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TITLE: 50. 73 Licensee Event Report (LER)> Incident Rpt> etc.
TITLE: 50. 73 Licensee Event Report (LER)> Incident Rpt> etc.
NOTES: Standardi    zed  plant. M. Davis> NRR: iCg.                                    05000528 RECIPIENT            COPIES            REC IP I ENT          COP IEB ID CODE/NAME          LTTR ENCL        ID CODE/NAME          LTTR Er,'CL PD5 LA                          1      PD5 PD                      1    1 LICITRA  E                    1      DAVIS> M                    1    1 INTERNAL: ACRS MICHELBON              1    1      *CRS MOELLER                1    1 AEOD/DOA                              AEOD/DSP/ROAB              2    2 AEOD/DSP/TPAB                          DEQRO                      1    1 NRR/DEBT/ADE              1    0      NRR/DEST/ADS                1    0 NRR/DEST/CEB              1    1      NRR/DEST/ELB                1    1.
NOTES: Standardi    zed  plant. M. Davis> NRR: iCg.                                    05000528 RECIPIENT            COPIES            REC IP I ENT          COP IEB ID CODE/NAME          LTTR ENCL        ID CODE/NAME          LTTR Er,'CL PD5 LA                          1      PD5 PD                      1    1 LICITRA  E                    1      DAVIS> M                    1    1 INTERNAL: ACRS MICHELBON              1    1      *CRS MOELLER                1    1 AEOD/DOA                              AEOD/DSP/ROAB              2    2 AEOD/DSP/TPAB                          DEQRO                      1    1 NRR/DEBT/ADE              1    0      NRR/DEST/ADS                1    0 NRR/DEST/CEB              1    1      NRR/DEST/ELB                1    1.
NRR/DEST/ICBB            1    1      NRR/DEBT/MEB                1    1 NRR/DEBT/MTB                          NRR/DEST/PSB                1 NRR/DEST/RSB                          h!RR/DEST/SGB              1    1 NRR/DLPG/HFB              1    1      NRR/DLPG/GAB                1    1 NRR/DOEA/EAB              1    1      NRR/DREP/EPB                1
NRR/DEST/ICBB            1    1      NRR/DEBT/MEB                1    1 NRR/DEBT/MTB                          NRR/DEST/PSB                1 NRR/DEST/RSB                          h!RR/DEST/SGB              1    1 NRR/DLPG/HFB              1    1      NRR/DLPG/GAB                1    1 NRR/DOEA/EAB              1    1      NRR/DREP/EPB                1 1
                                                                                  '
NRR/DREP/RAB              1    1      NRR/DREP/RPB              2 NR    A    LRB          1    1      h!RR/PMAS/PTSB                  1 EQ  FIL          02            1      RES SPEIS> T                1    1 QN    FILE      01      1    1 EXTERNAL: EQ8cG QROH> M                5    5      H ST LOBBY WARD            1    1 LPDR                      1    1      NRC PDR                    1 NBIC HARRIS>    J        1    1      NBIC MAYS> G                1    1 NOTES:
1 NRR/DREP/RAB              1    1      NRR/DREP/RPB              2 NR    A    LRB          1    1      h!RR/PMAS/PTSB                  1 EQ  FIL          02            1      RES SPEIS> T                1    1 QN    FILE      01      1    1 EXTERNAL: EQ8cG QROH> M                5    5      H ST LOBBY WARD            1    1 LPDR                      1    1      NRC PDR                    1 NBIC HARRIS>    J        1    1      NBIC MAYS> G                1    1 NOTES:
TOTAL, NUMBER OF COPIES REQUIRED:          LT1R    44  ENCL      42
TOTAL, NUMBER OF COPIES REQUIRED:          LT1R    44  ENCL      42



Latest revision as of 04:49, 4 February 2020

LER 87-013-00:on 870408,Tech Spec 3.0.3 Entered Due to Inoperability of ESF Pump Room Air Exhaust Sys.Caused by Cognitive Personnel Error.Memo Sent to Onsite Managers Reminding Personnel of responsibilities.W/870506 Ltr
ML17300A824
Person / Time
Site: Palo Verde Arizona Public Service icon.png
Issue date: 05/06/1987
From: Bradish T, Haynes J
ARIZONA PUBLIC SERVICE CO. (FORMERLY ARIZONA NUCLEAR
To:
NRC OFFICE OF ADMINISTRATION & RESOURCES MANAGEMENT (ARM)
References
192-00203-JGH-T, LER-87-013, NUDOCS 8705120244
Download: ML17300A824 (10)


Text

REQULAT INFORMATION DISTRIBUTION ~TEM (RIDS)

ACCESSION NBR: 8705120244 DOC. DATE: 87/05/06 NOTARIZED: NO DOCKET ¹ FACIL: STN-50-528 Palo Verde Nuclear Station> Uni t 1> Ari zona Pub li 05000528 AUTH. NAME AUTHOR AFFILIATION BRADISH> T. R. Arizona Nuclear'o!.'er Prospect ( formerlM Ari zona Public Serv HAYNES> J. Q. AT izona Nuclear Pouer Prospect (formerly Ari zona Public Serv REC IP. NAME RECIPIENT AFFILIATION BUB JECT: LER 87-013-00: on 870408> Limiting Condition for Operation

. 3 0 3 entered due to inoperability of ESF pump room air exhaust sos. Caused bM cognitive personnel error Memo sen+ to~

onsite managers reminding of responsibilities. W/870506 I+r.

DISTRIBUTION CODE: IE22D COPIES RECEIVED: LTR l ENCL l SIZE:

TITLE: 50. 73 Licensee Event Report (LER)> Incident Rpt> etc.

NOTES: Standardi zed plant. M. Davis> NRR: iCg. 05000528 RECIPIENT COPIES REC IP I ENT COP IEB ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR Er,'CL PD5 LA 1 PD5 PD 1 1 LICITRA E 1 DAVIS> M 1 1 INTERNAL: ACRS MICHELBON 1 1 *CRS MOELLER 1 1 AEOD/DOA AEOD/DSP/ROAB 2 2 AEOD/DSP/TPAB DEQRO 1 1 NRR/DEBT/ADE 1 0 NRR/DEST/ADS 1 0 NRR/DEST/CEB 1 1 NRR/DEST/ELB 1 1.

NRR/DEST/ICBB 1 1 NRR/DEBT/MEB 1 1 NRR/DEBT/MTB NRR/DEST/PSB 1 NRR/DEST/RSB h!RR/DEST/SGB 1 1 NRR/DLPG/HFB 1 1 NRR/DLPG/GAB 1 1 NRR/DOEA/EAB 1 1 NRR/DREP/EPB 1 1

NRR/DREP/RAB 1 1 NRR/DREP/RPB 2 NR A LRB 1 1 h!RR/PMAS/PTSB 1 EQ FIL 02 1 RES SPEIS> T 1 1 QN FILE 01 1 1 EXTERNAL: EQ8cG QROH> M 5 5 H ST LOBBY WARD 1 1 LPDR 1 1 NRC PDR 1 NBIC HARRIS> J 1 1 NBIC MAYS> G 1 1 NOTES:

TOTAL, NUMBER OF COPIES REQUIRED: LT1R 44 ENCL 42

I NAC Form Sdd VS. NUCLEAR REOULATOAY COMMISSION (D.BS)

APPAOVED OMB NO. 2)500)04 LICENSEE EVENT REPORT (LER) EXPIAES: ~ /21/DS FACILITY NAME (I) DOCKET NUMBER (2) PA 2 TITLE lcl Palo Verde Unit 1 0 5 0 0 052 or- 0 3 Entry Into Technical Specification LCO 3.0.3 Due to Personnel Error EVEN'1 DATE ISI LER NUMBER (5) REPORT DATE (7) OTHEA FACILITIES INVOLVED (5)

MONTH DAY YEAR YEAR "os(:

SEQUENT/AL oy REVS'ONTH DAY YEAR FAC/LITY NAMES DOCKET NUMBER(5)

NUMDDtl NUMBER N A 0 5 0 0 0 0 4 088 787 013 00 05 06 7 N A 0 5 0 0 0 OPERATINO THIS REPORT IS SUBMITTED PURSUANT TO THE REOUIREMENTS OF 10 CFR ()t IChcch onc or morc of thc folforrind/ (Ill MODE (DI 20,402(dl 20.405(c) 50.72(cl(2)(lrl 72.71(III POWER 20.405( ~ ) (1)(l) 50.25Ic)(II (ill) 50,72( ~ )(2)(rl 72.71(c)

LEYEL 1 0 0 20.405( ~ )(I)IQ) 50.2dlc)(2) 50,72( ~ )12)(rS) OTHER /Specify /n AO/rrcct hclow cnt/ ln ycct, HIIC form 20.405( ~ I() l(iill 50.72(cl(2I(l) 50 72(402)(rill) (Al d//SAI 20,4N(c) (I ) I lv I 50.72(c)(2) IDI 50.72(c) (2l(rill)IS) 20.405( ~ l(1)(v) 50.7 2 Ic I (2 I 50.72(cl(2)(cl LICENSEE CONTACT FOA THIS LER 112I NAME TELEPHONE NUMBER AREA CODE T. R. Bradish, Compliance Supervisor (Ext. 6936) 602 932 5 300 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPOR'7 (12)

";rgb'P()rtg,'c MANUFAC. EPORTABLE Ay'j,acr Yn 4 y>>

CAUSE SYSTEM COMPONENT VLE sYsTE COMPONENT MANUFAC. y-'O TVRER TO NPRDS TVRER NPRDS 'r.A(tj)S 1!kP~'j%i5i iox IW+k:. >>>CNioo SUPPLEMENTAL REPOR'T EXPECTED 114) MONTH OAY YEAR EXPECTED SUBMISSION DATE (15)

YES Ilfycr, comp/crt E/IPECTED St/dc//SSIOH DATE/ HO ABSTRACT ILrmlt to f400 cpcccr. I.c.. cpprocimctcry fiftccn rind/c g>>cc rypcrrrlt>>n /mod lid)

At approximately 1351 MST on April 8, 1987, Palo Verde Unit 1 was in Mode 1 (POt)tER OPERATION) at 100 percent power when Technical Specification (T.S.) Limiting Condition for Operation (LCO) 3.0.3 was en'tered due to the inoperability of the Engineered Safety Features (ESF) pump room air exhaust systems. T.S. LCO 3.0.3 was exited at approximately 1541 on April 8, 1987 following the successful completion of Surveillance Test 73ST-9HF01 (Fuel Building AFU Airflow Capacity and Pressurization Test). This event was discovered by a System Engineer (utility non-licensed) during a review of 73ST-9HFOl for future revisions.

The root cause of this event was a cognitive personnel error by a system engineer (contractor non-licensed) in that he did not properly complete the "Surveillance Test Package Review Sheet". The responsible system engineer is no longer employed by Arizona Nuclear Power Project. As corrective action, a memo has been sent to onsite Managers to remind them it is the responsibility of each performance group to track their own Conditional ST's and any portion of a scheduled ST that be performed in its entirety to ensure their status is maintained current.

could'ot No similar events have been reported where improper documentation of *a partial surveillance test has resulted in exceeding a surveillance requirement.

8705120244 87050b PDR ADOCK 05000528 8 PDR HRC corm Sdd

NRC Fosw 355A 1903 I e U 3 NUCLEAR REOULATORY COMMISSION LICENSEE EVENT REPORT ILERI TEXT CONTINUATION APPROVED OMS NO 3150 0104 EXPIRES: S/31/SS FACILITY NAME ITI DOCKET NUMSER l21 LER NUMSER I ~ I ~ AOE (3I YEAR '~i. 5EOUENTSAL PRI iEYOIOSS i<i MUM TA NQMQTA Palo Verde Unit TEXT Illssssss ssssss is FSss'st.

1 ws oddeewl HJIC Fspnn ~'sl IIT) 0 5 0 0 0 5 2 8 8 7 013 00 0 2 OF 0 3 At approximately 1351 MST on April 8, 1987, Palo Verde Unit 1 was in Mode 1 (POWER OPERATION) at 100 percent power when Technical Specification (T.S.) Limiting Condition for Operation (LCO) 3.0.3 was entered due to the inoperability of the Engineered Safety Features (ESF)(JE) pump room air exhaust systems (AHU). In accordance with T.S. LCO 3.0.3, actions were initiated to place the unit in a Mode in which the ESF pump room air exhaust cleanup systems are not required to be operable. T.S. LCO 3.0.3 was exited, at approximately 1541 on April 8, 1987 following the successful completion of surveillance test 73ST-9HF01 (Fuel Building AFU Airflow Capacity and Pressurization Test). The duration of this event was 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> and 50 minutes.

On April 8, 1987, a system engineer (utility non-licensed) was reviewing the January 31, 1986 performance of surveillance test (ST) 73ST-9HF01 for future revisions when he discovered that the ESF pump room air exhaust cleanup systems had not been surveillance tested as was indicated on the "Surveillance Test Package Review Sheet".. The system engineer discovered an entry in the surveillance test log that stated that the ESF pump room air exhaust cleanup systems were due to be surveillance tested in October 1986.

In accordance with T.S. 4.7.8.b.l, b.3, d.l and d.2, the ESF pump room air exhaust cleanup systems must be demonstrated operable once every 18 months. The previous test had been completed satisfactorily in April, 1985. The surveillance test interval, including the maximum allowable extension of 25 percent, was exceeded in March 1987.

Upon notification of the finding, the Unit 1 Shift Supervisor (utility licensed) declared the ESF pump room air exhaust cleanup systems inoperable and entered the unit into T.S. LCO 3.0.3. The ESF pump room air exhaust cleanup system was declared operable and T.S. LCO 3.0.3 exited at approximately 1541 following successful completion of the surveillance testing.

The root cause of this event was a cognitive personnel error by the system engineer (contractor non-licensed) in that he did not properly complete the "Surveillance Test Package Review Sheet". The responsible system engineer is no longer employed by Arizona Nuclear Power Project. The improper completion of the Surveillance Test Package Review Sheet" resulted in the Surveillance Program Control Group scheduling the next performance of 73ST-9HF01 for June 10, 1987. As a result, the surveillance interval for the ESF pump room air exhaust cleanup system was exceeded. Improper completion of the "Surveillance Test Package Review Sheet" is contrary to approved procedural controls.

As corrective action, a memo has been sent to all onsite Managers to remind them it is ST's the responsibility of each performance group to track their own Conditional and any portion of a scheduled ST that could not be performed in its entirety to ensure their status is maintained current.

'sRC s ORM 355A I953s

NRC'FoIm 344A U.S. NUCLEAR REOUI.ATONY COMMISSION 18 83I LICENSEE EVENT REPORT (LER) TEXT CONTINUATION APPROVED OM8 NO 3150 OIOS EXPIRES: 8/31/88 FACILITY NAME 111 DOCKET NUMEER 111 LER NUMEER IEI ~ AOE 13)

YEAR yes SSOUSNTIAL II4 V IS IO 4 NUM SR NUM 4 II Palo Verde Unit 1 o s o o o 528 87 013 0 0 03oF 0 3 TEXT ////INvo s/Mco /I /POw'NL vso PROOo'one/P/RC FomI 38//AS/ IITI The successful completion of 73ST-9HF01 demonstrated the operability of the ESF pump room air exhaust cleanup system. Since the ESF pump room air exhaust cleanup system operated as designed, this event did not affect the safe operation of the plant or the health and safety of the public.

There were no structures, components, or systems that were inoperable at the start of the event, other than those described above, that contributed to the event.

There were no unusual characteristics of the work location which contributed to the event. There were no automatic or manually initiated safety system responses.

There were no operator actions which contributed to this event.

No similar events have been reported where improper documentation of a partial surveillance test has resulted in exceeding a surveillance requirement.

4/IC I OIIM 344A 188)I

I jl l

l

Arizona Nuclear Power Project P.o, BOX 52034 ~ PHOENIX, ARIZONA85072-2034 192-00203-JGH/TRB/MJC May 6, 1987 U.S. Nuclear Regulatory Commission Document Control Desk Washington, D.C. 20555

Subject:

Palo Verde Nuclear Generating Station (PVNGS)

Unit 1 Docket No. STN 50-528 Licensee Event Report 87-013-00 File: 87-020-404

Dear Sirs:

Attached please find Licensee Event Report (LER) No. 87-013-00 prepared and submitted pursuant to 10 CFR 50.73. In accordance with 10 CFR 50,.73(d), we are herewith forwarding a copy of the LER to the Regional Administrator of the Region V Office.

If you have any questions, please contact T. R. Bradish, Compliance Supervisor at (602) 932-5300 Ext. 6936.

Very tru y yours, l/6 J.

yr~

G. Haynes Vice President Nuclear Production JGH/MJC/cld Attachment CCI 0. M. DeMichele (all w/a)

E. E. Van Brunt, Jr.

J. B. Martin R. P. Zimmerman R. C. Sorensen E. A. Licitra A. C. Gehr INPO Records Center

II t