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| | issue date = 05/17/1996 | | | issue date = 05/17/1996 |
| | title = LER 96-003-01:on 960308,identified That Both Pressurizer PORVs Inoperable Concurrently Due to Disconnection of Flex Hose to Both PORV Actuators to Install air-sets for Benchset & Limit Switch Activities.Hpes Completed | | | title = LER 96-003-01:on 960308,identified That Both Pressurizer PORVs Inoperable Concurrently Due to Disconnection of Flex Hose to Both PORV Actuators to Install air-sets for Benchset & Limit Switch Activities.Hpes Completed |
| | author name = ST MARTIN J T | | | author name = St Martin J |
| | author affiliation = ROCHESTER GAS & ELECTRIC CORP. | | | author affiliation = ROCHESTER GAS & ELECTRIC CORP. |
| | addressee name = | | | addressee name = |
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| {{#Wiki_filter:NRCFORM366(4-95)U.S.NLEARREGULATORYCOMMISSIONLICENSEEEVENTREPORT(LER)(Seereverseforrequirednumberofdigits/charactersforeachblock)AROVEDBYOMBNO.3160-0104EXPIRES04/30/96ESTIMATEDBURDENPERRESPONSEToCOMPLYWITHTHISMANDATORYINFORMATIONCOLLECTIONREQUEST:50.0HRS.REPORTEDLESSONSLEARNEDAREINCORPORATEDINTOTHELICENSINGPROCESSANDFEDBACKToINDUSTRY.FORWARDCOMMENTSREGARDINGBURDENESTIMATEToTHEINFORMATIONANDRECORDSMANAGEMENTBRANCHIT-6F33),U.S.NUCLEARREGULATORYCOMMISSION,WASHINGTON,DC20555-0001,ANDToTHEPAPERWORKREDUCTIONPROJECTFAGIUTYHAME(1)R.E.GinnaNuclearPowerPlantOOCKETNUMBER(2)05000244PAGE(3)1OF8rrLE(4)BothPressurizerReliefValvesInoperable,ResultsinConditionThatCouldHavePreventedFulfillmentofaSafetyFunctionEVENTDATE(5)LERNUMBER(6)REPORTDATE(7)OTHERFACILITIESINVOLVED(6)MONTHDAYYEARSEQUENTIALREVISIONNUMBERNUMBERYEARFACILITYNAMEOOCKETNUMBER0308OPERATINGMODE(9)POWERLEVEL(10)9600096-003-01051796FACILffYNAMEOOCKETNUMBER20.2201(b)20.2203(a)(1)20.2203(a)(2)(I)20.2203(a)(2)(ii)20.2203(a)(2)(iii)20.2203(a)(2)(iv)20.2203(a)(2)(v)20.2203(a)(3)(i)20.2203(a)(3)(ii)20.2203(a)(4)50.36(c)(1)50.36(c)(2)50.73(a)(2)(i)50.73(a)(2)(ii)50.73(a)(2)(iii)50.73(a)(2)(iv)X50.73(a)(2)(v)50.73(a)(2)(vii)50.73(a)(2)(viii)50.73(a)(2)(x)73.71OTHERSpecifyinAbstractbeloworinNRCForm366Armore)(11)HISREPORTISSUBMITTEDPURSUANTTOTHEREQUIREMENTSOF10CFRE:(CheckoneoNAMELICENSEECONTACTFORTHISLER(12)TELEPHONENUMBER(IrciudeAresCode)JohnT.St.Martin-TechnicalAssistant(716)771-3641COMPLETEONELINEFOREACHCOMPONENTFAILUREDESCRIBEDINTHISREPORT(13)CAUSESYSTEMCOMPONENTMANUFACTURERREPORTABLETONPRDSCAUSESYSTEMCOMPONENTMANUFACTURERREPORTABLETONPRDSSUPPLEMENTALREPORTEXPECTED(14)YES(Ifyes,completeEXPECTEDSUBMISSIONDATE).XNOEXPECTEDSUBMISSIONDATE(15)MONTHDAYYEARABSTRACT(Limitto1400spaces,i.e.,approximately15single-spacedtypawrinenlines)(16)OnMarch8,1996,withtheplantinMode3,itwasidentifiedthatbothpressurizerpower-operatedreliefvalveshadbeeninoperableconcurrently.Thisresultedintheplantbeinginaconditionthatcouldhavepreventedthefulfillmentofasafetyfunction,intheunlikelyeventthatasteamgeneratortuberuptureoccurredcoincidentwithalossofoff-sitepowerevent.Immediatecorrectiveaction(NastorestorebothPORVstooperablestatus.correctiveactiontopreventrecurrenceisoutlinedinNZ/g+g+gjg+Ig~gdonsvrtetregjfg~yjg96053000io9605i7PDRADCICK05000244SPDRNRCFORM366(4.95) | | {{#Wiki_filter:NRC FORM 366 U.S. N LEAR REGULATORY COMMISSION A ROVED BY OMB NO. 3160-0104 (4-95) EXPIRES 04/30/96 ESTIMATED BURDEN PER RESPONSE To COMPLY WITH THIS MANDATORY INFORMATION COLLECTION REQUEST: 50.0 HRS. |
| NRCFORM366A(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATIONU.S.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBER(6)YEARSEQUENTIALREVISIONNUMBERNUMBER96-003-01,PAGE(3)2OF8TEXTllfmorespacelsrequired,useadditionalcopiesofNRCForm366Al(17)I.PRE-EVENTPLANTCONDITIONS:OnMarch8,1996,theplantwasinMode3(hotshutdown)asaresultofareactortripthatoccurredonMarch7,1996(reportedinLER96-002).(RefertoGinnaDocketNo.50-244,LER96-002.)Thereactorcoolantsystem(RCS)wasbeingmaintainedatatemperatureof547degreesFandapressureof2235PSIGinanticipationofplantstartup.Theopportunitytoperformmaintenanceandtestingonthetwopressurizer(PRZR)power-operatedreliefvalves(PORV)becameavailable.ThisworkneededtobeperformedtosupportenteringtheLowTemperatureOverpressureProtection(LTOP)conditionduringtheannualrefuelingoutage,whichwasscheduledtobeginApril1,1996.Conditionswerejudgedacceptabletoperformtheseactivitiesduringthisunplannedshutdown.TheseactivitiesconsistofadjustingandverifyingthepropervalvebenchsetforthetwoPORVs,andreadjustmentofvalvelimitswitches.(TheequipmentidentificationnumbersforthePORVsarePCV-430andPCV-431C.)TheInstrumentandControl(IRC)groupwasnotifiedthatthisworkwouldbeperformedwiththeRCSatnormaloperatingpressureof2235PSIG(withasaturationtemperatureinthePRZRofapproximately650degreesF).TheI(ltCgroupexpressedconcernsregardingpersonnelsafetyforworkingintheambienttemperatureconditionsthatexistedinthePRZRcubicleintheContainment(CNMT).Ameetingwasheld~todiscussIRCconcernsandtoreviewthegeneralplan.MaintenanceProcedureM-37.150(Copes-Vulcan/Blaw-KnoxAirOperatedControlValve'sInspectionandRefurbishment)waschangedtoallowworkonbothPORVsconcurrently,inconsiderationoftheheatstressinthePRZRcubicleinCNMT.TheControlRoomoperatorsacknowledgedthesechangestoprocedureM-37.150asacceptable,sinceitwastheirunderstandingthatevenwiththeprocedurechange,thePORVswouldremainoperablepertherequirementsofGinnaStationImprovedTechnicalSpecifications(ITS)LimitingConditionforOperation(LCO)3.4.11.ThiswasbasedontheirassumptionthatnitrogenwouldstillbeconnectedtothePORVactuatorsandavailabletoopenPORVs.Thus,theShiftSupervisordeterminedthatLCO3.4.11ConditionAandLCO3.4.11ConditionFdidnotapply,sincebothPORVsweretoremainoperable.Atapproximately1406ESTonMarch8,1996,theControlRoomoperatorsheldthecontrolswitchesforthePORVblockvalves(MOV-515forPCV-431C,andMOV-516forPCV-430)intheclosep'osition,withpoweravailabletothebreakerforeachMOV.Operatorsunderstoodthatinthisconfigurationtheseholdscouldberemoved,theblockvalvesopened,andthePORVscouldthenbeopened.DESCRIPTIONOFEVENT:A.DATESANDAPPROXIMATETIMESOFMAJOROCCURRENCES:oMarch8,1996,1455EST:Eventdateandtime.Airand'nitrogenisremovedfrombothPORVs.oMarch8,1996,1632EST:AirandnitrogenisrestoredtobothPORVs.NRCFORM366A(4-95)
| | LICENSEE EVENT REPORT (LER) REPORTED LESSONS LEARNED ARE INCORPORATED INTO THE LICENSING PROCESS AND FED BACK To INDUSTRY. FORWARD COMMENTS REGARDING BURDEN ESTIMATE To THE (See reverse for required number of INFORMATION AND RECORDS MANAGEMENT BRANCH IT-6 F33), |
| | digits/characters for each block) U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001, AND To THE PAPERWORK REDUCTION PROJECT FAG IUTY HAME (1) OOCKET NUMBER (2) PAGE (3) |
| | R.E. Ginna Nuclear Power Plant 05000244 1OF8 rrLE (4) |
| | Both Pressurizer Relief Valves Inoperable, Results in Condition That Could Have Prevented Fulfillment of a Safety Function EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED (6) |
| | SEQUENTIAL REVISION FACILITYNAME OOCKET NUMBER MONTH DAY YEAR NUMBER NUMBER YEAR FACILffYNAME OOCKET NUMBER 03 08 96 96 003 01 05 17 96 OPERATING HIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR E: (Check one o r more) (11) |
| | MODE (9) 20.2201 (b) 20.2203(a) (2)(v) 50.73(a) (2)(i) 50.73(a)(2)(viii) |
| | POWER 20.2203(a) (1) 20.2203(a) (3) (i) 50.73(a)(2) (ii) 50.73(a) (2) (x) |
| | LEVEL (10) 000 20.2203(a) (2) (I) 20.2203(a) (3) (ii) 50.73(a) (2) (iii) 73.71 20.2203(a) (2) (ii) 20.2203(a) (4) 50.73(a)(2)(iv) OTHER 20.2203(a)(2)(iii) 50.36(c)(1) X 50.73(a)(2)(v) Specify in Abstract below or in NRC Form 366A 20.2203(a)(2)(iv) 50.36(c)(2) 50.73(a)(2)(vii) |
| | LICENSEE CONTACT FOR THIS LER (12) |
| | NAME TELEPHONE NUMBER (Irciude Ares Code) |
| | John T. St. Martin - Technical Assistant (716) 771-3641 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13) |
| | REPORTABLE REPORTABLE CAUSE SYSTEM COMPONENT MANUFACTURER TO NPRDS CAUSE SYSTEM COMPONENT MANUFACTURER TO NPRDS SUPPLEMENTAL REPORT EXPECTED (14) MONTH DAY YEAR EXPECTED YES SUBMISSION (If yes, complete EXPECTED SUBMISSION DATE). X NO DATE (15) |
| | ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typawrinen lines) (16) |
| | On March 8, 1996, with the plant in Mode 3, it was identified that both pressurizer power-operated relief valves had been inoperable concurrently. This resulted in the plant being in a condition that could have prevented the fulfillment of a safety function, in the unlikely event that a steam generator tube rupture occurred coincident with a loss of off-site power event. |
| | Immediate corrective action (Nas to restore both PORVs to operable status. |
| | corrective action to prevent recurrence is outlined in vrtetre gjfg~yjg NZ/g+g+gjg+Ig~gdons 96053000io 9605i7 PDR ADCICK 05000244 S PDR NRC FORM 366 (4.95) |
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| NRCFORM366AI4-95)LICENSEEEVENTREPORT(LZR)TEXTCONTINUATIONU.S.NUCLEARREGULATORYCOMMISSIONFACILITYNAMEI1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBERI6)YEARSEQUENTIALREVISIONNUMBERNUMBER96-003-01PAGEI3)3OF8TEXT(Ifmorespaceisrequired,useadditionalcopiesofNRCForm366AII17)0March8,1996:2018EST:AirandnitrogenisremovedfrombothPORVs.0March8,1996:2140EST:AirandnitrogenisrestoredtobothPORVs.0March8,1996:Discoverydate.March28,1996,1408EST:HavingbothPORVsinoperableundertheconditionsonMarch8,1996,isdeterminedtobereportabletotheNRC.0March28,1996,.1640EST:TheNRCOperationsCenterisnotifiedoftheeventsofMarch8,asper10CFR50.72(b)(2)(iii)(D).B.EVENT:OnMarch8,1996,theplantwasinMode3.ThebenchsetsandlimitswitchesforbothPORVswerebeingadjustedandverifiedperatemporarychangetoprocedureM-37.150,andtestedusingSurveillanceTestProcedurePT-2.6.5-SD(RCSOverpressureProtectionSystemPORVOperabilityVerification),whichverifiesthetimingofthePORVstrokeforLTOPrequirements.TheIRCtechniciansenteredtheCNMTatapproximately1445ESTonMarch8,toperformtheseactivities.Byapproximately1455EST,theflexhosethatsuppliesbothinstrumentairandnitrogentothePORVwasremoved(perchangedprocedureM-37.150)forbothPORVs.Inhindsight,thisactionmadebothPORVsinoperableconcurrently,andistheeventdateandeventtime.AtthecompletionoftheadjustmentstothebenchsetandlimitswitchesforeachPORV,theflexhosewasreconnected.Byapproximately1632ESTthiswascompleted(perchangedprocedureM-37.150)forbothPORVs.EachPORVwasstrokedbytheControlRoomoperatorsfromtheMainControlBoard(MCB).TheadjustmentsforbothPORVswereverifiedasacceptableperprocedurePT-2.6.5-SD(atapproximately1759EST).Operationssupervisionhadpreviouslydeterminedthat,sincethebenchsetwaschangedtodecreasetheclosingspringtensionofthePORVs,itwouldbeprudenttoperformaseatleakagecheckonthePORVspriortothecompletionofthemaintenancepackage.Theholdsontheblockvalvecontrolswitcheswerethencleared.BothPORVswereverifiedtobeintheclosedpositionandblockvalveMOV-516(forPCV-430)wasstrokedopenatapproximately1803ESTfortheseatleakagetest.AsMOV-516strokedopen,asubstantialflownoisewasevidentinthePRZRcubicle,anditwasdiscoveredthatseatleakagethroughPCV-430wasinexcessofthepreviouslyobservedleakageofapproximately0;25gallonsperminute(GPM).SincethebenchsethadbeenchangedonbothPORVs,itwasdecidednottoperformaseatleakagetestonPCV-431CbyopeningMOV-515,andtoconservativelyassumethattheseatleakagethroughPCV-431CwascomparabletotheleakagethroughPCV-430.TheControlRoomoperatorsclosedMOV-516atapproximately1804EST,andinitiateddiscussionsconcerningPORVoperabilitywiththisseatleakage.NRCFORM366AI495)
| | NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95) |
| NRCFORM366A(495)LICENSEEEVENTREPORT(LER)TEXTCONTINUATIONU.s.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)R.E.GinnaNuclearPowerPlantOOCKET05000244LERNUMBER(6)YEARSEQUENTIALREVISIONNUMBERNUMBER96-003-01PAGE(3)4OF8TEXTilfmorespeceisrequired,useeddirionelcopiesofNRCForm366Ai(17)SubsequenttothelhCtechniciansexitingtheCNMT,detailsoftheactivitieswerediscussedbetweentheIRCtechnicianswhohadperformedtheactivitiesinsidethePRZRcubicleinCNMTandmembersoftheplantstaff.Laterthatevening,membersoftheplantstaffthenrealizedthat,duringthebenchsetactivities,thenitrogensupplyhadbeendisconnectedtobothPORVsconcurrently.Therefore,thediscoverydateisMarch8,1996,lateintheevening.WithbothPORVsinoperable,LCO3.4.11ConditionFrequiresthatimmediateactionbeinitiatedtorestoreatleastonePORVtooperablestatus.However,withnitrogenbeingrestoredtothePORVsatapproximately1632EST,thePORVswereoperableinaccordancewithLCO3.4.11atthetimeofdiscovery.Duringtheperiodof(undeclared)PORVinoperability,LCO3.4.11RequiredActionF.3wasnotmetinthatpowerfortheassociatedblockvalvewasnotremoved.ActivitiesneededtoreducethePORVseatleakagewerereviewed.Theleakageindicationswerereevaluatedbyplantstaff.PreliminaryestimatesindicatedthatleakagewasgreaterthantheRCSoperationalleakageoften(10)GPMidentifiedleakage,asspecifiedbyLCO3.4.13.Atapproximately1940ESTonMarch8,bothPORVsweredeclaredinoperable,solelyduetotheirinabilitytomeettheRCSoperationalleakagelimitsofLCO3.4.13.ActionsweretakenasspecifiedbyLCO3A.11ConditionF.Sincetheblockvalveswerealreadyclosed,theblockvalvecontrolswitchesandbreakerswereheld,andeffortstorestorePORVseatleakagetolessthan10GPMbegan,inaccordancewithLCO3.4.11RequiredActionF.1.TheIRCtechnicianscompletedthereadjustmentstobenchsetandreadjustedthelimitswitchesforthePORVsasperprocedureM-37.150.TheholdswereremovedfromtheblockvalvecontrolswitchesandbreakersusingtheguidanceofLCO3.0.5.Theblockvalveswerestrokedasneeded,andthePORVsweretestedusingprocedurePT-2.6.5-SD.BothPORVsdemonstratedacceptableperformance.Acheckofseatleakagewasconducted,andleakagewasevaluatedtobelessthan10GPM.ThePORVswerethendeclaredoperableatapproximately0123ESTonMarch9,1996,andreturnedtoservice.Uponfurtherevaluationlaterinthemonth,itwasidentifiedthatthenitrogensupplytobothPORVshadbeenconcurrentlydisconnectedontwoseparateoccasionsonMarch8.ThisrenderedthePORVsinoperableperLCO3.4.11eachtime,foracombineddurationofapproximatelylessthanthree(3)hours,withoutbeingdeclaredinoperable.C.INOPERABLESTRUCTURES,COMPONENTS,ORSYSTEMSTHATCONTRIBUTEDTOTHEEVENT:NoneD.OTHERSYSTEMSORSECONDARYFUNCTIONSAFFECTED:NoneNRCFORM366A(4-95)
| | LICENSEE EVENT REPORT (LER) |
| NRCFORM366A(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATIONU.S.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBER(6)ARSEQUENTIALREVISIONNUMBERNUMBER96-003-01PAGE(3)5.OF8TEXT(Ifmorespaceisrequired,useadditionalcopiesofNRCForm366AI(17)METHODOFDISCOVERY:TheconditionofthePORVswasinvestigatedafterafailedseatleakagecheck.Duringdiscussionsbetweenl&Candplantstaff,membersoftheplantstaffbecameawareofthefullscopeoftheworkthathadbeenperformedduringthebenchset,andthatthePORVshadactuallybeeninoperableduringthebenchsetactivities.ThisinformationwassubsequentlyrelayedtotheShiftSupervisorduringtheeveningofMarch8,1996.F.OPERATORACTION:TheControlRoomoperatorsnotifiedhighersupervision.NuclearSafetyandLicensing(NS&L)wasalsoconsultedconcerningtheseatleakagethroughthePORVs.Thesediscussionsalsoincludedareportabilitydiscussion,butfocusedonthereportabilityofPORVseatleakage.TheControlRoomoperatorsdeclaredbothPORVsinoperable,solelyduetotheirinabilitytomeettheRCSoperationalleakagelimitsofLCO3.4.13whiletheblockvalvewasopen,andisolatedthePORVsinaccordancewithLCO3.4.11ConditionF.Documentationwaspreparedtoinitiateareportabilityevaluation.Atapproximately1408ESTonMarch28,1996,plantstaffdeterminedthatanon-emergencyfourhournotification,per10CFR50.72(b)(2)(iii)(D),shouldbemadetotheNRCOperationsCenter.Thisnotificationwasmadeatapproximately1640ESTonMarch28,1996.G.SAFETYSYSTEMRESPONSES:NoneIII.CAUSEOFEVENT:A.IMMEDIATECAUSE:TheimmediatecauseofbothPORVsbeinginoperableconcurrentlywasduetothedisconnectionoftheflexhosetobothPORVactuatorstoinstallair-setsforthe,benchsetandlimitswitchactivities.RemovalofthisflexhoseremovedthesupplyofinstrumentairandnitrogentobothPORVs.B.INTERMEDIATECAUSE:Iinthisconfiguration,nitrogenwouldstillbeavailabletoopenPORVs.thatNRCFORM366A(4.95)
| | TEXT CONTINUATION FACILITYNAME (1) DOCKET LER NUMBER (6) PAGE (3) |
| NRCFORM366A(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATIONU.S.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)R.E.GinnaNuclear-PowerPlantDOCKET05000244LERNUMBER(6)YEARSEQUENTIALREVISIONNUMBERNUMBER96-003-01PAGE(3)6OFTEXT(Ifmorespaceisrequired,useeddirionelcopiesofNRCForm366AJ(17)C.ROOTCAUSE:AHumanPerformanceEnhancementSystem(HPES)evaluation'heNUREG-1022CauseCodeforthiseventIV.ANALYSISOFEVENT:AreportabilityevaluationwasperformedbyNSRL.NSRLidentifiedthattheconcurrentinoperabilityofbothPORVscouldhaverenderedtheplantunabletomitigatetheconsequencesofasteamgeneratortuberupture(SGTR)inaccordancewiththeWestinghouseanalysisofrecord,iftheSGTRhadoccurredcoincidentwithalossofoff-sitepowerevent.Thiseventisreportabieinaccordancewith10CFR50.73,LicenseeEventReportSystem,item(a)(2)(v),whichrequiresareportof,"Anyeventorconditionthatalonecouldhavepreventedthefulfillmentofthesafetyfunctionofstructuresorsystemsthatareneededto:...(D)Mitigatetheconsequencesofanaccident".BothPORVsinoperableundertheconditionsthatexistedonMarch8,1996,isaneventthatcouldhavepreventedRCSdepressurizationafteraSGTR,coincidentwithalossofoff-sitepowerevent.NRCFORM366A(4-95)
| | YEAR SEQUENTIAL REVISION NUMBER NUMBER R.E. Ginna Nuclear Power Plant 2 OF 8 05000244 96 003 01, TEXT llfmore space ls required, use additional copies of NRC Form 366Al (17) |
| NRCFORM366A(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATIONU.S.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)DOCKETLERNUMBER(6)PAGE(3)R.E.GinnaNuclearPowerPlant05000244YEARSEQUENTIALREVISIONNUMBERNUMBER7OF896-003-01TEXTllfmorespaceisrequired,useaddidonalcopiesofNRCForm366AJ(17)Anassessmentwasperformedconsideringboththesafetyconsequencesandimplicationsofthiseventwiththefollowingresultsandconclusions:TherewerenooperationalorsafetyconsequencesorimplicationsattributedtobothPORVsbeinginoperablebecause:oThePORVsserveastheLTOPprotectiondevicesduringconditionsoflowtemperatureintheRCS.Theplantdidnotenterconditionswherethisprotectionwouldhavebeenrequired.ThePORVsprovideadepressurizationpathforaSGTRwhennormalandauxiliaryPRZRsprayarenotavailable(duringalossofoff-sitepowerevent).Theplantdidnotenterconditionswherealossofoff-sitepoweroccurred.Thus,PRZRspraywasavailable.oIneitheroftheabovesituations,thePORVscouldhavebeenrestoredtoservicetosupporttheserequirements.Basedontheabove,itcanbeconcludedthatthepublic'shealthandsafetywasassuredatalltimes.V.CORRECTIVEACTION:A.ACTIONTAKENTORETURNAFFECTEDSYSTEMSTOPRE-EVENTNORMALSTATUS:0000ThebenchsetforeachPORVwasreadjustedtoreduceseatleakageandlimitRCSleakage.ThePORVlimitswitcheswereverifiedinthepropersetupandconfiguration.ThePORVsweretestedperprocedurePT-2.6.5-SD.ThesupplyofinstrumentairandnitrogenwasreconnectedtotheactuatorforeachPORV.ACTIONTAKENORPLANNEDTOPREVENTRECURRENCE:LessonslearnedhavebeenprovidedtoOperators,PORCIndependentReviewers,andMaintenancePlanners.2.TheHPESw(H-beQ~ggcompleted.3.AsupplementtothisLERwHI-be-g@6gjfpiubmittedbyMay17,1996.NRCFORM366A(4-95)
| | I. PRE-EVENT PLANT CONDITIONS: |
| NRCFORM366A(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATIONU.S.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBER(6)YEARSEQUENTIALREVISIONNUMBERNUMBER96-003-01PAGE(3)8OF8TEXTIifmorespaceisrequired,useaddidonalcopiesofPIRCForm366AI(17)",SEPXSSfSXA~NMX/i$%ÃÃAE~rN&NÃSEsVAAiWEKAXFf9FSÃ5$4PZP8ÃPYY8PP8E'''gfNJSrWXIÃrfENMW(rf@~~WNXXNfAiEAFWSWiiWÃcWIPPPPIEAÃSfXSXNEWSSSS(fkÃSSMY)EAWSXRWE~N)'AS~'EPXY~ISSSIEEWA/SEFSf/XYXKS)f&EYXHSWYAWPPPYPPPPPPPASCSKVESSFXSNxXESSNÃSAVI.ADDITIONALINFORMATION:A:FAILEDCOMPONENTS:NoneB.PREVIOUSLERsONSIMILAREVENTS:AsimilarLEReventhistoricalsearchwasconductedwiththefollowingresults:IWSÃAAMFW&SYYANÃ/VYKXS@SFKSXÃXYÃXYYWfiWEC.SPECIALCOMMENTS'oneNRCFORM366A(4-95) l'tl}}
| | On March 8, 1996, the plant was in Mode 3 (hot shutdown) as a result of a reactor trip that occurred on March 7, 1996 (reported in LER 96-002). (Refer to Ginna Docket No. 50-244, LER 96-002.) The reactor coolant system (RCS) was being maintained at a temperature of 547 degrees F and a pressure of 2235 PSIG in anticipation of plant startup. The opportunity to perform maintenance and testing on the two pressurizer (PRZR) power-operated relief valves (PORV) became available. This work needed to be performed to support entering the Low Temperature Overpressure Protection (LTOP) condition during the annual refueling outage, which was scheduled to begin April 1, 1996. Conditions were judged acceptable to perform these activities during this unplanned shutdown. These activities consist of adjusting and verifying the proper valve benchset for the two PORVs, and readjustment of valve limit switches. (The equipment identification numbers for the PORVs are PCV-430 and PCV-431C.) |
| | The Instrument and Control (IRC) group was notified that this work would be performed with the RCS at normal operating pressure of 2235 PSIG (with a saturation temperature in the PRZR of approximately 650 degrees F). The I(ltC group expressed concerns regarding personnel safety for working in the ambient temperature conditions that existed in the PRZR cubicle in the Containment (CNMT). A meeting was held |
| | ~ |
| | to discuss IRC concerns and to review the general plan. Maintenance Procedure M-37.150 (Copes-Vulcan |
| | / Blaw-Knox Air Operated Control Valve's Inspection and Refurbishment) was changed to allow work on both PORVs concurrently, in consideration of the heat stress in the PRZR cubicle in CNMT. |
| | The Control Room operators acknowledged these changes to procedure M-37.150 as acceptable, since it was their understanding that even with the procedure change, the PORVs would remain operable per the requirements of Ginna Station Improved Technical Specifications (ITS) Limiting Condition for Operation (LCO) 3.4.11. This was based on their assumption that nitrogen would still be connected to the PORV actuators and available to open PORVs. Thus, the Shift Supervisor determined that LCO 3.4.11 Condition A and LCO 3.4.11 Condition F did not apply, since both PORVs were to remain operable. |
| | At approximately 1406 EST on March 8, 1996, the Control Room operators held the control switches for the PORV block valves (MOV-515 for PCV-431C, and MOV-516 for PCV-430) in the close p'osition, with power available to the breaker for each MOV. Operators understood that in this configuration these holds could be removed, the block valves opened, and the PORVs could then be opened. |
| | DESCRIPTION OF EVENT: |
| | A. DATES AND APPROXIMATE TIMES OF MAJOR OCCURRENCES: |
| | o March 8, 1996, 1455 EST: Event date and time. Air and'nitrogen is removed from both PORVs. |
| | o March 8, 1996, 1632 EST: Air and nitrogen is restored to both PORVs. |
| | NRC FORM 366A (4-95) |
| | |
| | NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION I4-95) |
| | LICENSEE EVENT REPORT (LZR) |
| | TEXT CONTINUATION FACILITY NAME I1) DOCKET LER NUMBER I6) PAGE I3) |
| | YEAR SEQUENTIAL REVISION NUMBER NUMBER 3 OF 8 R.E. Ginna Nuclear Power Plant 05000244 96 003 01 TEXT (Ifmore spaceis required, use additional copies of NRC Form 366AI I17) 0 March 8, 1996: 2018 EST: Air and nitrogen is removed from both PORVs. |
| | 0 March 8, 1996: 2140 EST: Air and nitrogen is restored to both PORVs. |
| | 0 March 8, 1996: Discovery date. |
| | March 28, 1996, 1408 EST: Having both PORVs inoperable under the conditions on March 8, 1996, is determined to be reportable to the NRC. |
| | 0 March 28, 1996,.1640 EST: The NRC Operations Center is notified of the events of March 8, as per 10 CFR 50.72 (b) (2) (iii) (D). |
| | B. EVENT: |
| | On March 8, 1996, the plant was in Mode 3. The benchsets and limit switches for both PORVs were being adjusted and verified per a temporary change to procedure M-37.150, and tested using Surveillance Test Procedure PT-2.6.5-SD (RCS Overpressure Protection System PORV Operability Verification), which verifies the timing of the PORV stroke for LTOP requirements. The IRC technicians entered the CNMT at approximately 1445 EST on March 8, to perform these activities. |
| | By approximately 1455 EST, the flex hose that supplies both instrument air and nitrogen to the PORV was removed (per changed procedure M-37.150) for both PORVs. In hindsight, this action made both PORVs inoperable concurrently, and is the event date and event time. |
| | At the completion of the adjustments to the benchset and limit switches for each PORV, the flex hose was reconnected. By approximately 1632 EST this was completed (per changed procedure M-37.150) for both PORVs. Each PORV was stroked by the Control Room operators from the Main Control Board (MCB). The adjustments for both PORVs were verified as acceptable per procedure PT-2.6.5-SD (at approximately 1759 EST). |
| | Operations supervision had previously determined that, since the benchset was changed to decrease the closing spring tension of the PORVs, it would be prudent to perform a seat leakage check on the PORVs prior to the completion of the maintenance package. The holds on the block valve control switches were then cleared. Both PORVs were verified to be in the closed position and block valve MOV-516 (for PCV-430) was stroked open at approximately 1803 EST for the seat leakage test. As MOV-516 stroked open, a substantial flow noise was evident in the PRZR cubicle, and it was discovered that seat leakage through PCV-430 was in excess of the previously observed leakage of approximately 0;25 gallons per minute (GPM). |
| | Since the benchset had been changed on both PORVs, it was decided not to perform a seat leakage test on PCV-431C by opening MOV-515, and to conservatively assume that the seat leakage through PCV-431C was comparable to the leakage through PCV-430. The Control Room operators closed MOV-516 at approximately 1804 EST, and initiated discussions concerning PORV operability with this seat leakage. |
| | NRC FORM 366A I4 95) |
| | |
| | NRC FORM 366A U.s. NUCLEAR REGULATORY COMMISSION (4 95) |
| | LICENSEE EVENT REPORT (LER) |
| | TEXT CONTINUATION FACILITYNAME (1) OOCKET LER NUMBER (6) PAGE (3) |
| | YEAR SEQUENTIAL REVISION NUMBER NUMBER R.E. Ginna Nuclear Power Plant 05000244 4 OF 8 96 003 01 TEXT ilfmore speceis required, use eddirionel copies of NRC Form 366Ai (17) |
| | Subsequent to the lhC technicians exiting the CNMT, details of the activities were discussed between the IRC technicians who had performed the activities inside the PRZR cubicle in CNMT and members of the plant staff. Later that evening, members of the plant staff then realized that, during the benchset activities, the nitrogen supply had been disconnected to both PORVs concurrently. Therefore, the discovery date is March 8, 1996, late in the evening. |
| | With both PORVs inoperable, LCO 3.4.11 Condition F requires that immediate action be initiated to restore at least one PORV to operable status. However, with nitrogen being restored to the PORVs at approximately 1632 EST, the PORVs were operable in accordance with LCO 3.4.11 at the time of discovery. During the period of (undeclared) PORV inoperability, LCO 3.4.11 Required Action F.3 was not met in that power for the associated block valve was not removed. |
| | Activities needed to reduce the PORV seat leakage were reviewed. The leakage indications were reevaluated by plant staff. Preliminary estimates indicated that leakage was greater than the RCS operational leakage of ten (10) GPM identified leakage, as specified by LCO 3.4.13. At approximately 1940 EST on March 8, both PORVs were declared inoperable, solely due to their inability to meet the RCS operational leakage limits of LCO 3.4.13. Actions were taken as specified by LCO 3A.11 Condition F. Since the block valves were already closed, the block valve control switches and breakers were held, and efforts to restore PORV seat leakage to less than 10 GPM began, in accordance with LCO 3.4.11 Required Action F.1. |
| | The IRC technicians completed the readjustments to benchset and readjusted the limit switches for the PORVs as per procedure M-37.150. The holds were removed from the block valve control switches and breakers using the guidance of LCO 3.0.5. The block valves were stroked as needed, and the PORVs were tested using procedure PT-2.6.5-SD. Both PORVs demonstrated acceptable performance. A check of seat leakage was conducted, and leakage was evaluated to be less than 10 GPM. The PORVs were then declared operable at approximately 0123 EST on March 9, 1996, and returned to service. |
| | Upon further evaluation later in the month, it was identified that the nitrogen supply to both PORVs had been concurrently disconnected on two separate occasions on March 8. This rendered the PORVs inoperable per LCO 3.4.11 each time, for a combined duration of approximately less than three (3) hours, without being declared inoperable. |
| | C. INOPERABLE STRUCTURES, COMPONENTS, OR SYSTEMS THAT CONTRIBUTED TO THE EVENT: |
| | None D. OTHER SYSTEMS OR SECONDARY FUNCTIONS AFFECTED: |
| | None NRC FORM 366A (4-95) |
| | |
| | NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95) |
| | LICENSEE EVENT REPORT (LER) |
| | TEXT CONTINUATION FACILITY NAME (1) DOCKET LER NUMBER (6) PAGE (3) |
| | AR SEQUENTIAL REVISION NUMBER NUMBER R.E. Ginna Nuclear Power Plant 05000244 5. OF 8 96 003 01 TEXT (Ifmore spaceis required, use additional copies of NRC Form 366AI (17) |
| | METHOD OF DISCOVERY: |
| | The condition of the PORVs was investigated after a failed seat leakage check. During discussions between l&C and plant staff, members of the plant staff became aware of the full scope of the work that had been performed during the benchset, and that the PORVs had actually been inoperable during the benchset activities. This information was subsequently relayed to the Shift Supervisor during the evening of March 8, 1996. |
| | F. OPERATOR ACTION: |
| | The Control Room operators notified higher supervision. Nuclear Safety and Licensing (NS&L) was also consulted concerning the seat leakage through the PORVs. These discussions also included a reportability discussion, but focused on the reportability of PORV seat leakage. The Control Room operators declared both PORVs inoperable, solely due to their inability to meet the RCS operational leakage limits of LCO 3.4.13 while the block valve was open, and isolated the PORVs in accordance with LCO 3.4.11 Condition F. |
| | Documentation was prepared to initiate a reportability evaluation. At approximately 1408 EST on March 28, 1996, plant staff determined that a non-emergency four hour notification, per 10 CFR 50.72 (b) (2) (iii) (D), should be made to the NRC Operations Center. This notification was made at approximately 1640 EST on March 28, 1996. |
| | G. SAFETY SYSTEM RESPONSES: |
| | None III. CAUSE OF EVENT: |
| | A. IMMEDIATECAUSE: |
| | The immediate cause of both PORVs being inoperable concurrently was due to the disconnection of the flex hose to both PORV actuators to install air-sets for the,benchset and limit switch activities. Removal of this flex hose removed the supply of instrument air and nitrogen to both PORVs. |
| | B. INTERMEDIATE CAUSE: |
| | I that in this configuration, nitrogen would still be available to open PORVs. |
| | NRC FORM 366A (4.95) |
| | |
| | NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95) |
| | LICENSEE EVENT REPORT (LER) |
| | TEXT CONTINUATION FACILITY NAME (1) DOCKET LER NUMBER (6) PAGE (3) |
| | YEAR SEQUENTIAL REVISION NUMBER NUMBER 6 OF R.E. Ginna Nuclear-Power Plant 05000244 96 003 01 TEXT (If more spaceis required, use eddirionel copies of NRC Form 366AJ (17) |
| | C. ROOT CAUSE: |
| | A Human Performance Enhancement System (HPES) evaluation |
| | 'he NUREG-1022 Cause Code for this event IV. ANALYSIS OF EVENT: |
| | A reportability evaluation was performed by NSRL. NSRL identified that the concurrent inoperability of both PORVs could have rendered the plant unable to mitigate the consequences of a steam generator tube rupture (SGTR) in accordance with the Westinghouse analysis of record, if the SGTR had occurred coincident with a loss of off-site power event. |
| | This event is reportabie in accordance with 10 CFR 50.73, Licensee Event Report System, item (a) (2) (v), |
| | which requires a report of, "Any event or condition that alone could have prevented the fulfillment of the safety function of structures or systems that are needed to: ... (D) Mitigate the consequences of an accident". Both PORVs inoperable under the conditions that existed on March 8, 1996, is an event that could have prevented RCS depressurization after a SGTR, coincident with a loss of off-site power event. |
| | NRC FORM 366A (4-95) |
| | |
| | NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95) |
| | LICENSEE EVENT REPORT (LER) |
| | TEXT CONTINUATION FACILITYNAME (1) DOCKET LER NUMBER (6) PAGE (3) |
| | YEAR SEQUENTIAL REVISION NUMBER NUMBER 7 OF 8 R.E. Ginna Nuclear Power Plant 05000244 96 003 01 TEXT llfmore space is required, use addi donal copies of NRC Form 366AJ (17) |
| | An assessment was performed considering both the safety consequences and implications of this event with the following results and conclusions: |
| | There were no operational or safety consequences or implications attributed to both PORVs being inoperable because: |
| | o The PORVs serve as the LTOP protection devices during conditions of low temperature in the RCS. The plant did not enter conditions where this protection would have been required. |
| | The PORVs provide a depressurization path for a SGTR when normal and auxiliary PRZR spray are not available (during a loss of off-site power event). The plant did not enter conditions where a loss of off-site power occurred. Thus, PRZR spray was available. |
| | o In either of the above situations, the PORVs could have been restored to service to support these requirements. |
| | Based on the above, it can be concluded that the public's health and safety was assured at all times. |
| | V. CORRECTIVE ACTION: |
| | A. ACTION TAKEN TO RETURN AFFECTED SYSTEMS TO PRE-EVENT NORMAL STATUS: |
| | 0 The benchset for each PORV was readjusted to reduce seat leakage and limit RCS leakage. |
| | 0 The PORV limit switches were verified in the proper setup and configuration. |
| | 0 The PORVs were tested per procedure PT-2.6.5-SD. |
| | 0 The supply of instrument air and nitrogen was reconnected to the actuator for each PORV. |
| | ACTION TAKEN OR PLANNED TO PREVENT RECURRENCE: |
| | Lessons learned have been provided to Operators, PORC Independent Reviewers, and Maintenance Planners. |
| | : 2. The HPES w(H-be Q~gg completed. |
| | : 3. A supplement to this LER wHI-be- g@6gjfpiubmitted by May 17, 1996. |
| | NRC FORM 366A (4-95) |
| | |
| | NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95) |
| | LICENSEE EVENT REPORT (LER) |
| | TEXT CONTINUATION FACILITY NAME (1) DOCKET LER NUMBER (6) PAGE (3) |
| | YEAR SEQUENTIAL REVISION NUMBER NUMBER 8 OF 8 R.E. Ginna Nuclear Power Plant 05000244 96 003 01 TEXT Iifmore spaceis required, use addidonal copies of PIRC Form 366AI (17) |
| | ", SEPXSSfSXA~NMX/i$%ÃÃAE~rN&NÃSEsVAAiWEKAXFf9FSÃ5$4 PZP8ÃPYY8PP8E |
| | ' ' 'gfNJSrWXIÃrfENMW(rf@~~WNXXNfAiEAFWSWiiWÃc WIPPPPIEAÃSfXSXNEWSSSS(fkÃSSMY)EAWSXRWE~N)'AS~ |
| | 'EPXY~ISSSIEEWA/SEFSf/XYXKS)f&EYXHSWYA WPPPYPPPPPPPASCSKVESSFXSNxXESSNÃSA VI. ADDITIONALINFORMATION: |
| | A: FAILED COMPONENTS: |
| | None B. PREVIOUS LERs ON SIMILAR EVENTS: |
| | A similar LER event historical search was conducted with the following results: |
| | I WSÃAAMFW&SYYANÃ/VYKXS@SFKSXÃXYÃXYYWfiWE C. SPECIAL COMMENTS'one NRC FORM 366A (4-95) |
| | |
| | l |
| | 'tl}} |
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[Table view] Category:RO)
MONTHYEARML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A3671998-07-14014 July 1998 LER 98-002-00:on 971019,CR Emergency Air Treatment Sys Actuating Function Was Not Operable.Caused by Mispositioned Switch.Revised Procedure CPI-MON-R37.W/980714 Ltr ML17265A1921998-03-11011 March 1998 LER 98-001-00:on 980209,discovered That Boraflex Degradation in SPF Was Greater than Was Assumed.Caused by Dissolution of Boron on Boraflex Matrix,Per 10CFR50.21.Removed Spent Fuel Assemblies from Selected Degraded Storage Rack Cells ML17265A1641998-02-0606 February 1998 LER 97-007-01:on 971117,reactor Engineer Recognized That Neutron Flux Low Range Trip Circuitry for Channel Was Not in Tripped Condition as Required.Caused by Technical Inadequacies.Channel Defeat Will Be Identified ML17265A1601998-02-0606 February 1998 LER 97-006-01:on 971103,verification of B Concentration Was Not Performed Due to Misinterpretation of Event Sequence. Audible Count Rate Function Was Restored to Operable Status ML17264B1441997-12-17017 December 1997 LER 97-007-00:on 971117,NF Low Range Trip Circuitry for Channel N-44 Was Not Placed in Tripped Condition.Caused by Technical Inadequacies in Procedures.Implemented EWR 4862 to Resolve Design deficiency.W/971217 Ltr ML17264B1291997-12-0303 December 1997 LER 97-006-00:on 971103,NIS Audible Count Rate Function Was Inoperable.Caused by Misinterpretation of Event Sequence Due to Not Verifying Boron Concentration.B Verification Occurred Every 12 H Per ITS LCO Action 3.9.2.C.3.W/971203 Ltr ML17264B1271997-12-0101 December 1997 LER 97-005-00:on 971031,undetected Unblocking of SI Actuation Signal Occurred at Low Pressure Condition,Due to Faulty Bistable Which Resulted in Inadvertent SI Actuation Signal.Sias,Ci & CVI Signals Were Reset ML17264B1211997-11-24024 November 1997 LER 97-004-00:on 971024,radiation Monitor Alarm Were Noted Due to Higher than Normal Radioactive Gas Concentration Resulted in Cvi.New R-12 Alarm Setpoint Was Maintained for Duration of Refueling Outage ML17264B0461997-09-29029 September 1997 LER 97-003-01:on 970730,bistable Instrument Trip Setpoint Could Have Exceeded Allowable Value.Caused by Insufficient Existing Margin Between Trip Setpoint & Allowable Value. Held Switches in Tripped configuration.W/970929 Ltr ML17264B0111997-08-27027 August 1997 LER 97-003-00:on 970730,high Steam Flow Bistable Instrument Setpoint Plus Instrument Uncertainty Could Exceed Allowable Value in ITS Was Identified.Caused by Entry Into ITS LCO 3.0.3.Switches Placed in Tripped configuration.W/970827 Ltr ML17264A9941997-08-19019 August 1997 LER 97-002-00:on 970720,34.5 Kv Offsite Power Circuit 751 Was Lost.Caused by Automatic Actuation of B Emergency DG Due to Undervoltage on Safeguards Buses 16 & 17.Offsite Power Restored to Safeguards Buses 16 & 17.W/970819 Ltr ML17264A9911997-08-11011 August 1997 LER 96-009-02:on 960723,determined That Leak Rate Outside Containment Was Greater than Program Limit.Caused by Weld Defect.Isolated Leak & Cut Out & Replaced Leaking Pipe ML17264A8271997-03-0303 March 1997 LER 97-001-00:on 970131,discovered Service Water Temp Was Less than Specified Value.Caused by non-representative Method of Monitoring.Increased Water Temp in Screenhouse Bay to Greater than 35 Degrees F.W/970303 Ltr ML17264A8071997-01-22022 January 1997 LER 96-015-00:on 961223,discovered Thermally Induced Overpressure Transient Could Occur.Caused by Thermal Expansion of Fluid During Design Basis Accident Condition. Installed Relief Valve on Affected line.W/970122 Ltr ML17264A7471996-11-27027 November 1996 LER 96-013-00:on 961029,circuit Breakers Closed While in Mode 3 & Resulted in Condition Prohibited by TS Due to Personnel Error.Circuit Breakers for MOV-878B & MOV-878D Were re-opened.W/961127 Ltr ML17264A6051996-09-19019 September 1996 LER 96-012-00:on 960820,feedwater Transient Occurred,Due to Closure of Feedwater Regulating Valve,Causing Lo Lo Steam Generator Level Reactor Trip.Sgs Were Restored & Missing Screw in 1/P-476 Was replaced.W/960919 Ltr ML17264A6061996-09-19019 September 1996 LER 96-009-01:on 960723,leakage Outside Containment Occurred,Due to Weld Defect,Resulting in Leak Rate Greater than Program Limits.Source of Leakage Isolated from RWST by Freeze Seal,Allowing Exit from ITS LCO 3.0.3.W/960919 Ltr ML17264A5911996-09-0505 September 1996 LER 96-011-00:on 960807,improper Configuration of Circuit Breaker Occurred,Due to Undetected Internal Interference, Resulting in Automatic Start of Both Auxiliary Feedwater Pumps.Running AFW Pumps Were secured.W/960905 Ltr ML17264A5921996-09-0505 September 1996 LER 96-010-00:on 960806,latching of Main Turbine While in Mode 4 Occurred,Due to Defective Procedure,Resulting in Automatic Start of Auxiliary Feedwater Pump.Caused by Defective Maint Procedure.Procedure revised.W/960905 Ltr ML17264A5891996-08-22022 August 1996 LER 96-009-00:on 960723,determined Leak on Piping Sys Outside Containment Greater than Program Limit.Caused by Weld Defect.Pipe & Socket Welds Were Cut Out & Replaced. W/960822 Ltr ML17264A5781996-08-0606 August 1996 LER 96-008-00:on 960707,main Feedwater Pump Breakers Opened. Caused by Change in Seal Water Differential Pressure Occurred During Sys Realignment.Afw Flow Controlled as Desired to Maintain S/G level.W/960806 Ltr ML17264A5561996-07-12012 July 1996 LER 96-007-00:on 960612,CR Operators Identified Control Rods Misaligned & Not Moving in Proper Sequence.Caused by Faulty Firing Circuit Card in Rod Control Sys.Faulty Firing Circuit Card in 1BD Power Cabinet replaced.W/960712 Ltr ML17264A5421996-06-20020 June 1996 LER 96-006-00:on 960521,discovered Containment Penetration Not in Required Status.Caused by Personnel Error.Installed Flange Inside Containment Penetration 2.W/960620 Ltr ML17264A5411996-06-17017 June 1996 LER 96-005-00:on 960516,PORC Determined Deficient Procedures Do Not Meet SRs for Testing safety-related Logic Circuits. Caused by Inadequancies in Individual Testing Procedures. Procedures Re Improved TSs revised.W/960617 Ltr ML17264A5051996-05-17017 May 1996 LER 96-003-01:on 960308,identified That Both Pressurizer PORVs Inoperable Concurrently Due to Disconnection of Flex Hose to Both PORV Actuators to Install air-sets for Benchset & Limit Switch Activities.Hpes Completed ML17264A4481996-04-0808 April 1996 LER 96-003-00:on 960308,both Pressurizer Relief Valves Inoperable.Hpes Evaluation Is Being Conducted to Determined Cause of Event.C/As:Both PORVs restored.W/960408 Ltr ML17264A4471996-04-0808 April 1996 LER 96-002-00:on 960307,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump.C/As: Thermography performed.W/960408 Ltr ML17264A4101996-03-18018 March 1996 LER 96-001-00:on 950504,inservice Test Not Performed During Refueling Outage.Caused by Inadequate Tracking of Surveillance Frequency.Valve Test Performed & Disassembled. W/960318 Ltr ML17264A2971995-12-14014 December 1995 LER 95-009-00:on 950817,surveillance Was Not Performed Due to Improper Application of TS Requirements Resulting in TS Violation.Testing of MOV-515 Was Performed on 951115.W/ 951214 Ltr ML17264A1711995-09-25025 September 1995 LER 95-008-00:on 950825,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump That Resulted in Manual Rt.Returned S/G Levels to Normal Operating levels.W/950925 Ltr 1999-09-22
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17265A7601999-10-0505 October 1999 Part 21 Rept Re W2 Switch Supplied by W Drawn from Stock, Did Not Operate Properly After Being Installed on 990409. Switch Returned to W on 990514 for Evaluation & Root Cause Analysis ML17265A7621999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Re Ginna Npp.With 991008 Ltr ML17265A7531999-09-23023 September 1999 Part 21 Rept Re Corrective Action & Closeout of 10CFR21 Rept of Noncompliance Re Unacceptable Part for 30-4 Connector. Unacceptable Parts Removed from Stock & Scrapped ML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7471999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Re Ginna Npp.With 990909 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7341999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Re Ginna Npp.With 990806 Ltr ML17265A7291999-07-29029 July 1999 Interim Part 21 Rept Re safety-related DB-25 Breaker Mechanism Procured from W Did Not Pas Degradatin Checks When Drawn from Stock to Be Installed Into BUS15/03A.Holes Did Not line-up & Tripper Pan Bent ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7131999-07-22022 July 1999 Special Rept:On 990407,radiation Monitor RM-14A Was Declared Inoperable.Caused by Failed Communication Link from TSC to Plant Process Computer Sys.Communication Link Was re-established & RM-14A Was Declaed Operable on 990521 ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7211999-07-19019 July 1999 ISI Rept for Third Interval (1990-1999) Third Period, Second Outage (1999) at Re Ginna Npp. ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A7661999-06-30030 June 1999 1999 Rept of Facility Changes,Tests & Experiments Conducted Without Prior NRC Approval for Jan 1998 Through June 1999, Per 10CFR50.59.With 991020 Ltr ML17265A7011999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Re Ginna Npp.With 990712 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6761999-06-16016 June 1999 Part 21 Rept Re Defects & noncompliances,10CFR21(d)(3)(ii), Which Requires Written Notification to NRC on Identification of Defect or Failure to Comply. Relays Were Returned to Eaton for Evaluation & Root Cause Analysis ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17265A6681999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Re Ginna Nuclear Power Plant.With 990608 Ltr ML17265A6651999-05-27027 May 1999 Interim Rept Re W2 Control Switch,Procured from W,Did Not Operate Satisfactorily When Drawn from Stock to Be Installed in Main Control Board for 1C2 Safety Injection Pump. Estimated That Evaluation Will Be Completed by 991001 ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6591999-05-17017 May 1999 Part 21 Rept Re Relay Deficiency Detected During pre-installation Testing.Caused by Incorrectly Wired Relay Coil.Relays Were Returned to Eaton Corp for Investigation. Relays Were Repaired & Retested ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6381999-05-0707 May 1999 Part 21 Rept Re Replacement Turbocharger Exhaust Turbine Side Drain Port Not Functioning as Design Intended.Caused by Manufacturing Deficiency.Turbocharger Was Reaasembled & Reinstalled on B EDG ML17265A6391999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Re Ginna Nuclear Power Plant.With 990510 Ltr ML17265A6361999-04-23023 April 1999 Part 21 Rept Re Power Supply That Did Not Work Properly When Drawn from Stock & Installed in -25 Vdc Slot.Power Supply Will Be Sent to Vendor to Perform Failure Mode Assessment.Evaluation Will Be Completed by 991001 ML17265A6301999-04-18018 April 1999 Rev 1 to Cycle 28 COLR for Re Ginna Npp. ML17265A6251999-04-15015 April 1999 Special Rept:On 990309,halon Systems Were Removed from Svc & Fire Door F502 Was Blocked Open.Caused by Mods Being Made to CR Emergency Air Treatment Sys.Continuous Fire Watch Was Established with Backup Fire Suppression Equipment ML17265A6551999-04-0909 April 1999 Initial Part 21 Rept Re Mfg Deficiency in Replacement Turbocharger for B EDG Supplied by Coltec Industries. Deficiency Consisted of Missing Drain Port in Intermediate Casing.Required Oil Drain Port Machined Open ML17265A6291999-03-31031 March 1999 Rev 0 to Cycle 28 COLR for Re Ginna Npp. ML17265A6241999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Ginna Station.With 990409 Ltr ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A5661999-03-0101 March 1999 Rev 26 to QA Program for Station Operation. ML17265A5961999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Ginna Nuclear Power Plant.With 990310 Ltr ML17265A5371999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Re Ginna Nuclear Power Plant.With 990205 Ltr ML17265A5951998-12-31031 December 1998 Rg&E 1998 Annual Rept. ML17265A5001998-12-21021 December 1998 Rev 26 to QA Program for Station Operation. ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4761998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Re Ginna Nuclear Power Plant.With 981210 Ltr ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4531998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Re Ginna Nuclear Power Plant.With 981110 Ltr ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A4291998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Re Ginna Nuclear Power Plant.With 981009 Ltr 1999-09-30
[Table view] |
Text
NRC FORM 366 U.S. N LEAR REGULATORY COMMISSION A ROVED BY OMB NO. 3160-0104 (4-95) EXPIRES 04/30/96 ESTIMATED BURDEN PER RESPONSE To COMPLY WITH THIS MANDATORY INFORMATION COLLECTION REQUEST: 50.0 HRS.
LICENSEE EVENT REPORT (LER) REPORTED LESSONS LEARNED ARE INCORPORATED INTO THE LICENSING PROCESS AND FED BACK To INDUSTRY. FORWARD COMMENTS REGARDING BURDEN ESTIMATE To THE (See reverse for required number of INFORMATION AND RECORDS MANAGEMENT BRANCH IT-6 F33),
digits/characters for each block) U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001, AND To THE PAPERWORK REDUCTION PROJECT FAG IUTY HAME (1) OOCKET NUMBER (2) PAGE (3)
R.E. Ginna Nuclear Power Plant 05000244 1OF8 rrLE (4)
Both Pressurizer Relief Valves Inoperable, Results in Condition That Could Have Prevented Fulfillment of a Safety Function EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED (6)
SEQUENTIAL REVISION FACILITYNAME OOCKET NUMBER MONTH DAY YEAR NUMBER NUMBER YEAR FACILffYNAME OOCKET NUMBER 03 08 96 96 003 01 05 17 96 OPERATING HIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR E: (Check one o r more) (11)
MODE (9) 20.2201 (b) 20.2203(a) (2)(v) 50.73(a) (2)(i) 50.73(a)(2)(viii)
POWER 20.2203(a) (1) 20.2203(a) (3) (i) 50.73(a)(2) (ii) 50.73(a) (2) (x)
LEVEL (10) 000 20.2203(a) (2) (I) 20.2203(a) (3) (ii) 50.73(a) (2) (iii) 73.71 20.2203(a) (2) (ii) 20.2203(a) (4) 50.73(a)(2)(iv) OTHER 20.2203(a)(2)(iii) 50.36(c)(1) X 50.73(a)(2)(v) Specify in Abstract below or in NRC Form 366A 20.2203(a)(2)(iv) 50.36(c)(2) 50.73(a)(2)(vii)
LICENSEE CONTACT FOR THIS LER (12)
NAME TELEPHONE NUMBER (Irciude Ares Code)
John T. St. Martin - Technical Assistant (716) 771-3641 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
REPORTABLE REPORTABLE CAUSE SYSTEM COMPONENT MANUFACTURER TO NPRDS CAUSE SYSTEM COMPONENT MANUFACTURER TO NPRDS SUPPLEMENTAL REPORT EXPECTED (14) MONTH DAY YEAR EXPECTED YES SUBMISSION (If yes, complete EXPECTED SUBMISSION DATE). X NO DATE (15)
ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typawrinen lines) (16)
On March 8, 1996, with the plant in Mode 3, it was identified that both pressurizer power-operated relief valves had been inoperable concurrently. This resulted in the plant being in a condition that could have prevented the fulfillment of a safety function, in the unlikely event that a steam generator tube rupture occurred coincident with a loss of off-site power event.
Immediate corrective action (Nas to restore both PORVs to operable status.
corrective action to prevent recurrence is outlined in vrtetre gjfg~yjg NZ/g+g+gjg+Ig~gdons 96053000io 9605i7 PDR ADCICK 05000244 S PDR NRC FORM 366 (4.95)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITYNAME (1) DOCKET LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION NUMBER NUMBER R.E. Ginna Nuclear Power Plant 2 OF 8 05000244 96 003 01, TEXT llfmore space ls required, use additional copies of NRC Form 366Al (17)
I. PRE-EVENT PLANT CONDITIONS:
On March 8, 1996, the plant was in Mode 3 (hot shutdown) as a result of a reactor trip that occurred on March 7, 1996 (reported in LER 96-002). (Refer to Ginna Docket No. 50-244, LER 96-002.) The reactor coolant system (RCS) was being maintained at a temperature of 547 degrees F and a pressure of 2235 PSIG in anticipation of plant startup. The opportunity to perform maintenance and testing on the two pressurizer (PRZR) power-operated relief valves (PORV) became available. This work needed to be performed to support entering the Low Temperature Overpressure Protection (LTOP) condition during the annual refueling outage, which was scheduled to begin April 1, 1996. Conditions were judged acceptable to perform these activities during this unplanned shutdown. These activities consist of adjusting and verifying the proper valve benchset for the two PORVs, and readjustment of valve limit switches. (The equipment identification numbers for the PORVs are PCV-430 and PCV-431C.)
The Instrument and Control (IRC) group was notified that this work would be performed with the RCS at normal operating pressure of 2235 PSIG (with a saturation temperature in the PRZR of approximately 650 degrees F). The I(ltC group expressed concerns regarding personnel safety for working in the ambient temperature conditions that existed in the PRZR cubicle in the Containment (CNMT). A meeting was held
~
to discuss IRC concerns and to review the general plan. Maintenance Procedure M-37.150 (Copes-Vulcan
/ Blaw-Knox Air Operated Control Valve's Inspection and Refurbishment) was changed to allow work on both PORVs concurrently, in consideration of the heat stress in the PRZR cubicle in CNMT.
The Control Room operators acknowledged these changes to procedure M-37.150 as acceptable, since it was their understanding that even with the procedure change, the PORVs would remain operable per the requirements of Ginna Station Improved Technical Specifications (ITS) Limiting Condition for Operation (LCO) 3.4.11. This was based on their assumption that nitrogen would still be connected to the PORV actuators and available to open PORVs. Thus, the Shift Supervisor determined that LCO 3.4.11 Condition A and LCO 3.4.11 Condition F did not apply, since both PORVs were to remain operable.
At approximately 1406 EST on March 8, 1996, the Control Room operators held the control switches for the PORV block valves (MOV-515 for PCV-431C, and MOV-516 for PCV-430) in the close p'osition, with power available to the breaker for each MOV. Operators understood that in this configuration these holds could be removed, the block valves opened, and the PORVs could then be opened.
DESCRIPTION OF EVENT:
A. DATES AND APPROXIMATE TIMES OF MAJOR OCCURRENCES:
o March 8, 1996, 1455 EST: Event date and time. Air and'nitrogen is removed from both PORVs.
o March 8, 1996, 1632 EST: Air and nitrogen is restored to both PORVs.
NRC FORM 366A (4-95)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION I4-95)
LICENSEE EVENT REPORT (LZR)
TEXT CONTINUATION FACILITY NAME I1) DOCKET LER NUMBER I6) PAGE I3)
YEAR SEQUENTIAL REVISION NUMBER NUMBER 3 OF 8 R.E. Ginna Nuclear Power Plant 05000244 96 003 01 TEXT (Ifmore spaceis required, use additional copies of NRC Form 366AI I17) 0 March 8, 1996: 2018 EST: Air and nitrogen is removed from both PORVs.
0 March 8, 1996: 2140 EST: Air and nitrogen is restored to both PORVs.
0 March 8, 1996: Discovery date.
March 28, 1996, 1408 EST: Having both PORVs inoperable under the conditions on March 8, 1996, is determined to be reportable to the NRC.
0 March 28, 1996,.1640 EST: The NRC Operations Center is notified of the events of March 8, as per 10 CFR 50.72 (b) (2) (iii) (D).
B. EVENT:
On March 8, 1996, the plant was in Mode 3. The benchsets and limit switches for both PORVs were being adjusted and verified per a temporary change to procedure M-37.150, and tested using Surveillance Test Procedure PT-2.6.5-SD (RCS Overpressure Protection System PORV Operability Verification), which verifies the timing of the PORV stroke for LTOP requirements. The IRC technicians entered the CNMT at approximately 1445 EST on March 8, to perform these activities.
By approximately 1455 EST, the flex hose that supplies both instrument air and nitrogen to the PORV was removed (per changed procedure M-37.150) for both PORVs. In hindsight, this action made both PORVs inoperable concurrently, and is the event date and event time.
At the completion of the adjustments to the benchset and limit switches for each PORV, the flex hose was reconnected. By approximately 1632 EST this was completed (per changed procedure M-37.150) for both PORVs. Each PORV was stroked by the Control Room operators from the Main Control Board (MCB). The adjustments for both PORVs were verified as acceptable per procedure PT-2.6.5-SD (at approximately 1759 EST).
Operations supervision had previously determined that, since the benchset was changed to decrease the closing spring tension of the PORVs, it would be prudent to perform a seat leakage check on the PORVs prior to the completion of the maintenance package. The holds on the block valve control switches were then cleared. Both PORVs were verified to be in the closed position and block valve MOV-516 (for PCV-430) was stroked open at approximately 1803 EST for the seat leakage test. As MOV-516 stroked open, a substantial flow noise was evident in the PRZR cubicle, and it was discovered that seat leakage through PCV-430 was in excess of the previously observed leakage of approximately 0;25 gallons per minute (GPM).
Since the benchset had been changed on both PORVs, it was decided not to perform a seat leakage test on PCV-431C by opening MOV-515, and to conservatively assume that the seat leakage through PCV-431C was comparable to the leakage through PCV-430. The Control Room operators closed MOV-516 at approximately 1804 EST, and initiated discussions concerning PORV operability with this seat leakage.
NRC FORM 366A I4 95)
NRC FORM 366A U.s. NUCLEAR REGULATORY COMMISSION (4 95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITYNAME (1) OOCKET LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION NUMBER NUMBER R.E. Ginna Nuclear Power Plant 05000244 4 OF 8 96 003 01 TEXT ilfmore speceis required, use eddirionel copies of NRC Form 366Ai (17)
Subsequent to the lhC technicians exiting the CNMT, details of the activities were discussed between the IRC technicians who had performed the activities inside the PRZR cubicle in CNMT and members of the plant staff. Later that evening, members of the plant staff then realized that, during the benchset activities, the nitrogen supply had been disconnected to both PORVs concurrently. Therefore, the discovery date is March 8, 1996, late in the evening.
With both PORVs inoperable, LCO 3.4.11 Condition F requires that immediate action be initiated to restore at least one PORV to operable status. However, with nitrogen being restored to the PORVs at approximately 1632 EST, the PORVs were operable in accordance with LCO 3.4.11 at the time of discovery. During the period of (undeclared) PORV inoperability, LCO 3.4.11 Required Action F.3 was not met in that power for the associated block valve was not removed.
Activities needed to reduce the PORV seat leakage were reviewed. The leakage indications were reevaluated by plant staff. Preliminary estimates indicated that leakage was greater than the RCS operational leakage of ten (10) GPM identified leakage, as specified by LCO 3.4.13. At approximately 1940 EST on March 8, both PORVs were declared inoperable, solely due to their inability to meet the RCS operational leakage limits of LCO 3.4.13. Actions were taken as specified by LCO 3A.11 Condition F. Since the block valves were already closed, the block valve control switches and breakers were held, and efforts to restore PORV seat leakage to less than 10 GPM began, in accordance with LCO 3.4.11 Required Action F.1.
The IRC technicians completed the readjustments to benchset and readjusted the limit switches for the PORVs as per procedure M-37.150. The holds were removed from the block valve control switches and breakers using the guidance of LCO 3.0.5. The block valves were stroked as needed, and the PORVs were tested using procedure PT-2.6.5-SD. Both PORVs demonstrated acceptable performance. A check of seat leakage was conducted, and leakage was evaluated to be less than 10 GPM. The PORVs were then declared operable at approximately 0123 EST on March 9, 1996, and returned to service.
Upon further evaluation later in the month, it was identified that the nitrogen supply to both PORVs had been concurrently disconnected on two separate occasions on March 8. This rendered the PORVs inoperable per LCO 3.4.11 each time, for a combined duration of approximately less than three (3) hours, without being declared inoperable.
C. INOPERABLE STRUCTURES, COMPONENTS, OR SYSTEMS THAT CONTRIBUTED TO THE EVENT:
None D. OTHER SYSTEMS OR SECONDARY FUNCTIONS AFFECTED:
None NRC FORM 366A (4-95)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1) DOCKET LER NUMBER (6) PAGE (3)
AR SEQUENTIAL REVISION NUMBER NUMBER R.E. Ginna Nuclear Power Plant 05000244 5. OF 8 96 003 01 TEXT (Ifmore spaceis required, use additional copies of NRC Form 366AI (17)
METHOD OF DISCOVERY:
The condition of the PORVs was investigated after a failed seat leakage check. During discussions between l&C and plant staff, members of the plant staff became aware of the full scope of the work that had been performed during the benchset, and that the PORVs had actually been inoperable during the benchset activities. This information was subsequently relayed to the Shift Supervisor during the evening of March 8, 1996.
F. OPERATOR ACTION:
The Control Room operators notified higher supervision. Nuclear Safety and Licensing (NS&L) was also consulted concerning the seat leakage through the PORVs. These discussions also included a reportability discussion, but focused on the reportability of PORV seat leakage. The Control Room operators declared both PORVs inoperable, solely due to their inability to meet the RCS operational leakage limits of LCO 3.4.13 while the block valve was open, and isolated the PORVs in accordance with LCO 3.4.11 Condition F.
Documentation was prepared to initiate a reportability evaluation. At approximately 1408 EST on March 28, 1996, plant staff determined that a non-emergency four hour notification, per 10 CFR 50.72 (b) (2) (iii) (D), should be made to the NRC Operations Center. This notification was made at approximately 1640 EST on March 28, 1996.
G. SAFETY SYSTEM RESPONSES:
None III. CAUSE OF EVENT:
A. IMMEDIATECAUSE:
The immediate cause of both PORVs being inoperable concurrently was due to the disconnection of the flex hose to both PORV actuators to install air-sets for the,benchset and limit switch activities. Removal of this flex hose removed the supply of instrument air and nitrogen to both PORVs.
B. INTERMEDIATE CAUSE:
I that in this configuration, nitrogen would still be available to open PORVs.
NRC FORM 366A (4.95)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1) DOCKET LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION NUMBER NUMBER 6 OF R.E. Ginna Nuclear-Power Plant 05000244 96 003 01 TEXT (If more spaceis required, use eddirionel copies of NRC Form 366AJ (17)
C. ROOT CAUSE:
A Human Performance Enhancement System (HPES) evaluation
'he NUREG-1022 Cause Code for this event IV. ANALYSIS OF EVENT:
A reportability evaluation was performed by NSRL. NSRL identified that the concurrent inoperability of both PORVs could have rendered the plant unable to mitigate the consequences of a steam generator tube rupture (SGTR) in accordance with the Westinghouse analysis of record, if the SGTR had occurred coincident with a loss of off-site power event.
This event is reportabie in accordance with 10 CFR 50.73, Licensee Event Report System, item (a) (2) (v),
which requires a report of, "Any event or condition that alone could have prevented the fulfillment of the safety function of structures or systems that are needed to: ... (D) Mitigate the consequences of an accident". Both PORVs inoperable under the conditions that existed on March 8, 1996, is an event that could have prevented RCS depressurization after a SGTR, coincident with a loss of off-site power event.
NRC FORM 366A (4-95)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITYNAME (1) DOCKET LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION NUMBER NUMBER 7 OF 8 R.E. Ginna Nuclear Power Plant 05000244 96 003 01 TEXT llfmore space is required, use addi donal copies of NRC Form 366AJ (17)
An assessment was performed considering both the safety consequences and implications of this event with the following results and conclusions:
There were no operational or safety consequences or implications attributed to both PORVs being inoperable because:
o The PORVs serve as the LTOP protection devices during conditions of low temperature in the RCS. The plant did not enter conditions where this protection would have been required.
The PORVs provide a depressurization path for a SGTR when normal and auxiliary PRZR spray are not available (during a loss of off-site power event). The plant did not enter conditions where a loss of off-site power occurred. Thus, PRZR spray was available.
o In either of the above situations, the PORVs could have been restored to service to support these requirements.
Based on the above, it can be concluded that the public's health and safety was assured at all times.
V. CORRECTIVE ACTION:
A. ACTION TAKEN TO RETURN AFFECTED SYSTEMS TO PRE-EVENT NORMAL STATUS:
0 The benchset for each PORV was readjusted to reduce seat leakage and limit RCS leakage.
0 The PORV limit switches were verified in the proper setup and configuration.
0 The PORVs were tested per procedure PT-2.6.5-SD.
0 The supply of instrument air and nitrogen was reconnected to the actuator for each PORV.
ACTION TAKEN OR PLANNED TO PREVENT RECURRENCE:
Lessons learned have been provided to Operators, PORC Independent Reviewers, and Maintenance Planners.
- 2. The HPES w(H-be Q~gg completed.
- 3. A supplement to this LER wHI-be- g@6gjfpiubmitted by May 17, 1996.
NRC FORM 366A (4-95)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1) DOCKET LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION NUMBER NUMBER 8 OF 8 R.E. Ginna Nuclear Power Plant 05000244 96 003 01 TEXT Iifmore spaceis required, use addidonal copies of PIRC Form 366AI (17)
", SEPXSSfSXA~NMX/i$%ÃÃAE~rN&NÃSEsVAAiWEKAXFf9FSÃ5$4 PZP8ÃPYY8PP8E
' ' 'gfNJSrWXIÃrfENMW(rf@~~WNXXNfAiEAFWSWiiWÃc WIPPPPIEAÃSfXSXNEWSSSS(fkÃSSMY)EAWSXRWE~N)'AS~
'EPXY~ISSSIEEWA/SEFSf/XYXKS)f&EYXHSWYA WPPPYPPPPPPPASCSKVESSFXSNxXESSNÃSA VI. ADDITIONALINFORMATION:
A: FAILED COMPONENTS:
None B. PREVIOUS LERs ON SIMILAR EVENTS:
A similar LER event historical search was conducted with the following results:
I WSÃAAMFW&SYYANÃ/VYKXS@SFKSXÃXYÃXYYWfiWE C. SPECIAL COMMENTS'one NRC FORM 366A (4-95)
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