHINGTON DC20503.FACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKETNUHBER(2)05000244PAGE(3)10F10-TITLE(4)Lossof4160VoltBus12B,DuetoDefective Procedure, ResultsinAutomatic Startof"B"Emergency DieselGenerator MONTH09DAYYEAR1694EVENTDATE(5)YEAR94LERNUHBER(6)SEQUENTIAL HUHBER--010--REVISIONNUHBERMONTH0010DAYYEAR1794REPORTDATE(7)FACILITYHAHEFACILITYHAHEDOCKETNUHBERDOCKETHUHBEROTHERFACILITIES INVOLVED(8)OPERATING HODE(9)NTHISREPORTISSUBHITTED PURSUANT20.402(b) e)(11)TOTHEREUIREHENTS OF10CFR5:(Checkoneormor73.71(b)50.73(a)(2)(iv) 20.405(c)
LICENSEE CONTACT FOR THIS LER (12)50.73(a)(2)(v) 50'3(a)(2)(vii) 50.73(a)(2)(viii)(A) 50~73(a)(2)(vi i i)(0)50.73(a)(2)(x) 73.71 (c)OTHER (Specify in Abstract below and in Text, NRC Form 366A)NAME John T.St.Martin-Director, Operating Experience TELEPHONE HUHBER (Include Area Code)(315)524-4446 COMPLETE ONE LINE FOR EACH COHPONENT FAILURE DESCRIBED IN THIS REPORT (13)CAUSE SYSTEH COHPONENT HANUFACTURER REPORTABLE TO HPRDS CAUSE SYSTEM COHPONENT HANUFACTURER REPORTABLE TO NPRDS SUPPLEHENTAL REPORT EXPECTED (14)YES (lf yes, complete EXPECTED SUBHISSION DATE).X NO EXPECTED SUBHISS ION DATE (15)HOHTH DAY YEAR ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines)(16)On September 16, 1994, at approximately 1018 EDST, with the reactor at approximately 98%steady state power, the 4160 Volt circuit breaker that was supplying power to 4160 Volt bus 12B was inadvertently tripped.This resulted in deenergization of bus 12B and momentary loss of power to uBn train 480 Volt safeguards buses 16 and 17.The nBn Emergency Diesel Generator started and reenergized buses 16 and 17, as per design.The underlying cause of the inadvertent circuit breaker trip was a defective procedure.
PNERLEVEL(10)20.405(a)(1)(i)20.405(a)(1)(ii) 20.405(a)(1)(iii) 20'05(a)(1)(iv) 20.405(a)(1)(v) 50.36(c)(1) 50.36(c)(2) 50.73(a)(2)(i) 50.73(a)(2)(ii) 50.73(a)(2)(III)
This event is NUREG-1022 Cause Code (D).Corrective action to preclude repetition is outlined in Section V.B.HRC FORM 366 (5-92)
LICENSEECONTACTFORTHISLER(12)50.73(a)(2)(v) 50'3(a)(2)(vii) 50.73(a)(2)(viii)(A) 50~73(a)(2)(viii)(0)50.73(a)(2)(x) 73.71(c)OTHER(SpecifyinAbstractbelowandinText,NRCForm366A)NAMEJohnT.St.Martin-Director, Operating Experience TELEPHONE HUHBER(IncludeAreaCode)(315)524-4446COMPLETEONELINEFOREACHCOHPONENT FAILUREDESCRIBED INTHISREPORT(13)CAUSESYSTEHCOHPONENT HANUFACTURER REPORTABLE TOHPRDSCAUSESYSTEMCOHPONENT HANUFACTURER REPORTABLE TONPRDSSUPPLEHENTAL REPORTEXPECTED(14)YES(lfyes,completeEXPECTEDSUBHISSION DATE).XNOEXPECTEDSUBHISSIONDATE(15)HOHTHDAYYEARABSTRACT(Limitto1400spaces,i.e.,approximately 15single-spaced typewritten lines)(16)OnSeptember 16,1994,atapproximately 1018EDST,withthereactoratapproximately 98%steadystatepower,the4160Voltcircuitbreakerthatwassupplying powerto4160Voltbus12Bwasinadvertently tripped.Thisresultedindeenergization ofbus12Bandmomentary lossofpowertouBntrain480Voltsafeguards buses16and17.ThenBnEmergency DieselGenerator startedandreenergized buses16and17,asperdesign.Theunderlying causeoftheinadvertent circuitbreakertripwasadefective procedure.
NRC FORH 366A (5-92)U.S.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OMB NO.3150.0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY'NITN THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORMARD COMHENTS REGARDING BURDEN ESTIHATE TO THE INFORMATION AND RECORDS HANAGEHENT BRANCH (MNBB 7T14), U.S.NUCLEAR REGULATORY COHHISSION, llASNINGTON, DC 20555 0001 AND TO THE PAPERISRK REDUCTION PROJECT (3140.0104), OFFICE OF MANAGEMENT AND BUDGET llASHINGTON DC 20503.FACILITY NAME (1)DOCKET NUMBER (2)LER NUMBER (6)YEAR SEQUENT IAL REVISION PAGE (3)R.E.Ginna Nuclear Power Plant 05000244 94 010 00 2 OF 10 TEXT (If more space is required, use additional copies of NRC Form 366A)(17)PRE-EVENT PLANT CONDITIONS The plant was at approximately 98%steady state reactor power, with no major operational activities in progress.All offsite power to 4160 Volt buses 12A and 12B was being supplied from Circuit 767 (34.5 KV offsite power source).Circuit 767 was supplying power through 34.5 KV to 4160 Volt transformer 12B (12B transformer), via 4160 Volt circuit breakers 52/12BY (to bus 12A)and 52/12BX (to bus 12B).(See the attached sketch of the offsite power distribution system.)34.5 KV to 4160 Volt transformer 12A (12A transformer), which is.supplied from Circuit 751 (34.5 KV offsite power source), was deenergized and declared inoperable to permit previously scheduled maintenance and testing of the 12A transformer and associated circuit breakers.At the time of this event, trip testing was in progress on 4160 Volt circuit breaker 52/12AX (alternate power supply from the 12A transformer to bus 12B), in accordance with Maintenance Procedure PME-50-04-52/12AX,"Bus 12B Alternate Power Source." Plant electricians had just notified the Control Room operators that circuit breaker 12AX would be closed while in the"test" position.II.DESCRIPTION OF EVENT A.DATES AND APPROXIMATE TIMES OF MAJOR OCCURRENCES:
ThiseventisNUREG-1022 CauseCode(D).Corrective actiontoprecluderepetition isoutlinedinSectionV.B.HRCFORM366(5-92)
o September 16, 1994, 1018 EDST: Event date and time.o September 16, 1994, 1018 EDST: Discovery date and time.o September 16, 1994, 1018 EDST: Control Room operators verify the"B" Emergency Diesel Generator (D/G)operation and safeguards buses 16 and 17 energized.
NRCFORH366A(5-92)U.S.NUCLEARREGULATORY COMMISSION LICENSEEEVENTREPORT(LER)TEXTCONTINUATION APPROVEDBYOMBNO.3150.0104 EXPIRES5/31/95ESTIMATED BURDENPERRESPONSETOCOMPLY'NITNTHISINFORMATION COLLECTION REQUEST:50.0HRS.FORMARDCOMHENTSREGARDING BURDENESTIHATETOTHEINFORMATION ANDRECORDSHANAGEHENT BRANCH(MNBB7T14),U.S.NUCLEARREGULATORY COHHISSION, llASNINGTON, DC205550001ANDTOTHEPAPERISRK REDUCTION PROJECT(3140.0104),
o September 16, 1994, 1120 EDST: Circuit 751 declared operable at the completion of maintenance and testing.o September 16, 1994, 1125 EDST: Safeguards buses 16 and 17 were resupplied from Circuit 751.o September 16, 1994, 1142 EDST: The"B" Emergency D/G was stopped and realigned for auto standby.NRC FORM 366A (5-92)  
OFFICEOFMANAGEMENT ANDBUDGETllASHINGTON DC20503.FACILITYNAME(1)DOCKETNUMBER(2)LERNUMBER(6)YEARSEQUENTIALREVISIONPAGE(3)R.E.GinnaNuclearPowerPlant0500024494010002OF10TEXT(Ifmorespaceisrequired, useadditional copiesofNRCForm366A)(17)PRE-EVENT PLANTCONDITIONS Theplantwasatapproximately 98%steadystatereactorpower,withnomajoroperational activities inprogress.
Alloffsitepowerto4160Voltbuses12Aand12BwasbeingsuppliedfromCircuit767(34.5KVoffsitepowersource).Circuit767wassupplying powerthrough34.5KVto4160Volttransformer 12B(12Btransformer),
via4160Voltcircuitbreakers52/12BY(tobus12A)and52/12BX(tobus12B).(Seetheattachedsketchoftheoffsitepowerdistribution system.)34.5KVto4160Volttransformer 12A(12Atransformer),
whichis.supplied fromCircuit751(34.5KVoffsitepowersource),wasdeenergized anddeclaredinoperable topermitpreviously scheduled maintenance andtestingofthe12Atransformer andassociated circuitbreakers.
Atthetimeofthisevent,triptestingwasinprogresson4160Voltcircuitbreaker52/12AX(alternate powersupplyfromthe12Atransformer tobus12B),inaccordance withMaintenance Procedure PME-50-04-52/12AX, "Bus12BAlternate PowerSource."Plantelectricians hadjustnotifiedtheControlRoomoperators thatcircuitbreaker12AXwouldbeclosedwhileinthe"test"position.
II.DESCRIPTION OFEVENTA.DATESANDAPPROXIMATE TIMESOFMAJOROCCURRENCES:
oSeptember 16,1994,1018EDST:Eventdateandtime.oSeptember 16,1994,1018EDST:Discovery dateandtime.oSeptember 16,1994,1018EDST:ControlRoomoperators verifythe"B"Emergency DieselGenerator (D/G)operation andsafeguards buses16and17energized.
oSeptember 16,1994,1120EDST:Circuit751declaredoperableatthecompletion ofmaintenance andtesting.oSeptember 16,1994,1125EDST:Safeguards buses16and17wereresupplied fromCircuit751.oSeptember 16,1994,1142EDST:The"B"Emergency D/Gwasstoppedandrealigned forautostandby.NRCFORM366A(5-92)  


NRCFORM366A(5-92)U.S.NKLEARREGULATORY COMMISSION LICENSEEEVENTREPORT(LER)TEXTCONTINUATION APPROVEDBYOMBNO.3150-0104 EXPIRES5/31/95ESTIMATED BURDENPERRESPONSETOCOMPLYlllTHTHISINFORMATION COLLECTION REQUEST:50.0HRS.FORWARDCOMMENTSREGARDING BURDENESTIMATETOTHEIHFORHATION ANDRECORDSHANAGEMENT BRANCH(MNBB7714),U.S.NUCLEARREGULATORY COMMISSION, WASHINGTON, DC20555-0001 ANDTOTHEPAPERWORK REDUCTION PROJECT(3140.0104),
NRC FORM 366A (5-92)U.S.NKLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OMB NO.3150-0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY lllTH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE IHFORHATION AND RECORDS HANAGEMENT BRANCH (MNBB 7714), U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140.0104), OFFICE OF HANAGEHENT AND BUDGET WASHINGTON DC 20503.FACILITY NAME (1)R.E.Ginna Nuclear Power Plant DOCKET NUMBER (2)05000244 LER NUMBER (6)YEAR SEQUENTIAL 94--010--REVISION 00 PAGE (3)3 OF 10 TEXT (If more space is required, use additional copies of NRC Form 366A)(17)B.EVENT: On September 16, 1994, at approximately 1018 EDST, with the reactor at approximately 98~steady state full power, the Control Room received numerous annunciator alarms.The Control Room operators immediately determined that 4160 Volt bus 12B was deenergized, that"B" train 480 Volt safeguards buses 16 and 17 had lost their power supply from bus 12B, and that the"B" Emergency D/G had started and was tied to safeguards buses 16 and 17.The Control Room operators immediately performed the appropriate actions of Abnormal Procedure AP-ELEC.1 (Loss of 12A And/Or 12B Transformer) to stabilize the plant, and verified that the"B" Emergency D/G was operating properly and that safeguards buses 16 and 17 were energized.
OFFICEOFHANAGEHENT ANDBUDGETWASHINGTON DC20503.FACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKETNUMBER(2)05000244LERNUMBER(6)YEARSEQUENTIAL 94--010--REVISION00PAGE(3)3OF10TEXT(Ifmorespaceisrequired, useadditional copiesofNRCForm366A)(17)B.EVENT:OnSeptember 16,1994,atapproximately 1018EDST,withthereactoratapproximately 98~steadystatefullpower,theControlRoomreceivednumerousannunciator alarms.TheControlRoomoperators immediately determined that4160Voltbus12Bwasdeenergized, that"B"train480Voltsafeguards buses16and17hadlosttheirpowersupplyfrombus12B,andthatthe"B"Emergency D/Ghadstartedandwastiedtosafeguards buses16and17.TheControlRoomoperators immediately performed theappropriate actionsofAbnormalProcedure AP-ELEC.1 (Lossof12AAnd/Or12BTransformer) tostabilize theplant,andverifiedthatthe"B"Emergency D/Gwasoperating properlyandthatsafeguards buses16and17wereenergized.
The Control Room operators observed that bus 12B had deenergized and displayed zero (0)voltage, because the circuit breaker supplying power to bus 12B had tripped.The loss of power to bus 12B resulted in undervoltage on safeguards'buses 16 and 17, and the"B" Emergency D/G started and reenergized these buses, as per design.When the scheduled maintenance and testing was completed on the 12A transformer and associated breakers, the Control Room operators cleared the holds on Circuit 751 and th'e 12A transformer.
TheControlRoomoperators observedthatbus12Bhaddeenergized anddisplayed zero(0)voltage,becausethecircuitbreakersupplying powertobus12Bhadtripped.Thelossofpowertobus12Bresultedinundervoltage onsafeguards'buses 16and17,andthe"B"Emergency D/Gstartedandreenergized thesebuses,asperdesign.Whenthescheduled maintenance andtestingwascompleted onthe12Atransformer andassociated
A switching order was used to restore Circuit 751, 12A transformer, and associated breakers to operable status.34.5 KV circuit breaker 75112 was closed, energizing the 12A transformer.
: breakers, theControlRoomoperators clearedtheholdsonCircuit751andth'e12Atransformer.
The Control Room operators directed plant electricians to investigate the failure, and there were no anomalies noted.At approximately 1120 EDST, using Equipment Restoration procedure ER-ELEC.1 (Restoration of Offsite Power), the Control Room operators closed circuit breaker 12AX, energizing bus 12B from the 12A transformer.
Aswitching orderwasusedtorestoreCircuit751,12Atransformer, andassociated breakerstooperablestatus.34.5KVcircuitbreaker75112wasclosed,energizing the12Atransformer.
At approximately 1125 EDST,"B" train safeguards buses 16 and 17 were resupplied by offsite power, via Circuit 751't approximately 1142 EDST, September 16, 1994, the"B" Emergency D/G was stopped and realigned for auto standby.NRC FORM 366A (5-92),  
TheControlRoomoperators directedplantelectricians toinvestigate thefailure,andtherewerenoanomalies noted.Atapproximately 1120EDST,usingEquipment Restoration procedure ER-ELEC.1(Restoration ofOffsitePower),theControlRoomoperators closedcircuitbreaker12AX,energizing bus12Bfromthe12Atransformer.
Atapproximately 1125EDST,"B"trainsafeguards buses16and17wereresupplied byoffsitepower,viaCircuit751'tapproximately 1142EDST,September 16,1994,the"B"Emergency D/Gwasstoppedandrealigned forautostandby.NRCFORM366A(5-92),  


NRCFORM366A(5-92)U.S.NUCLEARREGULATORY COHHISSION LICENSEEEVENTREPORT(LER)TEXTCONTINUATION APPROVEDBYOHBNO.3150~0104EXPIRES5/31/95ESTIMATED BURDENPERRESPOHSETOCOHPLYWITHTHISINFORHATIONCOLLECTION REQUEST:50.0HRS.FORWARDCOMHENTSREGARDING BURDENESTIMATETOTHEINFORHATION ANDRECORDSHANAGEHENT BRANCH(HNBB7714),U.S.NUCLEARREGULATORY COMHISSION, WASHIHGTON, DC20555-0001 ANDTOTHEPAPERWORK REDUCTION PROJECT(3140-0104),
NRC FORM 366A (5-92)U.S.NUCLEAR REGULATORY COHHISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OHB NO.3150~0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPOHSE TO COHPLY WITH THIS INFORHAT ION COLLECTION REQUEST: 50.0 HRS.FORWARD COMHENTS REGARDING BURDEN ESTIMATE TO THE INFORHATION AND RECORDS HANAGEHENT BRANCH (HNBB 7714), U.S.NUCLEAR REGULATORY COMHISSION, WASHIHGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.FACILITY NAHE (1)R.E.Ginna Nuclear Power Plant DOCKET NUHBER (2)05000244 YEAR 010 00 LER NUMBER (6)SEOUENTIAL REVISION PAGE (3)4 OF 10 TEXT (tf more space is required, use additional copies of NRC Form 366A)(17)C.I NOPERABLE STRUCTURES i COMPONENTS i OR SYSTEMS THAT CONTR I BUTED TO THE EVENT: Circuit 751 was inoperable for scheduled maintenance of the 12A transformer, beginning at approximately 0717 EDST on September 15, 1994, and was restored to service at approximately 1120 EDST on September 16, 1994..D.OTHER SYSTEMS OR SECONDARY FUNCTIONS AFFECTED: The momentary loss of power caused a loss of program memory for radiation monitor terminal RCT-1 and associated channels R-12A (Containment ventilation effluent), R-14A (Plant ventilation ef fluent), R-31 (>>A>>steam line monitor), and R-32 (B>>steam line monitor).E.METHOD OF DISCOVERY:
OFFICEOFMANAGEMENT ANDBUDGETWASHINGTON DC20503.FACILITYNAHE(1)R.E.GinnaNuclearPowerPlantDOCKETNUHBER(2)05000244YEAR01000LERNUMBER(6)SEOUENTIAL REVISIONPAGE(3)4OF10TEXT(tfmorespaceisrequired, useadditional copiesofNRCForm366A)(17)C.INOPERABLE STRUCTURES iCOMPONENTS iORSYSTEMSTHATCONTRIBUTEDTOTHEEVENT:Circuit751wasinoperable forscheduled maintenance ofthe12Atransformer, beginning atapproximately 0717EDSTonSeptember 15,1994,andwasrestoredtoserviceatapproximately 1120EDSTonSeptember 16,1994..D.OTHERSYSTEMSORSECONDARY FUNCTIONS AFFECTED:
This event was immediately apparent due to Main Control Board alarms and indications in the Control Room when bus 12B was deenergized.
Themomentary lossofpowercausedalossofprogrammemoryforradiation monitorterminalRCT-1andassociated channelsR-12A(Containment ventilation effluent),
These included Main Control Board annunciators J-5 (gll or gl2 Transformer Out of Synch), J-6 (4KV Main or Tie Breaker Trip), J-7 (480 V Main or Tie Breaker Trip), J-8 (480V MCC Supply Breaker Trip), and L-28 (12B XFMR or 12B Bus Trouble).F.OPERATOR ACTION: Following the undervoltage condition on buses 16 and 17, the>>B>>Emergency D/G automatically started and energized these buses.The Control Room operators immediately performed the appropriate actions and verified that the>>B>>Emergency D/G was operating properly, and that safeguards buses 16 and 17 were energized.'he Control Room operators cleared the holds on Circuit 751, restored offsite power to buses 16 and 17, stopped the>>B>>Emergency D/G, and realigned it for auto standby.HRC FORM 366A (5-92)
R-14A(Plantventilation effluent),R-31(>>A>>steamlinemonitor),
N NRC FORH 366A (5-92)U.S.NUCLEAR REGULATORY COHHISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OHB NO.3150.0104 EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY WITH THIS INFORHATION COLLECTIOH REQUEST: 50.0 HRS.FORWARD COHHEHTS REGARDIHG BURDEN ESTIMATE TO THE INFORHATION.AHD RECORDS HANAGEMEHT BRANCH (MNBB 7714), U.S.NUCLEAR REGULATORY COHHISSIOH
andR-32(B>>steamlinemonitor).E.METHODOFDISCOVERY:
~'WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3110.0104), OFF ICE OF MAHAGEHEHT AHD BUDGET WASHINGTON DC 20503.FACILITY NAHE (1)R.E.Ginna Nuclear Power Plant DOCKET NUHBER (2)05000244 YEAR 94 010 00 LER NUHBER (6)SEQUENTIAL REVISION PAGE (3)5 OF 10 TEXT (If more space is required, use additionaI copies of HRC Form 366A)(17)At approximately 1354 EDST on September 16, 1994, the Shift Supervisor notified the NRC per 10 CFR 50.72 (b)(2)(ii).,SAFETY SYSTEM RESPONSES:
Thiseventwasimmediately apparentduetoMainControlBoardalarmsandindications intheControlRoomwhenbus12Bwasdeenergized.
The>>B>>Emergency D/G automatically started due to the undervoltage condition on buses 16 and 17, displayed proper voltage and frequency and closed into safeguards buses 16 and 17 to supply emergency power.III.CAUSE OF EVENT IMMEDIATE CAUSE: The automatic actuation of the.>>B>>Emergency D/G was due to undervoltage on safeguards buses 16 and 17.B.INTERMEDIATE CAUSE: The undervoltage on safeguards buses 16 and 17 was due to bus 12B being deenergized when circuit breaker 12BX tripped due to an electrical interlock.
TheseincludedMainControlBoardannunciators J-5(gllorgl2Transformer OutofSynch),J-6(4KVMainorTieBreakerTrip),J-7(480VMainorTieBreakerTrip),J-8(480VMCCSupplyBreakerTrip),andL-28(12BXFMRor12BBusTrouble).
C.ROOT CAUSE: The underlying cause of the tripping of circuit breaker 12BX was a defective procedure.
F.OPERATORACTION:Following theundervoltage condition onbuses16and17,the>>B>>Emergency D/Gautomatically startedandenergized thesebuses.TheControlRoomoperators immediately performed theappropriate actionsandverifiedthatthe>>B>>Emergency D/Gwasoperating
During development of this procedure (PME-50-04-52/12AX), the switch development of an elementary wiring diagram (EWD)was not used as a reference in determining post-maintenance operability testing.The procedure is for preventive maintenance of Model P-51000 POWL-VAC metal-clad switchgear, manufactured by Powell Electrical Mfg.Co.There is a normally open>>s>>contact (52S/12AX) in the trip circuit for breaker 12BX that comes from breaker 12AX, to prevent both 4160 Volt circuit breakers (12AX and 12BX)from being closed simultaneously.
: properly, andthatsafeguards buses16and17wereenergized.'he ControlRoomoperators clearedtheholdsonCircuit751,restoredoffsitepowertobuses16and17,stoppedthe>>B>>Emergency D/G,andrealigned itforautostandby.HRCFORM366A(5-92)
Contact 52S/12AX is located in the mechanism-operated cell (MOC)switch of these'ircuit breakers.These>>s>>contacts change state with movement of the breaker mechanism.
N NRCFORH366A(5-92)U.S.NUCLEARREGULATORY COHHISSION LICENSEEEVENTREPORT(LER)TEXTCONTINUATION APPROVEDBYOHBNO.3150.0104 EXPIRES5/31/95ESTIHATED BURDENPERRESPONSETOCOHPLYWITHTHISINFORHATION COLLECTIOH REQUEST:50.0HRS.FORWARDCOHHEHTSREGARDIHG BURDENESTIMATETOTHEINFORHATION
Technical reviewers incorrectly assumed that the cell switch would not function when in"test", and therefore concluded that with breaker 12AX in"test", contact 52S/12AX would not close.NRC FORM 366A (5-92)  
.AHDRECORDSHANAGEMEHT BRANCH(MNBB7714),U.S.NUCLEARREGULATORY COHHISSIOH
~'WASHINGTON, DC20555-0001 ANDTOTHEPAPERWORK REDUCTION PROJECT(3110.0104),
OFFICEOFMAHAGEHEHT AHDBUDGETWASHINGTON DC20503.FACILITYNAHE(1)R.E.GinnaNuclearPowerPlantDOCKETNUHBER(2)05000244YEAR9401000LERNUHBER(6)SEQUENTIAL REVISIONPAGE(3)5OF10TEXT(Ifmorespaceisrequired, useadditionaI copiesofHRCForm366A)(17)Atapproximately 1354EDSTonSeptember 16,1994,theShiftSupervisor notifiedtheNRCper10CFR50.72(b)(2)(ii).,SAFETYSYSTEMRESPONSES:
The>>B>>Emergency D/Gautomatically startedduetotheundervoltage condition onbuses16and17,displayed propervoltageandfrequency andclosedintosafeguards buses16and17tosupplyemergency power.III.CAUSEOFEVENTIMMEDIATE CAUSE:Theautomatic actuation ofthe.>>B>>Emergency D/Gwasduetoundervoltage onsafeguards buses16and17.B.INTERMEDIATE CAUSE:Theundervoltage onsafeguards buses16and17wasduetobus12Bbeingdeenergized whencircuitbreaker12BXtrippedduetoanelectrical interlock.
C.ROOTCAUSE:Theunderlying causeofthetrippingofcircuitbreaker12BXwasadefective procedure.
Duringdevelopment ofthisprocedure (PME-50-04-52/12AX),
theswitchdevelopment ofanelementary wiringdiagram(EWD)wasnotusedasareference indetermining post-maintenance operability testing.Theprocedure isforpreventive maintenance ofModelP-51000POWL-VACmetal-clad switchgear, manufactured byPowellElectrical Mfg.Co.Thereisanormallyopen>>s>>contact(52S/12AX) inthetripcircuitforbreaker12BXthatcomesfrombreaker12AX,topreventboth4160Voltcircuitbreakers(12AXand12BX)frombeingclosedsimultaneously.
Contact52S/12AXislocatedinthemechanism-operatedcell(MOC)switchofthese'ircuit breakers.
These>>s>>contactschangestatewithmovementofthebreakermechanism.
Technical reviewers incorrectly assumedthatthecellswitchwouldnotfunctionwhenin"test",andtherefore concluded thatwithbreaker12AXin"test",contact52S/12AXwouldnotclose.NRCFORM366A(5-92)  


NRCFORM366A(5-92)U.S.NUCLEARREGULATORY COHHISSIOH LICENSEEEVENTREPORT(LER)TEXTCONTINUATION APPROVEDBYOHBNO.3150-0104 EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCOHPLYWITHTHISINFORMATION COLLECTION REQUEST:50.0HRS.FORWARDCOHHEHTSREGARDIHGBURDENESTIMATETOTHEINFORMATION AHDRECORDSHAHAGEMENT BRANCH(MNBB7714),U.STNUCLEARREGULATORY COHHISSIOH, WASHINGTON, DC20555-0001 AHDTOTHEPAPERWORK REDUCTION PROJECT(3140-0104),
NRC FORM 366A (5-92)U.S.NUCLEAR REGULATORY COHHISSIOH LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OHB NO.3150-0104 EXP I RES 5/31/95 EST IHATED BURDEN PER RESPONSE TO COHPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORWARD COHHEHTS REGARD IHG BURDEN ESTIMATE TO THE INFORMATION AHD RECORDS HAHAGEMENT BRANCH (MNBB 7714), U.ST NUCLEAR REGULATORY COHHISSIOH, WASHINGTON, DC 20555-0001 AHD TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF MANAGEMENT AND BUDGET'WASHIHGTON DC 20503.FACILITY NAHE (1)R.E.Ginna Nuclear Power Plant DOCKET NUMBER (2)YEAR 05000244 94 LER NUHBER (6)SEQUENTIAL
OFFICEOFMANAGEMENT ANDBUDGET'WASHIHGTON DC20503.FACILITYNAHE(1)R.E.GinnaNuclearPowerPlantDOCKETNUMBER(2)YEAR0500024494LERNUHBER(6)SEQUENTIAL
--010--REVISION PAGE 3)pp 6 OF 10~y TEXT (If more space is required, use additional copies of HRC Form 366A)(17)There is another contact in series with the 52S/12AX contact that operates from the synchronizing switch for the circuit breaker.This contact is closed when the synch switch is in the"Off" position.When reviewing the EWD, technical reviewers misinterpreted the function of this contact, and assumed that the contact was closed when the synch switch was in the"On" position.Thus, the trip logic for circuit breaker 12BX was made up when the synch switch was in the"Off" position as soon as breaker 12AX closed, causing breaker 12BX to trip per design.After further investigation, it was discovered that this same incorrect interpretation of switch contact status was made for circuit breakers 12AX, 12AY, and 12BY.There were a total of eight defective procedures, one preventive and one corrective maintenance procedure for each of the four circuit breakers.This event is NUREG-1022 Cause Code (D), Defective Procedure.
--010--REVISIONPAGE3)pp6OF10~yTEXT(Ifmorespaceisrequired, useadditional copiesofHRCForm366A)(17)Thereisanothercontactinserieswiththe52S/12AXcontactthatoperatesfromthesynchronizing switchforthecircuitbreaker.Thiscontactisclosedwhenthesynchswitchisinthe"Off"position.
This loss of power meets the NUMARC 93-01,"Industry Gui'deline for Monitoring the Effectiveness of Maintenance at Nuclear Power Plants", definition of a"Maintenance Preventable Functional Failure".IV.ANALYSIS OF EVENT: This event is reportable in accordance with 10 CFR 50.73, Licensee Event Report System, item (a)(2)(iv), which requires a report of,"any event or condition that resulted in a manual or automatic actuation of any engineered safety feature (ESF), including the reactor protection system (RPS)", in that the starting of the"B" Emergency D/G was an automatic actuation of an ESF system.HRC FORM 366A (5-92)
Whenreviewing theEWD,technical reviewers misinterpreted thefunctionofthiscontact,andassumedthatthecontactwasclosedwhenthesynchswitchwasinthe"On"position.
NRC FORH 366A (5-92)UPS.NUCLEAR REGULATORY COHHISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OHB NO.3150-0104 EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORWARD COHHENTS REGARDING BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MAHAGEHEHT BRANCH (HHBB 7714), U.ST NUCLEAR REGULATORY COHHISSION, WASHINGTOH, DC 20555-0001 AHD TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF HANAGEHENT AND BUDGET WASHINGTON DC 20503.FACILITY NAME (1)DOCKET NUHBER (2)LER NUHBER (6)YEAR'EQUENTIAL REVISION PAGE (3)R.E.Ginna Nuclear Power'Plant 05000244 94 010 00 7 OF 10 TEXT (If more space is required, use additional copies of HRC Form 366A)(17)An assessment was performed considering both the safety consequences and implications of this event with the following results and conclusions:
Thus,thetriplogicforcircuitbreaker12BXwasmadeupwhenthesynchswitchwasinthe"Off"positionassoonasbreaker12AXclosed,causingbreaker12BXtotripperdesign.Afterfurtherinvestigation, itwasdiscovered thatthissameincorrect interpretation ofswitchcontactstatuswasmadeforcircuitbreakers12AX,12AY,and12BY.Therewereatotalofeightdefective procedures, onepreventive andonecorrective maintenance procedure foreachofthefourcircuitbreakers.
o All reactor control and protection systems performed as designed.o Circuit breaker 12BX operated as designed and tripped when it received a valid trip signal.o The"B" Emergency D/G operated as designed by starting and supplying emergency power to safeguards buses 16 and 17.o Circuit 767 was still in operation supplying power to the"A" train safeguards buses;subsequently Circuit 751 was lined up to supply power to the"B" train safeguards buses as permitted by plant technical specifications.
ThiseventisNUREG-1022 CauseCode(D),Defective Procedure.
o Radiation monitors R-12A and R-14A are redundant to monitors R-12 and R-14.R-12 and R-14 remained operable during this event.o Loss of radiation monitors R-31 and R-32 is compensated for by local monitoring of steam line radiation, which would be performed by plant personnel, as specified in emergency operating procedures.
ThislossofpowermeetstheNUMARC93-01,"Industry Gui'deline forMonitoring theEffectiveness ofMaintenance atNuclearPowerPlants",definition ofa"Maintenance Preventable Functional Failure".
Based on the above, it can be concluded that the public's health and safety wa's assured at all times.V.CORRECTIVE ACTION A.ACTION TAKEN TO RETURN AFFECTED SYSTEMS TO PRE-EVENT NORMAL STATUS: o Safeguards buses 16 and 17 normal power supplies were restored via Circuit 751, and the"B" Emergency D/G was stopped and aligned for auto standby.o Circuit breaker 12BX was cycled to confirm that the breaker responded as designed.o The RCT-1 radiation monitor terminal and associated channels R-12A, R-14A, R-31, and R-32 were reprogrammed and declared operable.HRC FORH 366A (5-92)
IV.ANALYSISOFEVENT:Thiseventisreportable inaccordance with10CFR50.73,LicenseeEventReportSystem,item(a)(2)(iv),whichrequiresareportof,"anyeventorcondition thatresultedinamanualorautomatic actuation ofanyengineered safetyfeature(ESF),including thereactorprotection system(RPS)",inthatthestartingofthe"B"Emergency D/Gwasanautomatic actuation ofanESFsystem.HRCFORM366A(5-92)
NRC FORH 366A (5-92)U.S.NUCLEAR REGULATORY COHHISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OHB NO.3150-0104 EXP I RES 5/31/95 ESTIHATED BURDEN PER RESPOHSE TO COHPLY MITH THIS INFORHATION COLLECTIOH REQUEST: 50.0 HRS.FORHARD COHHENTS REGARDING BURDEN ESTIHATE TO THE INFORHATIOH AND RECORDS HANAGEHEHT BRANCH (HNBB 7714), U.S.NUCLEAR REGULATORY COHHISSION, HASHINGTOH, DC 20555-0001 AND TO THE PAPERHORK REDUCTION PROJECT (3180-0104), OFFICE OF HANAGEHENT AND BUDGET MASHINGTON DC 20503.FACILITY NAHE (1)R.E.Ginna Nuclear Power Plant DOCKET NUHBER (2)05000244 LER NUHBER (6)YEAR SEQUENTIAL 94--010--REVISION 00 PAGE (3)8 OF 10 TEXT (If more space is required, use additional copies of HRC Form 366A)(17)B.ACTION TAKEN OR PLANNED TO PREVENT RECURRENCE:
NRCFORH366A(5-92)UPS.NUCLEARREGULATORY COHHISSION LICENSEEEVENTREPORT(LER)TEXTCONTINUATION APPROVEDBYOHBNO.3150-0104 EXPIRES5/31/95ESTIHATED BURDENPERRESPONSETOCOHPLYWITHTHISINFORMATION COLLECTION REQUEST:50.0HRS.FORWARDCOHHENTSREGARDING BURDENESTIMATETOTHEINFORMATION ANDRECORDSMAHAGEHEHT BRANCH(HHBB7714),U.STNUCLEARREGULATORY COHHISSION, WASHINGTOH, DC20555-0001 AHDTOTHEPAPERWORK REDUCTION PROJECT(3140-0104),
o All Corrective Maintenance Electrical (CME), Preventive Maintenance Electrical (PME), and Protective Relay (PRI)procedures associated with Powell circuit breakers were quarantined.
OFFICEOFHANAGEHENT ANDBUDGETWASHINGTON DC20503.FACILITYNAME(1)DOCKETNUHBER(2)LERNUHBER(6)YEAR'EQUENTIAL REVISIONPAGE(3)R.E.GinnaNuclearPower'Plant0500024494010007OF10TEXT(Ifmorespaceisrequired, useadditional copiesofHRCForm366A)(17)Anassessment wasperformed considering boththesafetyconsequences andimplications ofthiseventwiththefollowing resultsandconclusions:
This included PME-50-04-52/12AX and the seven other procedures for circuit breakers 12AX, 12AY, 12BX, and 12BY.o The quarantined procedures will be reviewed against the EWDs and drawing conventions to determine if any other errors in interpretation of switch contact status were made during procedure development.
oAllreactorcontrolandprotection systemsperformed asdesigned.
Quarantined procedures that are found to be in error will be revised.o A Training Work Request (TWR)has been submitted to incorporate details of this event during Industry Events training, emphasize event details during maintenance training on Preferred Power Sources, and reinforce the requirement to use switch development information during training on EWDs.o Electrical Engineering has evaluated the design of the offsite power configuration, and has recommended a method to avoid 4160 Volt circuit breaker trips during breaker testing.o The causes and effects of loss of power to the RCT-1 radiation monitor terminal will be reviewed, to determine the need for changes in design or maintenance of the system.HRC FORH 366A (5-92)
oCircuitbreaker12BXoperatedasdesignedandtrippedwhenitreceivedavalidtripsignal.oThe"B"Emergency D/Goperatedasdesignedbystartingandsupplying emergency powertosafeguards buses16and17.oCircuit767wasstillinoperation supplying powertothe"A"trainsafeguards buses;subsequently Circuit751waslineduptosupplypowertothe"B"trainsafeguards busesaspermitted byplanttechnical specifications.
NRC FORH 366A (5-92)U.S.NUCLEAR REGULATORY COHHISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OHB NO.3150.0104 EXP I RES 5/31/95 l ESTIHATED BURDEN PER RESPONSE TO COHPLY WITH THIS IHFORHATION COLLECTIOH REQUEST: 50.0 HRS~FORWARD COHHENTS REGARDING BURDEN ESTIHATE TO THE INFORHATION AND RECORDS HANAGEHENT BRANCH (HNBB 7714), U.S.NUCLEAR REGULATORY COHHISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140 0104), OFFICE OF HANAGEHENT AND BUDGET WASHINGTON DC 20503.FACILITY NAHE (1)R.E.Ginna Nuclear Power Plant DOCKET NUHBER (2)05000244 YEAR 010--00 LER NUHBER (6)SEQUENTIAL REVISION PAGE (3)9 OF 10 TEXT (If more space is required, use additional copies of NRC Form 366A)(17)VI.ADDITIONAL INFORMATION A.FAILED COMPONENTS:
oRadiation monitorsR-12AandR-14Aareredundant tomonitorsR-12andR-14.R-12andR-14remainedoperableduringthisevent.oLossofradiation monitorsR-31andR-32iscompensated forbylocalmonitoring ofsteamlineradiation, whichwouldbeperformed byplantpersonnel, asspecified inemergency operating procedures.
None B.PREVIOUS LERs ON SIMILAR EVENTS: A similar LER event historical search was conducted with the following results: No documentation of similar LER events with the'same root cause at Ginna Nuclear Power Plant could be iden-tified.However, LERs 91-002 and 92-007 were similar events (start of a D/G due to loss of 4160 Volt bus or offsite power)with different root causes.C.SPECIAL COMMENTS: None NRC FORM 366A (5-92)
Basedontheabove,itcanbeconcluded thatthepublic'shealthandsafetywa'sassuredatalltimes.V.CORRECTIVE ACTIONA.ACTIONTAKENTORETURNAFFECTEDSYSTEMSTOPRE-EVENT NORMALSTATUS:oSafeguards buses16and17normalpowersupplieswererestoredviaCircuit751,andthe"B"Emergency D/Gwasstoppedandalignedforautostandby.oCircuitbreaker12BXwascycledtoconfirmthatthebreakerresponded asdesigned.
NRC FORN 366A (5-92)U.S.NUCLEAR REGULATORY CONNISSION L1CENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVEO BY ONB NO.3150.0104 EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY MITH THIS INFORHATION COLLECTION REQUEST: 50.0 HRS.FORMARD COHHENTS REGARDING BURDEN ESTINATE TO THE INFORNATIOH AHD RECORDS IIANAGEHENT BRANCH (NHBB 7714)1 U.S.NUCLEAR REGULATORY CONHISSIONI MASHINGTON, DC 20555-0001 AND.TO THE PAPERMORK REDUCTIOH PROJECT (3140.0104)1 OFFICE OF HANAGENENT AND BUDGET MASHINGTON DC 20503.FACILITY NAHE (1)R.E.Ginna Nuclear Power Plant DOCKET NUHBER (2)YEAR 05000244 94 PAGE (3)010 pp 10 OF 10'ER NUHBER (6 SEQUENT IAL REVISION TEXT (If more space is required, use additional copies of NRC Form 366A)(17)51AIION 114 N N$4 5<V IIWtI+XN UNC 5141ltW tll N 74142 52/ION2 7511$$2/75112 74741 74 AV OIIS 1 51A Wl NOICNtNNN 12$$4$N 41N~INV<tttICO I 2$>75111 CI NC$4 AV NIS I SIA AIN<<WONfOSCN 114$4&i~IN~IN<<<ttt>>OO I 2A>~tSO/1 Sl/IC 115<St/tt5$/2 I tll NC~ttl/4$1/IC 1151 S2/tt5A/5 11>I NO 41 I Ol/N/212$/I~11$CANON OttONICN OI/Ntttl tt/IS CANON ONCANCN St/N7511$/1$1755 IC St/OV512$/I I 1555 IC 52/S7$12$/2$~ISO NO Sl/OIISI 24/12$2/Stlt Ill/I 5~IAW IC 1155 IC S2/Otlll ll/14 1555 SIAIXNI 501VICC WNICAAXN 17 41N<tASNSNI I>~IAIXN 5CNVICC 41~CI<<tAAOSN I 4>>0 41 II~IO 41NV Ill 5IAlXN SCNVCC WNIISWhCN 14~IN NW<tl>O5541 I>SIAISIN 5OIVICC\CNOINNN IO~IN<t<SNSIOIS>
oTheRCT-1radiation monitorterminalandassociated channelsR-12A,R-14A,R-31,andR-32werereprogrammed anddeclaredoperable.
52/NISI I/I I~1$IC NOIC: NOS~ONtNIXN NNCN INNI ONC$2$7$144$Sl/Otlt I 4/I SO I~NC St/NIS IO/I IC COI~I NO 52/Still</I SC CCIAI NO$2/WSI I/2$$17 I<IS C<<>>NINIOO~ItOOI I O Sl/CO I Ol IC St/XIII I/1$C COIN NO 52/OIO I 5/2 IC CO lit NO NIXO IA~2/NIS I 5/21$1$IC HRC FORN 366A (5-92)}}
HRCFORH366A(5-92)
NRCFORH366A(5-92)U.S.NUCLEARREGULATORY COHHISSION LICENSEEEVENTREPORT(LER)TEXTCONTINUATION APPROVEDBYOHBNO.3150-0104 EXPIRES5/31/95ESTIHATED BURDENPERRESPOHSETOCOHPLYMITHTHISINFORHATION COLLECTIOH REQUEST:50.0HRS.FORHARDCOHHENTSREGARDING BURDENESTIHATETOTHEINFORHATIOH ANDRECORDSHANAGEHEHT BRANCH(HNBB7714),U.S.NUCLEARREGULATORY COHHISSION, HASHINGTOH, DC20555-0001 ANDTOTHEPAPERHORK REDUCTION PROJECT(3180-0104),
OFFICEOFHANAGEHENT ANDBUDGETMASHINGTON DC20503.FACILITYNAHE(1)R.E.GinnaNuclearPowerPlantDOCKETNUHBER(2)05000244LERNUHBER(6)YEARSEQUENTIAL 94--010--REVISION00PAGE(3)8OF10TEXT(Ifmorespaceisrequired, useadditional copiesofHRCForm366A)(17)B.ACTIONTAKENORPLANNEDTOPREVENTRECURRENCE:
oAllCorrective Maintenance Electrical (CME),Preventive Maintenance Electrical (PME),andProtective Relay(PRI)procedures associated withPowellcircuitbreakerswerequarantined.
ThisincludedPME-50-04-52/12AX andthesevenotherprocedures forcircuitbreakers12AX,12AY,12BX,and12BY.oThequarantined procedures willbereviewedagainsttheEWDsanddrawingconventions todetermine ifanyothererrorsininterpretation ofswitchcontactstatusweremadeduringprocedure development.
Quarantined procedures thatarefoundtobeinerrorwillberevised.oATrainingWorkRequest(TWR)hasbeensubmitted toincorporate detailsofthiseventduringIndustryEventstraining, emphasize eventdetailsduringmaintenance trainingonPreferred PowerSources,andreinforce therequirement touseswitchdevelopment information duringtrainingonEWDs.oElectrical Engineering hasevaluated thedesignoftheoffsitepowerconfiguration, andhasrecommended amethodtoavoid4160Voltcircuitbreakertripsduringbreakertesting.oThecausesandeffectsoflossofpowertotheRCT-1radiation monitorterminalwillbereviewed, todetermine theneedforchangesindesignormaintenance ofthesystem.HRCFORH366A(5-92)
NRCFORH366A(5-92)U.S.NUCLEARREGULATORY COHHISSION LICENSEEEVENTREPORT(LER)TEXTCONTINUATION APPROVEDBYOHBNO.3150.0104 EXPIRES5/31/95lESTIHATED BURDENPERRESPONSETOCOHPLYWITHTHISIHFORHATION COLLECTIOH REQUEST:50.0HRS~FORWARDCOHHENTSREGARDING BURDENESTIHATETOTHEINFORHATION ANDRECORDSHANAGEHENT BRANCH(HNBB7714),U.S.NUCLEARREGULATORY COHHISSION, WASHINGTON, DC20555-0001 ANDTOTHEPAPERWORK REDUCTION PROJECT(31400104),OFFICEOFHANAGEHENT ANDBUDGETWASHINGTON DC20503.FACILITYNAHE(1)R.E.GinnaNuclearPowerPlantDOCKETNUHBER(2)05000244YEAR010--00LERNUHBER(6)SEQUENTIAL REVISIONPAGE(3)9OF10TEXT(Ifmorespaceisrequired, useadditional copiesofNRCForm366A)(17)VI.ADDITIONAL INFORMATION A.FAILEDCOMPONENTS:
NoneB.PREVIOUSLERsONSIMILAREVENTS:AsimilarLEReventhistorical searchwasconducted withthefollowing results:Nodocumentation ofsimilarLEReventswiththe'samerootcauseatGinnaNuclearPowerPlantcouldbeiden-tified.However,LERs91-002and92-007weresimilarevents(startofaD/Gduetolossof4160Voltbusoroffsitepower)withdifferent rootcauses.C.SPECIALCOMMENTS:
NoneNRCFORM366A(5-92)
NRCFORN366A(5-92)U.S.NUCLEARREGULATORY CONNISSION L1CENSEEEVENTREPORT(LER)TEXTCONTINUATION APPROVEOBYONBNO.3150.0104 EXPIRES5/31/95ESTIHATED BURDENPERRESPONSETOCOHPLYMITHTHISINFORHATION COLLECTION REQUEST:50.0HRS.FORMARDCOHHENTSREGARDING BURDENESTINATETOTHEINFORNATIOH AHDRECORDSIIANAGEHENT BRANCH(NHBB7714)1U.S.NUCLEARREGULATORY CONHISSIONI MASHINGTON, DC20555-0001 AND.TOTHEPAPERMORK REDUCTIOH PROJECT(3140.0104)1 OFFICEOFHANAGENENT ANDBUDGETMASHINGTON DC20503.FACILITYNAHE(1)R.E.GinnaNuclearPowerPlantDOCKETNUHBER(2)YEAR0500024494PAGE(3)010pp10OF10'ERNUHBER(6SEQUENTIALREVISIONTEXT(Ifmorespaceisrequired, useadditional copiesofNRCForm366A)(17)51AIION114NN$45<VIIWtI+XNUNC5141ltWtllN7414252/ION27511$$2/751127474174AVOIIS151AWlNOICNtNNN 12$$4$N41N~INV<tttICOI2$>75111CINC$4AVNISISIAAIN<<WONfOSCN 114$4&i~IN~IN<<<ttt>>OOI2A>~tSO/1Sl/IC115<St/tt5$/2ItllNC~ttl/4$1/IC1151S2/tt5A/511>INO41IOl/N/212$/I~11$CANONOttONICNOI/Ntttltt/ISCANONONCANCNSt/N7511$/1$1755ICSt/OV512$/II1555IC52/S7$12$/2$~ISONOSl/OIISI24/12$2/StltIll/I5~IAWIC1155ICS2/Otlllll/141555SIAIXNI501VICCWNICAAXN1741N<tASNSNII>~IAIXN5CNVICC41~CI<<tAAOSNI4>>041II~IO41NVIll5IAlXNSCNVCCWNIISWhCN 14~INNW<tl>O5541 I>SIAISIN5OIVICC\CNOINNNIO~IN<t<SNSIOIS>
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Revision as of 13:01, 7 July 2018

LER 94-010-00:on 940916,volt Bus 12B Inadvertenly Tripped. Caused by Defective Procedure.Normal Power Supplies Restored & B Emergency Diesel Generator Stopped & Aligned for Auto standby.W/941017 Ltr
ML17263A811
Person / Time
Site: Ginna Constellation icon.png
Issue date: 10/17/1994
From: MECREDY R C, ST MARTIN J T
ROCHESTER GAS & ELECTRIC CORP.
To: JOHNSON A R
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM), Office of Nuclear Reactor Regulation
References
LER-94-010, LER-94-10, NUDOCS 9410270363
Download: ML17263A811 (17)


Text

F'RIORIY'Y IACCELER.ATED RIDS PROC!%SIX REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)ACCESSION NBR:9410270363 DOC.DATE: 94/10/17 NOTARIZED:

NO FACIL:50-244 Robert Emmet Ginna Nuclear Plant, Unit 1, Rochester G AUTH.NAME AUTHOR AFFILIATION ST MARTIN,J.T.

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

Rochester Gas&Electric Corp.RECIP.NAME RECIPIENT AFFILIATION DOCKET N 05000244

SUBJECT:

LER 94-010-00:on 940916,volt bus 12B inadvertenly tripped.Caused by defective procedure.

Normal power supple.es restored&"B" emeregency diesel generator stopped&aligned for auto standby.W/941017 ltr.DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE: TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.NOTES:License Exp date in accordance with 10CFR2,2.109(9/19/72).

05000244 RECIPIENT ID CODE/NAME PD1-3 PD INTERNAL AEOD/~GAB/DSQ XHXF~02 NRR/DE/EMEB NRR/DRCH/HHFB NRR/DRCH/HOLB NRR/DSSA/SPLB NRR/PMAS/IRCB-E RGN1 FILE 01 EXTERNAL: EG&G BRYCE,J.H NOAC MURPHY 1 G A NRC PDR COPIES LTTR ENCL 1 1 2 2 1 1 l.1 1 1 1 1 1 1 1 1 1 1 2 2 1 1 1 1 RECIPIENT ID CODE/NAME JOHNSON,A AEOD/SPD/RRAB NRR/DE/EELB NRR/DORS/OEAB NRR/DRCH/HICB NRR/DRSS/PRPB NRR/DSSA/SRXB RES/DSIR/EIB L ST LOBBY WARD NOAC POORE,W.NUDOCS FULL TXT COPIES LTTR ENCL 1 1 1 1 1 1'1 1 1 2 2 1 1 1 1 1 1 1 1 1 1 N VOTE TO ALL"Rl DS" RECIPIENTS:

PLEASE HELP L!S TO REDUCE iVASTE!CONTACTTIIE DOCL'iIEiTCOiTROL DESK, ROOXI PI-37 (EXT, 504-2033)TO ELIilliATE VOL'R RAMIE PROil DISTRIBL'TIOi LIS'I'S I'OR DOCL'iIEi'I'S 5'OL'Oi"I'L'I'.I)!

FULL TEXT CONVERSXON REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 26 ENCL 26

'

r 10ec StAIC ROCHESTER GAS AND ELECTRIC CORPORATION

~89 EAST AVENUE, ROCHESTER N.Y.f4649-000f ROBERT C.MECREDY Vice President Ginned Nuclear Production TELEPHOME AAEA CQM 716 546 2700 October 17, 1994 UPS.Nuclear Regulatory Commission Document Control Desk Attn: Allen R.Johnson PWR Project Directorate I-3 Washington, D.C.20555

Subject:

LER 94-010, Loss of 4160 Volt Bus 12B, Due to Defective Procedure, Results in Automatic Start of"B" Emergency Diesel Generator R.E.Ginna Nuclear Power Plant Docket No.50-244 In accordance with 10 CFR 50.73, Licensee Event Report System, item (a)(2)(iv), which requires a report of,"any event or condition that resulted in a manual or"automatic actuation of any engineered safety feature (ESF), including the reactor protection system (RPS)", the attached Licensee Event Report LER 94-010 is hereby submitted.

This event has in no way affected the public's health and safety.Very truly yours, Robert C.Mecredy xc: U.S.Nuclear Regulatory Commission Region I 475 Allendale Road King of Prussia, PA 19406 Ginna USNRC Senior Resident Inspector 9410270363 941017 PDR ADOCK 05000244 S PDR NRC FORH 366 (5-92)U.S.NUCLEAR REGULATORY COHHISSION APPROVED BY OHB NO.3150~0104 EXPIRES 5/31/95 LICENSEE EVENT REPORT (LER)(See reverse for required number of digits/characters for each block)ESTIHATED BURDEN PER RESPONSE TO COHPLY HITH THIS IHFORHATION COLLECTION REQUEST: 50.0 HRS.FORHARD COMMENTS REGARDIHG BURDEN ESTIHATE TO THE INFORMATION AND RECORDS HANAGEMENT BRANCH (HNBB 7714), U.ST NUCLEAR REGULATORY COHHISSION

~llASHIHGTON, DC 20555-0001, AND TO THE PAPERNORK REDUCTION PROJECT (3150-0104), OFFICE OF HANAGEMENT AND BUDGET WASHINGTON DC 20503.FACILITY NAME (1)R.E.Ginna Nuclear Power Plant DOCKET NUHBER (2)05000244 PAGE (3)10F 10-TITLE (4)Loss of 4160 Volt Bus 12B, Due to Defective Procedure, Results in Automatic Start of"B" Emergency Diesel Generator MONTH 09 DAY YEAR 16 94 EVENT DATE (5)YEAR 94 LER NUHBER (6)SEQUENTIAL HUHBER--010--REVISION NUHBER MONTH 00 10 DAY YEAR 17 94 REPORT DATE (7)FACILITY HAHE FACILITY HAHE DOCKET NUHBER DOCKET HUHBER OTHER FACILITIES INVOLVED (8)OPERATING HODE (9)N THIS REPORT IS SUBHITTED PURSUANT 20.402(b)e)(11)TO THE RE UIREHENTS OF 10 CFR 5: (Check one or mor 73.71(b)50.73(a)(2)(iv) 20.405(c)PNER LEVEL (10)20.405(a)(1)(i)20.405(a)(1)(ii) 20.405(a)(1)(iii) 20'05(a)(1)(iv) 20.405(a)(1)(v) 50.36(c)(1) 50.36(c)(2) 50.73(a)(2)(i) 50.73(a)(2)(ii) 50.73(a)(2)(III)

LICENSEE CONTACT FOR THIS LER (12)50.73(a)(2)(v) 50'3(a)(2)(vii) 50.73(a)(2)(viii)(A) 50~73(a)(2)(vi i i)(0)50.73(a)(2)(x) 73.71 (c)OTHER (Specify in Abstract below and in Text, NRC Form 366A)NAME John T.St.Martin-Director, Operating Experience TELEPHONE HUHBER (Include Area Code)(315)524-4446 COMPLETE ONE LINE FOR EACH COHPONENT FAILURE DESCRIBED IN THIS REPORT (13)CAUSE SYSTEH COHPONENT HANUFACTURER REPORTABLE TO HPRDS CAUSE SYSTEM COHPONENT HANUFACTURER REPORTABLE TO NPRDS SUPPLEHENTAL REPORT EXPECTED (14)YES (lf yes, complete EXPECTED SUBHISSION DATE).X NO EXPECTED SUBHISS ION DATE (15)HOHTH DAY YEAR ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines)(16)On September 16, 1994, at approximately 1018 EDST, with the reactor at approximately 98%steady state power, the 4160 Volt circuit breaker that was supplying power to 4160 Volt bus 12B was inadvertently tripped.This resulted in deenergization of bus 12B and momentary loss of power to uBn train 480 Volt safeguards buses 16 and 17.The nBn Emergency Diesel Generator started and reenergized buses 16 and 17, as per design.The underlying cause of the inadvertent circuit breaker trip was a defective procedure.

This event is NUREG-1022 Cause Code (D).Corrective action to preclude repetition is outlined in Section V.B.HRC FORM 366 (5-92)

NRC FORH 366A (5-92)U.S.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OMB NO.3150.0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY'NITN THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORMARD COMHENTS REGARDING BURDEN ESTIHATE TO THE INFORMATION AND RECORDS HANAGEHENT BRANCH (MNBB 7T14), U.S.NUCLEAR REGULATORY COHHISSION, llASNINGTON, DC 20555 0001 AND TO THE PAPERISRK REDUCTION PROJECT (3140.0104), OFFICE OF MANAGEMENT AND BUDGET llASHINGTON DC 20503.FACILITY NAME (1)DOCKET NUMBER (2)LER NUMBER (6)YEAR SEQUENT IAL REVISION PAGE (3)R.E.Ginna Nuclear Power Plant 05000244 94 010 00 2 OF 10 TEXT (If more space is required, use additional copies of NRC Form 366A)(17)PRE-EVENT PLANT CONDITIONS The plant was at approximately 98%steady state reactor power, with no major operational activities in progress.All offsite power to 4160 Volt buses 12A and 12B was being supplied from Circuit 767 (34.5 KV offsite power source).Circuit 767 was supplying power through 34.5 KV to 4160 Volt transformer 12B (12B transformer), via 4160 Volt circuit breakers 52/12BY (to bus 12A)and 52/12BX (to bus 12B).(See the attached sketch of the offsite power distribution system.)34.5 KV to 4160 Volt transformer 12A (12A transformer), which is.supplied from Circuit 751 (34.5 KV offsite power source), was deenergized and declared inoperable to permit previously scheduled maintenance and testing of the 12A transformer and associated circuit breakers.At the time of this event, trip testing was in progress on 4160 Volt circuit breaker 52/12AX (alternate power supply from the 12A transformer to bus 12B), in accordance with Maintenance Procedure PME-50-04-52/12AX,"Bus 12B Alternate Power Source." Plant electricians had just notified the Control Room operators that circuit breaker 12AX would be closed while in the"test" position.II.DESCRIPTION OF EVENT A.DATES AND APPROXIMATE TIMES OF MAJOR OCCURRENCES:

o September 16, 1994, 1018 EDST: Event date and time.o September 16, 1994, 1018 EDST: Discovery date and time.o September 16, 1994, 1018 EDST: Control Room operators verify the"B" Emergency Diesel Generator (D/G)operation and safeguards buses 16 and 17 energized.

o September 16, 1994, 1120 EDST: Circuit 751 declared operable at the completion of maintenance and testing.o September 16, 1994, 1125 EDST: Safeguards buses 16 and 17 were resupplied from Circuit 751.o September 16, 1994, 1142 EDST: The"B" Emergency D/G was stopped and realigned for auto standby.NRC FORM 366A (5-92)

NRC FORM 366A (5-92)U.S.NKLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OMB NO.3150-0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY lllTH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE IHFORHATION AND RECORDS HANAGEMENT BRANCH (MNBB 7714), U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140.0104), OFFICE OF HANAGEHENT AND BUDGET WASHINGTON DC 20503.FACILITY NAME (1)R.E.Ginna Nuclear Power Plant DOCKET NUMBER (2)05000244 LER NUMBER (6)YEAR SEQUENTIAL 94--010--REVISION 00 PAGE (3)3 OF 10 TEXT (If more space is required, use additional copies of NRC Form 366A)(17)B.EVENT: On September 16, 1994, at approximately 1018 EDST, with the reactor at approximately 98~steady state full power, the Control Room received numerous annunciator alarms.The Control Room operators immediately determined that 4160 Volt bus 12B was deenergized, that"B" train 480 Volt safeguards buses 16 and 17 had lost their power supply from bus 12B, and that the"B" Emergency D/G had started and was tied to safeguards buses 16 and 17.The Control Room operators immediately performed the appropriate actions of Abnormal Procedure AP-ELEC.1 (Loss of 12A And/Or 12B Transformer) to stabilize the plant, and verified that the"B" Emergency D/G was operating properly and that safeguards buses 16 and 17 were energized.

The Control Room operators observed that bus 12B had deenergized and displayed zero (0)voltage, because the circuit breaker supplying power to bus 12B had tripped.The loss of power to bus 12B resulted in undervoltage on safeguards'buses 16 and 17, and the"B" Emergency D/G started and reenergized these buses, as per design.When the scheduled maintenance and testing was completed on the 12A transformer and associated breakers, the Control Room operators cleared the holds on Circuit 751 and th'e 12A transformer.

A switching order was used to restore Circuit 751, 12A transformer, and associated breakers to operable status.34.5 KV circuit breaker 75112 was closed, energizing the 12A transformer.

The Control Room operators directed plant electricians to investigate the failure, and there were no anomalies noted.At approximately 1120 EDST, using Equipment Restoration procedure ER-ELEC.1 (Restoration of Offsite Power), the Control Room operators closed circuit breaker 12AX, energizing bus 12B from the 12A transformer.

At approximately 1125 EDST,"B" train safeguards buses 16 and 17 were resupplied by offsite power, via Circuit 751't approximately 1142 EDST, September 16, 1994, the"B" Emergency D/G was stopped and realigned for auto standby.NRC FORM 366A (5-92),

NRC FORM 366A (5-92)U.S.NUCLEAR REGULATORY COHHISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OHB NO.3150~0104 EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPOHSE TO COHPLY WITH THIS INFORHAT ION COLLECTION REQUEST: 50.0 HRS.FORWARD COMHENTS REGARDING BURDEN ESTIMATE TO THE INFORHATION AND RECORDS HANAGEHENT BRANCH (HNBB 7714), U.S.NUCLEAR REGULATORY COMHISSION, WASHIHGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.FACILITY NAHE (1)R.E.Ginna Nuclear Power Plant DOCKET NUHBER (2)05000244 YEAR 010 00 LER NUMBER (6)SEOUENTIAL REVISION PAGE (3)4 OF 10 TEXT (tf more space is required, use additional copies of NRC Form 366A)(17)C.I NOPERABLE STRUCTURES i COMPONENTS i OR SYSTEMS THAT CONTR I BUTED TO THE EVENT: Circuit 751 was inoperable for scheduled maintenance of the 12A transformer, beginning at approximately 0717 EDST on September 15, 1994, and was restored to service at approximately 1120 EDST on September 16, 1994..D.OTHER SYSTEMS OR SECONDARY FUNCTIONS AFFECTED: The momentary loss of power caused a loss of program memory for radiation monitor terminal RCT-1 and associated channels R-12A (Containment ventilation effluent), R-14A (Plant ventilation ef fluent), R-31 (>>A>>steam line monitor), and R-32 (B>>steam line monitor).E.METHOD OF DISCOVERY:

This event was immediately apparent due to Main Control Board alarms and indications in the Control Room when bus 12B was deenergized.

These included Main Control Board annunciators J-5 (gll or gl2 Transformer Out of Synch), J-6 (4KV Main or Tie Breaker Trip), J-7 (480 V Main or Tie Breaker Trip), J-8 (480V MCC Supply Breaker Trip), and L-28 (12B XFMR or 12B Bus Trouble).F.OPERATOR ACTION: Following the undervoltage condition on buses 16 and 17, the>>B>>Emergency D/G automatically started and energized these buses.The Control Room operators immediately performed the appropriate actions and verified that the>>B>>Emergency D/G was operating properly, and that safeguards buses 16 and 17 were energized.'he Control Room operators cleared the holds on Circuit 751, restored offsite power to buses 16 and 17, stopped the>>B>>Emergency D/G, and realigned it for auto standby.HRC FORM 366A (5-92)

N NRC FORH 366A (5-92)U.S.NUCLEAR REGULATORY COHHISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OHB NO.3150.0104 EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY WITH THIS INFORHATION COLLECTIOH REQUEST: 50.0 HRS.FORWARD COHHEHTS REGARDIHG BURDEN ESTIMATE TO THE INFORHATION.AHD RECORDS HANAGEMEHT BRANCH (MNBB 7714), U.S.NUCLEAR REGULATORY COHHISSIOH

~'WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3110.0104), OFF ICE OF MAHAGEHEHT AHD BUDGET WASHINGTON DC 20503.FACILITY NAHE (1)R.E.Ginna Nuclear Power Plant DOCKET NUHBER (2)05000244 YEAR 94 010 00 LER NUHBER (6)SEQUENTIAL REVISION PAGE (3)5 OF 10 TEXT (If more space is required, use additionaI copies of HRC Form 366A)(17)At approximately 1354 EDST on September 16, 1994, the Shift Supervisor notified the NRC per 10 CFR 50.72 (b)(2)(ii).,SAFETY SYSTEM RESPONSES:

The>>B>>Emergency D/G automatically started due to the undervoltage condition on buses 16 and 17, displayed proper voltage and frequency and closed into safeguards buses 16 and 17 to supply emergency power.III.CAUSE OF EVENT IMMEDIATE CAUSE: The automatic actuation of the.>>B>>Emergency D/G was due to undervoltage on safeguards buses 16 and 17.B.INTERMEDIATE CAUSE: The undervoltage on safeguards buses 16 and 17 was due to bus 12B being deenergized when circuit breaker 12BX tripped due to an electrical interlock.

C.ROOT CAUSE: The underlying cause of the tripping of circuit breaker 12BX was a defective procedure.

During development of this procedure (PME-50-04-52/12AX), the switch development of an elementary wiring diagram (EWD)was not used as a reference in determining post-maintenance operability testing.The procedure is for preventive maintenance of Model P-51000 POWL-VAC metal-clad switchgear, manufactured by Powell Electrical Mfg.Co.There is a normally open>>s>>contact (52S/12AX) in the trip circuit for breaker 12BX that comes from breaker 12AX, to prevent both 4160 Volt circuit breakers (12AX and 12BX)from being closed simultaneously.

Contact 52S/12AX is located in the mechanism-operated cell (MOC)switch of these'ircuit breakers.These>>s>>contacts change state with movement of the breaker mechanism.

Technical reviewers incorrectly assumed that the cell switch would not function when in"test", and therefore concluded that with breaker 12AX in"test", contact 52S/12AX would not close.NRC FORM 366A (5-92)

NRC FORM 366A (5-92)U.S.NUCLEAR REGULATORY COHHISSIOH LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OHB NO.3150-0104 EXP I RES 5/31/95 EST IHATED BURDEN PER RESPONSE TO COHPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORWARD COHHEHTS REGARD IHG BURDEN ESTIMATE TO THE INFORMATION AHD RECORDS HAHAGEMENT BRANCH (MNBB 7714), U.ST NUCLEAR REGULATORY COHHISSIOH, WASHINGTON, DC 20555-0001 AHD TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF MANAGEMENT AND BUDGET'WASHIHGTON DC 20503.FACILITY NAHE (1)R.E.Ginna Nuclear Power Plant DOCKET NUMBER (2)YEAR 05000244 94 LER NUHBER (6)SEQUENTIAL

--010--REVISION PAGE 3)pp 6 OF 10~y TEXT (If more space is required, use additional copies of HRC Form 366A)(17)There is another contact in series with the 52S/12AX contact that operates from the synchronizing switch for the circuit breaker.This contact is closed when the synch switch is in the"Off" position.When reviewing the EWD, technical reviewers misinterpreted the function of this contact, and assumed that the contact was closed when the synch switch was in the"On" position.Thus, the trip logic for circuit breaker 12BX was made up when the synch switch was in the"Off" position as soon as breaker 12AX closed, causing breaker 12BX to trip per design.After further investigation, it was discovered that this same incorrect interpretation of switch contact status was made for circuit breakers 12AX, 12AY, and 12BY.There were a total of eight defective procedures, one preventive and one corrective maintenance procedure for each of the four circuit breakers.This event is NUREG-1022 Cause Code (D), Defective Procedure.

This loss of power meets the NUMARC 93-01,"Industry Gui'deline for Monitoring the Effectiveness of Maintenance at Nuclear Power Plants", definition of a"Maintenance Preventable Functional Failure".IV.ANALYSIS OF EVENT: This event is reportable in accordance with 10 CFR 50.73, Licensee Event Report System, item (a)(2)(iv), which requires a report of,"any event or condition that resulted in a manual or automatic actuation of any engineered safety feature (ESF), including the reactor protection system (RPS)", in that the starting of the"B" Emergency D/G was an automatic actuation of an ESF system.HRC FORM 366A (5-92)

NRC FORH 366A (5-92)UPS.NUCLEAR REGULATORY COHHISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OHB NO.3150-0104 EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORWARD COHHENTS REGARDING BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MAHAGEHEHT BRANCH (HHBB 7714), U.ST NUCLEAR REGULATORY COHHISSION, WASHINGTOH, DC 20555-0001 AHD TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF HANAGEHENT AND BUDGET WASHINGTON DC 20503.FACILITY NAME (1)DOCKET NUHBER (2)LER NUHBER (6)YEAR'EQUENTIAL REVISION PAGE (3)R.E.Ginna Nuclear Power'Plant 05000244 94 010 00 7 OF 10 TEXT (If more space is required, use additional copies of HRC Form 366A)(17)An assessment was performed considering both the safety consequences and implications of this event with the following results and conclusions:

o All reactor control and protection systems performed as designed.o Circuit breaker 12BX operated as designed and tripped when it received a valid trip signal.o The"B" Emergency D/G operated as designed by starting and supplying emergency power to safeguards buses 16 and 17.o Circuit 767 was still in operation supplying power to the"A" train safeguards buses;subsequently Circuit 751 was lined up to supply power to the"B" train safeguards buses as permitted by plant technical specifications.

o Radiation monitors R-12A and R-14A are redundant to monitors R-12 and R-14.R-12 and R-14 remained operable during this event.o Loss of radiation monitors R-31 and R-32 is compensated for by local monitoring of steam line radiation, which would be performed by plant personnel, as specified in emergency operating procedures.

Based on the above, it can be concluded that the public's health and safety wa's assured at all times.V.CORRECTIVE ACTION A.ACTION TAKEN TO RETURN AFFECTED SYSTEMS TO PRE-EVENT NORMAL STATUS: o Safeguards buses 16 and 17 normal power supplies were restored via Circuit 751, and the"B" Emergency D/G was stopped and aligned for auto standby.o Circuit breaker 12BX was cycled to confirm that the breaker responded as designed.o The RCT-1 radiation monitor terminal and associated channels R-12A, R-14A, R-31, and R-32 were reprogrammed and declared operable.HRC FORH 366A (5-92)

NRC FORH 366A (5-92)U.S.NUCLEAR REGULATORY COHHISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OHB NO.3150-0104 EXP I RES 5/31/95 ESTIHATED BURDEN PER RESPOHSE TO COHPLY MITH THIS INFORHATION COLLECTIOH REQUEST: 50.0 HRS.FORHARD COHHENTS REGARDING BURDEN ESTIHATE TO THE INFORHATIOH AND RECORDS HANAGEHEHT BRANCH (HNBB 7714), U.S.NUCLEAR REGULATORY COHHISSION, HASHINGTOH, DC 20555-0001 AND TO THE PAPERHORK REDUCTION PROJECT (3180-0104), OFFICE OF HANAGEHENT AND BUDGET MASHINGTON DC 20503.FACILITY NAHE (1)R.E.Ginna Nuclear Power Plant DOCKET NUHBER (2)05000244 LER NUHBER (6)YEAR SEQUENTIAL 94--010--REVISION 00 PAGE (3)8 OF 10 TEXT (If more space is required, use additional copies of HRC Form 366A)(17)B.ACTION TAKEN OR PLANNED TO PREVENT RECURRENCE:

o All Corrective Maintenance Electrical (CME), Preventive Maintenance Electrical (PME), and Protective Relay (PRI)procedures associated with Powell circuit breakers were quarantined.

This included PME-50-04-52/12AX and the seven other procedures for circuit breakers 12AX, 12AY, 12BX, and 12BY.o The quarantined procedures will be reviewed against the EWDs and drawing conventions to determine if any other errors in interpretation of switch contact status were made during procedure development.

Quarantined procedures that are found to be in error will be revised.o A Training Work Request (TWR)has been submitted to incorporate details of this event during Industry Events training, emphasize event details during maintenance training on Preferred Power Sources, and reinforce the requirement to use switch development information during training on EWDs.o Electrical Engineering has evaluated the design of the offsite power configuration, and has recommended a method to avoid 4160 Volt circuit breaker trips during breaker testing.o The causes and effects of loss of power to the RCT-1 radiation monitor terminal will be reviewed, to determine the need for changes in design or maintenance of the system.HRC FORH 366A (5-92)

NRC FORH 366A (5-92)U.S.NUCLEAR REGULATORY COHHISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED BY OHB NO.3150.0104 EXP I RES 5/31/95 l ESTIHATED BURDEN PER RESPONSE TO COHPLY WITH THIS IHFORHATION COLLECTIOH REQUEST: 50.0 HRS~FORWARD COHHENTS REGARDING BURDEN ESTIHATE TO THE INFORHATION AND RECORDS HANAGEHENT BRANCH (HNBB 7714), U.S.NUCLEAR REGULATORY COHHISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140 0104), OFFICE OF HANAGEHENT AND BUDGET WASHINGTON DC 20503.FACILITY NAHE (1)R.E.Ginna Nuclear Power Plant DOCKET NUHBER (2)05000244 YEAR 010--00 LER NUHBER (6)SEQUENTIAL REVISION PAGE (3)9 OF 10 TEXT (If more space is required, use additional copies of NRC Form 366A)(17)VI.ADDITIONAL INFORMATION A.FAILED COMPONENTS:

None B.PREVIOUS LERs ON SIMILAR EVENTS: A similar LER event historical search was conducted with the following results: No documentation of similar LER events with the'same root cause at Ginna Nuclear Power Plant could be iden-tified.However, LERs91-002 and 92-007 were similar events (start of a D/G due to loss of 4160 Volt bus or offsite power)with different root causes.C.SPECIAL COMMENTS: None NRC FORM 366A (5-92)

NRC FORN 366A (5-92)U.S.NUCLEAR REGULATORY CONNISSION L1CENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVEO BY ONB NO.3150.0104 EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY MITH THIS INFORHATION COLLECTION REQUEST: 50.0 HRS.FORMARD COHHENTS REGARDING BURDEN ESTINATE TO THE INFORNATIOH AHD RECORDS IIANAGEHENT BRANCH (NHBB 7714)1 U.S.NUCLEAR REGULATORY CONHISSIONI MASHINGTON, DC 20555-0001 AND.TO THE PAPERMORK REDUCTIOH PROJECT (3140.0104)1 OFFICE OF HANAGENENT AND BUDGET MASHINGTON DC 20503.FACILITY NAHE (1)R.E.Ginna Nuclear Power Plant DOCKET NUHBER (2)YEAR 05000244 94 PAGE (3)010 pp 10 OF 10'ER NUHBER (6 SEQUENT IAL REVISION TEXT (If more space is required, use additional copies of NRC Form 366A)(17)51AIION 114 N N$4 5<V IIWtI+XN UNC 5141ltW tll N 74142 52/ION2 7511$$2/75112 74741 74 AV OIIS 1 51A Wl NOICNtNNN 12$$4$N 41N~INV<tttICO I 2$>75111 CI NC$4 AV NIS I SIA AIN<<WONfOSCN 114$4&i~IN~IN<<<ttt>>OO I 2A>~tSO/1 Sl/IC 115<St/tt5$/2 I tll NC~ttl/4$1/IC 1151 S2/tt5A/5 11>I NO 41 I Ol/N/212$/I~11$CANON OttONICN OI/Ntttl tt/IS CANON ONCANCN St/N7511$/1$1755 IC St/OV512$/I I 1555 IC 52/S7$12$/2$~ISO NO Sl/OIISI 24/12$2/Stlt Ill/I 5~IAW IC 1155 IC S2/Otlll ll/14 1555 SIAIXNI 501VICC WNICAAXN 17 41N<tASNSNI I>~IAIXN 5CNVICC 41~CI<<tAAOSN I 4>>0 41 II~IO 41NV Ill 5IAlXN SCNVCC WNIISWhCN 14~IN NW<tl>O5541 I>SIAISIN 5OIVICC\CNOINNN IO~IN<t<SNSIOIS>

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