ML17264B129: Difference between revisions

From kanterella
Jump to navigation Jump to search
(Created page by program invented by StriderTol)
(Created page by program invented by StriderTol)
Line 16: Line 16:


=Text=
=Text=
{{#Wiki_filter:CATEGORY1REGUZATOZNFORNATZONDZSTR1BUT1ONISTEN(RZDS)
{{#Wiki_filter:CATEGORY1REGUZATOZNFORNATZON DZSTR1BUT1ON ISTEN(RZDS)


==SUBJECT:==
==SUBJECT:==
LER97-006;-00:on!'971103,NISaudiblecountratefunctionwasinoperable.Causedbymisinterpretationofeventsecpxenceduetonotverify3ngboronconcentration.Bverification.occurredevery12h-perITSLCOacti.on3.9.2.C.3.W/971203ltr.0DISTRIBUTION:CODE:IE22T'OPIESRECEIVED:LTR"JENCLl"SIZE:TITLE:'50.73/50.9Li.censeeEventReport(LER),IncidentRpt',etc.4~'\I1NOTES:LicenseExpdateinaccordancewi.th10CFR2,2.109(9/19/72).05000244GACCESSIONNBR:9712100274.DOC'.DATE:"97/12'/03NOTARIZED:NODOCKET4FACZZ:50-244Robert2ZnaetGinnaNuclearPlant,Unit1,RochesterG05000244AUTH.NAME''UTHORAFFILIATIONST.MARTIN,J.T.RochesterGas&ElectricCorp.MECREDY,R.C.RochesterGasEcElectricCorp.RECIP.NAMERECIPIENTAFFILIATIONVISSING,G.S'.,"-;RECIPIENTIDCODE/NAMEPD1-1PDINTERNAL:AEOECENTENRRDEELBNRR/DRCH/HHFBNRR/DRCH/HOLBNRR/DRPM/PECBNRR/DSSA/SRXBRGN1FILE01EXTERNAL:LSTLOBBYWARDNOACPOORE,W.NRCPDRCOPIESLTTRENCL112211111111111111111111RECIPIENTID'.CODE/NAMEVISSING,G.AEOD/SPD/RRABNRR/DE/ECGBNRR/DE/EMEBNRR/DRCH/HICBNRR/DRCH/HQMBNRR/DSSA/SPLBRES/DET/EIBLITCOBRYCE,JHNOACQUEENER,DSNUDOCSFULLTXTCOPIESLTTRENCL,11111111111111'11111111RD0UNOTETOALL"RIDS"RECIPIENTS:PLEASEHELPUSTOREDUCEWASTE.TOHAVEYOURNAMEORORGANIZATIONREMOVEDFROMDISTRZBUTIONLISTSORREDUCETHENUMBEROFCOPIESRECEIVEDBYYOUORYOURORGANIZATION,CONTACTTHEDOCUMENTCONTROLDESK(DCD)ONEXTENSION415-2083FULLTEXTCONVERSIONREQUIREDTOTALNUMBEROFCOPIESREQUIRED:LTTR24ENCL24 ANDROCHESTERGASANDElECTRICCORPORATTON~89EASTAVENUE,ROCHESTER,MY.l4649-D001AREACODE7I6546-270DROBERTC.MECREDYVicePresidentNuctearoperationsDecember3,1997SubjectU.S.NuclearRegulatoryCommissionDocumentControlDeskAttn:GuyS.VissingProjectDirectorateI-1Washington,D.C.20555)LER97-006,VerificationofBoronConcentrationNotPerformedDuetoMisinterpretationofEventSequence,ResultedinConditionProhibitedbyTechnicalSpecificationsR.E.GinnaNuclearPowerPlantDocketNo.50-244
LER97-006;-00:on!'971103,NIS audiblecountratefunctionwasinoperable.
Causedbymisinterpretation ofeventsecpxence duetonotverify3ng boronconcentration.B verification
.occurred every12h-perITSLCOacti.on3.9.2.C.3.W/971203 ltr.0DISTRIBUTION:CODE:
IE22T'OPIESRECEIVED:LTR"J ENCLl"SIZE:TITLE:'50.73/50.9 Li.censee EventReport(LER),IncidentRpt',etc.4~'\I1NOTES:License Expdateinaccordance wi.th10CFR2,2.109(9/19/72).
05000244GACCESSION NBR:9712100274
.DOC'.DATE:"97/12'/03 NOTARIZED:
NODOCKET4FACZZ:50-244 Robert2ZnaetGinnaNuclearPlant,Unit1,Rochester G05000244AUTH.NAME''UTHORAFFILIATION ST.MARTIN,J.T.
Rochester Gas&ElectricCorp.MECREDY,R.C.
Rochester GasEcElectricCorp.RECIP.NAME RECIPIENT AFFILIATION VISSING,G.S'.,"-;RECIPIENT IDCODE/NAME PD1-1PDINTERNAL:
AEOECENTENRRDEELBNRR/DRCH/HHFB NRR/DRCH/HOLB NRR/DRPM/PECB NRR/DSSA/SRXB RGN1FILE01EXTERNAL:
LSTLOBBYWARDNOACPOORE,W.NRCPDRCOPIESLTTRENCL112211111111111111111111RECIPIENT ID'.CODE/NAME VISSING,G.
AEOD/SPD/RRAB NRR/DE/ECGB NRR/DE/EMEB NRR/DRCH/HICB NRR/DRCH/HQMB NRR/DSSA/SPLB RES/DET/EIB LITCOBRYCE,JHNOACQUEENER,DS NUDOCSFULLTXTCOPIESLTTRENCL,11111111111111'11111111RD0UNOTETOALL"RIDS"RECIPIENTS:
PLEASEHELPUSTOREDUCEWASTE.TOHAVEYOURNAMEORORGANIZATION REMOVEDFROMDISTRZBUTION LISTSORREDUCETHENUMBEROFCOPIESRECEIVEDBYYOUORYOURORGANIZATION, CONTACTTHEDOCUMENTCONTROLDESK(DCD)ONEXTENSION 415-2083FULLTEXTCONVERSION REQUIREDTOTALNUMBEROFCOPIESREQUIRED:
LTTR24ENCL24 ANDROCHESTER GASANDElECTRICCORPORATTON
~89EASTAVENUE, ROCHESTER, MY.l4649-D001 AREACODE7I6546-270DROBERTC.MECREDYVicePresident Nuctearoperations December3,1997SubjectU.S.NuclearRegulatory Commission DocumentControlDeskAttn:GuyS.VissingProjectDirectorate I-1Washington, D.C.20555)LER97-006,Verification ofBoronConcentration NotPerformed DuetoMisinterpretation ofEventSequence, ResultedinCondition Prohibited byTechnical Specifications R.E.GinnaNuclearPowerPlantDocketNo.50-244


==DearMr.Vissing:==
==DearMr.Vissing:==
Inaccordancewith10CFR50.73,LicenseeEventReportSystem,item(a)(2)(i)(B),whichrequiresareportof,"Anyoperationorconditionprohibitedbytheplant'sTechnicalSpecifications",theattachedLicenseeEventReportLER97-006isherebysubmitted.Thiseventhasinnowayaffectedthepublic'shealthandsafety.Verytrulyyours,RobertC.Mecredyxc:Mr.GuyS.Vissing(MailStop14B2)PWRProjectDirectorateI-1Washington,D.C.20555U.S.NuclearRegulatoryCommissionRegionI475AllendaleRoadKingofPrussia,PA19406GinnaSeniorResidentInspector"(-aI0lllllllllllllllllllllllllllllllllllfllll9'712i00274'st7i20SPDRADOCK050002448PDR  
Inaccordance with10CFR50.73,LicenseeEventReportSystem,item(a)(2)(i)(B),whichrequiresareportof,"Anyoperation orcondition prohibited bytheplant'sTechnical Specifications",
theattachedLicenseeEventReportLER97-006isherebysubmitted.
Thiseventhasinnowayaffectedthepublic'shealthandsafety.Verytrulyyours,RobertC.Mecredyxc:Mr.GuyS.Vissing(MailStop14B2)PWRProjectDirectorate I-1Washington, D.C.20555U.S.NuclearRegulatory Commission RegionI475Allendale RoadKingofPrussia,PA19406GinnaSeniorResidentInspector
"(-aI0lllllllllllllllllllllllllllllllllllfllll 9'712i00274
'st7i20SPDRADOCK050002448PDR  


NRCFORM366(4-95)U.S.NRREGULATORYCOMNIISSIOLXCENSEEEVENTREPORT,(LER)n(Seereverseforrequirednumber'fdigits/charactersforeachblock)APEDBYOMBNO.3150%104EXPIRES04/30/98ESTIMATEDBURDENPERRESPONSEToCOMPLYWITHTHISMANDATORYINFORMATIONCOLLECTIONREQUEST:50.0HRS.REPORTEDLESSONSLEARNEDAREINCORPORATEDINTOTHELICENSINGPROCESSANDFEDBACKToINDUSTRY.FORWARDCOMMENTSREGARDINGBURDENESTIMATEToTHEINFORMATIONANDRECORDSMANAGEMENTBRANCHIT.6F33),U.S.NUCLEARREGULATORYCOMMISSION,WASHINGTON,DC20555-0001,ANDToTHEPAPERWORKREDUCTIONPROJECTFACIUTYNAMEIllTrrLEfa)R.E.GinnaNuclearPowerPlantDOCKETirVMSERf2)05000244PADEI3I1OF6VerificationofBof'onConcentrationNotPerformedDuetoMisinterpretationofEventSequence,ResultedinConditionProhibitedbyTechnicalSpecificationsEVENTDATE(5)LERNUMBER(6)REPORTDATE(7)OTHERFACILITIESINVOLVED(8)MONlHDAYYEARYEARSEQENTIALREVISOMONUMBERNUMBER~IDAYI:YEAR.FACILITYNAMEDOCKETNUMBER039797-006-001'2.03FACIUTYNAME97DOCKETNUMBEROPERATINGMODE(9)THISREPORTISSUBMITTEDPUBSUANTTOTHEREQUIREMENTSOF10CFRE:(Checkoneor50.73(a)(2)(i)20.2203(a)(2)(v)20.2201(b)Illore)(11)50.73(a)(2)(viii)POWERLEVEL(10)00020.2203(a)(1)20.2203(a)(2)(i)20.2203(a)(2)(ii)20.2203(a)(2)(iii)20.2203(a)(2)(lv).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)(ii)50.73(a)(2)(iii)50.73(a)(2)(iv)50.73(a)(2)(v)50.73(a)(2)(vii)50.73(a)(2)(x)73.71OTHERSpecifyinAbstractbeloworInNRCForm366ANAMELICENSEECONTACTFORTHISLER(12)TELEPHONEkUMBERBncrudeAreaCode)JohnT.St.Martin-TechnicalAssistant(716)771-3641COMPLETEONELINEFOREACHCOMPONENTFAILUREDESCRIBEDINTHISREPORT(13)CAUSESYSTEMCOMPONENTMANUFACTURERREPORTABLETONPRDSCAUSESYSTEMCOMPONENTMANUFACTURERREPORTABLEToNPRDSSUPPLEMENTALREPORTEXPECTED(14)YES(Ifyes,completeEXPECTEDSUBMISSIONDATE).XNOEXPECTEDSUBMISSIONDATE(15)MONTHDAYYEARABSTRACT(Limitto1400spaces,I.e.,approximately15single-spacedtypewrittenlines)(16)OnNovember3,1997,atapproximately1708EST,theplantwasinMode6,andrefuelingactivitieshadbeencompletedtwodaysearlier.Thereactorcoolantsystembeingmaintainedatatemperatureof75degreesF,andthereactorcavityfilledtogreaterthan23feet.Itwasdiscoveredthatthenuclearinstrumentationsystemaudiblecountratefunctionwasinoperable.ImmediateactionwastoensurefuturecompliancetotheGinnaTechnicalSpecificationsforlossofthisfunction.Thisincludedverifyingthatthemostrecentboronconcentrationwaswithinspecifiedlimitsandformallytrackingthetimeforfutureverificationofboronconcentration.Duetoamisinterpretationoftheeventsequence,thev'erificationofboronconcentrationmaynothavebeenperformedwithinthetimeperiodspecifiedbyGinnaTechnicalSpecificationsRequiredActionsforthemostlimitingeventsequence.CorrectiveactiontopreventrecurrenceisoutlinedinSectionV.B.NRCFORM366(4-95)
NRCFORM366(4-95)U.S.NRREGULATORY COMNIISSIO LXCENSEEEVENTREPORT,(LER) n(Seereverseforrequirednumber'fdigits/characters foreachblock)APEDBYOMBNO.3150%104EXPIRES04/30/98ESTIMATED BURDENPERRESPONSEToCOMPLYWITHTHISMANDATORY INFORMATION COLLECTION REQUEST:50.0HRS.REPORTEDLESSONSLEARNEDAREINCORPORATED INTOTHELICENSING PROCESSANDFEDBACKToINDUSTRY.
I NRCFORM366A(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATION.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBER(6)YEARSEQUENTIALREVISIONNUMBERNUMBER97-006-00PAGE(3)2OF6TEXT(Ifmorespaceisrequired,useadditionalcopiesofNRCForm366A/(17)PRE-EVENTPLANTCONDITIONS:<~~.~'C~il~lil~OnNovember3,1997,theplantwasinMode6withthereactorcoolantsystem(RCS)beingmaintainedatatemperatureofapproximately.75degreesF,andthereactor,cavityfilledtogreaterthan23feet.Theplantwasshutdownfor'refueling,andrefuelingactivities(corealterations)hadalreadybeencompletedtwodaysearlier,Atapproximately0753EST,thenuclearinstrumentationsystem(NIS)ComparatorandRatedrawerwasremovedfromserviceforcalibrationperprocedureCPI-COMP/RATE-N46/37(CalibrationofComparatorandRateDrawerN46/37).Atthistime,theaudiblecountratefunctionwasoperable.DESCRIPTIONOFEVENT:DATESANDAPPROXIMATETIMESOFMAJOROCCURRENCES:November3,1997,0025EST:RCSboronconcentrationverifiedat2463PPM.November3,1997,0753EST:NISComparatorandRatedrawerisremovedfromservice.November3,1997,1300EST:RCSboronconcentrationverifiedat2453PPM.November3,1997:Eventdate.November3,1997,1708EST:Discoverydateandtime.November4,1997,0100EST:RCSboronconcentrationverifiedat2470PPM.November4,1997:NISaudiblecountrateisrestoredtooperablestatus.B.EVENT:AtthebeginningoftheafternoonshiftonNovember3,theoperabilityoftheNISaudiblecountratefunctionwasquestioned,sincethenormalaudiblebeepingdidnotseemtobeoccurring.Atthistime,itwasassumedthattheaudiblecountratefunctionhadbeenmadeinoperableatthetimeprocedureCPI-COMP/RATE-N46/37wasinitiated.Forconvenience,thistimewasdocumentedasthetimeadministrativetrackinghadbeeninitiatedfortheComparatorandRateDrawer,atapproximately0753ESTonNovember3.Therefore,usingthiseventsequenceandtheassumedtimeofinoperability,theinitialadministrativetracking(whichdidnotaddressthelossofaudiblecountratefunction)wassupplementedbyadministrativeprocedureA-52.4(ControlofLimitingConditionsforOperatingEquipment)atapproximately1708EST.TheA-52.4trackingwasinitiatedeffectiveat0753ESTasa"lateentry".NRCFORM366A(4-95) t NRCFORM36BA(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATION.NUCLEAR'REGULATORYCOMMISSIONFACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBER(6)YEARSEQUENTIALREVISIONNUMBERNUMBER97-006-00PAGE(3)3OF6TEXTilfmorespeceisrequired,useedditionelcopiesofNRCForm368AJ(17)Basedontheeventsequencethatinoperabilityoccurredat0753EST,theControlRoomoperatorsconcludedthattheplantcontinuedtobeincompliancewith'GinnaImprovedTechnicalSpecifications(ITS)LimitingConditionforOperation(LCO)REQUIREDACTIONS3.9.2.C.1and3.9.2.C.2,since,therehadbeennocorealterationsorpositivereactivityadditionsduringthis.time.However,REQUIREDACTION-3.9.2.C.3,for'RCSboronconcentrationverifiedtobewithinthelimitsspecifiedintheCoreOperatingLimitsReport(COLR),hadonlybeenaccomplishedatapproximately0025ESTand1300ESTonNovember3.~i.XlThus,atapproximately1708ESTonNovember3,itwasdiscoveredthattheNISaudiblecountratewasinoperable.'Duetotheassumedeventsequence,itwasconcludedthatinoperabilityoccurredat0753EST,andtheControlRoomoperatorsimmediatelyenteredITSLCO3.9.2at,1708EST.TheRCSboronconcentrationhadbeenverifiedatapproximately1300EST.SincetheoperatorsconcludedthatRCSboronconcentrationhadnotbeenverifiedwithin4hoursoftheassumedtimeofinoperability,the1300ESTboronconcentrationwasusedtoinitiatethe12hourtimerequirementofITSLCOREQUIREDACTION,3.9.2.C.3.SubsequentRCSboronconcentrationverificationwouldberequiredevery12hours.ThenextRCSboronconcentrationverificationwasperformedatapproximately0100EST,onNovember4,andtheNISaudiblecountratefunctionwasrestoredtooperablestatuslaterthatmorning.Uponfurtherreview,activitiesperformedperprocedureCPI-COMP/RATE-N46/37didnotrendertheNISaudiblecountrateinoperable.Therefore,theeventsequenceconcludingthatinoperabilityoccurredat0753ESTisincorrect.TheprecisetimethattheNISaudiblecountratefunctionbecameinoperableonNovember3isnotknown,butthemostlimitingeventsequenceisifitoccurredafter1300EST,orbetween0753and0900EST.Ineitherofthesescenarios,ITSLCOREQUIREDACTION3.9.2.C.3wasnotperformedwithin4hoursoftheevent.C.INOPERABLESTRUCTURES,COMPONENTS,ORSYSTEMSTHATCONTRIBUTEDTOTHEEVENT:NoneD.OTHERSYSTEMSORSECONDARYFUNCTIONSAFFECTED:NoneE.METHODOFDISCOVERY:Thiseventwasindicatedduringroutineoperationsreviewofplantstatusduringashiftturnovermeeting,andwasformallydiscoveredshortlyaftershiftturnover.However,theactualeventsequence,includingthefactthattheprecisetimeofinoperabilityisnotknown,wasnotdiscovereduntilseveraldayslater.NRCFORM366A(4-95)
FORWARDCOMMENTSREGARDING BURDENESTIMATEToTHEINFORMATION ANDRECORDSMANAGEMENT BRANCHIT.6F33),U.S.NUCLEARREGULATORY COMMISSION, WASHINGTON, DC20555-0001, ANDToTHEPAPERWORK REDUCTION PROJECTFACIUTYNAMEIllTrrLEfa)R.E.GinnaNuclearPowerPlantDOCKETirVMSERf2)05000244PADEI3I1OF6Verification ofBof'onConcentration NotPerformed DuetoMisinterpretation ofEventSequence, ResultedinCondition Prohibited byTechnical Specifications EVENTDATE(5)LERNUMBER(6)REPORTDATE(7)OTHERFACILITIES INVOLVED(8)MONlHDAYYEARYEARSEQENTIALREVISOMONUMBERNUMBER~IDAYI:YEAR.FACILITYNAMEDOCKETNUMBER039797-006-001'2.03FACIUTYNAME97DOCKETNUMBEROPERATING MODE(9)THISREPORTISSUBMITTED PUBSUANTTOTHEREQUIREMENTS OF10CFRE:(Checkoneor50.73(a)(2)(i)20.2203(a)
NRCFORM366A(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATION.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)DOCKETLERNUMBER(6)PAGE(3)R.E.GinnaNuclearPowerPlant.05000244YEARSEQUENTIALREVISIONNUMBERNUMBER4OF697-006-00TEXTIifmorespeceisrequired,useeddirionalcopiesofNRCForm366AJ(17)F.OPERATORACTION:VTheControlRoombperators'identifiedthattherewasnoadministrativetrackingoftheaudiblecount.ratefunction,andsubmittedadministrativeprocedureA-52.4forformaltrackingofthe~audible'count.ratefunction.Basedontheirassumedeventsequence,ITSLCOREQUIREDACTION~3.9.2.C.3hadnotbeenperformedwithin4hoursofinoperability,butasubsequent(1300EST)boronconcentrationverificationwasusedtoinitiatethe12hourtimerequirement.FutureRCSboronconcentrationverificationwouldbeperformedevery12hours,perthisREQUIREDACTION.TheControlRoomoperatorsnotifiedhighersupervision.a~">,'}1<AControlRoomoperatormanuallyrestoredtheNISaudiblecountratefunctionduringthemidnightshiftonNovember4,1997.G.SAFETYSYSTEMRESPONSES:NoneIII.CAUSE'OFEVENT:A.IMMEDIATECAUSE;TheimmediatecauseoftheconditionprohibitedbyTechnicalSpecificationswasnotverifyingRCSboronconcentrationwithin4hoursafterdiscoveringthattheaudiblecountratefunctionwasinoperable,usingthemostlimitingeventsequenceforlossofthisfunction.B.INTERMEDIATECAUSE:Theintermediatecauseofnotverifyingboronconcentrationwasamisinterpretationoftheeventsequence.ROOTCAUSE:Themisinterpretationoftheeventsequenceledtoadecisionthatwasincorrect.NotethattheprecisetimethattheNISaudiblecountratefunctionbecameinoperableisnotknown.Thismisinterpretationwasmadepossiblebecausethereisnopositiveindicationofwhentheaudiblecountratefunctionbecameinoperable.ProceduresweredeficientinthattheapplicabilityofITSLCO3,9.2atalltimeswhileinMode6wasnotaddressedinplantoperatingprocedures.ProcedureswerealsodeficientinthatactionsneededtoverifytheoperabilityoftheNISaudiblecountratewerenotspecifiedincalibrationandtestprocedures.NACFOAM366A(4-95)  
(2)(v)20.2201(b)
Illore)(11)50.73(a)(2)(viii)POWERLEVEL(10)00020.2203(a)
(1)20.2203(a)
(2)(i)20.2203(a)
(2)(ii)20.2203(a)
(2)(iii)20.2203(a)(2)(lv)
.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)(ii) 50.73(a)(2)
(iii)50.73(a)(2)(iv)50.73(a)(2)(v) 50.73(a)(2)(vii)50.73(a)(2)(x) 73.71OTHERSpecifyinAbstractbeloworInNRCForm366ANAMELICENSEECONTACTFORTHISLER(12)TELEPHONE kUMBERBncrudeAreaCode)JohnT.St.Martin-Technical Assistant (716)771-3641COMPLETEONELINEFOREACHCOMPONENT FAILUREDESCRIBED INTHISREPORT(13)CAUSESYSTEMCOMPONENT MANUFACTURER REPORTABLE TONPRDSCAUSESYSTEMCOMPONENT MANUFACTURER REPORTABLE ToNPRDSSUPPLEMENTAL REPORTEXPECTED(14)YES(Ifyes,completeEXPECTEDSUBMISSION DATE).XNOEXPECTEDSUBMISSION DATE(15)MONTHDAYYEARABSTRACT(Limitto1400spaces,I.e.,approximately 15single-spaced typewritten lines)(16)OnNovember3,1997,atapproximately 1708EST,theplantwasinMode6,andrefueling activities hadbeencompleted twodaysearlier.Thereactorcoolantsystembeingmaintained atatemperature of75degreesF,andthereactorcavityfilledtogreaterthan23feet.Itwasdiscovered thatthenuclearinstrumentation systemaudiblecountratefunctionwasinoperable.
Immediate actionwastoensurefuturecompliance totheGinnaTechnical Specifications forlossofthisfunction.
Thisincludedverifying thatthemostrecentboronconcentration waswithinspecified limitsandformallytrackingthetimeforfutureverification ofboronconcentration.
Duetoamisinterpretation oftheeventsequence, thev'erification ofboronconcentration maynothavebeenperformed withinthetimeperiodspecified byGinnaTechnical Specifications RequiredActionsforthemostlimitingeventsequence.
Corrective actiontopreventrecurrence isoutlinedinSectionV.B.NRCFORM366(4-95)
I NRCFORM366A(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATION
.NUCLEARREGULATORY COMMISSION FACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBER(6)YEARSEQUENTIAL REVISIONNUMBERNUMBER97-006-00PAGE(3)2OF6TEXT(Ifmorespaceisrequired, useadditional copiesofNRCForm366A/(17)PRE-EVENT PLANTCONDITIONS:
<~~.~'C~il~lil~OnNovember3,1997,theplantwasinMode6withthereactorcoolantsystem(RCS)beingmaintained atatemperature ofapproximately.75 degreesF,andthereactor,cavityfilledtogreaterthan23feet.Theplantwasshutdownfor'refueling, andrefueling activities (corealterations) hadalreadybeencompleted twodaysearlier,Atapproximately 0753EST,thenuclearinstrumentation system(NIS)Comparator andRatedrawerwasremovedfromserviceforcalibration perprocedure CPI-COMP/RATE-N46/37 (Calibration ofComparator andRateDrawerN46/37).Atthistime,theaudiblecountratefunctionwasoperable.
DESCRIPTION OFEVENT:DATESANDAPPROXIMATE TIMESOFMAJOROCCURRENCES:
November3,1997,0025EST:RCSboronconcentration verifiedat2463PPM.November3,1997,0753EST:NISComparator andRatedrawerisremovedfromservice.November3,1997,1300EST:RCSboronconcentration verifiedat2453PPM.November3,1997:Eventdate.November3,1997,1708EST:Discovery dateandtime.November4,1997,0100EST:RCSboronconcentration verifiedat2470PPM.November4,1997:NISaudiblecountrateisrestoredtooperablestatus.B.EVENT:Atthebeginning oftheafternoon shiftonNovember3,theoperability oftheNISaudiblecountratefunctionwasquestioned, sincethenormalaudiblebeepingdidnotseemtobeoccurring.
Atthistime,itwasassumedthattheaudiblecountratefunctionhadbeenmadeinoperable atthetimeprocedure CPI-COMP/RATE-N46/37 wasinitiated.
Forconvenience, thistimewasdocumented asthetimeadministrative trackinghadbeeninitiated fortheComparator andRateDrawer,atapproximately 0753ESTonNovember3.Therefore, usingthiseventsequenceandtheassumedtimeofinoperability, theinitialadministrative tracking(whichdidnotaddressthelossofaudiblecountratefunction) wassupplemented byadministrative procedure A-52.4(ControlofLimitingConditions forOperating Equipment) atapproximately 1708EST.TheA-52.4trackingwasinitiated effective at0753ESTasa"lateentry".NRCFORM366A(4-95) t NRCFORM36BA(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATION
.NUCLEAR'REGULATORY COMMISSION FACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBER(6)YEARSEQUENTIAL REVISIONNUMBERNUMBER97-006-00PAGE(3)3OF6TEXTilfmorespeceisrequired, useedditionel copiesofNRCForm368AJ(17)Basedontheeventsequencethatinoperability occurredat0753EST,theControlRoomoperators concluded thattheplantcontinued tobeincompliance with'Ginna ImprovedTechnical Specifications (ITS)LimitingCondition forOperation (LCO)REQUIREDACTIONS3.9.2.C.1 and3.9.2.C.2, since,therehadbeennocorealterations orpositivereactivity additions duringthis.time.However,REQUIREDACTION-3.9.2.C.3, for'RCSboronconcentration verifiedtobewithinthelimitsspecified intheCoreOperating LimitsReport(COLR),hadonlybeenaccomplished atapproximately 0025ESTand1300ESTonNovember3.~i.XlThus,atapproximately 1708ESTonNovember3,itwasdiscovered thattheNISaudiblecountratewasinoperable.
'Duetotheassumedeventsequence, itwasconcluded thatinoperability occurredat0753EST,andtheControlRoomoperators immediately enteredITSLCO3.9.2at,1708EST.TheRCSboronconcentration hadbeenverifiedatapproximately 1300EST.Sincetheoperators concluded thatRCSboronconcentration hadnotbeenverifiedwithin4hoursoftheassumedtimeofinoperability, the1300ESTboronconcentration wasusedtoinitiatethe12hourtimerequirement ofITSLCOREQUIREDACTION,3.9.2.C.3.
Subsequent RCSboronconcentration verification wouldberequiredevery12hours.ThenextRCSboronconcentration verification wasperformed atapproximately 0100EST,onNovember4,andtheNISaudiblecountratefunctionwasrestoredtooperablestatuslaterthatmorning.Uponfurtherreview,activities performed perprocedure CPI-COMP/RATE-N46/37 didnotrendertheNISaudiblecountrateinoperable.
Therefore, theeventsequenceconcluding thatinoperability occurredat0753ESTisincorrect.
TheprecisetimethattheNISaudiblecountratefunctionbecameinoperable onNovember3isnotknown,butthemostlimitingeventsequenceisifitoccurredafter1300EST,orbetween0753and0900EST.Ineitherofthesescenarios, ITSLCOREQUIREDACTION3.9.2.C.3 wasnotperformed within4hoursoftheevent.C.INOPERABLE STRUCTURES, COMPONENTS, ORSYSTEMSTHATCONTRIBUTED TOTHEEVENT:NoneD.OTHERSYSTEMSORSECONDARY FUNCTIONS AFFECTED:
NoneE.METHODOFDISCOVERY:
Thiseventwasindicated duringroutineoperations reviewofplantstatusduringashiftturnovermeeting,andwasformallydiscovered shortlyaftershiftturnover.
However,theactualeventsequence, including thefactthattheprecisetimeofinoperability isnotknown,wasnotdiscovered untilseveraldayslater.NRCFORM366A(4-95)
NRCFORM366A(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATION
.NUCLEARREGULATORY COMMISSION FACILITYNAME(1)DOCKETLERNUMBER(6)PAGE(3)R.E.GinnaNuclearPowerPlant.05000244YEARSEQUENTIAL REVISIONNUMBERNUMBER4OF697-006-00TEXTIifmorespeceisrequired, useeddirional copiesofNRCForm366AJ(17)F.OPERATORACTION:VTheControlRoombperators'identified thattherewasnoadministrative trackingoftheaudiblecount.ratefunction, andsubmitted administrative procedure A-52.4forformaltrackingofthe~audible'count.rate function.
Basedontheirassumedeventsequence, ITSLCOREQUIREDACTION~3.9.2.C.3 hadnotbeenperformed within4hoursofinoperability, butasubsequent (1300EST)boronconcentration verification wasusedtoinitiatethe12hourtimerequirement.
FutureRCSboronconcentration verification wouldbeperformed every12hours,perthisREQUIREDACTION.TheControlRoomoperators notifiedhighersupervision.
a~">,'}1<AControlRoomoperatormanuallyrestoredtheNISaudiblecountratefunctionduringthemidnightshiftonNovember4,1997.G.SAFETYSYSTEMRESPONSES:
NoneIII.CAUSE'OFEVENT:A.IMMEDIATE CAUSE;Theimmediate causeofthecondition prohibited byTechnical Specifications wasnotverifying RCSboronconcentration within4hoursafterdiscovering thattheaudiblecountratefunctionwasinoperable, usingthemostlimitingeventsequenceforlossofthisfunction.
B.INTERMEDIATE CAUSE:Theintermediate causeofnotverifying boronconcentration wasamisinterpretation oftheeventsequence.
ROOTCAUSE:Themisinterpretation oftheeventsequenceledtoadecisionthatwasincorrect.
NotethattheprecisetimethattheNISaudiblecountratefunctionbecameinoperable isnotknown.Thismisinterpretation wasmadepossiblebecausethereisnopositiveindication ofwhentheaudiblecountratefunctionbecameinoperable.
Procedures weredeficient inthattheapplicability ofITSLCO3,9.2atalltimeswhileinMode6wasnotaddressed inplantoperating procedures.
Procedures werealsodeficient inthatactionsneededtoverifytheoperability oftheNISaudiblecountratewerenotspecified incalibration andtestprocedures.
NACFOAM366A(4-95)  


NRCFORM366A(4-95)LXCENSEEEVENTREPORT(LER)TEXTCONTINUATION.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBER(6)YEARSEQUENTIALREVISIONNUMBERNUMBER97-006-00PAGE(3)5OF6TEXTllfmorespaceisrequired,useadditionalcopiesofNRCForm366A/(17)IV.ANALYSISOFEVENTThiseventis"reportableinaccordancewith10CFR50.73,LicenseeEventReportSystem,item(a)(2)(i)(B),,which.requiresareportof,"Anyoperationorconditionprohibitedbytheplant'sTechnical'pecifications":WiththeNISaudiblecountrateinoperable,notverifyingRCSboronconcentrationwithin4hoursafterdiscovery.isnotpermittedbyITSLCOREQUIREDACTION3.9.2.C.3.Anassessment'wasperformedconsideringboththesafetyconsequencesandimplicationsofthiseventwiththefollowingresultsandconclusions:II'1"~Ili+~I'herewerenooperationalorsafetyconsequencesorimplications.attributedtothedelayedverificationofboronconcengrationbecause:\~Nocorealterationsandnopositivereactivityadditionsoccurredduringthistimeperiod.~RCSboronconcentrationverificationwasbeingperformedevery12hours.PreviousRCSboronsampleshadconfirmedconsistentboronconcentrationsthatwerewellwithinthelimitspecifiedintheCOLR.Basedontheabove,itcanbeconcludedthatthepublic'shealthandsafetywasassuredatalltimes.CORRECTIVEACTION:A.ACTIONTAKENTORETURNAFFECTEDSYSTEMSTOPRE-EVENTNORMALSTATUS:~ThemostrecentRCSboronconcentrationwasverifiedtobewithinthelimitspecifiedinthe,COLR.~Subsequentboronverificationoccurredevery12hours,asperITSLCORequiredAction3.9.2.C.3.~Afterinvestigationofthecauseforlossofthisfunction,theaudiblecountratefunctionwasrestoredtooperablestatus.B.ACTIONTAKENORPLANNEDTOPREVENTRECURRENCE:~TherequirementtohaveaudiblecountrateoperableatalltimeswhileinMode6appearstobeconservative.TheHighFluxatShutdownalarmmayprovideadequateassuranceofnoadversechangesincorereactivitywhileinMode6(andnocorealterationsorpositivereactivityadditionsareoccurring).NuclearSafetyandLicensingwillberequestedtoevaluateaLicenseAmendmenttochangethisrequirementinITS.NRCFORM366A(4-95)
NRCFORM366A(4-95)LXCENSEEEVENTREPORT(LER)TEXTCONTINUATION
NRCFORM366A(4.95)LXCENSEEEVENTREPORT(LER)TEXTCONTINUATION.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)DOCKETLERNUMBER(6)PAGE(3)R.E.GinnaNuclearPowerPlant05000244YEARSEQUENTIALREVISIONNUMBERNUMBER6OF6TEXTiifmorespaceisrequired,useadditionalcopiesofNRCForm366Aj(17)Vl~Appropriatecalibrationandtestprocedureswillbereviewed,andchangedasnecessary,toensureaudiblecountrateoperabilityaftercompletionofcalibrationsortests.Operatingprocedureswillbereviewed,andchangedasnecessary,toensureaudiblecountrateoperabilityisverifi6dwhen..inMode6.',d(~~ADDITIONALINFORMATION:~~IIA.FAILEDCOMPONENTS:NoneB.PREVIOUSLERsONSIMILAREVENTS:AsimilarLEReventhistoricalsearchwasconductedwiththefollowingresults:NodocumentationofsimilarLEReventswiththesamerootcauseatGinnaStationcouldbeidentified.C.SPECIALCOMMENTS:NoneNRCFORM366A(4-95) 0I}}
.NUCLEARREGULATORY COMMISSION FACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBER(6)YEARSEQUENTIAL REVISIONNUMBERNUMBER97-006-00PAGE(3)5OF6TEXTllfmorespaceisrequired, useadditional copiesofNRCForm366A/(17)IV.ANALYSISOFEVENTThiseventis"reportable inaccordance with10CFR50.73,LicenseeEventReportSystem,item(a)(2)(i)(B),,which.
requiresareportof,"Anyoperation orcondition prohibited bytheplant'sTechnical
'pecifications":
WiththeNISaudiblecountrateinoperable, notverifying RCSboronconcentration within4hoursafterdiscovery.
isnotpermitted byITSLCOREQUIREDACTION3.9.2.C.3.
Anassessment'was performed considering boththesafetyconsequences andimplications ofthiseventwiththefollowing resultsandconclusions:
II'1"~Ili+~I'herewerenooperational orsafetyconsequences orimplications.
attributed tothedelayedverification ofboronconcengration because:\~Nocorealterations andnopositivereactivity additions occurredduringthistimeperiod.~RCSboronconcentration verification wasbeingperformed every12hours.PreviousRCSboronsampleshadconfirmed consistent boronconcentrations thatwerewellwithinthelimitspecified intheCOLR.Basedontheabove,itcanbeconcluded thatthepublic'shealthandsafetywasassuredatalltimes.CORRECTIVE ACTION:A.ACTIONTAKENTORETURNAFFECTEDSYSTEMSTOPRE-EVENT NORMALSTATUS:~ThemostrecentRCSboronconcentration wasverifiedtobewithinthelimitspecified inthe,COLR.~Subsequent boronverification occurredevery12hours,asperITSLCORequiredAction3.9.2.C.3.
~Afterinvestigation ofthecauseforlossofthisfunction, theaudiblecountratefunctionwasrestoredtooperablestatus.B.ACTIONTAKENORPLANNEDTOPREVENTRECURRENCE:
~Therequirement tohaveaudiblecountrateoperableatalltimeswhileinMode6appearstobeconservative.
TheHighFluxatShutdownalarmmayprovideadequateassurance ofnoadversechangesincorereactivity whileinMode6(andnocorealterations orpositivereactivity additions areoccurring).
NuclearSafetyandLicensing willberequested toevaluateaLicenseAmendment tochangethisrequirement inITS.NRCFORM366A(4-95)
NRCFORM366A(4.95)LXCENSEEEVENTREPORT(LER)TEXTCONTINUATION
.NUCLEARREGULATORY COMMISSION FACILITYNAME(1)DOCKETLERNUMBER(6)PAGE(3)R.E.GinnaNuclearPowerPlant05000244YEARSEQUENTIAL REVISIONNUMBERNUMBER6OF6TEXTiifmorespaceisrequired, useadditional copiesofNRCForm366Aj(17)Vl~Appropriate calibration andtestprocedures willbereviewed, andchangedasnecessary, toensureaudiblecountrateoperability aftercompletion ofcalibrations ortests.Operating procedures willbereviewed, andchangedasnecessary, toensureaudiblecountrateoperability isverifi6dwhen..inMode6.',d(~~ADDITIONAL INFORMATION:
~~IIA.FAILEDCOMPONENTS:
NoneB.PREVIOUSLERsONSIMILAREVENTS:AsimilarLEReventhistorical searchwasconducted withthefollowing results:Nodocumentation ofsimilarLEReventswiththesamerootcauseatGinnaStationcouldbeidentified.
C.SPECIALCOMMENTS:
NoneNRCFORM366A(4-95) 0I}}

Revision as of 12:40, 29 June 2018

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
ML17264B129
Person / Time
Site: Ginna Constellation icon.png
Issue date: 12/03/1997
From: MECREDY R C, ST MARTIN J T
ROCHESTER GAS & ELECTRIC CORP.
To: VISSING G S
NRC (Affiliation Not Assigned), NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
LER-97-006, LER-97-6, NUDOCS 9712100274
Download: ML17264B129 (13)


Text

CATEGORY1REGUZATOZNFORNATZON DZSTR1BUT1ON ISTEN(RZDS)

SUBJECT:

LER97-006;-00:on!'971103,NIS audiblecountratefunctionwasinoperable.

Causedbymisinterpretation ofeventsecpxence duetonotverify3ng boronconcentration.B verification

.occurred every12h-perITSLCOacti.on3.9.2.C.3.W/971203 ltr.0DISTRIBUTION:CODE:

IE22T'OPIESRECEIVED:LTR"J ENCLl"SIZE:TITLE:'50.73/50.9 Li.censee EventReport(LER),IncidentRpt',etc.4~'\I1NOTES:License Expdateinaccordance wi.th10CFR2,2.109(9/19/72).

05000244GACCESSION NBR:9712100274

.DOC'.DATE:"97/12'/03 NOTARIZED:

NODOCKET4FACZZ:50-244 Robert2ZnaetGinnaNuclearPlant,Unit1,Rochester G05000244AUTH.NAMEUTHORAFFILIATION ST.MARTIN,J.T.

Rochester Gas&ElectricCorp.MECREDY,R.C.

Rochester GasEcElectricCorp.RECIP.NAME RECIPIENT AFFILIATION VISSING,G.S'.,"-;RECIPIENT IDCODE/NAME PD1-1PDINTERNAL:

AEOECENTENRRDEELBNRR/DRCH/HHFB NRR/DRCH/HOLB NRR/DRPM/PECB NRR/DSSA/SRXB RGN1FILE01EXTERNAL:

LSTLOBBYWARDNOACPOORE,W.NRCPDRCOPIESLTTRENCL112211111111111111111111RECIPIENT ID'.CODE/NAME VISSING,G.

AEOD/SPD/RRAB NRR/DE/ECGB NRR/DE/EMEB NRR/DRCH/HICB NRR/DRCH/HQMB NRR/DSSA/SPLB RES/DET/EIB LITCOBRYCE,JHNOACQUEENER,DS NUDOCSFULLTXTCOPIESLTTRENCL,11111111111111'11111111RD0UNOTETOALL"RIDS"RECIPIENTS:

PLEASEHELPUSTOREDUCEWASTE.TOHAVEYOURNAMEORORGANIZATION REMOVEDFROMDISTRZBUTION LISTSORREDUCETHENUMBEROFCOPIESRECEIVEDBYYOUORYOURORGANIZATION, CONTACTTHEDOCUMENTCONTROLDESK(DCD)ONEXTENSION 415-2083FULLTEXTCONVERSION REQUIREDTOTALNUMBEROFCOPIESREQUIRED:

LTTR24ENCL24 ANDROCHESTER GASANDElECTRICCORPORATTON

~89EASTAVENUE, ROCHESTER, MY.l4649-D001 AREACODE7I6546-270DROBERTC.MECREDYVicePresident Nuctearoperations December3,1997SubjectU.S.NuclearRegulatory Commission DocumentControlDeskAttn:GuyS.VissingProjectDirectorate I-1Washington, D.C.20555)LER97-006,Verification ofBoronConcentration NotPerformed DuetoMisinterpretation ofEventSequence, ResultedinCondition Prohibited byTechnical Specifications R.E.GinnaNuclearPowerPlantDocketNo.50-244

DearMr.Vissing:

Inaccordance with10CFR50.73,LicenseeEventReportSystem,item(a)(2)(i)(B),whichrequiresareportof,"Anyoperation orcondition prohibited bytheplant'sTechnical Specifications",

theattachedLicenseeEventReportLER97-006isherebysubmitted.

Thiseventhasinnowayaffectedthepublic'shealthandsafety.Verytrulyyours,RobertC.Mecredyxc:Mr.GuyS.Vissing(MailStop14B2)PWRProjectDirectorate I-1Washington, D.C.20555U.S.NuclearRegulatory Commission RegionI475Allendale RoadKingofPrussia,PA19406GinnaSeniorResidentInspector

"(-aI0lllllllllllllllllllllllllllllllllllfllll 9'712i00274

'st7i20SPDRADOCK050002448PDR

NRCFORM366(4-95)U.S.NRREGULATORY COMNIISSIO LXCENSEEEVENTREPORT,(LER) n(Seereverseforrequirednumber'fdigits/characters foreachblock)APEDBYOMBNO.3150%104EXPIRES04/30/98ESTIMATED BURDENPERRESPONSEToCOMPLYWITHTHISMANDATORY INFORMATION COLLECTION REQUEST:50.0HRS.REPORTEDLESSONSLEARNEDAREINCORPORATED INTOTHELICENSING PROCESSANDFEDBACKToINDUSTRY.

FORWARDCOMMENTSREGARDING BURDENESTIMATEToTHEINFORMATION ANDRECORDSMANAGEMENT BRANCHIT.6F33),U.S.NUCLEARREGULATORY COMMISSION, WASHINGTON, DC20555-0001, ANDToTHEPAPERWORK REDUCTION PROJECTFACIUTYNAMEIllTrrLEfa)R.E.GinnaNuclearPowerPlantDOCKETirVMSERf2)05000244PADEI3I1OF6Verification ofBof'onConcentration NotPerformed DuetoMisinterpretation ofEventSequence, ResultedinCondition Prohibited byTechnical Specifications EVENTDATE(5)LERNUMBER(6)REPORTDATE(7)OTHERFACILITIES INVOLVED(8)MONlHDAYYEARYEARSEQENTIALREVISOMONUMBERNUMBER~IDAYI:YEAR.FACILITYNAMEDOCKETNUMBER039797-006-001'2.03FACIUTYNAME97DOCKETNUMBEROPERATING MODE(9)THISREPORTISSUBMITTED PUBSUANTTOTHEREQUIREMENTS OF10CFRE:(Checkoneor50.73(a)(2)(i)20.2203(a)

(2)(v)20.2201(b)

Illore)(11)50.73(a)(2)(viii)POWERLEVEL(10)00020.2203(a)

(1)20.2203(a)

(2)(i)20.2203(a)

(2)(ii)20.2203(a)

(2)(iii)20.2203(a)(2)(lv)

.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)(ii) 50.73(a)(2)

(iii)50.73(a)(2)(iv)50.73(a)(2)(v) 50.73(a)(2)(vii)50.73(a)(2)(x) 73.71OTHERSpecifyinAbstractbeloworInNRCForm366ANAMELICENSEECONTACTFORTHISLER(12)TELEPHONE kUMBERBncrudeAreaCode)JohnT.St.Martin-Technical Assistant (716)771-3641COMPLETEONELINEFOREACHCOMPONENT FAILUREDESCRIBED INTHISREPORT(13)CAUSESYSTEMCOMPONENT MANUFACTURER REPORTABLE TONPRDSCAUSESYSTEMCOMPONENT MANUFACTURER REPORTABLE ToNPRDSSUPPLEMENTAL REPORTEXPECTED(14)YES(Ifyes,completeEXPECTEDSUBMISSION DATE).XNOEXPECTEDSUBMISSION DATE(15)MONTHDAYYEARABSTRACT(Limitto1400spaces,I.e.,approximately 15single-spaced typewritten lines)(16)OnNovember3,1997,atapproximately 1708EST,theplantwasinMode6,andrefueling activities hadbeencompleted twodaysearlier.Thereactorcoolantsystembeingmaintained atatemperature of75degreesF,andthereactorcavityfilledtogreaterthan23feet.Itwasdiscovered thatthenuclearinstrumentation systemaudiblecountratefunctionwasinoperable.

Immediate actionwastoensurefuturecompliance totheGinnaTechnical Specifications forlossofthisfunction.

Thisincludedverifying thatthemostrecentboronconcentration waswithinspecified limitsandformallytrackingthetimeforfutureverification ofboronconcentration.

Duetoamisinterpretation oftheeventsequence, thev'erification ofboronconcentration maynothavebeenperformed withinthetimeperiodspecified byGinnaTechnical Specifications RequiredActionsforthemostlimitingeventsequence.

Corrective actiontopreventrecurrence isoutlinedinSectionV.B.NRCFORM366(4-95)

I NRCFORM366A(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATION

.NUCLEARREGULATORY COMMISSION FACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBER(6)YEARSEQUENTIAL REVISIONNUMBERNUMBER97-006-00PAGE(3)2OF6TEXT(Ifmorespaceisrequired, useadditional copiesofNRCForm366A/(17)PRE-EVENT PLANTCONDITIONS:

<~~.~'C~il~lil~OnNovember3,1997,theplantwasinMode6withthereactorcoolantsystem(RCS)beingmaintained atatemperature ofapproximately.75 degreesF,andthereactor,cavityfilledtogreaterthan23feet.Theplantwasshutdownfor'refueling, andrefueling activities (corealterations) hadalreadybeencompleted twodaysearlier,Atapproximately 0753EST,thenuclearinstrumentation system(NIS)Comparator andRatedrawerwasremovedfromserviceforcalibration perprocedure CPI-COMP/RATE-N46/37 (Calibration ofComparator andRateDrawerN46/37).Atthistime,theaudiblecountratefunctionwasoperable.

DESCRIPTION OFEVENT:DATESANDAPPROXIMATE TIMESOFMAJOROCCURRENCES:

November3,1997,0025EST:RCSboronconcentration verifiedat2463PPM.November3,1997,0753EST:NISComparator andRatedrawerisremovedfromservice.November3,1997,1300EST:RCSboronconcentration verifiedat2453PPM.November3,1997:Eventdate.November3,1997,1708EST:Discovery dateandtime.November4,1997,0100EST:RCSboronconcentration verifiedat2470PPM.November4,1997:NISaudiblecountrateisrestoredtooperablestatus.B.EVENT:Atthebeginning oftheafternoon shiftonNovember3,theoperability oftheNISaudiblecountratefunctionwasquestioned, sincethenormalaudiblebeepingdidnotseemtobeoccurring.

Atthistime,itwasassumedthattheaudiblecountratefunctionhadbeenmadeinoperable atthetimeprocedure CPI-COMP/RATE-N46/37 wasinitiated.

Forconvenience, thistimewasdocumented asthetimeadministrative trackinghadbeeninitiated fortheComparator andRateDrawer,atapproximately 0753ESTonNovember3.Therefore, usingthiseventsequenceandtheassumedtimeofinoperability, theinitialadministrative tracking(whichdidnotaddressthelossofaudiblecountratefunction) wassupplemented byadministrative procedure A-52.4(ControlofLimitingConditions forOperating Equipment) atapproximately 1708EST.TheA-52.4trackingwasinitiated effective at0753ESTasa"lateentry".NRCFORM366A(4-95) t NRCFORM36BA(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATION

.NUCLEAR'REGULATORY COMMISSION FACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBER(6)YEARSEQUENTIAL REVISIONNUMBERNUMBER97-006-00PAGE(3)3OF6TEXTilfmorespeceisrequired, useedditionel copiesofNRCForm368AJ(17)Basedontheeventsequencethatinoperability occurredat0753EST,theControlRoomoperators concluded thattheplantcontinued tobeincompliance with'Ginna ImprovedTechnical Specifications (ITS)LimitingCondition forOperation (LCO)REQUIREDACTIONS3.9.2.C.1 and3.9.2.C.2, since,therehadbeennocorealterations orpositivereactivity additions duringthis.time.However,REQUIREDACTION-3.9.2.C.3, for'RCSboronconcentration verifiedtobewithinthelimitsspecified intheCoreOperating LimitsReport(COLR),hadonlybeenaccomplished atapproximately 0025ESTand1300ESTonNovember3.~i.XlThus,atapproximately 1708ESTonNovember3,itwasdiscovered thattheNISaudiblecountratewasinoperable.

'Duetotheassumedeventsequence, itwasconcluded thatinoperability occurredat0753EST,andtheControlRoomoperators immediately enteredITSLCO3.9.2at,1708EST.TheRCSboronconcentration hadbeenverifiedatapproximately 1300EST.Sincetheoperators concluded thatRCSboronconcentration hadnotbeenverifiedwithin4hoursoftheassumedtimeofinoperability, the1300ESTboronconcentration wasusedtoinitiatethe12hourtimerequirement ofITSLCOREQUIREDACTION,3.9.2.C.3.

Subsequent RCSboronconcentration verification wouldberequiredevery12hours.ThenextRCSboronconcentration verification wasperformed atapproximately 0100EST,onNovember4,andtheNISaudiblecountratefunctionwasrestoredtooperablestatuslaterthatmorning.Uponfurtherreview,activities performed perprocedure CPI-COMP/RATE-N46/37 didnotrendertheNISaudiblecountrateinoperable.

Therefore, theeventsequenceconcluding thatinoperability occurredat0753ESTisincorrect.

TheprecisetimethattheNISaudiblecountratefunctionbecameinoperable onNovember3isnotknown,butthemostlimitingeventsequenceisifitoccurredafter1300EST,orbetween0753and0900EST.Ineitherofthesescenarios, ITSLCOREQUIREDACTION3.9.2.C.3 wasnotperformed within4hoursoftheevent.C.INOPERABLE STRUCTURES, COMPONENTS, ORSYSTEMSTHATCONTRIBUTED TOTHEEVENT:NoneD.OTHERSYSTEMSORSECONDARY FUNCTIONS AFFECTED:

NoneE.METHODOFDISCOVERY:

Thiseventwasindicated duringroutineoperations reviewofplantstatusduringashiftturnovermeeting,andwasformallydiscovered shortlyaftershiftturnover.

However,theactualeventsequence, including thefactthattheprecisetimeofinoperability isnotknown,wasnotdiscovered untilseveraldayslater.NRCFORM366A(4-95)

NRCFORM366A(4-95)LICENSEEEVENTREPORT(LER)TEXTCONTINUATION

.NUCLEARREGULATORY COMMISSION FACILITYNAME(1)DOCKETLERNUMBER(6)PAGE(3)R.E.GinnaNuclearPowerPlant.05000244YEARSEQUENTIAL REVISIONNUMBERNUMBER4OF697-006-00TEXTIifmorespeceisrequired, useeddirional copiesofNRCForm366AJ(17)F.OPERATORACTION:VTheControlRoombperators'identified thattherewasnoadministrative trackingoftheaudiblecount.ratefunction, andsubmitted administrative procedure A-52.4forformaltrackingofthe~audible'count.rate function.

Basedontheirassumedeventsequence, ITSLCOREQUIREDACTION~3.9.2.C.3 hadnotbeenperformed within4hoursofinoperability, butasubsequent (1300EST)boronconcentration verification wasusedtoinitiatethe12hourtimerequirement.

FutureRCSboronconcentration verification wouldbeperformed every12hours,perthisREQUIREDACTION.TheControlRoomoperators notifiedhighersupervision.

a~">,'}1<AControlRoomoperatormanuallyrestoredtheNISaudiblecountratefunctionduringthemidnightshiftonNovember4,1997.G.SAFETYSYSTEMRESPONSES:

NoneIII.CAUSE'OFEVENT:A.IMMEDIATE CAUSE;Theimmediate causeofthecondition prohibited byTechnical Specifications wasnotverifying RCSboronconcentration within4hoursafterdiscovering thattheaudiblecountratefunctionwasinoperable, usingthemostlimitingeventsequenceforlossofthisfunction.

B.INTERMEDIATE CAUSE:Theintermediate causeofnotverifying boronconcentration wasamisinterpretation oftheeventsequence.

ROOTCAUSE:Themisinterpretation oftheeventsequenceledtoadecisionthatwasincorrect.

NotethattheprecisetimethattheNISaudiblecountratefunctionbecameinoperable isnotknown.Thismisinterpretation wasmadepossiblebecausethereisnopositiveindication ofwhentheaudiblecountratefunctionbecameinoperable.

Procedures weredeficient inthattheapplicability ofITSLCO3,9.2atalltimeswhileinMode6wasnotaddressed inplantoperating procedures.

Procedures werealsodeficient inthatactionsneededtoverifytheoperability oftheNISaudiblecountratewerenotspecified incalibration andtestprocedures.

NACFOAM366A(4-95)

NRCFORM366A(4-95)LXCENSEEEVENTREPORT(LER)TEXTCONTINUATION

.NUCLEARREGULATORY COMMISSION FACILITYNAME(1)R.E.GinnaNuclearPowerPlantDOCKET05000244LERNUMBER(6)YEARSEQUENTIAL REVISIONNUMBERNUMBER97-006-00PAGE(3)5OF6TEXTllfmorespaceisrequired, useadditional copiesofNRCForm366A/(17)IV.ANALYSISOFEVENTThiseventis"reportable inaccordance with10CFR50.73,LicenseeEventReportSystem,item(a)(2)(i)(B),,which.

requiresareportof,"Anyoperation orcondition prohibited bytheplant'sTechnical

'pecifications":

WiththeNISaudiblecountrateinoperable, notverifying RCSboronconcentration within4hoursafterdiscovery.

isnotpermitted byITSLCOREQUIREDACTION3.9.2.C.3.

Anassessment'was performed considering boththesafetyconsequences andimplications ofthiseventwiththefollowing resultsandconclusions:

II'1"~Ili+~I'herewerenooperational orsafetyconsequences orimplications.

attributed tothedelayedverification ofboronconcengration because:\~Nocorealterations andnopositivereactivity additions occurredduringthistimeperiod.~RCSboronconcentration verification wasbeingperformed every12hours.PreviousRCSboronsampleshadconfirmed consistent boronconcentrations thatwerewellwithinthelimitspecified intheCOLR.Basedontheabove,itcanbeconcluded thatthepublic'shealthandsafetywasassuredatalltimes.CORRECTIVE ACTION:A.ACTIONTAKENTORETURNAFFECTEDSYSTEMSTOPRE-EVENT NORMALSTATUS:~ThemostrecentRCSboronconcentration wasverifiedtobewithinthelimitspecified inthe,COLR.~Subsequent boronverification occurredevery12hours,asperITSLCORequiredAction3.9.2.C.3.

~Afterinvestigation ofthecauseforlossofthisfunction, theaudiblecountratefunctionwasrestoredtooperablestatus.B.ACTIONTAKENORPLANNEDTOPREVENTRECURRENCE:

~Therequirement tohaveaudiblecountrateoperableatalltimeswhileinMode6appearstobeconservative.

TheHighFluxatShutdownalarmmayprovideadequateassurance ofnoadversechangesincorereactivity whileinMode6(andnocorealterations orpositivereactivity additions areoccurring).

NuclearSafetyandLicensing willberequested toevaluateaLicenseAmendment tochangethisrequirement inITS.NRCFORM366A(4-95)

NRCFORM366A(4.95)LXCENSEEEVENTREPORT(LER)TEXTCONTINUATION

.NUCLEARREGULATORY COMMISSION FACILITYNAME(1)DOCKETLERNUMBER(6)PAGE(3)R.E.GinnaNuclearPowerPlant05000244YEARSEQUENTIAL REVISIONNUMBERNUMBER6OF6TEXTiifmorespaceisrequired, useadditional copiesofNRCForm366Aj(17)Vl~Appropriate calibration andtestprocedures willbereviewed, andchangedasnecessary, toensureaudiblecountrateoperability aftercompletion ofcalibrations ortests.Operating procedures willbereviewed, andchangedasnecessary, toensureaudiblecountrateoperability isverifi6dwhen..inMode6.',d(~~ADDITIONAL INFORMATION:

~~IIA.FAILEDCOMPONENTS:

NoneB.PREVIOUSLERsONSIMILAREVENTS:AsimilarLEReventhistorical searchwasconducted withthefollowing results:Nodocumentation ofsimilarLEReventswiththesamerootcauseatGinnaStationcouldbeidentified.

C.SPECIALCOMMENTS:

NoneNRCFORM366A(4-95) 0I