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| {{#Wiki_filter:Public Service Electric and Gas Company P.O. Box 236 Hancocks Bridge, New Jersey 08038 Salem Generating Station April 1, 1991 u. s. Nuclear Regulatory Commission Document Control Desk DC 20555 | | {{#Wiki_filter:Public Service Electric and Gas Company P.O. Box 236 Hancocks Bridge, New Jersey 08038 Salem Generating Station April 1, 1991 |
| | : u. s. Nuclear Regulatory Commission Document Control Desk Washington~ DC 20555 |
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| ==Dear Sir:== | | ==Dear Sir:== |
| SALEM GENERATING STATION LICENSE NO. DPR-75 DOCKET NO. 50-311 UNIT NO. 2 LICENSEE EVENT REPORT 91-006-00 This Licensee Event Report is being submitted pursuant to the requirements of the Code of Federal Regulations lOCFR 50.73(a) (2) (iv). This report is required within thirty (30) days of discovery. | | |
| MJP:kll Distribution | | SALEM GENERATING STATION LICENSE NO. DPR-75 DOCKET NO. 50-311 UNIT NO. 2 LICENSEE EVENT REPORT 91-006-00 This Licensee Event Report is being submitted pursuant to the requirements of the Code of Federal Regulations 10CFR 50.73(a) (2) (iv). This report is required within thirty (30) days of discovery. |
| : * .. ; -. . "* f * :* * ..-(.:; ,* . 9104050272 910401 PDR ADOCK PDF Sincerely yours, s. LaBruna General Manager -Salem Operations 95-2189 (10M) 12-89 '
| | Sincerely yours, |
| NRC Form 31141 19-831 U.S .. NUCLEAR REGULATORY COMMllllON A,.ROVED OMI HO. 31!!0-4104 LICENSEE EVENT REPORT (LER) EXPIRES: 8/311115 FACILITY NAME 111 !DOCKET NUMBER 121 I l;!I Salem Generatinq Station -Unit 2 o 15 Io IO Io 13 fl 11 1 loF o 14 TITLE (4) *EsF Actuation Siqnals: 2RlA Channel Failure Causinq Cm trol Room Vent. Switch EVENT DATE (SI LEA NUMBER 1111 REPORT DATE 171 OTHER FACILITIES INVOLVED 191 MONTH DAY YEAR YEAR tt tt MONTH DAY YEAR FACILITY NAMES DOCKET NUMBERISI O 1s1010101 I I Ol'EAATIHO MOOE Ill THll REPORT 11 IUIMITTED PURSUANT TO THE REQUIREMENTI OF 10 CFR §: (Clr<<:k ono or more ol th* lo/lowing/ | | : s. LaBruna General Manager - |
| 1111 1 :Z0.402lbl | | Salem Operations MJP:kll Distribution |
| :Z0.4Dll(el ll0.7311H211M l!0.73i.ll21M 60.731ell211*UI l!0.731ell2llYlllllAI l!0.73111121Mllllll l!0.73(*11211*1 73.711bl 73.711*1 1-------.---=-+--4 POWER I :Z0.41111111111111 | | ~* |
| -ll0.3111*1111 110 .rl -I" :Z0.40lll1111llUI
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| --ll0.731111211111 | | : *.. ; PDR ADOCK OE~00311 95-2189 (10M) 12-89 ' |
| --ll0.73'-112111111 LICENSEE CONTACT FOR THll LER 1121 NAME TELEPHONE NUMBER AREA CODE M. J. Pollack -LER Coordinator COMP'LETE ONE LINE FOR EACH COMPONENT FAILURE DESCRllED IN THIS REPORT 1131 CAUSE SYSTEM COMPONENT I I I I I I I I MANUFAC* TUR ER I I I I I I SUPPLEMENTAL REPORT EXPECTED 1141 lxl YES (II Y"* comp/ere EXPECTED SUBMISSION DATE! AISTRACT (Limlr ro 14()() l/>>CH, I.* .* *pproxim*rely
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| fYi>>-tren linHI (181 I I I I I I I I MANUFAC* TUR ER I I I I I I EXPECTED DATE 1151 MONTH DAY YIOAR On 3/2/91 at 2054 hours, during normal plant operation, the Control Room general area Radiation Monitoring System (RMS) monitor (2RlA) spiked high. This resulted in the automatic switching of the Control Room ventilation from normal operation to its.accident mode of operation (100% recirculation). | | NRC Form 31141 U.S .. NUCLEAR REGULATORY COMMllllON 19-831 A,.ROVED OMI HO. 31!!0-4104 EXPIRES: 8/311115 LICENSEE EVENT REPORT (LER) 111 DOCKET NUMBER 121 I r-u~ l;!I |
| The switching of* the Control Room ventilation system to its emergency mode of operation is an Engineered Safety Feature (ESF). The cause of this event was determined to be a failed detector cable connection. | | !o 15 Io FACILITY NAME Salem Generatinq Station - Unit 2 IO Io 13 fl 11 1 loF o 14 TITLE (4) |
| The channel was subsequently returned to service on 3/4/91. On 3/5/91 at 1754 hours, a second automatic ventilation switching occurred from a 2R1A RMS channel low failure signal. During this event, one of the ventilation outlet dampers (2CAA18) did not close fully. Investigation of this second event did not identify the specific cause; however, the channel backplane was rebuilt and the first op-amp was replaced. | | *EsF Actuation Siqnals: 2RlA Channel Failure Causinq Cm trol Room Vent. Switch EVENT DATE (SI LEA NUMBER 1111 REPORT DATE 171 OTHER FACILITIES INVOLVED 191 MONTH DAY YEAR YEAR tt SE~~~~~~AL tt =~~~?.: MONTH DAY YEAR FACILITY NAMES DOCKET NUMBERISI O 1s1010101 I I THll REPORT 11 IUIMITTED PURSUANT TO THE REQUIREMENTI OF 10 CFR §: (Clr<<:k ono or more ol th* lo/lowing/ 1111 Ol'EAATIHO MOOE Ill I110 1-------.---=-+--4 POWER 1 :Z0.402lbl |
| The root cause of both events is attributed to equipment failure and equipment design concerns. | | :Z0.41111111111111 |
| Periodic problems with the Unit 2 RMS system have been experienced as indicated in prior LERs (e.g., 311/90-044-00). | | -- :Z0.4Dll(el ll0.3111*1111 |
| The channel failed components were repaired/replaced as applicable. | | ~ |
| The 2CAA18 linkage arm was repaired. | | ll0.7311H211M l!0.73i.ll21M 73.711bl 73.711*1 LEl1VOEI~ .rl I" - :Z0.40lll1111llUI |
| Several system design modifications should eliminate the spurious ESF actuation signals. These design modifications include a proposal for RMS channel equivalent replacement. | | -- ll0.3Glali21 60.731ell211*UI OTHER ISP<</fy In Ab-t Mlow *ntl In T._.t, NRC Fann ll\111= :::::::~: |
| NRC Form 3911 19.aJI I LICENSEE EVENT R.EPORT (LER) TEXT CONTINUATION Salem Generating Station Unit 2 DOCKET NUMBER 5000311 PLANT AND SYSTEM IDENTIFICATION: | | ll0.73111121111 l!0.731ell2llYlllllAI 366AJ |
| Westinghouse Pressurized Water Reactor LER NUMBER 91-006-00 PAGE 2 of 4 Energy Industry Identification System (EIIS) codes are identified in the text as f xxt IDENTIFICATION OF OCCURRENCE: | | - ll0.731111211111 ll0.73'-112111111 |
| Engineered Safety Feature Actuation Automatic Switching of the Control Room Ventilation to the Emergency Mode of Operation Due to Equ:j..pment Failure and Equipment Design Concerns. | | - l!0.73111121Mllllll l!0.73(*11211*1 LICENSEE CONTACT FOR THll LER 1121 NAME TELEPHONE NUMBER AREA CODE M. J. Pollack - LER Coordinator COMP'LETE ONE LINE FOR EACH COMPONENT FAILURE DESCRllED IN THIS REPORT 1131 MANUFAC* MANUFAC* |
| Event Dates: 3/02/91 and 3/05/91 Report Date: 4/01/91 This report was initiated by Incident Report Nos. 91-:157 and 91-163. CONDITIONS PRIOR TO OCCURRENCE: | | CAUSE SYSTEM COMPONENT TUR ER TUR ER I I I I I I I I I I I I I I I I I I I I I I I I I I I I SUPPLEMENTAL REPORT EXPECTED 1141 MONTH DAY YIOAR EXPECTED SUBMl~ION lxl YES (II Y"* comp/ere EXPECTED SUBMISSION DATE! |
| Mode 1 Reactor Power 100% -Unit Load 1160 MWe DESCRIPTION OF OCCURRENCE: . . On March 2, 1991 at 2054 hours, during normal plant operation, the Control Room general area Radiation Monitoring System (RMS) f ILi monitor (2R1A) spiked high. This resulted in the automatic switching of the Control Room ventilation from normal operation to its accident mode of operation (100% recirculation). | | DATE 1151 AISTRACT (Limlr ro 14()() l/>>CH, I.*.* *pproxim*rely """" ringl**IPI** fYi>>-tren linHI (181 On 3/2/91 at 2054 hours, during normal plant operation, the Control Room general area Radiation Monitoring System (RMS) monitor (2RlA) spiked high. This resulted in the automatic switching of the Control Room ventilation from normal operation to its.accident mode of operation (100% recirculation). The switching of* the Control Room ventilation system to its emergency mode of operation is an Engineered Safety Feature (ESF). The cause of this event was determined to be a failed detector cable connection. The channel was subsequently returned to service on 3/4/91. On 3/5/91 at 1754 hours, a second automatic ventilation switching occurred from a 2R1A RMS channel low failure signal. During this event, one of the ventilation outlet dampers (2CAA18) did not close fully. Investigation of this second event did not identify the specific cause; however, the channel backplane was rebuilt and the first s~age op-amp was replaced. The root cause of both events is attributed to equipment failure and equipment design concerns. Periodic problems with the Unit 2 RMS system have been experienced as indicated in prior LERs (e.g., |
| As addressed in the Apparent Cause of Occurrence section, the cause of the automatic ventilation switching was identified and The was subsequently returned to service on March 4, 1991. On March 5, 1991 at 1754 hours, a second automatic ventilation switching occurred from a 2R1A RMS channel low failure signal. During this event, one of the ventilation outlet dampers (2CAA18) did not close fully. The switching of the Control Room ventilation system to its emergency mode. of operati6n is an Engineered Safety Feature (ESF). Therefore, on March 2, 1991 and March 5, 1991 at 2205 and 1830 hours respectively, the Nuclear Regulatory Commission was notified of the automatic switching in accordance with Co_de of Federal Regulations | | 311/90-044-00). The channel failed components were repaired/replaced as applicable. The 2CAA18 linkage arm was repaired. Several system design modifications should eliminate the spurious ESF actuation signals. These design modifications include a proposal for RMS channel equivalent replacement. |
| *.lOCFR 50.72(b)(2)(ii). | | NRC Form 3911 19.aJI |
| i I LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating Station Unit 2 APPARENT CAUSE OF OCCURRENCE: . DOCKET NUMBER 5000311 LER NUMBER 91-006-00 PAGE 3 of 4 The root cause of these events is attributed to both equipment failure (detector connection) and equipment design concerns (no specifically identified faults). The type .detector system used for the Salem Unit 2 RMS channels is manufactured by Victoreen.
| | |
| Periodic problems with this system have been experienced as indicated in prior LERs (e.g., 311/90-044-00}. | | I LICENSEE EVENT R.EPORT (LER) TEXT CONTINUATION Salem Generating Station DOCKET NUMBER LER NUMBER PAGE Unit 2 5000311 91-006-00 2 of 4 PLANT AND SYSTEM IDENTIFICATION: |
| Investigation of the March 2, 1991 event identified that movement of the detector cable would cause spurious high channel spikes. Subsequently, the detector cable connector was rebuilt. The channel was then calibrated and functionally checked-successfully. | | Westinghouse Pressurized Water Reactor Energy Industry Identification System (EIIS) codes are identified in the text as f xxt IDENTIFICATION OF OCCURRENCE: |
| *It was. returned to service* on March 4, 1991. Investigation of the March 5, 1991 event did not identify the specific cause of the channel failure. ;However, the channel backplane was rebuilt and the first stage operational amplifier was replaced (based on prior experience). | | Engineered Safety Feature Actuation ~ Automatic Switching of the Control Room Ventilation to the Emergency Mode of Operation Due to Equ:j..pment Failure and Equipment Design Concerns. |
| | Event Dates: 3/02/91 and 3/05/91 Report Date: 4/01/91 This report was initiated by Incident Report Nos. 91-:157 and 91-163. |
| | CONDITIONS PRIOR TO OCCURRENCE: |
| | Mode 1 Reactor Power 100% - Unit Load 1160 MWe DESCRIPTION OF OCCURRENCE: |
| | On March 2, 1991 at 2054 hours, during normal plant operation, the Control Room general area Radiation Monitoring System (RMS) f ILi monitor (2R1A) spiked high. This resulted in the automatic switching of the Control Room ventilation from normal operation to its accident mode of operation (100% recirculation). As addressed in the Apparent Cause of Occurrence section, the cause of the automatic ventilation switching was identified and corr~cted. The charin~l was subsequently returned to service on March 4, 1991. |
| | On March 5, 1991 at 1754 hours, a second automatic ventilation switching occurred from a 2R1A RMS channel low failure signal. |
| | During this event, one of the ventilation outlet dampers (2CAA18) did not close fully. |
| | The switching of the Control Room ventilation system to its emergency mode. of operati6n is an Engineered Safety Feature (ESF). Therefore, on March 2, 1991 and March 5, 1991 at 2205 and 1830 hours respectively, the Nuclear Regulatory Commission was notified of the automatic switching in accordance with Co_de of Federal Regulations |
| | *.10CFR 50.72(b)(2)(ii). |
| | |
| | I LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating Station .DOCKET NUMBER LER NUMBER PAGE Unit 2 5000311 91-006-00 3 of 4 APPARENT CAUSE OF OCCURRENCE: |
| | The root cause of these events is attributed to both equipment failure (detector connection) and equipment design concerns (no specifically identified faults). The type .detector system used for the Salem Unit 2 RMS channels is manufactured by Victoreen. Periodic problems with this system have been experienced as indicated in prior LERs (e.g., 311/90-044-00}. |
| | Investigation of the March 2, 1991 event identified that movement of the detector cable would cause spurious high channel spikes. |
| | Subsequently, the detector cable connector was rebuilt. The channel was then calibrated and functionally checked-successfully. *It was. |
| | returned to service* on March 4, 1991. |
| | Investigation of the March 5, 1991 event did not identify the specific cause of the channel failure. ;However, the channel backplane was rebuilt and the first stage operational amplifier was replaced (based on prior experience). |
| * ANALYSIS OF OCCURRENCE: | | * ANALYSIS OF OCCURRENCE: |
| The 2R1A detector is a Victoreen 857-20, GM tube. It is the Unit 2 Control Room general area radiation monitor and monitors ambient gamma. radiation levels. Generally, the 'control Room dose rate would increase due to the intake of radioactive materials. | | The 2R1A detector is a Victoreen 857-20, GM tube. It is the Unit 2 Control Room general area radiation monitor and monitors ambient gamma. radiation levels. Generally, the 'control Room dose rate would increase due to the intake of radioactive materials. Therefore, the Control Room intake duct is isolated and the ventilation air is put in full recirculation through HEPA and Charcoal filters. This design is in accordance with the Updated Final Safety Analysis (UFSAR) which requires protection of Control Room personnel during a loss-of-coolant accident (LOCA), by limiting whole body dose to 5 rem, or its equivalent to any part of the body. |
| Therefore, the Control Room intake duct is isolated and the ventilation air is put in full recirculation through HEPA and Charcoal filters. This design is in accordance with the Updated Final Safety Analysis (UFSAR) which requires protection of Control Room personnel during a loss-of-coolant accident (LOCA), by limiting whole body dose to 5 rem, or its equivalent to any part of the body. The 2R1B Control Room intake duct radiation monitor is used to corroborate the 2R1A channel readings. | | The 2R1B Control Room intake duct radiation monitor is used to corroborate the 2R1A channel readings. It too has the same automatic isolation function. During this event, no increase of activity was noted. |
| It too has the same automatic isolation function. | | As stated in the Desc~iption of Occurrence section, the 2CAA18 outlet damper did not close fully after initiation of the ventilation switching signal. Investigation revealed that the linkage arm allen screws had loosened. |
| During this event, no increase of activity was noted. As stated in the of Occurrence section, the 2CAA18 outlet damper did not close fully after initiation of the ventilation switching signal. Investigation revealed that the linkage arm allen screws had loosened. | | The 2CAA19 outlet valve is in series with the 2CAA18 damper.* It operated satisfactorily. Therefore, the failure of the 2CAA18 damper did not affect the Control Room ventilation switching. |
| The 2CAA19 outlet valve is in series with the 2CAA18 damper.* It operated satisfactorily. | | |
| Therefore, the failure of the 2CAA18 damper did not affect the Control Room ventilation switching. | | I LICENSEE EVENT REPORT (LER) TEXT CONTINUATION I |
| I
| | * Salem Generating Station DOCKET NUMBER LER NUMBER PAGE Unit 2 5000311 91-006-00 4 of 4 ANALYSIS OF OCCURRENCE: (cont'd) |
| * I LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating Station Unit 2 DOCKET NUMBER 5000311 ANALYSIS OF OCCURRENCE: (cont'd) LER NUMBER 91-006-00 PAGE 4 of 4 As *.indicated previously, the automatic switching of Control Room ventilation to its accident mode of operation was not caused by high radiation levels, but by concerns.*
| | As *.indicated previously, the automatic switching of Control Room ventilation to its accident mode of operation was not caused by high radiation levels, but by equipmentd~sign concerns.* Also, the failure of the 2CAA18 valve did not prevent Control Room ventilation switching (due to operability of the 2CAA19 damper). Therefore, the health and safety of the public was not affecteq by this event. However, since the Control Room ventilation switching to the accident mode of operation is an ESF, this event is reportable in accordance with Code of Federal Regulations 10CFR 50.73(a) (2) (iv). |
| Also, the failure of the 2CAA18 valve did not prevent Control Room ventilation switching (due to operability of the 2CAA19 damper). Therefore, the health and safety of the public was not affecteq by this event. However, since the Control Room ventilation switching to the accident mode of operation is an ESF, this event is reportable in accordance with Code of Federal Regulations lOCFR 50.73(a) (2) (iv). CORRECTIVE ACTION: The channel detector cable connection was rebui1t. The 2R1A channel backplane was and the first stage operational amplifier was replaced. | | CORRECTIVE ACTION: |
| The 2CAA18 linkage arm was repaired. | | The channel detector cable connection was rebui1t. |
| Equipment with similiar types of linkage configuration will be inspected. | | The 2R1A channel backplane was reb~ilt and the first stage operational amplifier was replaced. |
| The results of the inspections will be assessed to determine whether the existing preventive maintenance program on these dampers provides adequate assurance of damper.integrity. | | The 2CAA18 linkage arm was repaired. Equipment with similiar types of linkage configuration will be inspected. The results of the inspections will be assessed to determine whether the existing preventive maintenance program on these dampers provides adequate assurance of damper.integrity. |
| After completion of the 2R1A channel repairs and 2CAA18 linkage arm repairs, a subsequent 2R1A alarm, for communications failure, was received. | | After completion of the 2R1A channel repairs and 2CAA18 linkage arm repairs, a subsequent 2R1A alarm, for communications failure, was received. This alarm indicates a problem between the channel and its Central Processing Units (communications failure). Additional investigation is in progress. |
| This alarm indicates a problem between the channel and its Central Processing Units (communications failure). | | As indicated in prior LERs (e.g., LER 311/90-044-00), Engineering has investigated the concerns with the Unit 2 RMS channels. It is anticipated that several system design modifications wi.11 eliminate the spurious ESF actuation signals. These design modifications include a proposal for RMS channel equivalent replacement. |
| Additional investigation is in progress. | | /()>iu~--~<-:-____ |
| As indicated in prior LERs (e.g., LER 311/90-044-00), Engineering has investigated the concerns with the Unit 2 RMS channels. | | General Manager - |
| It is anticipated that several system design modifications wi.11 eliminate the spurious ESF actuation signals. These design modifications include a proposal for RMS channel equivalent replacement. | | Salem Operations MJP:pc SORC Mtg. 91-040}} |
| MJP:pc SORC Mtg. 91-040 | |
| ___ _ General Manager -Salem Operations}}
| |
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Existing Procedures Will Be Evaluated.With 990602 Ltr ML18107A3541999-06-0101 June 1999 LER 99-006-00:on 990501,HHSI Flow Balance Discrepancy Was Noted During Surveillance.Caused by Sticking of Check Valve in SI Discharge Line to 21 Cold Leg.Valve 21SJ17,was Cut Out of Sys & Replaced.With 990601 Ltr ML18107A2931999-05-12012 May 1999 LER 99-002-00:on 990413,determined That Number 12 Auxiliary Bldg Exhaust Fan Was Rotating Backwards.Caused by mis-wiring of Motor Due to Human Error by Maint technician.Mis-wiring Was Corrected & Fan Was Returned to Svc.With 990512 Ltr ML18107A2781999-05-10010 May 1999 LER 99-004-00:on 990411,automatic Actuation of ESF Occurred During Reactor Vessel Head Removal in Support of Refueling Operations.Caused by High Radiation Condition.Containment Atmosphere Was Monitored.With 990505 Ltr ML18107A2791999-05-0404 May 1999 LER 99-003-00:on 990406,all Salem Unit 2 Chillers Rendered Inoperable.Caused by Human Error.Lessons Learned from Event Were Communicated to All Operators by Including Them in Night Orders.With 990504 Ltr ML18107A2741999-05-0303 May 1999 LER 99-002-00:on 990405,determined That Containment Isolation Valve Failed as Found Leakrate Test.Caused by Foreign Matl Blocking Valves from Closing.Check Valve Mechanically Agitated.With 990504 Ltr ML18107A2351999-04-23023 April 1999 LER 99-001-00:on 990330,MSSV Failed Lift Set Test.Caused by Setpoint Variance Which Is Result of Aging.Valves Were Adjusted & Retested to Ensure TS Tolerance.With 990423 Ltr ML18106B1471999-03-29029 March 1999 LER 99-001-00:on 990228,reactor Scram Was Noted as Result of Turbine Trip.Caused by Operator Error.Lesson Plans Revised to Explicitly Demonstrate Manner in Which Valve Functions. with 990329 Ltr ML18106B0701999-02-16016 February 1999 LER 98-015-00:on 981208,inadvertent Discharge Through RHR Relief Valve During Startup Was Noted.Caused by Operator Performing Too Many Tasks Simultaneously.Appropriate Actions Have Been Taken IAW Policies & Procedures.With 990216 Ltr ML18106B0491999-01-28028 January 1999 LER 98-007-01:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Caused by Transgranular Stress Corrosion Cracking.Replaced Affected Tubing.With 990128 Ltr ML18106B0401999-01-18018 January 1999 LER 98-016-00:on 981219,ECCS Leakage Was Outside of Design Value.Caused by Leakage Past Seat of 21RH34 Manual Drain. Valve 21RH34 Was Reseated.With 990118 Ltr ML18106B0081998-12-24024 December 1998 LER 97-001-01:on 970215,failure to Perform TS Surveillance of Component Cooling Water Sys Check Valves Occurred.Caused by Inadequate Communication Between EOP Group & IST Reviewers.Procedure Revised.With 981224 Ltr ML18106B0021998-12-17017 December 1998 LER 98-015-01:on 980924,improper Installation of Test Equipment to RPS Occurred.Caused by Inadequate 10CFR50.59 Applicability Reviews During Past Revs.Revised Procedures. with 981217 Ltr ML18106A9551998-11-0303 November 1998 LER 96-013-01:on 960711,concluded That Current Gain & Bias Settings Had Rendered Overtemperature Delta Temp Protection Channels Inoperable.Caused by Scaling Error.Licensee Will Revise Scaling Calculations.With 981105 Ltr ML18106A9451998-10-30030 October 1998 LER 97-004-01:on 970408,failure to Comply with TS Action Statement,Dg Start & Inadequate Surveillance Testing,Was Noted.Caused by Inadequate Tracking of Inoperable Equipment. Discussed Event & Lessons Learned.With 981022 Ltr ML18106A9491998-10-22022 October 1998 LER 98-015-00:on 980924,identified Improper Installation of Test Equipment to Rps.Cause Indeterminate.Procedures for Installation of Test Equipment for Collection of State Point Data Were Placed on Administrative Hold.With 981022 Ltr ML18106A9301998-10-21021 October 1998 LER 98-014-00:on 980725,noted Improper Calibr of Liquid Radwaste Effluent Line Radiation Monitor.Caused by Inattention to Detail by Maint Personnel.Channel Calibr Was Successfully Performed on 1R18 on 980821.With 981019 Ltr ML18106A9071998-10-0101 October 1998 LER 98-014-00:on 980918,discovered That Fire Barrier Matl for HVAC Ducts Does Not Meet Required Level of Fire Resistance.Cause Indeterminate.Established Appropriate Compensatory Actions for Fire Barriers.With 981001 Ltr ML18106A8951998-09-28028 September 1998 LER 98-012-01:on 980725,noted That Afs Was Operated with Less than Required Number of Operable AFW Pumps.Caused by Improper Procedure Implementation.Runout Protection Pressure Device for 22 AFW Pumps Was Returned to Svc.With 980928 Ltr ML18106A8821998-09-21021 September 1998 LER 98-013-00:on 980820,noted Surveillance of Containment Penetration Overcurrent Protection Devices Missed.Caused by Human Error.Satisfactorily Tested Apprpriate Breakers & Disciplined Involved Personnel.With 980921 Ltr ML18106A8791998-09-16016 September 1998 LER 96-006-01:on 960717,determined That non-radioactive Liquid Basin Radwaste Monitor Inoperable During Low Head Conditions.Caused by Inadequate Design Change Package.Design Change 1EC3663-01 Has Been Installed.With 980916 Ltr ML18106A8801998-09-0808 September 1998 LER 98-013-00:on 980806,operation with TS Required Equipment OOS Was Noted.Caused by Human Error.Reviewed Processes & Practices Re Safety Sys Status Control,Procedure Rev & Extra Training.With 980908 Ltr ML18106A8531998-08-27027 August 1998 LER 98-007-00:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Cause of Event Has Not Yet Been Determined.Assembled Root Cause Team & Replaced Affected tubing.W/980827 Ltr ML18106A8521998-08-27027 August 1998 LER 98-011-00:on 980803,ESFA During a 4KV Automatic Transfer Test Was Noted.Caused by Premature Release of Control Console Pushbutton Due to Inadequate Procedural Step.Revised procedure.W/980827 Ltr ML18106A8421998-08-24024 August 1998 LER 98-012-00:on 980725,discovered That Plant Had Operated in Modes 1 & 2 w/twenty-two AFW Pumps Inoperable.Caused by Failure to Restore Pump Runout Protection Pressure Device to Svc.Returned Subject Device to svc.W/980824 Ltr ML18106A8431998-08-24024 August 1998 LER 98-009-00:on 980810,failure to Post Continuous Firewatch as Required by Fire Protection Plan Noted.Caused by Failure to Recognize Concurrent Conditions.Continuous Firewatch Was Posted Immediately & Repaired Smoke detectors.W/980824 Ltr ML18106A8141998-08-13013 August 1998 LER 98-010-00:on 980714,determined That Leakage from Boron Injection Tank Exceeded Max Allowable ECCS Leakage from Sources Outside Containment.Caused by Leaking 2SJ404 Manual Sample valve.2SJ404 Valve repaired.W/980813 Ltr ML18106A8201998-08-13013 August 1998 LER 98-012-00:on 980715,potential to Exceed Rating of Piping Due to Isolation of Overpressure Protection Line Was Noted. Caused by Inadequate Procedural Guidance.Appropriate Operations Dept Procedures Have Been revised.W/980813 Ltr ML18106A6931998-06-29029 June 1998 LER 98-003-00:on 980122,inappropriate Plugging of Tubes R9C60 & R10C60 in Salem Unit 2 Sg,Was Performed.Caused by Failure of Qualification,Verification & Validation Process. Tubes Reviewed to Verify No Others Inappropriately Plugged ML18106A6471998-06-0404 June 1998 LER 98-011-00:on 980505,improper Isolation of Single Cell Battery Charger from 125 Vdc Battery Was Noted.Caused by Inadequate 10CFR50.59 Applicability Review.Placed Procedure SC.MD-CM.ZZ-0024(Q) on Administrative hold.W/980604 Ltr ML18106A6421998-06-0101 June 1998 LER 98-010-00:on 931019,reactor Pressure Vessel Insp Plugs Were Out of Configuration,Was Noted.Caused by Personnel Error.Proper Configuration Was Restored Shortly After Discovery Prior to Entering Mode 2.W/980601 Ltr ML18106A6431998-05-29029 May 1998 LER 98-006-01:on 980227,determined Incorrect Scaling Error of First Stage Pressure Transmitter Existed.Caused by Human Error.Revised Setpoint Calculation SC-MS002-01 & Revised Associated Instrument Calibr Database info.W/980529 Ltr ML18106A6141998-05-18018 May 1998 LER 98-008-00:on 970814,failure to Test 21 & 22 AF 40 Valves in Closed Direction as Required by TS 4.0.5 Was Noted.Caused by Inadequate Design Mod Process.Motor Driven 21/22 AF 40 Valves Were Tested IAW Revised procedure.W/980518 Ltr ML18106A5901998-05-0101 May 1998 LER 98-009-00:on 980405,epoxy Missing from Terminals of H Analyzer Was Noted.Caused by Inadequate Development of Procedure.H Analyzers Were Repaired & Review of Other Safety Related Equipment in Containment Was performed.W/980501 Ltr ML18106A5611998-04-20020 April 1998 LER 98-008-00:on 980323,inadequate Testing of Salem Unit 1 Containment Air Locks Resulted in Entering TS 3.0.3.Caused by less-than-adequate Work Practices During Replacement of Equalizing Valve.Salem Unit 2 Airlocks Were Inspected ML18106A6061998-04-0101 April 1998 Corrected LER 98-004-00:on 980302,failure to Comply W/Tss 4.11.1.1.2 & 3.3.3.8 Was Noted.Caused by Organizational Deficiency.Steps Have Been Taken to Correctly Document Safety Factors.Corrects Prior Similar Occurrences ML18106A4451998-04-0101 April 1998 LER 98-004-00:on 980302,failure to Perform TS 4.11.1.1.2 & 3.3.3.8 Was Noted.Caused by Organizational Deficiency.Steps Were Taken to Correctly Document Safety factors.W/980401 Ltr ML18106A4351998-03-30030 March 1998 LER 98-006-00:on 980227,incorrect Scaling of First Stage Turbine Impulse Pressure Transmitters Noted.Cause Indeterminate.Implemented Procedure Changes & re-scaled Affected Turbine Impulse Pressure transmitters.W/980330 Ltr ML18106A3961998-03-20020 March 1998 LER 98-005-00:on 980219,inoperability of Twelve EDG Fuel Oil Transfer Pump (FOTP) Noted.Caused by Installation of Incorrect Control Switch.Installed Correct off-auto-manual Switch & Verified Operability of Twelve FOTP.W/980320 Ltr ML18106A5781998-03-20020 March 1998 Corrected LER 98-005-00:on 980219,inoperability of 12 Fuel Oil Transfer Pump (Fotp),Noted.Caused by Installation of Incorrect Control Switch.Field Insp Performed to Verify Configuration of Switches for 11,21 & 22 FOTPs ML18106A4021998-03-20020 March 1998 LER 98-007-00:on 980218,failure to Establish Containment Integrity (Closure) Prior to Fuel Movement Was Noted.Caused by Failure to Identify & Include Condensate Pot Vent in Appropriate Valve Lineup.Valves identified.W/980320 Ltr ML18106A4031998-03-20020 March 1998 LER 98-006-00:on 980221,ESF Actuation of 11 & 12 Auxiliary Feedwater Pumps Occurred.Caused by Human Error.Operators Promptly Established Feedwater to All SG & Restored Proper Water levels.W/980320 Ltr 1999-08-26
[Table view] Category:RO)
MONTHYEARML18107A5031999-08-26026 August 1999 LER 99-006-00:on 990729,determined That SG Blowdown RMs Setpoint Was non-conservative.Caused by Inadequate ACs for Incorporating Original Plant Licensing Data Into Plant Procedures.Blowdown Will Be Restricted.With 990826 Ltr ML18107A4691999-07-28028 July 1999 LER 99-008-00:on 990714,determined That Limit Switch Cables Were Subject to Multiple Hot Shorts in Same Fire Area.Caused by Inadequate Original Post Fire Safe Shutdown Analysis.All Limit Switch Cables for MOVs Were Reviewed.With 990728 Ltr ML18107A4441999-07-0606 July 1999 LER 99-007-00:on 990605,surveillance for Quadrant Power Tilt Ratio (QPTR) Was Missed.Caused by Human Error.Qptr Calculation Was Performed & Personnel Involved Have Been Held Accountable IAW Pse&G Policies.With 990706 Ltr ML18107A4211999-07-0202 July 1999 LER 99-005-00:on 990605,11 Containment Declared Inoperable. Caused by Valves 11SW72 & 11SW223 Both Leaking.Procedure S1.OP-ST.SW-0010(Q) Was Enhanced to Provide Specific Instructions to Ensure Proper Sequencing.With 990702 Ltr ML18107A4321999-07-0101 July 1999 LER 99-006-01:on 990501,determined That There Was No Flow in One of Four Injection Legs.Caused by Sticking of Valve in Safety Injection Discharge Line to 21 Cold Leg.Valve Was Cut Out of Sys & Replaced.With 990701 Ltr ML18107A4331999-07-0101 July 1999 LER 99-002-01:on 990405,determined That 2SA118 Failed as Found Leakrate Test.Caused by Foreign Matl Found in 2SA118 valve.2SA118 Valve Was Cycled Several Times & Seat Area Was Air Blown in Order to Displace Foreign Matl.With 990701 Ltr ML18107A3951999-06-17017 June 1999 LER 99-004-00:on 990520,reactor Tripped from 100% Power,Due to Negative Flux Trip Signal from Nuclear Instrumentation. Cause Has Not Been Determined.Discoloration Was Identified on One of Penetrations.With 990617 Ltr ML18107A3661999-06-0909 June 1999 LER 99-003-00:on 990513,unplanned Entry Into TS 3.0.3 Was Made.Caused by Human error.Re-positioned Creacs Supply Fan Selector Switches & Revised Procedures S1 & S2.OP-ST.SSP-0001(Q).With 990609 Ltr ML18107A3551999-06-0202 June 1999 LER 99-005-00:on 990504,failure to Meet TS Action Statement Requirements for High Oxygen Concentration in Waste Gas Holdup Sys Occurred.Caused by Inability of Operators. Existing Procedures Will Be Evaluated.With 990602 Ltr ML18107A3541999-06-0101 June 1999 LER 99-006-00:on 990501,HHSI Flow Balance Discrepancy Was Noted During Surveillance.Caused by Sticking of Check Valve in SI Discharge Line to 21 Cold Leg.Valve 21SJ17,was Cut Out of Sys & Replaced.With 990601 Ltr ML18107A2931999-05-12012 May 1999 LER 99-002-00:on 990413,determined That Number 12 Auxiliary Bldg Exhaust Fan Was Rotating Backwards.Caused by mis-wiring of Motor Due to Human Error by Maint technician.Mis-wiring Was Corrected & Fan Was Returned to Svc.With 990512 Ltr ML18107A2781999-05-10010 May 1999 LER 99-004-00:on 990411,automatic Actuation of ESF Occurred During Reactor Vessel Head Removal in Support of Refueling Operations.Caused by High Radiation Condition.Containment Atmosphere Was Monitored.With 990505 Ltr ML18107A2791999-05-0404 May 1999 LER 99-003-00:on 990406,all Salem Unit 2 Chillers Rendered Inoperable.Caused by Human Error.Lessons Learned from Event Were Communicated to All Operators by Including Them in Night Orders.With 990504 Ltr ML18107A2741999-05-0303 May 1999 LER 99-002-00:on 990405,determined That Containment Isolation Valve Failed as Found Leakrate Test.Caused by Foreign Matl Blocking Valves from Closing.Check Valve Mechanically Agitated.With 990504 Ltr ML18107A2351999-04-23023 April 1999 LER 99-001-00:on 990330,MSSV Failed Lift Set Test.Caused by Setpoint Variance Which Is Result of Aging.Valves Were Adjusted & Retested to Ensure TS Tolerance.With 990423 Ltr ML18106B1471999-03-29029 March 1999 LER 99-001-00:on 990228,reactor Scram Was Noted as Result of Turbine Trip.Caused by Operator Error.Lesson Plans Revised to Explicitly Demonstrate Manner in Which Valve Functions. with 990329 Ltr ML18106B0701999-02-16016 February 1999 LER 98-015-00:on 981208,inadvertent Discharge Through RHR Relief Valve During Startup Was Noted.Caused by Operator Performing Too Many Tasks Simultaneously.Appropriate Actions Have Been Taken IAW Policies & Procedures.With 990216 Ltr ML18106B0491999-01-28028 January 1999 LER 98-007-01:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Caused by Transgranular Stress Corrosion Cracking.Replaced Affected Tubing.With 990128 Ltr ML18106B0401999-01-18018 January 1999 LER 98-016-00:on 981219,ECCS Leakage Was Outside of Design Value.Caused by Leakage Past Seat of 21RH34 Manual Drain. Valve 21RH34 Was Reseated.With 990118 Ltr ML18106B0081998-12-24024 December 1998 LER 97-001-01:on 970215,failure to Perform TS Surveillance of Component Cooling Water Sys Check Valves Occurred.Caused by Inadequate Communication Between EOP Group & IST Reviewers.Procedure Revised.With 981224 Ltr ML18106B0021998-12-17017 December 1998 LER 98-015-01:on 980924,improper Installation of Test Equipment to RPS Occurred.Caused by Inadequate 10CFR50.59 Applicability Reviews During Past Revs.Revised Procedures. with 981217 Ltr ML18106A9551998-11-0303 November 1998 LER 96-013-01:on 960711,concluded That Current Gain & Bias Settings Had Rendered Overtemperature Delta Temp Protection Channels Inoperable.Caused by Scaling Error.Licensee Will Revise Scaling Calculations.With 981105 Ltr ML18106A9451998-10-30030 October 1998 LER 97-004-01:on 970408,failure to Comply with TS Action Statement,Dg Start & Inadequate Surveillance Testing,Was Noted.Caused by Inadequate Tracking of Inoperable Equipment. Discussed Event & Lessons Learned.With 981022 Ltr ML18106A9491998-10-22022 October 1998 LER 98-015-00:on 980924,identified Improper Installation of Test Equipment to Rps.Cause Indeterminate.Procedures for Installation of Test Equipment for Collection of State Point Data Were Placed on Administrative Hold.With 981022 Ltr ML18106A9301998-10-21021 October 1998 LER 98-014-00:on 980725,noted Improper Calibr of Liquid Radwaste Effluent Line Radiation Monitor.Caused by Inattention to Detail by Maint Personnel.Channel Calibr Was Successfully Performed on 1R18 on 980821.With 981019 Ltr ML18106A9071998-10-0101 October 1998 LER 98-014-00:on 980918,discovered That Fire Barrier Matl for HVAC Ducts Does Not Meet Required Level of Fire Resistance.Cause Indeterminate.Established Appropriate Compensatory Actions for Fire Barriers.With 981001 Ltr ML18106A8951998-09-28028 September 1998 LER 98-012-01:on 980725,noted That Afs Was Operated with Less than Required Number of Operable AFW Pumps.Caused by Improper Procedure Implementation.Runout Protection Pressure Device for 22 AFW Pumps Was Returned to Svc.With 980928 Ltr ML18106A8821998-09-21021 September 1998 LER 98-013-00:on 980820,noted Surveillance of Containment Penetration Overcurrent Protection Devices Missed.Caused by Human Error.Satisfactorily Tested Apprpriate Breakers & Disciplined Involved Personnel.With 980921 Ltr ML18106A8791998-09-16016 September 1998 LER 96-006-01:on 960717,determined That non-radioactive Liquid Basin Radwaste Monitor Inoperable During Low Head Conditions.Caused by Inadequate Design Change Package.Design Change 1EC3663-01 Has Been Installed.With 980916 Ltr ML18106A8801998-09-0808 September 1998 LER 98-013-00:on 980806,operation with TS Required Equipment OOS Was Noted.Caused by Human Error.Reviewed Processes & Practices Re Safety Sys Status Control,Procedure Rev & Extra Training.With 980908 Ltr ML18106A8531998-08-27027 August 1998 LER 98-007-00:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Cause of Event Has Not Yet Been Determined.Assembled Root Cause Team & Replaced Affected tubing.W/980827 Ltr ML18106A8521998-08-27027 August 1998 LER 98-011-00:on 980803,ESFA During a 4KV Automatic Transfer Test Was Noted.Caused by Premature Release of Control Console Pushbutton Due to Inadequate Procedural Step.Revised procedure.W/980827 Ltr ML18106A8421998-08-24024 August 1998 LER 98-012-00:on 980725,discovered That Plant Had Operated in Modes 1 & 2 w/twenty-two AFW Pumps Inoperable.Caused by Failure to Restore Pump Runout Protection Pressure Device to Svc.Returned Subject Device to svc.W/980824 Ltr ML18106A8431998-08-24024 August 1998 LER 98-009-00:on 980810,failure to Post Continuous Firewatch as Required by Fire Protection Plan Noted.Caused by Failure to Recognize Concurrent Conditions.Continuous Firewatch Was Posted Immediately & Repaired Smoke detectors.W/980824 Ltr ML18106A8141998-08-13013 August 1998 LER 98-010-00:on 980714,determined That Leakage from Boron Injection Tank Exceeded Max Allowable ECCS Leakage from Sources Outside Containment.Caused by Leaking 2SJ404 Manual Sample valve.2SJ404 Valve repaired.W/980813 Ltr ML18106A8201998-08-13013 August 1998 LER 98-012-00:on 980715,potential to Exceed Rating of Piping Due to Isolation of Overpressure Protection Line Was Noted. Caused by Inadequate Procedural Guidance.Appropriate Operations Dept Procedures Have Been revised.W/980813 Ltr ML18106A6931998-06-29029 June 1998 LER 98-003-00:on 980122,inappropriate Plugging of Tubes R9C60 & R10C60 in Salem Unit 2 Sg,Was Performed.Caused by Failure of Qualification,Verification & Validation Process. Tubes Reviewed to Verify No Others Inappropriately Plugged ML18106A6471998-06-0404 June 1998 LER 98-011-00:on 980505,improper Isolation of Single Cell Battery Charger from 125 Vdc Battery Was Noted.Caused by Inadequate 10CFR50.59 Applicability Review.Placed Procedure SC.MD-CM.ZZ-0024(Q) on Administrative hold.W/980604 Ltr ML18106A6421998-06-0101 June 1998 LER 98-010-00:on 931019,reactor Pressure Vessel Insp Plugs Were Out of Configuration,Was Noted.Caused by Personnel Error.Proper Configuration Was Restored Shortly After Discovery Prior to Entering Mode 2.W/980601 Ltr ML18106A6431998-05-29029 May 1998 LER 98-006-01:on 980227,determined Incorrect Scaling Error of First Stage Pressure Transmitter Existed.Caused by Human Error.Revised Setpoint Calculation SC-MS002-01 & Revised Associated Instrument Calibr Database info.W/980529 Ltr ML18106A6141998-05-18018 May 1998 LER 98-008-00:on 970814,failure to Test 21 & 22 AF 40 Valves in Closed Direction as Required by TS 4.0.5 Was Noted.Caused by Inadequate Design Mod Process.Motor Driven 21/22 AF 40 Valves Were Tested IAW Revised procedure.W/980518 Ltr ML18106A5901998-05-0101 May 1998 LER 98-009-00:on 980405,epoxy Missing from Terminals of H Analyzer Was Noted.Caused by Inadequate Development of Procedure.H Analyzers Were Repaired & Review of Other Safety Related Equipment in Containment Was performed.W/980501 Ltr ML18106A5611998-04-20020 April 1998 LER 98-008-00:on 980323,inadequate Testing of Salem Unit 1 Containment Air Locks Resulted in Entering TS 3.0.3.Caused by less-than-adequate Work Practices During Replacement of Equalizing Valve.Salem Unit 2 Airlocks Were Inspected ML18106A6061998-04-0101 April 1998 Corrected LER 98-004-00:on 980302,failure to Comply W/Tss 4.11.1.1.2 & 3.3.3.8 Was Noted.Caused by Organizational Deficiency.Steps Have Been Taken to Correctly Document Safety Factors.Corrects Prior Similar Occurrences ML18106A4451998-04-0101 April 1998 LER 98-004-00:on 980302,failure to Perform TS 4.11.1.1.2 & 3.3.3.8 Was Noted.Caused by Organizational Deficiency.Steps Were Taken to Correctly Document Safety factors.W/980401 Ltr ML18106A4351998-03-30030 March 1998 LER 98-006-00:on 980227,incorrect Scaling of First Stage Turbine Impulse Pressure Transmitters Noted.Cause Indeterminate.Implemented Procedure Changes & re-scaled Affected Turbine Impulse Pressure transmitters.W/980330 Ltr ML18106A3961998-03-20020 March 1998 LER 98-005-00:on 980219,inoperability of Twelve EDG Fuel Oil Transfer Pump (FOTP) Noted.Caused by Installation of Incorrect Control Switch.Installed Correct off-auto-manual Switch & Verified Operability of Twelve FOTP.W/980320 Ltr ML18106A5781998-03-20020 March 1998 Corrected LER 98-005-00:on 980219,inoperability of 12 Fuel Oil Transfer Pump (Fotp),Noted.Caused by Installation of Incorrect Control Switch.Field Insp Performed to Verify Configuration of Switches for 11,21 & 22 FOTPs ML18106A4021998-03-20020 March 1998 LER 98-007-00:on 980218,failure to Establish Containment Integrity (Closure) Prior to Fuel Movement Was Noted.Caused by Failure to Identify & Include Condensate Pot Vent in Appropriate Valve Lineup.Valves identified.W/980320 Ltr ML18106A4031998-03-20020 March 1998 LER 98-006-00:on 980221,ESF Actuation of 11 & 12 Auxiliary Feedwater Pumps Occurred.Caused by Human Error.Operators Promptly Established Feedwater to All SG & Restored Proper Water levels.W/980320 Ltr 1999-08-26
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217A9931999-09-30030 September 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data ML18107A5581999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Salem,Unit 2.With 991014 Ltr ML18107A5571999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Salem,Unit 1.With 991014 Ltr ML18107A5301999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Salem,Unit 2.With 990913 Ltr ML18107A5311999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Salem,Unit 1.With 990913 ML18107A5031999-08-26026 August 1999 LER 99-006-00:on 990729,determined That SG Blowdown RMs Setpoint Was non-conservative.Caused by Inadequate ACs for Incorporating Original Plant Licensing Data Into Plant Procedures.Blowdown Will Be Restricted.With 990826 Ltr ML18107A5201999-08-12012 August 1999 Rev 0 to Sgs Unit 2 ISI RFO Exam Results (S2RFO#9) Second Interval,Second Period, First Outage (96RF). ML18107A4811999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Salem,Unit 1.With 990813 Ltr ML18107A4821999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Salem,Unit 2.With 990813 Ltr ML18107A4691999-07-28028 July 1999 LER 99-008-00:on 990714,determined That Limit Switch Cables Were Subject to Multiple Hot Shorts in Same Fire Area.Caused by Inadequate Original Post Fire Safe Shutdown Analysis.All Limit Switch Cables for MOVs Were Reviewed.With 990728 Ltr ML18107A4441999-07-0606 July 1999 LER 99-007-00:on 990605,surveillance for Quadrant Power Tilt Ratio (QPTR) Was Missed.Caused by Human Error.Qptr Calculation Was Performed & Personnel Involved Have Been Held Accountable IAW Pse&G Policies.With 990706 Ltr ML18107A4211999-07-0202 July 1999 LER 99-005-00:on 990605,11 Containment Declared Inoperable. Caused by Valves 11SW72 & 11SW223 Both Leaking.Procedure S1.OP-ST.SW-0010(Q) Was Enhanced to Provide Specific Instructions to Ensure Proper Sequencing.With 990702 Ltr ML18107A4331999-07-0101 July 1999 LER 99-002-01:on 990405,determined That 2SA118 Failed as Found Leakrate Test.Caused by Foreign Matl Found in 2SA118 valve.2SA118 Valve Was Cycled Several Times & Seat Area Was Air Blown in Order to Displace Foreign Matl.With 990701 Ltr ML18107A4321999-07-0101 July 1999 LER 99-006-01:on 990501,determined That There Was No Flow in One of Four Injection Legs.Caused by Sticking of Valve in Safety Injection Discharge Line to 21 Cold Leg.Valve Was Cut Out of Sys & Replaced.With 990701 Ltr ML18107A5211999-07-0101 July 1999 Rev 0 to Sgs Unit 2 ISI RFO Exam Results (S2RFO#10) Second Interval,Second Period,Second Outage (99RF). ML18107A4351999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Salem,Unit 1.With 990713 Ltr ML18107A4341999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Salem,Unit 2.With 990713 Ltr ML20196H8621999-06-30030 June 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data, June 1999 Rept ML18107A3951999-06-17017 June 1999 LER 99-004-00:on 990520,reactor Tripped from 100% Power,Due to Negative Flux Trip Signal from Nuclear Instrumentation. Cause Has Not Been Determined.Discoloration Was Identified on One of Penetrations.With 990617 Ltr ML18107A3661999-06-0909 June 1999 LER 99-003-00:on 990513,unplanned Entry Into TS 3.0.3 Was Made.Caused by Human error.Re-positioned Creacs Supply Fan Selector Switches & Revised Procedures S1 & S2.OP-ST.SSP-0001(Q).With 990609 Ltr ML18107A3551999-06-0202 June 1999 LER 99-005-00:on 990504,failure to Meet TS Action Statement Requirements for High Oxygen Concentration in Waste Gas Holdup Sys Occurred.Caused by Inability of Operators. Existing Procedures Will Be Evaluated.With 990602 Ltr ML18107A3441999-06-0101 June 1999 Interim Part 21 Rept Re Premature Over Voltage Protection Actuation in Circuit Specific Application in Dc Power Supply.Testing & Evaluation Activities Will Be Completed on 990716 ML18107A3541999-06-0101 June 1999 LER 99-006-00:on 990501,HHSI Flow Balance Discrepancy Was Noted During Surveillance.Caused by Sticking of Check Valve in SI Discharge Line to 21 Cold Leg.Valve 21SJ17,was Cut Out of Sys & Replaced.With 990601 Ltr ML18107A3681999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Salem Generating Station,Unit 1.With 990611 Ltr ML18107A3721999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Salem Generating Station,Unit 2.With 990611 Ltr ML18107A2931999-05-12012 May 1999 LER 99-002-00:on 990413,determined That Number 12 Auxiliary Bldg Exhaust Fan Was Rotating Backwards.Caused by mis-wiring of Motor Due to Human Error by Maint technician.Mis-wiring Was Corrected & Fan Was Returned to Svc.With 990512 Ltr ML18107A2781999-05-10010 May 1999 LER 99-004-00:on 990411,automatic Actuation of ESF Occurred During Reactor Vessel Head Removal in Support of Refueling Operations.Caused by High Radiation Condition.Containment Atmosphere Was Monitored.With 990505 Ltr ML18107A2791999-05-0404 May 1999 LER 99-003-00:on 990406,all Salem Unit 2 Chillers Rendered Inoperable.Caused by Human Error.Lessons Learned from Event Were Communicated to All Operators by Including Them in Night Orders.With 990504 Ltr ML18107A2741999-05-0303 May 1999 LER 99-002-00:on 990405,determined That Containment Isolation Valve Failed as Found Leakrate Test.Caused by Foreign Matl Blocking Valves from Closing.Check Valve Mechanically Agitated.With 990504 Ltr ML18107A3711999-04-30030 April 1999 Corrected Monthly Operating Rept for Apr 1999 for Salem Generating Station,Unit 1 ML18107A3151999-04-30030 April 1999 Submittal-Only Screening Review of Salem Generating Station Individual Plant Exam for External Events (Seismic Portion), Rev 1 ML18107A2991999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Salem Unit 1.With 990514 Ltr ML18107A2971999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Salem Unit 2.With 990514 Ltr ML18107A2351999-04-23023 April 1999 LER 99-001-00:on 990330,MSSV Failed Lift Set Test.Caused by Setpoint Variance Which Is Result of Aging.Valves Were Adjusted & Retested to Ensure TS Tolerance.With 990423 Ltr ML18107A2881999-04-0707 April 1999 Rev 0 to NFS-0174, COLR for Salem Unit 2 Cycle 11. ML18107A1821999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Salem,Unit 1.With 990414 Ltr ML18107A1831999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Salem,Unit 2.With 990414 Ltr ML18106B1471999-03-29029 March 1999 LER 99-001-00:on 990228,reactor Scram Was Noted as Result of Turbine Trip.Caused by Operator Error.Lesson Plans Revised to Explicitly Demonstrate Manner in Which Valve Functions. with 990329 Ltr ML18106B1021999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Salem Unit 2.With 990315 Ltr ML18106B1011999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Salem Unit 1.With 990315 Ltr ML18106B0931999-02-25025 February 1999 Part 21 Rept Re Possible Defect in Swagelok Pipe Fitting Tee,Part Number SS-6-T.Caused by Crack Due to Improper Location of Heated Bar.Only One Part Out of 7396 Pieces in Forging Lot Was Found to Be Cracked.Affected Util,Notified ML18106B0701999-02-16016 February 1999 LER 98-015-00:on 981208,inadvertent Discharge Through RHR Relief Valve During Startup Was Noted.Caused by Operator Performing Too Many Tasks Simultaneously.Appropriate Actions Have Been Taken IAW Policies & Procedures.With 990216 Ltr ML18106B0551999-02-0101 February 1999 Part 21 Rept Re Possible Matl Defect in Swagelok Pipe Fitting Tee,Part Number SS-6-T.Defect Is Crack in Center of Forging.Analysis of Part Is Continuing & Further Details Will Be Provided IAW Ncr Timetables.Drawing of Part,Encl ML18106B0561999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Salem Generating Station,Unit 2.With 990212 Ltr ML18106B0571999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Salem Generating Station,Unit 1.With 990212 Ltr ML20205P1671999-01-31031 January 1999 a POST-PLUME Phase, Federal Participation Exercise ML18106B0441999-01-29029 January 1999 Part 21 Rept Re Possible Defect in Swagelok Pipe Fitting Tee Part Number SS-6-T.Caused by Crack in Center of Forging. Continuing Analysis of Part & Will Provide Details in Acoordance with NRC Timetables ML18106B0491999-01-28028 January 1999 LER 98-007-01:on 980730,reactor Coolant Instrument Line through-wall Leak Was Noted.Caused by Transgranular Stress Corrosion Cracking.Replaced Affected Tubing.With 990128 Ltr ML18106B0401999-01-18018 January 1999 LER 98-016-00:on 981219,ECCS Leakage Was Outside of Design Value.Caused by Leakage Past Seat of 21RH34 Manual Drain. Valve 21RH34 Was Reseated.With 990118 Ltr ML18106B0251998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Salem Unit 2.With 990115 Ltr 1999-09-30
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Text
Public Service Electric and Gas Company P.O. Box 236 Hancocks Bridge, New Jersey 08038 Salem Generating Station April 1, 1991
- u. s. Nuclear Regulatory Commission Document Control Desk Washington~ DC 20555
Dear Sir:
SALEM GENERATING STATION LICENSE NO. DPR-75 DOCKET NO. 50-311 UNIT NO. 2 LICENSEE EVENT REPORT 91-006-00 This Licensee Event Report is being submitted pursuant to the requirements of the Code of Federal Regulations 10CFR 50.73(a) (2) (iv). This report is required within thirty (30) days of discovery.
Sincerely yours,
- s. LaBruna General Manager -
Salem Operations MJP:kll Distribution
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NRC Form 31141 U.S .. NUCLEAR REGULATORY COMMllllON 19-831 A,.ROVED OMI HO. 31!!0-4104 EXPIRES: 8/311115 LICENSEE EVENT REPORT (LER) 111 DOCKET NUMBER 121 I r-u~ l;!I
!o 15 Io FACILITY NAME Salem Generatinq Station - Unit 2 IO Io 13 fl 11 1 loF o 14 TITLE (4)
- EsF Actuation Siqnals: 2RlA Channel Failure Causinq Cm trol Room Vent. Switch EVENT DATE (SI LEA NUMBER 1111 REPORT DATE 171 OTHER FACILITIES INVOLVED 191 MONTH DAY YEAR YEAR tt SE~~~~~~AL tt =~~~?.: MONTH DAY YEAR FACILITY NAMES DOCKET NUMBERISI O 1s1010101 I I THll REPORT 11 IUIMITTED PURSUANT TO THE REQUIREMENTI OF 10 CFR §: (Clr<<:k ono or more ol th* lo/lowing/ 1111 Ol'EAATIHO MOOE Ill I110 1-------.---=-+--4 POWER 1 :Z0.402lbl
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- l!0.73111121Mllllll l!0.73(*11211*1 LICENSEE CONTACT FOR THll LER 1121 NAME TELEPHONE NUMBER AREA CODE M. J. Pollack - LER Coordinator COMP'LETE ONE LINE FOR EACH COMPONENT FAILURE DESCRllED IN THIS REPORT 1131 MANUFAC* MANUFAC*
CAUSE SYSTEM COMPONENT TUR ER TUR ER I I I I I I I I I I I I I I I I I I I I I I I I I I I I SUPPLEMENTAL REPORT EXPECTED 1141 MONTH DAY YIOAR EXPECTED SUBMl~ION lxl YES (II Y"* comp/ere EXPECTED SUBMISSION DATE!
DATE 1151 AISTRACT (Limlr ro 14()() l/>>CH, I.*.* *pproxim*rely """" ringl**IPI** fYi>>-tren linHI (181 On 3/2/91 at 2054 hours0.0238 days <br />0.571 hours <br />0.0034 weeks <br />7.81547e-4 months <br />, during normal plant operation, the Control Room general area Radiation Monitoring System (RMS) monitor (2RlA) spiked high. This resulted in the automatic switching of the Control Room ventilation from normal operation to its.accident mode of operation (100% recirculation). The switching of* the Control Room ventilation system to its emergency mode of operation is an Engineered Safety Feature (ESF). The cause of this event was determined to be a failed detector cable connection. The channel was subsequently returned to service on 3/4/91. On 3/5/91 at 1754 hours0.0203 days <br />0.487 hours <br />0.0029 weeks <br />6.67397e-4 months <br />, a second automatic ventilation switching occurred from a 2R1A RMS channel low failure signal. During this event, one of the ventilation outlet dampers (2CAA18) did not close fully. Investigation of this second event did not identify the specific cause; however, the channel backplane was rebuilt and the first s~age op-amp was replaced. The root cause of both events is attributed to equipment failure and equipment design concerns. Periodic problems with the Unit 2 RMS system have been experienced as indicated in prior LERs (e.g.,
311/90-044-00). The channel failed components were repaired/replaced as applicable. The 2CAA18 linkage arm was repaired. Several system design modifications should eliminate the spurious ESF actuation signals. These design modifications include a proposal for RMS channel equivalent replacement.
NRC Form 3911 19.aJI
I LICENSEE EVENT R.EPORT (LER) TEXT CONTINUATION Salem Generating Station DOCKET NUMBER LER NUMBER PAGE Unit 2 5000311 91-006-00 2 of 4 PLANT AND SYSTEM IDENTIFICATION:
Westinghouse Pressurized Water Reactor Energy Industry Identification System (EIIS) codes are identified in the text as f xxt IDENTIFICATION OF OCCURRENCE:
Engineered Safety Feature Actuation ~ Automatic Switching of the Control Room Ventilation to the Emergency Mode of Operation Due to Equ:j..pment Failure and Equipment Design Concerns.
Event Dates: 3/02/91 and 3/05/91 Report Date: 4/01/91 This report was initiated by Incident Report Nos. 91-:157 and 91-163.
CONDITIONS PRIOR TO OCCURRENCE:
Mode 1 Reactor Power 100% - Unit Load 1160 MWe DESCRIPTION OF OCCURRENCE:
On March 2, 1991 at 2054 hours0.0238 days <br />0.571 hours <br />0.0034 weeks <br />7.81547e-4 months <br />, during normal plant operation, the Control Room general area Radiation Monitoring System (RMS) f ILi monitor (2R1A) spiked high. This resulted in the automatic switching of the Control Room ventilation from normal operation to its accident mode of operation (100% recirculation). As addressed in the Apparent Cause of Occurrence section, the cause of the automatic ventilation switching was identified and corr~cted. The charin~l was subsequently returned to service on March 4, 1991.
On March 5, 1991 at 1754 hours0.0203 days <br />0.487 hours <br />0.0029 weeks <br />6.67397e-4 months <br />, a second automatic ventilation switching occurred from a 2R1A RMS channel low failure signal.
During this event, one of the ventilation outlet dampers (2CAA18) did not close fully.
The switching of the Control Room ventilation system to its emergency mode. of operati6n is an Engineered Safety Feature (ESF). Therefore, on March 2, 1991 and March 5, 1991 at 2205 and 1830 hours0.0212 days <br />0.508 hours <br />0.00303 weeks <br />6.96315e-4 months <br /> respectively, the Nuclear Regulatory Commission was notified of the automatic switching in accordance with Co_de of Federal Regulations
I LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Salem Generating Station .DOCKET NUMBER LER NUMBER PAGE Unit 2 5000311 91-006-00 3 of 4 APPARENT CAUSE OF OCCURRENCE:
The root cause of these events is attributed to both equipment failure (detector connection) and equipment design concerns (no specifically identified faults). The type .detector system used for the Salem Unit 2 RMS channels is manufactured by Victoreen. Periodic problems with this system have been experienced as indicated in prior LERs (e.g., 311/90-044-00}.
Investigation of the March 2, 1991 event identified that movement of the detector cable would cause spurious high channel spikes.
Subsequently, the detector cable connector was rebuilt. The channel was then calibrated and functionally checked-successfully. *It was.
returned to service* on March 4, 1991.
Investigation of the March 5, 1991 event did not identify the specific cause of the channel failure. ;However, the channel backplane was rebuilt and the first stage operational amplifier was replaced (based on prior experience).
The 2R1A detector is a Victoreen 857-20, GM tube. It is the Unit 2 Control Room general area radiation monitor and monitors ambient gamma. radiation levels. Generally, the 'control Room dose rate would increase due to the intake of radioactive materials. Therefore, the Control Room intake duct is isolated and the ventilation air is put in full recirculation through HEPA and Charcoal filters. This design is in accordance with the Updated Final Safety Analysis (UFSAR) which requires protection of Control Room personnel during a loss-of-coolant accident (LOCA), by limiting whole body dose to 5 rem, or its equivalent to any part of the body.
The 2R1B Control Room intake duct radiation monitor is used to corroborate the 2R1A channel readings. It too has the same automatic isolation function. During this event, no increase of activity was noted.
As stated in the Desc~iption of Occurrence section, the 2CAA18 outlet damper did not close fully after initiation of the ventilation switching signal. Investigation revealed that the linkage arm allen screws had loosened.
The 2CAA19 outlet valve is in series with the 2CAA18 damper.* It operated satisfactorily. Therefore, the failure of the 2CAA18 damper did not affect the Control Room ventilation switching.
I LICENSEE EVENT REPORT (LER) TEXT CONTINUATION I
- Salem Generating Station DOCKET NUMBER LER NUMBER PAGE Unit 2 5000311 91-006-00 4 of 4 ANALYSIS OF OCCURRENCE: (cont'd)
As *.indicated previously, the automatic switching of Control Room ventilation to its accident mode of operation was not caused by high radiation levels, but by equipmentd~sign concerns.* Also, the failure of the 2CAA18 valve did not prevent Control Room ventilation switching (due to operability of the 2CAA19 damper). Therefore, the health and safety of the public was not affecteq by this event. However, since the Control Room ventilation switching to the accident mode of operation is an ESF, this event is reportable in accordance with Code of Federal Regulations 10CFR 50.73(a) (2) (iv).
CORRECTIVE ACTION:
The channel detector cable connection was rebui1t.
The 2R1A channel backplane was reb~ilt and the first stage operational amplifier was replaced.
The 2CAA18 linkage arm was repaired. Equipment with similiar types of linkage configuration will be inspected. The results of the inspections will be assessed to determine whether the existing preventive maintenance program on these dampers provides adequate assurance of damper.integrity.
After completion of the 2R1A channel repairs and 2CAA18 linkage arm repairs, a subsequent 2R1A alarm, for communications failure, was received. This alarm indicates a problem between the channel and its Central Processing Units (communications failure). Additional investigation is in progress.
As indicated in prior LERs (e.g., LER 311/90-044-00), Engineering has investigated the concerns with the Unit 2 RMS channels. It is anticipated that several system design modifications wi.11 eliminate the spurious ESF actuation signals. These design modifications include a proposal for RMS channel equivalent replacement.
/()>iu~--~<-:-____
General Manager -
Salem Operations MJP:pc SORC Mtg.91-040