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{{#Wiki_filter:-ACCELERATED | {{#Wiki_filter:- ACCELERATED DISTIUBUTION DEMONSHRATION SYSTHM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS) | ||
DISTIUBUTION | ESSION NBR: 9003130028 DOC. DATE: 90/03/02 NOTARIZED: NO DOCKET ACIL:50-400 Shearon Harris Nuclear Power Plant, Unit 1, Carolina 05000400 AUTH. NAME AUTHOR AFFILIATION RICHEY,R.B. Carolina Power & Light Co. | ||
DEMONSHRATION | RECIP.NAME RECIPIENT AFFILIATION Document Control Branch (Document Control Desk) | ||
SYSTHM REGULATORY | |||
INFORMATION | ==SUBJECT:== | ||
DISTRIBUTION | Responds to NRC 900131 ltr re violations noted in Insp Rept 50-400/89-34. | ||
SYSTEM (RIDS)ESSION NBR: 9003130028 | DISTRIBUTION CODE: IE01D COPIES RECEIVED:LTR ENCL SIZE: | ||
DOC.DATE: 90/03/02 NOTARIZED: | TITLE: General (50 Dkt)-Insp Rept/Notice of Violation Response S NOTES:Application for permit renewal filed. 05000400 | ||
NO ACIL:50-400 | / | ||
Shearon Harris Nuclear Power Plant, Unit 1, Carolina AUTH.NAME AUTHOR AFFILIATION | 1 RECIPIENT COPIES RECIPIENT COPIES A, ID CODE/NAME LTTR ENCL . ID CODE/NAME LTTR ENCL PD2-1 PD 1 1 BECKER,D 1 1 INTERNAL ACRS . 2 AEOD 1 1 D AEOD/DEIIB 1 AEOD/TPAD 1 1 DEDRO 1 NRR SHANKMAN,S 1 1 NRR/DLPQ/LPEB10 1 NRR/DOEA DIR 11 1 1 NRR/DREP/PEPB9D NRR/DRIS/DIR NRR/PMAS/ILRB12 OGC/HDS 1 1 | ||
RICHEY,R.B. | 1 1 | ||
Carolina Power&Light Co.RECIP.NAME | 1 | ||
RECIPIENT AFFILIATION | 'U NRR/DREP/PRPB11 NRR/DST/DIR 8E2 OCS-ABSTRACT EG FIL 02 01 2 | ||
Document Control Branch (Document Control Desk) | 1 1 | ||
noted in Insp Rept 50-400/89-34. | 1 1 | ||
DISTRIBUTION | 2 1 | ||
CODE: IE01D COPIES RECEIVED:LTR | 1 1 | ||
ENCL SIZE: TITLE: General (50 Dkt)-Insp Rept/Notice | 1 RES MORISSEAU,D 1 E EXTERNAL: LPDR 1 1 NRC PDR 1 1 NSIC 1 1 RJ D | ||
of Violation Response NOTES:Application | D D | ||
for permit renewal filed.1 | NOIX TO ALL"RIDS" RECIPIENTS: | ||
DEDRO NRR/DLPQ/LPEB10 | S PLEASE HELP US TO REDUCE WAS%I CONTACT THE.DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT. 20079) TO ELMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENIS YOU DON'T NEED! | ||
NRR/DREP/PEPB9D | OTAL NUMBER OF COPIES REQUIRED: LTTR 25 ENCL 25 | ||
NRR/DRIS/DIR | |||
NRR/PMAS/ILRB12 | Carolina Power 8 Light Company P. O. Box 165 ~ New Hiil N. C. 27562 | ||
OGC/HDS 1 | ~ | ||
R. B. RICHEY Manager 2 l990 Letter Number.'HO-900041 (0) | |||
Document Control Desk NRC-701 United States Nuclear Regulatory Commission Washington, DC 20555 SHEARON HARRIS NUCLEAR POWER PLANT DOCKET NO. 50-400 LICENSE NO. NPF-63 REPLY TO A NOTICE OF VIOLATION Gentlemen: | |||
In reference to your letter of January 31, 1990, referring to I.E. | |||
8E2 | Report RII: 50-400/89-34, the attached is Carolina Power and Light Company's reply to violation "A" identified in Enclosure 1. | ||
It is considered that the corrective actions taken/planned are satisfactory for resolution of the item. | |||
PLEASE HELP US TO REDUCE WAS%I CONTACT THE.DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT.20079)TO | Thank you for your consideration in this matter. | ||
LISTS FOR DOCUMENIS YOU DON'T NEED!OTAL NUMBER OF COPIES REQUIRED: LTTR 25 ENCL 25 | Very truly yours, R. B. Richey, Man ger Harris Nuclear Pr ject MGW:dgr Enclosure cc: Mr. R. A. Becker (NRC) | ||
Mr. S. D. 'Ebneter (NRC " RII) | |||
Carolina Power 8 Light Company P.O.Box 165~New Hiil | Mr. J. E. Tedrou (NRC SHNPP) 5'003i3002S 900302 PDR I.J ADOCK 05000400 nr ni nu-v8utII4 JO/1/OS1 xo/ | ||
(0)Document Control Desk United States Nuclear Regulatory | ~ rII | ||
Commission | |||
Washington, DC 20555 | ATTACHMENT TO CP&L LETTER OF RESPONSE TO NRC I.E. REPORT RII: 50-400/89-34, VIOLATION "A" Re orted Violation.'echnical Specification 6.8.1.a requires that written procedures be established and implemented covering procedures outlined in Appendix A of Regulatory Guide 1.33, Revision 2, February 1978. | ||
In reference to your letter of January 31, 1990, referring to I.E.Report RII: 50-400/89-34, the attached is Carolina Power and Light Company's reply to violation"A" identified | Regulatory Guide 1.33, Appendix A, paragraph 8.b requires ,that written procedures be provided for surveillance tests. | ||
in Enclosure 1.It is considered | Operations Surveillance Test OST-1804, Residual Heat Removal (RHR) Remote Position Indication and Timing Test, provides the steps and prerequisites necessary to verify proper valve operation. Step 3.1 of this procedure requires that the system being tested be aligned in a manner that will support the performance of the test. | ||
that the corrective | Operations Surveillance Test OST-1004, Power Range Heat Balance, provides the steps necessary to adjust the power range nuclear instruments. Note 1 on attachment VII of this procedure, requires that if there is insufficient adjustment of the fine gain potentiometer, that a work request be generated to adjust the course gain potentiometer. | ||
actions taken/planned | Contrary to the above, | ||
are satisfactory | : l. On November 28 1 989, procedure OST-1804 was not properly implemented in that the RHR system lineup was not adequately aligned to allow test performance which resulted in the overflow of contaminated borated water from 'the reactor vessel to the seal table area of containment. | ||
for resolution | : 2. On December 23, 1989, procedure OST-1004 was not properly implemented in that a work request was not generated -and course gain adjustments were made. | ||
of the item.Thank you for your consideration | This is a Severity Level IV violation (Supplement I). | ||
in this matter.Very truly yours, R.B.Richey, Man ger Harris Nuclear Pr ject MGW:dgr Enclosure cc: Mr.R.A.Becker (NRC)Mr.S.D.'Ebneter (NRC" RII)Mr.J.E.Tedrou (NRC | Denial or Admission: | ||
900302 PDR | The violation is admitted. Example 1 and 2 of the violation are addressed separately, each with a specific reason for the violation, corrective steps taken, corrective steps taken to prevent further violations and full compliance date given. | ||
JO/1/OS1 xo/~rII | : 1. Reason For The Violation: | ||
Sections 7.1 .and 7.3 of OST-1804 (RHR Remote a'n November 22, 1989, Position Indication and Timing Test, Eighteen (18) Month Interval, Modes 5 and 6) were successfully completed for the B train. (The vessel was defueled and both trains of RHR were secured.) On November 28, 1989, refueling was complete and B train RHR was in operation. OST-1804 was to MEM/HO-9000410/2/OS1 | |||
ATTACHMENT | |||
TO CP&L LETTER OF RESPONSE TO NRC I.E.REPORT RII: 50-400/89-34, VIOLATION"A" Re orted Violation.'echnical | be performed on the "A" train valves. The Shift Technical Advisor (STA) was running the test. The STA conducted a briefing on the test with the Reactor Operator (RO), who would operate the valves and the Auxiliary Operator (AO), who would verify valve position locally. The briefing included the purpose and general methods used to accomplish the test. | ||
Specification | The "A" RHR train had two valves in series (RH-1 and RH-2) that isolate RHR from the Reactor Coolant System. -When the testing began, RH-2 was open and under clearance for maintenance. RH-1 was also open, but capable of being closed. With RH-2 under clearance, Section 7.1 (RHR Valve Timing Test) could not be performed. The STA therefore skipped Section 7.1 and proceeded to 7.2 (Remote Position Indication Verification, Train "A"). He did not realize that Section 7.1 ensured that RH-1 and RH-2 were closed prior to starting Section 7.2. Section 7.2 requires cycling the Refueling Water Storage Tank (RWST) to RHR pump suction valve. If this is done with RH-1 and RH-2 open, the RWST will gravity drain to the reactor vessel. Section 7.2 did not contain a specific caution addressing gravity drain, because this could not occur if RH-1 or RH-2 was shut (as would be the case if Section 7.1 had been performed). | ||
6.8.1.a requires that written procedures | The RO was responsible for all operations involving the primary side of the plant. He was tasked with monitoring primary system operations, outage activities affecting his indications, and log taking. When the STA requested him to stroke SI-322, RWST suction to a RHR pump, he also failed to detect that this would establish a gravity drain flow path via the open loop suction valves. | ||
be established | Mhen requested, the RO opened SI-322. The valve took approximately 20 seconds to open and was open for approximately 20 seconds while the AO verified its position. Then it was stroked shut. After taking the valve switch to shut, the RO noticed his Reactor Vessel Level Instrumentation System (RVLIS) trend on a CRT screen increasing. About one minute after cycling the valve, the Control Room got a call from the Containment refueling level HP Technician. He reported water was coming out from around the vessel head flange. The vessel head was in place,'ut the bolts were not yet torqued down, which allowed reactor coolant to leak through the gap between the head and vessel flanges. Vessel level increased from 19-3/4" below the flange to approximately 18" above the flange. Mater spilled through the gap at the flange into the refueling cavity and the seal table room (previously not contaminated). RWST level decreased by approximately 1 percent which corresponds to approximately 3,000 gallons. | ||
and implemented | Corrective Ste s Taken and Results Achieved: | ||
covering procedures | Valve SI-32&was'losed and the gravity drain path was isolated. | ||
outlined in Appendix A of Regulatory | Corrective Ste s Taken to Avoid Further Violations: | ||
Guide 1.33, Revision 2, February 1978.Regulatory | Procedure OST-1804 is being revised to include a caution relative to gravity drain prior to cycling RWST suction valves. A review of other OSTs that cycle RWST suction valves is being performed and revision to include cautions where applicable will be made. | ||
Guide 1.33, Appendix A, paragraph 8.b requires ,that written procedures | MEM/HO-9000410/3/OS1 | ||
be provided for surveillance | |||
tests.Operations | This event wilL be reviewed with appropriate Operations personnel. The review will emphasize that when skipping steps/sections in a procedure, it must be ensured that the existing system lineup is consistent with what it would have been if the skipped step/section had been performed. | ||
Surveillance | J Date Full Com Liance Wi11 Be Achieved: | ||
Test OST-1804, Residual Heat Removal (RHR)Remote Position Indication | OST-1804 will be revised and other OSTs will be reviewed and revised, as appropriate, by December 31, 1990. | ||
and Timing Test, provides the steps and prerequisites | A review of this event with appropriate Operations personnel will be completed by March 31, 1990. | ||
necessary to verify proper valve operation. | : 2. Reason For The Violation'. | ||
Step 3.1 of this procedure requires that the system being tested be aligned in a manner that will support the performance | On December 23, 1989, a calorimetric calibration was complete'd for the nuclear instruments (NIs). The power range NIs were found to be reading lower than actual core power, as determined by the calorimetric. The calorimetric indicated actual power at approximately 41 percent while the power range NI indicated approximately 28 percent. The shift foreman on duty directed an IhC Technician to adjust the course gain on the instruments. Procedure MMM-012, Maintenance Work Control Procedure Section 5.4 Priority/Emergency Maintenance, allows the Shift Foreman to direct maintenance activities without preplanning and without a Work Request in an emergency or abnormal operating conditions. The Shift Foreman considered the difference between the actual and indicated power to be an abnormal operating condition and therefore directed the adjustments be made. MMM-012 Section 5.4 also requires that if maintenance activities are directed as stated above those actions shall be | ||
of the test.Operations | 'documented after the fact and receive the same degree of review as if they had been preplanned. The Shift Foreman failed to,initiate the required documentation at this time. This resulted in no Work Request initiation until January 9, 1990. | ||
Surveillance | Corrective Ste s Taken and Results Achieved: | ||
Test OST-1004, Power Range Heat Balance, provides the steps necessary to adjust the power range nuclear instruments. | A Work Request and Authorization (90-AAMY1) was initiated on January 9, 1990. | ||
Note 1 on attachment | Corrective Ste s Taken to Avoid Further Violations: | ||
VII of this procedure, requires that if there is insufficient | Shift Foreman and Senior Reactor Operators are being required to review the applicable sections . for MMM-012, to ensure an understanding of these'' | ||
adjustment | requirements. | ||
of the fine gain potentiometer, that a work request be generated to adjust the course gain potentiometer. | Date Full Com liance Will Be Achieved: | ||
Contrary to the above, l.On November 28 1 989, procedure OST-1804 was not properly implemented | The above stated reviews will be completed by March 9, 1990. | ||
in that the RHR system lineup was not adequately | MEM/HO-9000410/4/OS1}} | ||
aligned to allow test performance | |||
which resulted in the overflow of contaminated | |||
borated water from'the reactor vessel to the seal table area of containment. | |||
2.On December 23, 1989, procedure OST-1004 was not properly implemented | |||
in that a work request was not generated-and course gain adjustments | |||
were made.This is a Severity Level IV violation (Supplement | |||
I).Denial or Admission: | |||
The violation is admitted.Example 1 and 2 of the violation are addressed separately, each with a specific reason for the violation, corrective | |||
steps taken, corrective | |||
steps taken to prevent further violations | |||
and full compliance | |||
date given.1.Reason For The Violation: | |||
and Timing Test, Eighteen (18)Month Interval, Modes 5 and 6)were successfully | |||
completed for the B train.(The vessel was defueled and both trains of RHR were secured.)On November 28, 1989, refueling was complete and B train RHR was in operation. | |||
OST-1804 was to MEM/HO-9000410/2/OS1 | |||
be performed on the"A" train valves.The Shift Technical Advisor (STA)was running the test.The STA conducted a briefing on the test with the Reactor Operator (RO), who would operate the valves and the Auxiliary Operator (AO), who would verify valve position locally.The briefing included the purpose and general methods used to accomplish | |||
the test.The"A" RHR train had two valves in series (RH-1 and RH-2)that isolate RHR from the Reactor Coolant System.-When the testing began, RH-2 was open and under clearance for maintenance. | |||
RH-1 was also open, but capable of being closed.With RH-2 under clearance, Section 7.1 (RHR Valve Timing Test)could not be performed. | |||
The STA therefore skipped Section 7.1 and proceeded to 7.2 (Remote Position Indication | |||
Verification, Train"A").He did not realize that Section 7.1 ensured that RH-1 and RH-2 were closed prior to starting Section 7.2.Section 7.2 requires cycling the Refueling Water Storage Tank (RWST)to RHR pump suction valve.If this is done with RH-1 and RH-2 open, the RWST will gravity drain to the reactor vessel.Section 7.2 did not contain a specific caution addressing | |||
gravity drain, because this could not occur if RH-1 or RH-2 was shut (as would be the case if Section 7.1 had been performed). | |||
The RO was responsible | |||
for all operations | |||
involving the primary side of the plant.He was tasked with monitoring | |||
primary system operations, outage activities | |||
affecting his indications, and log taking.When the STA requested him to stroke SI-322, RWST suction to a RHR pump, he also failed to detect that this would establish a gravity drain flow path via the open loop suction valves.Mhen requested, the RO opened SI-322.The valve took approximately | |||
20 seconds to open and was open for approximately | |||
20 seconds while the AO verified its position.Then it was stroked shut.After taking the valve switch to shut, the RO noticed his Reactor Vessel Level Instrumentation | |||
System (RVLIS)trend on a CRT screen increasing. | |||
About one minute after cycling the valve, the Control Room got a call from the Containment | |||
refueling level HP Technician. | |||
He reported water was coming out from around the vessel head flange.The vessel head was in place,'ut the bolts were not yet torqued down, which allowed reactor coolant to leak through the gap between the head and vessel flanges.Vessel level increased from 19-3/4" below the flange to approximately | |||
18" above the flange.Mater spilled through the gap at the flange into the refueling cavity and the seal table room (previously | |||
not contaminated). | |||
RWST level decreased by approximately | |||
1 percent which corresponds | |||
to approximately | |||
3,000 gallons.Corrective | |||
Ste s Taken and Results Achieved: Valve SI-32&was'losed | |||
and the gravity drain path was isolated.Corrective | |||
Ste s Taken to Avoid Further Violations: | |||
Procedure OST-1804 is being revised to include a caution relative to gravity drain prior to cycling RWST suction valves.A review of other OSTs that cycle RWST suction valves is being performed and revision to include cautions where applicable | |||
will be made.MEM/HO-9000410/3/OS1 | |||
This event wilL be reviewed with appropriate | |||
Operations | |||
personnel. | |||
The review will emphasize that when skipping steps/sections | |||
in a procedure, it must be ensured that the existing system lineup is consistent | |||
with what it would have been if the skipped step/section | |||
had been performed. | |||
J Date Full Com Liance Wi11 Be Achieved: OST-1804 will be revised and other OSTs will be reviewed and revised, as appropriate, by December 31, 1990.A review of this event with appropriate | |||
Operations | |||
personnel will be completed by March 31, 1990.2.Reason For The Violation'. | |||
On December 23, 1989, a calorimetric | |||
calibration | |||
was complete'd | |||
for the nuclear instruments (NIs).The power range NIs were found to be reading lower than actual core power, as determined | |||
by the calorimetric. | |||
The calorimetric | |||
indicated actual power at approximately | |||
41 percent while the power range NI indicated approximately | |||
28 percent.The shift foreman on duty directed an IhC Technician | |||
to adjust the course gain on the instruments. | |||
Procedure MMM-012, Maintenance | |||
Work Control Procedure Section 5.4 Priority/Emergency | |||
Maintenance, allows the Shift Foreman to direct maintenance | |||
activities | |||
without preplanning | |||
and without a Work Request in an emergency or abnormal operating conditions. | |||
The Shift Foreman considered | |||
the difference | |||
between the actual and indicated power to be an abnormal operating condition and therefore directed the adjustments | |||
be made.MMM-012 Section 5.4 also requires that if maintenance | |||
activities | |||
are directed as stated above those actions shall be'documented | |||
after the fact and receive the same degree of review as if they had been preplanned. | |||
The Shift Foreman failed to,initiate | |||
the required documentation | |||
at this time.This resulted in no Work Request initiation | |||
until January 9, 1990.Corrective | |||
Ste s Taken and Results Achieved: A Work Request and Authorization | |||
(90-AAMY1) | |||
was initiated on January 9, 1990.Corrective | |||
Ste s Taken to Avoid Further Violations: | |||
Shift Foreman and Senior Reactor Operators are being required to review the applicable | |||
sections.for MMM-012, | |||
}} |
Latest revision as of 03:37, 22 October 2019
ML18022A785 | |
Person / Time | |
---|---|
Site: | Harris |
Issue date: | 03/02/1990 |
From: | Richey R CAROLINA POWER & LIGHT CO. |
To: | NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM) |
References | |
CON-NRC-701 HO-900041-(O), NUDOCS 9003130028 | |
Download: ML18022A785 (10) | |
Text
- ACCELERATED DISTIUBUTION DEMONSHRATION SYSTHM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ESSION NBR: 9003130028 DOC. DATE: 90/03/02 NOTARIZED: NO DOCKET ACIL:50-400 Shearon Harris Nuclear Power Plant, Unit 1, Carolina 05000400 AUTH. NAME AUTHOR AFFILIATION RICHEY,R.B. Carolina Power & Light Co.
RECIP.NAME RECIPIENT AFFILIATION Document Control Branch (Document Control Desk)
SUBJECT:
Responds to NRC 900131 ltr re violations noted in Insp Rept 50-400/89-34.
DISTRIBUTION CODE: IE01D COPIES RECEIVED:LTR ENCL SIZE:
TITLE: General (50 Dkt)-Insp Rept/Notice of Violation Response S NOTES:Application for permit renewal filed. 05000400
/
1 RECIPIENT COPIES RECIPIENT COPIES A, ID CODE/NAME LTTR ENCL . ID CODE/NAME LTTR ENCL PD2-1 PD 1 1 BECKER,D 1 1 INTERNAL ACRS . 2 AEOD 1 1 D AEOD/DEIIB 1 AEOD/TPAD 1 1 DEDRO 1 NRR SHANKMAN,S 1 1 NRR/DLPQ/LPEB10 1 NRR/DOEA DIR 11 1 1 NRR/DREP/PEPB9D NRR/DRIS/DIR NRR/PMAS/ILRB12 OGC/HDS 1 1
1 1
1
'U NRR/DREP/PRPB11 NRR/DST/DIR 8E2 OCS-ABSTRACT EG FIL 02 01 2
1 1
1 1
2 1
1 1
1 RES MORISSEAU,D 1 E EXTERNAL: LPDR 1 1 NRC PDR 1 1 NSIC 1 1 RJ D
D D
NOIX TO ALL"RIDS" RECIPIENTS:
S PLEASE HELP US TO REDUCE WAS%I CONTACT THE.DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT. 20079) TO ELMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENIS YOU DON'T NEED!
OTAL NUMBER OF COPIES REQUIRED: LTTR 25 ENCL 25
Carolina Power 8 Light Company P. O. Box 165 ~ New Hiil N. C. 27562
~
R. B. RICHEY Manager 2 l990 Letter Number.'HO-900041 (0)
Document Control Desk NRC-701 United States Nuclear Regulatory Commission Washington, DC 20555 SHEARON HARRIS NUCLEAR POWER PLANT DOCKET NO. 50-400 LICENSE NO. NPF-63 REPLY TO A NOTICE OF VIOLATION Gentlemen:
In reference to your letter of January 31, 1990, referring to I.E.
Report RII: 50-400/89-34, the attached is Carolina Power and Light Company's reply to violation "A" identified in Enclosure 1.
It is considered that the corrective actions taken/planned are satisfactory for resolution of the item.
Thank you for your consideration in this matter.
Very truly yours, R. B. Richey, Man ger Harris Nuclear Pr ject MGW:dgr Enclosure cc: Mr. R. A. Becker (NRC)
Mr. S. D. 'Ebneter (NRC " RII)
Mr. J. E. Tedrou (NRC SHNPP) 5'003i3002S 900302 PDR I.J ADOCK 05000400 nr ni nu-v8utII4 JO/1/OS1 xo/
~ rII
ATTACHMENT TO CP&L LETTER OF RESPONSE TO NRC I.E. REPORT RII: 50-400/89-34, VIOLATION "A" Re orted Violation.'echnical Specification 6.8.1.a requires that written procedures be established and implemented covering procedures outlined in Appendix A of Regulatory Guide 1.33, Revision 2, February 1978.
Regulatory Guide 1.33, Appendix A, paragraph 8.b requires ,that written procedures be provided for surveillance tests.
Operations Surveillance Test OST-1804, Residual Heat Removal (RHR) Remote Position Indication and Timing Test, provides the steps and prerequisites necessary to verify proper valve operation. Step 3.1 of this procedure requires that the system being tested be aligned in a manner that will support the performance of the test.
Operations Surveillance Test OST-1004, Power Range Heat Balance, provides the steps necessary to adjust the power range nuclear instruments. Note 1 on attachment VII of this procedure, requires that if there is insufficient adjustment of the fine gain potentiometer, that a work request be generated to adjust the course gain potentiometer.
Contrary to the above,
- l. On November 28 1 989, procedure OST-1804 was not properly implemented in that the RHR system lineup was not adequately aligned to allow test performance which resulted in the overflow of contaminated borated water from 'the reactor vessel to the seal table area of containment.
- 2. On December 23, 1989, procedure OST-1004 was not properly implemented in that a work request was not generated -and course gain adjustments were made.
This is a Severity Level IV violation (Supplement I).
Denial or Admission:
The violation is admitted. Example 1 and 2 of the violation are addressed separately, each with a specific reason for the violation, corrective steps taken, corrective steps taken to prevent further violations and full compliance date given.
- 1. Reason For The Violation:
Sections 7.1 .and 7.3 of OST-1804 (RHR Remote a'n November 22, 1989, Position Indication and Timing Test, Eighteen (18) Month Interval, Modes 5 and 6) were successfully completed for the B train. (The vessel was defueled and both trains of RHR were secured.) On November 28, 1989, refueling was complete and B train RHR was in operation. OST-1804 was to MEM/HO-9000410/2/OS1
be performed on the "A" train valves. The Shift Technical Advisor (STA) was running the test. The STA conducted a briefing on the test with the Reactor Operator (RO), who would operate the valves and the Auxiliary Operator (AO), who would verify valve position locally. The briefing included the purpose and general methods used to accomplish the test.
The "A" RHR train had two valves in series (RH-1 and RH-2) that isolate RHR from the Reactor Coolant System. -When the testing began, RH-2 was open and under clearance for maintenance. RH-1 was also open, but capable of being closed. With RH-2 under clearance, Section 7.1 (RHR Valve Timing Test) could not be performed. The STA therefore skipped Section 7.1 and proceeded to 7.2 (Remote Position Indication Verification, Train "A"). He did not realize that Section 7.1 ensured that RH-1 and RH-2 were closed prior to starting Section 7.2. Section 7.2 requires cycling the Refueling Water Storage Tank (RWST) to RHR pump suction valve. If this is done with RH-1 and RH-2 open, the RWST will gravity drain to the reactor vessel. Section 7.2 did not contain a specific caution addressing gravity drain, because this could not occur if RH-1 or RH-2 was shut (as would be the case if Section 7.1 had been performed).
The RO was responsible for all operations involving the primary side of the plant. He was tasked with monitoring primary system operations, outage activities affecting his indications, and log taking. When the STA requested him to stroke SI-322, RWST suction to a RHR pump, he also failed to detect that this would establish a gravity drain flow path via the open loop suction valves.
Mhen requested, the RO opened SI-322. The valve took approximately 20 seconds to open and was open for approximately 20 seconds while the AO verified its position. Then it was stroked shut. After taking the valve switch to shut, the RO noticed his Reactor Vessel Level Instrumentation System (RVLIS) trend on a CRT screen increasing. About one minute after cycling the valve, the Control Room got a call from the Containment refueling level HP Technician. He reported water was coming out from around the vessel head flange. The vessel head was in place,'ut the bolts were not yet torqued down, which allowed reactor coolant to leak through the gap between the head and vessel flanges. Vessel level increased from 19-3/4" below the flange to approximately 18" above the flange. Mater spilled through the gap at the flange into the refueling cavity and the seal table room (previously not contaminated). RWST level decreased by approximately 1 percent which corresponds to approximately 3,000 gallons.
Corrective Ste s Taken and Results Achieved:
Valve SI-32&was'losed and the gravity drain path was isolated.
Corrective Ste s Taken to Avoid Further Violations:
Procedure OST-1804 is being revised to include a caution relative to gravity drain prior to cycling RWST suction valves. A review of other OSTs that cycle RWST suction valves is being performed and revision to include cautions where applicable will be made.
MEM/HO-9000410/3/OS1
This event wilL be reviewed with appropriate Operations personnel. The review will emphasize that when skipping steps/sections in a procedure, it must be ensured that the existing system lineup is consistent with what it would have been if the skipped step/section had been performed.
J Date Full Com Liance Wi11 Be Achieved:
OST-1804 will be revised and other OSTs will be reviewed and revised, as appropriate, by December 31, 1990.
A review of this event with appropriate Operations personnel will be completed by March 31, 1990.
- 2. Reason For The Violation'.
On December 23, 1989, a calorimetric calibration was complete'd for the nuclear instruments (NIs). The power range NIs were found to be reading lower than actual core power, as determined by the calorimetric. The calorimetric indicated actual power at approximately 41 percent while the power range NI indicated approximately 28 percent. The shift foreman on duty directed an IhC Technician to adjust the course gain on the instruments. Procedure MMM-012, Maintenance Work Control Procedure Section 5.4 Priority/Emergency Maintenance, allows the Shift Foreman to direct maintenance activities without preplanning and without a Work Request in an emergency or abnormal operating conditions. The Shift Foreman considered the difference between the actual and indicated power to be an abnormal operating condition and therefore directed the adjustments be made. MMM-012 Section 5.4 also requires that if maintenance activities are directed as stated above those actions shall be
'documented after the fact and receive the same degree of review as if they had been preplanned. The Shift Foreman failed to,initiate the required documentation at this time. This resulted in no Work Request initiation until January 9, 1990.
Corrective Ste s Taken and Results Achieved:
A Work Request and Authorization (90-AAMY1) was initiated on January 9, 1990.
Corrective Ste s Taken to Avoid Further Violations:
Shift Foreman and Senior Reactor Operators are being required to review the applicable sections . for MMM-012, to ensure an understanding of these
requirements.
Date Full Com liance Will Be Achieved:
The above stated reviews will be completed by March 9, 1990.
MEM/HO-9000410/4/OS1