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| {{#Wiki_filter:~CATEGORY10REGULATORY INFORMATION DISTRIBUTION SYSTEM(RIDS)ACCESSION NBR:9907120142 DOC.DATE: | | {{#Wiki_filter:~CATEGORY 10 REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)ACCESSION NBR:9907120142 DOC.DATE: 99/07/06 NOTARIZED: |
| 99/07/06NOTARIZED: | | NO FACIL:50-389 St.Lucie Plant, Unit 2, Florida Power&, Light Co.AUTH.NAME AUTHOR AFFILIATION FREHAFER,K.W. |
| NOFACIL:50-389 St.LuciePlant,Unit2,FloridaPower&,LightCo.AUTH.NAMEAUTHORAFFILIATION FREHAFER,K.W.
| | Florida Power&.Light Co.STALL,J.A. |
| FloridaPower&.LightCo.STALL,J.A.
| | Florida Power&Light Co.RECIP.NAME RECIPIENT AFFILIATION DOCKET 05000389 |
| FloridaPower&LightCo.RECIP.NAME RECIPIENT AFFILIATION DOCKET05000389
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|
| |
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| ==SUBJECT:== | | ==SUBJECT:== |
| LER99-005-00:on 990604,CEA dropresultedinmanualreactortrip.Causedbyprocedural inadequacies.
| | LER 99-005-00:on 990604,CEA drop resulted in manual reactor trip.Caused by procedural inadequacies. |
| Procedure changesareplannedtocorrectlackofprocedural guidanceforCEAsub-grouppowerswitchreplacement. | | Procedure changes are planned to correct lack of procedural guidance for CEA sub-group power switch replacement. |
| DISTRIBUTION CODE:IE22TCOPIESRECEIVED:LTR LENCLISIZE:TITLE:50.73/50.9 LicenseeEventReport(LER),IncidentRpt,etc.NOTES:ARECIPIENT IDCODE/NAME LPD2-2PDINTERNAL: | | DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR L ENCL I SIZE: TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.NOTES: A RECIPIENT ID CODE/NAME LPD2-2 PD INTERNAL: ACRS NRR/DZPM/IOLB NRR/DSSA/SPLB RES/DRAA/OERAB EXTERNAL: L ST LOBBY WARD NOAC POORE,W.NRC PDR COPIES LTTR ENCL 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RECIPIENT ID CODE/NAME GLEAVES,W FILE CENTE~R NRR'/DRIP/REXB RES/DET/ERAB RGN2 PILE 01 LMZTCO MARSHALL NOAC QUEENER,DS NUDOCS FULL TXT COPIES LTTR ENCL 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 D N NOTE TO ALL"RiDS" RFCIPiEN;S: |
| ACRSNRR/DZPM/IOLB NRR/DSSA/SPLB RES/DRAA/OERAB EXTERNAL:
| | PLEASE HELP US TO REDUCE WASTE.TO HAVE YOUR NAME OR ORGAN:ZATiON REMOVED FROM DiSTRiBUTiON LISTS OR REDUCE THE NUMBER OF COPiES RECE:VE".YOU OFL OUR CRGANiZAT ON, CONTACT THE DOCUMENT CONTROL DESK (DCD)ON EXTENSION 415-2063 PULL TEXT CONVERSION REQUIRED TO.AL NUMBER OF COPIES REQUIRED: LTTR 16 ENCL 16 Florida Power&Light Company, 6351 S.Ocean Drive, Jensen Beach, FL 34967 July 6, 1999 L-99-149 10 CFR 5 50.73 U.S.Nuclear Regulatory Commission Attn: Document Control Desk Washington, D.C.20555 Re: St.Lucie Unit 2 Docket No.50-389 Reportable Event: 1999-005-00 Date of Event: June 4, 1999 CEA Drops Result in Manual Reactor Tri The attached Licensee Event Report 1999-005 is being submitted pursuant to the requirements of 10 CFR$50.73 to provide notification of the subject event.Very truly yours, J.A.Stall Vice President St.Lucie Nuclear Plant JAS/EJW/KWF Attachment cc: Regional Administrator, USNRC, Region II Senior Resident Inspector, USNRC, St.Lucie Nuclear Plant'ir907i20i42 990706 PDR ADOCtr 05000389 8 PDR an FPL Group company |
| LSTLOBBYWARDNOACPOORE,W.NRCPDRCOPIESLTTRENCL1111111111111111RECIPIENT IDCODE/NAME GLEAVES,W FILECENTE~RNRR'/DRIP/REXB RES/DET/ERAB RGN2PILE01LMZTCOMARSHALLNOACQUEENER,DS NUDOCSFULLTXTCOPIESLTTRENCL11111111111111110DNNOTETOALL"RiDS"RFCIPiEN;S:
| | ,f NRC FORM 366 (6-1996)LICENSEE EVENT REPORT (LER)(See reverse for required number of digits/characters for each block)Estimated burden per response to comply with this mandatory hfonnsgon collection request: 50 hrs.Reported lessons learned sre incorporated into lhe gcenstng process and fed back lo industry.Forward comments regsngng burden esbmste lo the Records Management Branch (TW F33), US.Rudear Reguhtory Commission, Washington, 1)C 205554001, and lo lhe Paperwork Rer)octan Project (315041M(, Office of Management snd Budget, Washington, DC 20503.If an Informathn collecgon does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person hr not required lo respond lo, the Infonnsthn collection. |
| PLEASEHELPUSTOREDUCEWASTE.TOHAVEYOURNAMEORORGAN:ZATiON REMOVEDFROMDiSTRiBUTiON LISTSORREDUCETHENUMBEROFCOPiESRECE:VE".YOUOFLOURCRGANiZAT ON,CONTACTTHEDOCUMENTCONTROLDESK(DCD)ONEXTENSION 415-2063PULLTEXTCONVERSION REQUIREDTO.ALNUMBEROFCOPIESREQUIRED:
| | U.S.NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO.3150.0104 EXPIRES 06/30/2001 FACIUTY NAME (1)St.Lucie Unit 2 DOCKET NUMBER (2)05000389 PAGE (3)Page 1 of 4 TITLE (4)CEA Drops Result in Manual Reactor Trip EVENT DATE (5)DAY YEAR LER NUMBER 6)REPORT DATE 7 YEAR SEQUENTIAL REVISION MONTH NUMBER NUMBER DAY YEAR FACIUTy NAME OTHER FACILITIES INVOLVED (BI DOCKET NUMBER 06 04 1999 1999-005-00 07 06 FACiUTY NAME DOCKET NUMBER OPERATING MODE (9)POWER LEVEL (10)049 50.73(s)(2)(viii)50.73(e)(2)(x)50.73(a)(2)(i)50.73 (e)(2)(ii)50.73(e)(2)(ui) 20.2203(e) |
| LTTR16ENCL16 FloridaPower&LightCompany,6351S.OceanDrive,JensenBeach,FL34967July6,1999L-99-14910CFR550.73U.S.NuclearRegulatory Commission Attn:DocumentControlDeskWashington, D.C.20555Re:St.LucieUnit2DocketNo.50-389Reportable Event:1999-005-00 DateofEvent:June4,1999CEADropsResultinManualReactorTriTheattachedLicenseeEventReport1999-005isbeingsubmitted pursuanttotherequirements of10CFR$50.73toprovidenotification ofthesubjectevent.Verytrulyyours,J.A.StallVicePresident St.LucieNuclearPlantJAS/EJW/KWF Attachment cc:RegionalAdministrator, USNRC,RegionIISeniorResidentInspector, USNRC,St.LucieNuclearPlant'ir907i20i42 990706PDRADOCtr050003898PDRanFPLGroupcompany
| |
| ,f NRCFORM366(6-1996)LICENSEEEVENTREPORT(LER)(Seereverseforrequirednumberofdigits/characters foreachblock)Estimated burdenperresponsetocomplywiththismandatory hfonnsgon collection request:50hrs.Reportedlessonslearnedsreincorporated intolhegcenstngprocessandfedbackloindustry. | |
| ForwardcommentsregsngngburdenesbmstelotheRecordsManagement Branch(TWF33),US.RudearReguhtory Commission, Washington, 1)C205554001, andlolhePaperwork Rer)octan Project(315041M(,
| |
| OfficeofManagement sndBudget,Washington, DC20503.IfanInformathn collecgon doesnotdisplayacurrently validOMBcontrolnumber,theNRCmaynotconductorsponsor,andapersonhrnotrequiredlorespondlo,theInfonnsthn collection.
| |
| U.S.NUCLEARREGULATORY COMMISSION APPROVEDBYOMBNO.3150.0104 EXPIRES06/30/2001 FACIUTYNAME(1)St.LucieUnit2DOCKETNUMBER(2)05000389PAGE(3)Page1of4TITLE(4)CEADropsResultinManualReactorTripEVENTDATE(5)DAYYEARLERNUMBER6)REPORTDATE7YEARSEQUENTIAL REVISIONMONTHNUMBERNUMBERDAYYEARFACIUTyNAMEOTHERFACILITIES INVOLVED(BIDOCKETNUMBER060419991999-005-000706FACiUTYNAMEDOCKETNUMBEROPERATING MODE(9)POWERLEVEL(10)04950.73(s)(2)(viii) 50.73(e)(2)(x)50.73(a)(2)(i)50.73(e)(2)(ii)50.73(e)(2)(ui) 20.2203(e) | |
| (2)(v)20.2203(s) | | (2)(v)20.2203(s) |
| (3)(i)20.2203(a)(3) | | (3)(i)20.2203(a)(3)(ii)20.2201(b) 20.2203(e)(1) 20.2203(e)(2)(i) 73.71 THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR 5: (Check one or more)(11)20.2203 (e)(2)(ii)20.2203(a)(2)(iii)20.2203(s)(2)(iv)20.2203(s)(4) 50.36(c)(1) 50.36(c)(2) 50.73(e)(2)(iv) 50.73 (s)(2)(v)50.73(e)(2)(vii)OTHER Specify in Abstract below or ln NAC Form 366A NAME LICENSEE CONTACT FOR THIS LER (12)TELEPHONE NUMSER tiricrvtro Aree Codat Kenneth W.Frehafer, Licensing Engineer (561)467-7748 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 13 CAUSE SYSTEM COMPONENT MANUFACTURER AEPOATABLE TO EPIX CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE To EPIX C490 YES D SUPPLEMENTAL REPORT EXPECTED (14)YES (If yes, complete EXPECTED SUBMISSION DATE).X NO EXPECTED SUBMISSION DATE (15)MONTH DAY ABSTRACT/Limit to 1400 speces, l e., approximately 15 single-spaced typewritten lines/(16)On June 4, 1999, St.Lucie Unit 2 was in Mode 1 at approximately 49 percent reactor power.An event response team was in the process of trouble shooting recent control element assembly anomalies. |
| (ii)20.2201(b) 20.2203(e)(1) 20.2203(e)(2)(i) 73.71THISREPORTISSUBMITTED PURSUANTTOTHEREQUIREMENTS OF10CFR5:(Checkoneormore)(11)20.2203(e)(2)(ii)20.2203(a)(2)(iii)20.2203(s)(2)(iv)20.2203(s)(4) 50.36(c)(1) 50.36(c)(2) 50.73(e)(2)(iv) 50.73(s)(2)(v)50.73(e)(2) | | Unit 2 was held in reduced power pending the event response team trouble shooting results.At 0313 hours, four sub group 21 control element assemblies fully inserted into the core during replacement of the sub group 21 power supply.A Utility licensed operator, the nuclear plant supervisor, immediately directed a manual reactor trip.The plant was stabilized in Mode 3 for repairs.Repairs were implemented, and plant restart and power ascension commenced on June 11, 1999.The control element assembly drop event was caused by procedural inadequacies that did not require verification of the proper seating of a power switch.This resulted in loss of power to the control element assemblies when their sub group was transferred off the hold bus.Loss of power to the sub group 21 control element assemblies was corrected by reseating the sub group 21 power switch.Procedure changes are planned to correct the lack of procedural guidance for CEA sub group power switch replacement. |
| (vii)OTHERSpecifyinAbstractbeloworlnNACForm366ANAMELICENSEECONTACTFORTHISLER(12)TELEPHONE NUMSERtiricrvtro AreeCodatKennethW.Frehafer, Licensing Engineer(561)467-7748COMPLETEONELINEFOREACHCOMPONENT FAILUREDESCRIBED INTHISREPORT13CAUSESYSTEMCOMPONENT MANUFACTURER AEPOATABLE TOEPIXCAUSESYSTEMCOMPONENT MANUFACTURER REPORTABLE ToEPIXC490YESDSUPPLEMENTAL REPORTEXPECTED(14)YES(Ifyes,completeEXPECTEDSUBMISSION DATE).XNOEXPECTEDSUBMISSION DATE(15)MONTHDAYABSTRACT/Limitto1400speces,le.,approximately 15single-spaced typewritten lines/(16)OnJune4,1999,St.LucieUnit2wasinMode1atapproximately 49percentreactorpower.Aneventresponseteamwasintheprocessoftroubleshootingrecentcontrolelementassemblyanomalies. | | The event response team conducted other corrective actions related to the original control element assembly anomalies. |
| Unit2washeldinreducedpowerpendingtheeventresponseteamtroubleshootingresults.At0313hours,foursubgroup21controlelementassemblies fullyinsertedintothecoreduringreplacement ofthesubgroup21powersupply.AUtilitylicensedoperator, thenuclearplantsupervisor, immediately directedamanualreactortrip.Theplantwasstabilized inMode3forrepairs.Repairswereimplemented, andplantrestartandpowerascension commenced onJune11,1999.Thecontrolelementassemblydropeventwascausedbyprocedural inadequacies thatdidnotrequireverification oftheproperseatingofapowerswitch.Thisresultedinlossofpowertothecontrolelementassemblies whentheirsubgroupwastransferred offtheholdbus.Lossofpowertothesubgroup21controlelementassemblies wascorrected byreseating thesubgroup21powerswitch.Procedure changesareplannedtocorrectthelackofprocedural guidanceforCEAsubgrouppowerswitchreplacement.
| | NAC F0AM 366 (6-1999) |
| Theeventresponseteamconducted othercorrective actionsrelatedtotheoriginalcontrolelementassemblyanomalies.
| | NRC FORM 366A (6-19991 LICENSEE EVENT REPORT (LER)TEXT CONTINUATION U.S.NUCLEAR REGULATORY COMMISSION FACILITY NAME (1)St.Lucie Unit 2 DOCKET NUMBER I2)05000389 LER NUMBER IS)SEQUENTIAL REVISION NUMBER NUMBER 1999-005-00 PAGE (3)Page 2 of 4 TEXT (If more speceis required, use edditionel copies of NRC Form 366A/(17)Description of the Event On June 4, 1999, St.Lucie Unit 2 was in Mode 1 at approximately 49 percent reactor power.An event response team (ERT)was in the process of investigating recent control element assembly (CEA)[EIIS:AA]events (a CEA drop two days earlier and CEAs spontaneously transferring to their lower grippers). |
| NACF0AM366(6-1999)
| | Unit 2 was being held in reduced power pending the ERT trouble shooting results.The Unit 2 control element drive mechani.sm control system (CEDMCS)is designed to control the movement of the 91 control rod drive mechanisms. |
| NRCFORM366A(6-19991LICENSEEEVENTREPORT(LER)TEXTCONTINUATION U.S.NUCLEARREGULATORY COMMISSION FACILITYNAME(1)St.LucieUnit2DOCKETNUMBERI2)05000389LERNUMBERIS)SEQUENTIAL REVISIONNUMBERNUMBER1999-005-00PAGE(3)Page2of4TEXT(Ifmorespeceisrequired, useedditionel copiesofNRCForm366A/(17)Description oftheEventOnJune4,1999,St.LucieUnit2wasinMode1atapproximately 49percentreactorpower.Aneventresponseteam(ERT)wasintheprocessofinvestigating recentcontrolelementassembly(CEA)[EIIS:AA]
| | Each control rod mechanism has 5 coils, which engage various grippers within the CEDM motor to control CEA movement.Under normal conditions, the upper gripper maintains the CEA in its last position.Should power be removed from this gripper, and the other grippers not engage to provide movement, the CEA will drop into the core.Power for the gripper coils is provided by motor generator (MG)sets through the reactor trip switchgear |
| events(aCEAdroptwodaysearlierandCEAsspontaneously transferring totheirlowergrippers). | | ~The CEDM power source is three phase 240V AC and i.s desi.gned as a floating system to tolerate single ground conditions. |
| Unit2wasbeingheldinreducedpowerpendingtheERTtroubleshootingresults.TheUnit2controlelementdrivemechani.sm controlsystem(CEDMCS)isdesignedtocontrolthemovementofthe91controlroddrivemechanisms.
| | Each CEA sub group utilizes a power switch that pxovides three-phase power for up to four CEAs.The power switch is controlled by logic timing boards and an automatic CEA timing module (ACTM)which decides which coils to fire during movement or holding of each CEA.The ACTM receives information as to the energy provided to the coil through a Hall effect transducer around each coil power cable.Should the ACTM see the possibility of a rod drop it will automatically apply additional power or transfer the CEA to the lower gripper to prevent the rod from dropping.This action is annunciated in the control room.During trouble shooting a decision was made to install a spare power switch[EIIS:AA:JX] |
| Eachcontrolrodmechanism has5coils,whichengagevariousgripperswithintheCEDMmotortocontrolCEAmovement.
| | in sub group 21, which required the affected CEAs to be transferred to the maintenance hold bus.After the power switch was replaced,, the sub group 21 CEAs were removed from the hold bus and transferred to sub group 21 while coil traces were obtained.It was observed that with the sub group 21 CEAs on the hold bus, the visicorder traces improved and with the CEAs powered by the sub group the traces were still degraded.The CEAs were placed back on the maintenance hold bus.After further testing and replacement of a logic board, sub group.21 was removed from the hold bus and transferred to the sub group.At 0313 hours, all four sub group 21 CEAs fully inserted into the core upon deenergization of the maintenance hold bus.The nuclear plant supervisor (NPS)immediately directed a manual reactor trip and entry into Emergency Operating Procedure (EOP)-1,"Standard Post Trip Acti.ons". |
| Undernormalconditions, theuppergrippermaintains theCEAinitslastposition.
| | All safety functions were verified as being maintained and EOP-2,"Reactor Trip Recovery", was entered at 0323 hours.The plant was stabilized in Mode 3.The trip was determined to be uncomplicated with the exception the following issues: During the performance of EOP-1, the 2C main steam reheater (MSR)temperature control valve (TCV)block valve[EIIS:SB:V], MV-08-10, would not close.In accordance with contingency actions, the MSR TCVs were closed.MV-08-10 was subsequently de-energized and manually closed.~The"A" side pressurizer heaters[EIIS:AB:PZR1EHTR] |
| Shouldpowerberemovedfromthisgripper,andtheothergrippersnotengagetoprovidemovement, theCEAwilldropintothecore.Powerforthegrippercoilsisprovidedbymotorgenerator (MG)setsthroughthereactortripswitchgear
| | were de-energized due to a lo-lo level signal from the pressurizer level"X" channel.However, the signal was not reset when pressurizer level was raised above the setpoint.A 72-hour action NRC FOIIM SBBA (9-1999) |
| ~TheCEDMpowersourceisthreephase240VACandi.sdesi.gned asafloatingsystemtotoleratesinglegroundconditions. | |
| EachCEAsubgrouputilizesapowerswitchthatpxovidesthree-phase powerforuptofourCEAs.Thepowerswitchiscontrolled bylogictimingboardsandanautomatic CEAtimingmodule(ACTM)whichdecideswhichcoilstofireduringmovementorholdingofeachCEA.TheACTMreceivesinformation astotheenergyprovidedtothecoilthroughaHalleffecttransducer aroundeachcoilpowercable.ShouldtheACTMseethepossibility ofaroddropitwillautomatically applyadditional powerortransfertheCEAtothelowergrippertopreventtherodfromdropping.
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| Thisactionisannunciated inthecontrolroom.Duringtroubleshootingadecisionwasmadetoinstallasparepowerswitch[EIIS:AA:JX]
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| insubgroup21,whichrequiredtheaffectedCEAstobetransferred tothemaintenance holdbus.Afterthepowerswitchwasreplaced,,
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| thesubgroup21CEAswereremovedfromtheholdbusandtransferred tosubgroup21whilecoiltraceswereobtained.
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| Itwasobservedthatwiththesubgroup21CEAsontheholdbus,thevisicorder tracesimprovedandwiththeCEAspoweredbythesubgroupthetraceswerestilldegraded.
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| TheCEAswereplacedbackonthemaintenance holdbus.Afterfurthertestingandreplacement ofalogicboard,subgroup.21wasremovedfromtheholdbusandtransferred tothesubgroup.At0313hours,allfoursubgroup21CEAsfullyinsertedintothecoreupondeenergization ofthemaintenance holdbus.Thenuclearplantsupervisor (NPS)immediately directedamanualreactortripandentryintoEmergency Operating Procedure (EOP)-1,"Standard PostTripActi.ons".
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| Allsafetyfunctions wereverifiedasbeingmaintained andEOP-2,"ReactorTripRecovery",
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| wasenteredat0323hours.Theplantwasstabilized inMode3.Thetripwasdetermined tobeuncomplicated withtheexception thefollowing issues:Duringtheperformance ofEOP-1,the2Cmainsteamreheater(MSR)temperature controlvalve(TCV)blockvalve[EIIS:SB:V],
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| MV-08-10, wouldnotclose.Inaccordance withcontingency actions,theMSRTCVswereclosed.MV-08-10wassubsequently de-energized andmanuallyclosed.~The"A"sidepressurizer heaters[EIIS:AB:PZR1EHTR] | |
| werede-energized duetoalo-lolevelsignalfromthepressurizer level"X"channel.However,thesignalwasnotresetwhenpressurizer levelwasraisedabovethesetpoint.
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| A72-houractionNRCFOIIMSBBA(9-1999)
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| NRCFORM366A(6.1998)LICENSEEEVENTREPORT(LER)TEXTCONTINUATION U.S.NUCLEARREGUIATORY COMMISSION FACILITYNAME(1)St.LucieUnit2DOCKETNUMBER(2)05000389LERNUMBER(6)SEQUENTIAL REVISIONNUMBERNUMBER1999-005-00PAGE(3)Page3of4TEXTIifmorespacoisrequired, useaddidonal copiesofNRCPerm366AI(17)Description oftheEvent(cont'd)statement wasenteredinaccordance withTechnical Specification 3.4.3at0313hoursonJune4,1999,duetohavinglessthantherequirednumberofpressurizer heatersbeingcapableofbeingpoweredfromaClass1Eelectricbus.CauseoftheEventCEAIssuesSubgroup21CEAsspontaneously transferring totheirlowergripperswascausedbynoisegenerated bythefailureofthesubgroup21powerswitch.Disassembly ofthepowerswitchindicated ashort,whichmost,likelydeveloped overtimebetweena"C"phasesiliconcontrolled rectifier (SCR)(Q125)anodeandground.Measurements ofthepowerswitch"C"phasetogroundindicateashortedcondition anddetailedinspection oftheSCR'smylarinsulating washershowavisiblebreakdown oftheinsulation andanarcpathtoground.Becausethiscondition continued forsometime,inducinghighnoiselevelsintothesystem,variousACTMcardsinterpreted thisabnormalcondition asunfavorable uppergrippervoltage.Asdesigned, theACTMcardstransferred theCEAstotheirlowergripperstopreventroddrops.Uponreplacement ofthesubgroup21powerswitchandthefailedfuseassociated withphase"C"thenoisewasnolongerseenonthesubgroup21CEAs.TheJune4,1999roddropeventwascausedbyalackofprocedural guidancethatshouldhaveverifiedthatthereplacement CEAsubgroup21powerswitchwasproperlyseatedduringtroubleshootingactivities.
| | NRC FORM 366A (6.1998)LICENSEE EVENT REPORT (LER)TEXT CONTINUATION U.S.NUCLEAR REGUIATORY COMMISSION FACILITY NAME (1)St.Lucie Unit 2 DOCKET NUMBER (2)05000389 LER NUMBER (6)SEQUENTIAL REVISION NUMBER NUMBER 1999-005-00 PAGE (3)Page 3 of 4 TEXT Iif more spacois required, use addidonal copies of NRC Perm 366AI (17)Description of the Event (cont'd)statement was entered in accordance with Technical Specification 3.4.3 at 0313 hours on June 4, 1999, due to having less than the required number of pressurizer heaters being capable of being powered from a Class 1E electric bus.Cause of the Event CEA Issues Sub group 21 CEAs spontaneously transferring to their lower grippers was caused by noise generated by the failure of the sub group 21 power switch.Disassembly of the power switch indicated a short, which most, likely developed over time between a"C" phase silicon controlled rectifier (SCR)(Q125)anode and ground.Measurements of the power switch"C" phase to ground indicate a shorted condition and detailed inspection of the SCR's mylar insulating washer show a visible breakdown of the insulation and an arc path to ground.Because this condition continued for some time, inducing high noise levels into the system, various ACTM cards interpreted this abnormal condition as unfavorable upper gripper voltage.As designed, the ACTM cards transferred the CEAs to their lower grippers to prevent rod drops.Upon replacement of the sub group 21 power switch and the failed fuse associated with phase"C" the noise was no longer seen on the sub group 21 CEAs.The June 4, 1999 rod drop event was caused by a lack of procedural guidance that should have verified that the replacement CEA sub group 21 power switch was properly seated during trouble shooting activities. |
| Theimproperseatingofthepowerswitchwasnotapparentbecausetwicebeforethesubgroup21CEAsweresuccessfully transferred fromtheholdbustothesubgrouppowerswitchandback.Thezewerenoindications thatthepowerswitchwasnotproperlyseated,andthatintermittent powerwasbeingdelivered totheCEAs.Eventually, thelatentintermittent electrical powerledtothefullinsertion ofthesupgroup21CEAswhentheholdbuswasdeenergized.
| | The improper seating of the power switch was not apparent because twice before the sub group 21 CEAs were successfully transferred from the hold bus to the sub group power switch and back.Theze were no indications that the power switch was not properly seated, and that intermittent power was being delivered to the CEAs.Eventually, the latent intermittent electrical power led to the full insertion of the sup group 21 CEAs when the hold bus was deenergized. |
| Post-TriIssuesThefailureofthe2CMSRTCVblockvalve,MV-08-10, toclosewascausedbydirtyauxiliary contactsintheMCCcontrolcircuit.Thefailureofthe"A"sidepressurizer heaterstoresetonrisingpressurizer levelwascausedbyafaultycrimpedconnection inFoxboromoduleLC-1110X. | | Post-Tri Issues The failure of the 2C MSR TCV block valve, MV-08-10, to close was caused by dirty auxiliary contacts in the MCC control circuit.The failure of the"A" side pressurizer heaters to reset on rising pressurizer level was caused by a faulty crimped connection in Foxboro module LC-1110X.Analysis of the Event This event is reportable under 10 CFR 50.73 (a)(2)(iv) as"any event or condition that resulted in a manual or automatic actuation of any Engineered Safety Feature (ESF), including the Reactor Protection System (RPS)." Analysis of Safety Significance The CEDM control system does not provi.de any safety relat'ed functions and the identified problems would not have prevented the affected rods from dropping into the core to shut down the reactor.Additionally, the drop of a CEA subgroup is an analyzed event.Therefore, the condit'ions described above did not present an operability concern.Additionally, during CEA trouble shooting activiti.es, a pre-evolution tailboard was conducted with Operations to install a spare power'switch in NRC FORM 366A (6.1998) |
| AnalysisoftheEventThiseventisreportable under10CFR50.73(a)(2)(iv) as"anyeventorcondition thatresultedinamanualorautomatic actuation ofanyEngineered SafetyFeature(ESF),including theReactorProtection System(RPS)."AnalysisofSafetySignificance TheCEDMcontrolsystemdoesnotprovi.deanysafetyrelat'edfunctions andtheidentified problemswouldnothaveprevented theaffectedrodsfromdroppingintothecoretoshutdownthereactor.Additionally, thedropofaCEAsubgroupisananalyzedevent.Therefore, thecondit'ions described abovedidnotpresentanoperability concern.Additionally, duringCEAtroubleshootingactiviti.es, apre-evolution tailboard wasconducted withOperations toinstallasparepower'switch inNRCFORM366A(6.1998)
| | ~NRC FORM 366A (6-1998)LICENSEE EVENT REPORT (LER)TEXT CONTINUATION U.S.NUCLEAR REGULATORY COMMISSION FACILITY NAME ('I)St.Lucie Unit 2 DOCKET NUMBER 2)05000389 LER NUMBER (6)SEQUENTIAL REVISION NUMBER NUMBER 1999-005-00 PAGE (3)Page 4 of 4 TEXT (If more speceis required, use eddi(ionel copies of NRC Form 366AJ (17)Analysis of Safety Significance (cont')sub group 21.When all four sub group 21 CEAs fully inserted i,nto the core, Operations confirmed the rod drop indication and manually tripped the reactor in accordance with the pre-evoluti.on tailboard. |
| ~NRCFORM366A(6-1998)LICENSEEEVENTREPORT(LER)TEXTCONTINUATION U.S.NUCLEARREGULATORY COMMISSION FACILITYNAME('I)St.LucieUnit2DOCKETNUMBER2)05000389LERNUMBER(6)SEQUENTIAL REVISIONNUMBERNUMBER1999-005-00PAGE(3)Page4of4TEXT(Ifmorespeceisrequired, useeddi(ionel copiesofNRCForm366AJ(17)AnalysisofSafetySignificance (cont')subgroup21.Whenallfoursubgroup21CEAsfullyinsertedi,ntothecore,Operations confirmed theroddropindication andmanuallytrippedthereactorinaccordance withthepre-evoluti.on tailboard. | | Based on the above, this event had no impact on the health and safety of the public.Corrective Actions l.All CEDMCS sub group power switches were verified to have proper electrical and mechanical contact under work order (WO)99010204.2.The system (CEA coils, CEDM power distribution and power switch components for each of the 24 sub groups)was verified to be free of grounds by a megger of 250V or greater to ground.3.Coil traces were obtained during rod movement and verified to be of proper waveform, timing, and that all phases were operating satisfactorily. |
| Basedontheabove,thiseventhadnoimpactonthehealthandsafetyofthepublic.Corrective Actionsl.AllCEDMCSsubgrouppowerswitcheswereverifiedtohaveproperelectrical andmechanical contactunderworkorder(WO)99010204.
| | 4.The auxiliary contacts for MV-08-10 were cleaned under WO 99010433.5.The pressurizer heater control circuitry was repaired under WO 99010873'.Post maintenance test requirements aze being developed for CEA sub group power switches and minimum checks to be performed prior to removing a CEA subgroup from the hold bus.7.Guidelines are being developed for the repair of CEDMCS power switch modules including proper removal and installation. |
| 2.Thesystem(CEAcoils,CEDMpowerdistribution andpowerswitchcomponents foreachofthe24subgroups)wasverifiedtobefreeofgroundsbyameggerof250Vorgreatertoground.3.Coiltraceswereobtainedduringrodmovementandverifiedtobeofproperwaveform, timing,andthatallphaseswereoperating satisfactorily. | | Additional Information Failed Com onents Identified Component: |
| 4.Theauxiliary contactsforMV-08-10werecleanedunderWO99010433. | |
| 5.Thepressurizer heatercontrolcircuitry wasrepairedunderWO99010873'.Postmaintenance testrequirements azebeingdeveloped forCEAsubgrouppowerswitchesandminimumcheckstobeperformed priortoremovingaCEAsubgroupfromtheholdbus.7.Guidelines arebeingdeveloped fortherepairofCEDMCSpowerswitchmodulesincluding properremovalandinstallation. | |
| Additional Information FailedComonentsIdentified Component: | |
| Manufacturer: | | Manufacturer: |
| Model:PowerSwitchAssemblyCombustion Engineering PartNo.35200SimilarEventsNoneNROFOAM3BBA(B.1998)}} | | Model: Power Switch Assembly Combustion Engineering Part No.35200 Similar Events None NRO FOAM 3BBA (B.1998)}} |
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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17241A4891999-10-0707 October 1999 LER 99-004-00:on 990912,noted That MSSV Surveillance Was Outside of TS Requirements.Caused by Setpoint Drift.Subject MSSVs Are Being Refurbished & Retested Prior to Unit Startup from SL1-16 Refueling Outage.With 991007 Ltr ML17241A4111999-07-16016 July 1999 LER 99-007-00:on 990610,unplanned Cooldown Transient Occurred Due to Personnel Error.Trained & Briefed Personnel & Revised Procedures.With 990716 Ltr ML17241A4031999-07-0606 July 1999 LER 99-006-00:on 990605,sub-critical Reactor Trip Occurred Due to Inadvertent MSIV Opening.Caused by Personnel Error. Provided Operation Supervision Instruction to Operating Crews,Stand Down Meetings & Operator Aids.With 990706 Ltr ML17241A4041999-07-0606 July 1999 LER 99-005-00:on 990604,CEA Drop Resulted in Manual Reactor Trip.Caused by Procedural Inadequacies.Procedure Changes Are Planned to Correct Lack of Procedural Guidance for CEA Subgroup Power Switch Replacement.With 990706 Ltr ML17241A3941999-06-30030 June 1999 LER 99-004-01:on 990415,as Found Cycle 10 Psv Setpoints Were Outside TS Limits.Caused by Manufacturing Process Defect. All Three Psvs Were Replaced with pre-tested Valves During Cycle 11 Refueling Outage.With 990630 Ltr ML17241A3551999-06-0404 June 1999 LER 99-002-00:on 990505,both Trains of Safety Injection Actuation Were Blocked During Surveillance.Caused by Procedure Error.Procedure Revised.With 990604 Ltr ML17241A3321999-05-17017 May 1999 LER 99-004-00:on 990415,determined That as Found Cycle 10 Psv Setpoints Outside TS Limits.Root Cause Under Investigation.Psvs Replaced with pe-tested Valves During Cycle 11 ML17241A3271999-05-0606 May 1999 LER 99-003-00:on 990406,ECCS Suction Header Leak Resulted in Both ECCS Trains Being Inoperable & Entry Into TS 3.0.3. Caused by Chloride Induced OD Stress Corrosion Cracking of Piping.Made Code Repairs & Coated Piping.With 990506 Ltr ML17229B0791999-04-0707 April 1999 LER 99-001-00:on 990309,discovered Inadequate Design & IST SRs for Iodine Removal Sys (Irs).Caused by Original Design Inadequacies & Personnel Error.Naoh Tank Vent Valve V07233 Was Tagged Open.With 990407 Ltr ML17229B0801999-04-0707 April 1999 LER 99-002-00:on 990311,SG ECT Error Caused Operation with Condition Prohibited by Ts.Caused by Deficiencies in Data Analysis Guideline Instructions.Licensee Will Change Data Analysis Guidelines for Lead Analysts.With 990407 Ltr ML17229B0541999-03-10010 March 1999 LER 99-001-00:on 990211,inadequate TS SRs for SIT & SDC Isolation Valves Were Noted.Caused by Failure to Correctly Implement TS Srs.Submitted LAR to Align Required TS SR with Design Bases Requirements Being Verified.With 990310 Ltr ML17229A9901999-01-20020 January 1999 LER 98-009-00:on 981223,noted That Facility Operated Outside of Design Basis.Caused by non-conservative MSLB Analysis Inputs.Will Review SR Component Differences Between Units & Will re-baseline LTOP Analysis.With 990120 Ltr ML17229A9821999-01-0404 January 1999 LER 98-010-00:on 981207,RCS Boron Sample Frequency Required by Ts,Was Exceeded by Twelve Minutes.Caused by Personnel Error.Equipment Clearance Order Was Lifted to Draw Required Sample & Operations Procedure Was Changed.With 990104 Ltr ML17229A9611998-12-22022 December 1998 LER 97-002-01:on 981204,containment Sump Debris Screen Was Not IAW Design.Caused by Inadequate C/As for Sump Screen Anamolies.All Identified Sump Screen Deficiencies Were Dispositioned &/Or Repaired.With 981222 Ltr ML17229A9561998-12-15015 December 1998 LER 98-008-00:on 981118,missed TS SG U Tube Insp.Caused by Encoding Errors While Using Remote Positioning Fixtures.All SG Tube Surveyed.With 981215 Ltr ML17229A9301998-11-25025 November 1998 LER 98-005-01:on 980807,discovered That New MOV Methodology Caused Past PORV Block Valve Operability Problem.Caused by Inadequacies in Original Vendor MOV Methodology.Planned Valve Mods Will Be Implemented During Cycle 11 1998 Outage ML17229A9021998-11-0404 November 1998 LER 98-008-00:on 981008,inadequate Reactor Protection Sys Trip Bypass TS Was Noted.Caused by Poorly Worded Ts. Submitted LAR to Clarify Power Requirements for High Rate of Power Trips.With 981104 Ltr ML17229A8771998-10-14014 October 1998 LER 98-006-00:on 980918,inadvertent Afas Actuation Was Noted.Caused by Degradation of Multiple Afas Power Supplies. Replaced Afas Power Supplies & Revised Procedures.With 981014 Ltr ML17229A8761998-10-14014 October 1998 LER 98-007-00:on 980918,identified Discrepancies Between Fire Protection Design Requirements & Field Conditions. Caused by Inadequate Translation & Implementation of Fire Protection Requirements.Procedures Revised.With 981014 Ltr ML17229A8511998-09-0202 September 1998 LER 98-005-00:on 980807,discovered That PORV Margins Were Insufficient to Accommodate Addl Conservatism.Caused by Inadequacies in Original Vendor MOV Methodology.Will Implement Planned Valve Actuator mods.W/980902 Ltr ML17229A8201998-07-29029 July 1998 LER 98-007-00:on 980630,inadequate Procedure May Have Resulted in SBO Recovery Complications.Caused by Inadequate Procedures.Attached Caution Tags to Appropriate Control switches.W/980729 Ltr ML17229A7411998-05-28028 May 1998 LER 98-004-00:on 980430,discovered Waste Gas Decay Tank Operation W/O Available Oxygen Analyzers,Which Is Prohibited by Ts.Caused by Inadequate Licensee Review of License Amend. Oxygen Analyzer recalibrated.W/980528 Ltr ML17229A7381998-05-21021 May 1998 LER 98-006-00:on 980421,missed EDG Fuel Oil Sample Surveillance Was Noted.Caused by Personnel Error.Revised Fuel Oil Sampling Service Purchase Order & Revised Site procedure.W/980521 Ltr ML17229A7011998-04-27027 April 1998 LER 98-003-00:on 980326,discovered Containment Pressure Instrumentation Design Single Failure Vulnerability.Caused by Inadequate Design by Personnel Error.Removed RPS & ESFAS Containment Pressure Bypass Keys immediately.W/980427 Ltr ML17229A6761998-04-0202 April 1998 LER 98-005-00:on 980305,identified Two Conditions That Were Outside App R Design Bases.Caused by Design Oversight During Development of Original App R Safe SD Design.Established 30 Minute Roving Fire Watches & Provided training.W/980402 Ltr ML17229A6731998-03-26026 March 1998 LER 98-002-00:on 980224,radiation Monitor Surveillance Inadequacies Led to Operating of Facility Prohibited by Tss. Caused by Congnitive Personnel Error.Permanent Procedure Changes Were implemented.W/980326 Ltr ML17229A6551998-03-0505 March 1998 LER 98-001-00:on 980206,high/low Pressure Shutdown Cooling Interface Was Noted Outside App R Design Bases.Caused by Personnel Error.Addl Guidance Was Provided to Engineering Dept personnel.W/980305 Ltr ML17229A6281998-02-19019 February 1998 LER 98-004-00:on 980121,emergency Lighting Outside App R Design Bases Occurred.Caused by Congnitive Personnel Error During Translation of App R Section Iii.Procedures Onop 1 & 2 ONP-100.01 Were Issued for Use on 980206.W/980219 Ltr ML17229A6211998-02-0909 February 1998 LER 98-003-00:on 980110,manual Rt Due to DEH Leak at Turbine Test Block Was Noted.Caused by o-ring Extrusion.Shortened Bolts by About 0.125 & Reinstalled at Correct Torque values.W/980209 Ltr ML17229A6191998-02-0404 February 1998 LER 98-002-00:on 980105,CIS Bistable in Bypass Resulted in Condition Prohibited by Tss.Caused by Personnel Error. Radiation Monitor Was Restored to service.W/980204 Ltr ML17229A6161998-02-0303 February 1998 LER 98-001-00:on 980104,inadvertent RPS Actuation Occurred Due to Personnel Error.Caused by Procedural Inadequacies & Inadequate self-checking by Licensed Utility Personnel. Placards Have Been Placed in CRs.W/980203 Ltr ML17229A6051998-01-27027 January 1998 LER 97-010-01:on 971027,inadvertent Core Alteration Prohibited by TSs Were Noted Due to Stuck Cea.Caused by Personnel Error.Cea #24 Was Dislodged & Transferred to Spent Pool for insp.W/980127 Ltr ML17229A5501997-12-0505 December 1997 LER 97-008-00:on 971107,inadequate CR Ventilation Surveillance Resulted in Condition Prohibited by Ts.Caused by non-cognitive Personnel Error.Operating Procedure 2-1900050 Was revised.W/971205 Ltr ML17309A9091997-12-0202 December 1997 LER 97-011-00:on 971102,non-conservative RAS Set Point Resulted in Operation Prohibited by Ts.Caused by Inadequate Set Point & Instrument Loop Scaling Process.Revised ESFAS Functional Tp W/Proper Set point.W/971202 Ltr ML17229A5391997-11-26026 November 1997 LER 97-010-00:on 971027,inadvertant Core Alteration Prohibited by TS Occurred.Caused by CEA Failure to Detach from Ugs.Safety Evaluation Was Performed & Procedural Rev Made to Continue Upper Guide Structure move.W/971126 Ltr ML17229A5151997-11-0707 November 1997 LER 97-007-00:on 971008,inoperable Containment Cooling Fan Resulted in Operation of Facility Outside Design Basis. Caused by non-cognitive Personnel Error.Ccs Operation Was Revised & Issued on 971013.W/971107 Ltr ML17229A4991997-10-17017 October 1997 LER 97-009-00:on 970917,inoperable PORV Block Valve Resulted in Operation Prohibited by Tech Specs Occurred.Caused by Plant GL 89-10 Program Plan to Review Plant Manager Action Item Sys.Porv Block Valve V-1403 restored.W/971017 Ltr ML17309A9011997-08-27027 August 1997 LER 97-008-00:on 970728,mechanical Fire Penetrations Were Inoperable & Outside App R Design Bases.Caused by Seal Mfg Not Providing Formal Documentation for Installed Seals. Modified Inoperable Fire penetrations.W/970827 Ltr ML17229A4311997-07-29029 July 1997 LER 97-006-00:on 970630,discovered Inadequate Testing of Engineered Safety Features Subgroup Relays.Caused by Inadequacy in Implementing TS Requirements in Surveillance Procedures.Revised Surveillance procedures.W/970729 Ltr ML17229A4241997-07-25025 July 1997 LER 97-005-00:on 970625,discovered That Hot Shutdown Control Panel Shutdown Cooling Flow indicator,FI-3306 Inoperable. Caused by Weakness in Work Order & Procedure Used to Repair FI-3306.Section Meeting W/I&C Planners held.W/970725 Ltr ML17229A3971997-07-11011 July 1997 LER 97-004-00:on 970611,discovered Incorrect Original Cable Tray Fire Stop Assembly Installation Was Outside App R Design Basis.Caused by Personnel Error.Hourly Fire Watch Patrols Will Be posted.W/970711 Ltr ML17229A3871997-06-19019 June 1997 LER 97-003-00:on 970521,determined Required Post Maint Open Stroke Test for Valve V3245,2B2 SIT Discharge Check Valve, Had Not Been Performed.Caused by Personnel Error.Procedure revised.W/970619 Ltr ML17229A3841997-06-17017 June 1997 LER 97-002-00:on 970518,containment Sump Debris Screen Was Not IAW Design Due to Gaps in Screen Encl.Performed SER to Document Containment Sump Design requirements.W/970617 Ltr ML17229A3751997-06-0202 June 1997 LER 97-006-00:on 970501,operation Was Prohibited by TS Due to Inadequately Tested Degraded Voltage Sys.Revised Unit 1 ESFAS Surveillance Test procedure.W/970602 Ltr ML17229A3611997-05-29029 May 1997 LER 97-007-00:on 970502,reactor Coolant Pump Oil Collection Sys Was Outside App R Design Bases.Identified Leak Sites Were Repaired & Mods to RCP Oil Collection Sys to Capture Any Future Leakage from areas.W/970529 Ltr ML17229A3491997-05-21021 May 1997 LER 97-001-00:on 970423,containment Isolation Actuation Occurred.Caused by Increased Radiation Levels During Removal of Upper Guide Structure.Proper Actuation of Containment Isolation Components Was verified.W/970521 Ltr ML17229A3441997-05-13013 May 1997 LER 97-005-00:on 970419,reactor Was Shutdown Due to Reactor Coolant Pressure Boundary Leakage.Hot Cracking Was Caused by Weld Contamination.Repairs to RCPB Were Completed & 1A SDC Train Was Restored to Svc ML17229A3141997-04-30030 April 1997 LER 97-004-00:on 970402,refueling Machine Was Operating in Manner Prohibited by TS Due to Original Design of Refueling Machine Bypass Feature Conflicting W/Ts Requirements. Eliminated Overload Cut Off Limit bypass.W/970430 Ltr ML17229A2951997-03-31031 March 1997 LER 97-003-00:on 970304,automatic Rt Resulted from Loss of Electrical Power to 1A2 Rc Pump.Rcp Breaker Was Replaced & Pump Was Returned to svc.W/970331 Ltr ML17229A2721997-03-21021 March 1997 LER 97-002-00:on 970221,operation in Excess of Max Rated Thermal Power Occurred Due to Digital Data Processing Sys (Ddps) Calorimetric Error.Verified Acceptable Performance of Ddps Functions & Reviewed Software mods.W/970321 Ltr 1999-07-06
[Table view] Category:RO)
MONTHYEARML17241A4891999-10-0707 October 1999 LER 99-004-00:on 990912,noted That MSSV Surveillance Was Outside of TS Requirements.Caused by Setpoint Drift.Subject MSSVs Are Being Refurbished & Retested Prior to Unit Startup from SL1-16 Refueling Outage.With 991007 Ltr ML17241A4111999-07-16016 July 1999 LER 99-007-00:on 990610,unplanned Cooldown Transient Occurred Due to Personnel Error.Trained & Briefed Personnel & Revised Procedures.With 990716 Ltr ML17241A4031999-07-0606 July 1999 LER 99-006-00:on 990605,sub-critical Reactor Trip Occurred Due to Inadvertent MSIV Opening.Caused by Personnel Error. Provided Operation Supervision Instruction to Operating Crews,Stand Down Meetings & Operator Aids.With 990706 Ltr ML17241A4041999-07-0606 July 1999 LER 99-005-00:on 990604,CEA Drop Resulted in Manual Reactor Trip.Caused by Procedural Inadequacies.Procedure Changes Are Planned to Correct Lack of Procedural Guidance for CEA Subgroup Power Switch Replacement.With 990706 Ltr ML17241A3941999-06-30030 June 1999 LER 99-004-01:on 990415,as Found Cycle 10 Psv Setpoints Were Outside TS Limits.Caused by Manufacturing Process Defect. All Three Psvs Were Replaced with pre-tested Valves During Cycle 11 Refueling Outage.With 990630 Ltr ML17241A3551999-06-0404 June 1999 LER 99-002-00:on 990505,both Trains of Safety Injection Actuation Were Blocked During Surveillance.Caused by Procedure Error.Procedure Revised.With 990604 Ltr ML17241A3321999-05-17017 May 1999 LER 99-004-00:on 990415,determined That as Found Cycle 10 Psv Setpoints Outside TS Limits.Root Cause Under Investigation.Psvs Replaced with pe-tested Valves During Cycle 11 ML17241A3271999-05-0606 May 1999 LER 99-003-00:on 990406,ECCS Suction Header Leak Resulted in Both ECCS Trains Being Inoperable & Entry Into TS 3.0.3. Caused by Chloride Induced OD Stress Corrosion Cracking of Piping.Made Code Repairs & Coated Piping.With 990506 Ltr ML17229B0791999-04-0707 April 1999 LER 99-001-00:on 990309,discovered Inadequate Design & IST SRs for Iodine Removal Sys (Irs).Caused by Original Design Inadequacies & Personnel Error.Naoh Tank Vent Valve V07233 Was Tagged Open.With 990407 Ltr ML17229B0801999-04-0707 April 1999 LER 99-002-00:on 990311,SG ECT Error Caused Operation with Condition Prohibited by Ts.Caused by Deficiencies in Data Analysis Guideline Instructions.Licensee Will Change Data Analysis Guidelines for Lead Analysts.With 990407 Ltr ML17229B0541999-03-10010 March 1999 LER 99-001-00:on 990211,inadequate TS SRs for SIT & SDC Isolation Valves Were Noted.Caused by Failure to Correctly Implement TS Srs.Submitted LAR to Align Required TS SR with Design Bases Requirements Being Verified.With 990310 Ltr ML17229A9901999-01-20020 January 1999 LER 98-009-00:on 981223,noted That Facility Operated Outside of Design Basis.Caused by non-conservative MSLB Analysis Inputs.Will Review SR Component Differences Between Units & Will re-baseline LTOP Analysis.With 990120 Ltr ML17229A9821999-01-0404 January 1999 LER 98-010-00:on 981207,RCS Boron Sample Frequency Required by Ts,Was Exceeded by Twelve Minutes.Caused by Personnel Error.Equipment Clearance Order Was Lifted to Draw Required Sample & Operations Procedure Was Changed.With 990104 Ltr ML17229A9611998-12-22022 December 1998 LER 97-002-01:on 981204,containment Sump Debris Screen Was Not IAW Design.Caused by Inadequate C/As for Sump Screen Anamolies.All Identified Sump Screen Deficiencies Were Dispositioned &/Or Repaired.With 981222 Ltr ML17229A9561998-12-15015 December 1998 LER 98-008-00:on 981118,missed TS SG U Tube Insp.Caused by Encoding Errors While Using Remote Positioning Fixtures.All SG Tube Surveyed.With 981215 Ltr ML17229A9301998-11-25025 November 1998 LER 98-005-01:on 980807,discovered That New MOV Methodology Caused Past PORV Block Valve Operability Problem.Caused by Inadequacies in Original Vendor MOV Methodology.Planned Valve Mods Will Be Implemented During Cycle 11 1998 Outage ML17229A9021998-11-0404 November 1998 LER 98-008-00:on 981008,inadequate Reactor Protection Sys Trip Bypass TS Was Noted.Caused by Poorly Worded Ts. Submitted LAR to Clarify Power Requirements for High Rate of Power Trips.With 981104 Ltr ML17229A8771998-10-14014 October 1998 LER 98-006-00:on 980918,inadvertent Afas Actuation Was Noted.Caused by Degradation of Multiple Afas Power Supplies. Replaced Afas Power Supplies & Revised Procedures.With 981014 Ltr ML17229A8761998-10-14014 October 1998 LER 98-007-00:on 980918,identified Discrepancies Between Fire Protection Design Requirements & Field Conditions. Caused by Inadequate Translation & Implementation of Fire Protection Requirements.Procedures Revised.With 981014 Ltr ML17229A8511998-09-0202 September 1998 LER 98-005-00:on 980807,discovered That PORV Margins Were Insufficient to Accommodate Addl Conservatism.Caused by Inadequacies in Original Vendor MOV Methodology.Will Implement Planned Valve Actuator mods.W/980902 Ltr ML17229A8201998-07-29029 July 1998 LER 98-007-00:on 980630,inadequate Procedure May Have Resulted in SBO Recovery Complications.Caused by Inadequate Procedures.Attached Caution Tags to Appropriate Control switches.W/980729 Ltr ML17229A7411998-05-28028 May 1998 LER 98-004-00:on 980430,discovered Waste Gas Decay Tank Operation W/O Available Oxygen Analyzers,Which Is Prohibited by Ts.Caused by Inadequate Licensee Review of License Amend. Oxygen Analyzer recalibrated.W/980528 Ltr ML17229A7381998-05-21021 May 1998 LER 98-006-00:on 980421,missed EDG Fuel Oil Sample Surveillance Was Noted.Caused by Personnel Error.Revised Fuel Oil Sampling Service Purchase Order & Revised Site procedure.W/980521 Ltr ML17229A7011998-04-27027 April 1998 LER 98-003-00:on 980326,discovered Containment Pressure Instrumentation Design Single Failure Vulnerability.Caused by Inadequate Design by Personnel Error.Removed RPS & ESFAS Containment Pressure Bypass Keys immediately.W/980427 Ltr ML17229A6761998-04-0202 April 1998 LER 98-005-00:on 980305,identified Two Conditions That Were Outside App R Design Bases.Caused by Design Oversight During Development of Original App R Safe SD Design.Established 30 Minute Roving Fire Watches & Provided training.W/980402 Ltr ML17229A6731998-03-26026 March 1998 LER 98-002-00:on 980224,radiation Monitor Surveillance Inadequacies Led to Operating of Facility Prohibited by Tss. Caused by Congnitive Personnel Error.Permanent Procedure Changes Were implemented.W/980326 Ltr ML17229A6551998-03-0505 March 1998 LER 98-001-00:on 980206,high/low Pressure Shutdown Cooling Interface Was Noted Outside App R Design Bases.Caused by Personnel Error.Addl Guidance Was Provided to Engineering Dept personnel.W/980305 Ltr ML17229A6281998-02-19019 February 1998 LER 98-004-00:on 980121,emergency Lighting Outside App R Design Bases Occurred.Caused by Congnitive Personnel Error During Translation of App R Section Iii.Procedures Onop 1 & 2 ONP-100.01 Were Issued for Use on 980206.W/980219 Ltr ML17229A6211998-02-0909 February 1998 LER 98-003-00:on 980110,manual Rt Due to DEH Leak at Turbine Test Block Was Noted.Caused by o-ring Extrusion.Shortened Bolts by About 0.125 & Reinstalled at Correct Torque values.W/980209 Ltr ML17229A6191998-02-0404 February 1998 LER 98-002-00:on 980105,CIS Bistable in Bypass Resulted in Condition Prohibited by Tss.Caused by Personnel Error. Radiation Monitor Was Restored to service.W/980204 Ltr ML17229A6161998-02-0303 February 1998 LER 98-001-00:on 980104,inadvertent RPS Actuation Occurred Due to Personnel Error.Caused by Procedural Inadequacies & Inadequate self-checking by Licensed Utility Personnel. Placards Have Been Placed in CRs.W/980203 Ltr ML17229A6051998-01-27027 January 1998 LER 97-010-01:on 971027,inadvertent Core Alteration Prohibited by TSs Were Noted Due to Stuck Cea.Caused by Personnel Error.Cea #24 Was Dislodged & Transferred to Spent Pool for insp.W/980127 Ltr ML17229A5501997-12-0505 December 1997 LER 97-008-00:on 971107,inadequate CR Ventilation Surveillance Resulted in Condition Prohibited by Ts.Caused by non-cognitive Personnel Error.Operating Procedure 2-1900050 Was revised.W/971205 Ltr ML17309A9091997-12-0202 December 1997 LER 97-011-00:on 971102,non-conservative RAS Set Point Resulted in Operation Prohibited by Ts.Caused by Inadequate Set Point & Instrument Loop Scaling Process.Revised ESFAS Functional Tp W/Proper Set point.W/971202 Ltr ML17229A5391997-11-26026 November 1997 LER 97-010-00:on 971027,inadvertant Core Alteration Prohibited by TS Occurred.Caused by CEA Failure to Detach from Ugs.Safety Evaluation Was Performed & Procedural Rev Made to Continue Upper Guide Structure move.W/971126 Ltr ML17229A5151997-11-0707 November 1997 LER 97-007-00:on 971008,inoperable Containment Cooling Fan Resulted in Operation of Facility Outside Design Basis. Caused by non-cognitive Personnel Error.Ccs Operation Was Revised & Issued on 971013.W/971107 Ltr ML17229A4991997-10-17017 October 1997 LER 97-009-00:on 970917,inoperable PORV Block Valve Resulted in Operation Prohibited by Tech Specs Occurred.Caused by Plant GL 89-10 Program Plan to Review Plant Manager Action Item Sys.Porv Block Valve V-1403 restored.W/971017 Ltr ML17309A9011997-08-27027 August 1997 LER 97-008-00:on 970728,mechanical Fire Penetrations Were Inoperable & Outside App R Design Bases.Caused by Seal Mfg Not Providing Formal Documentation for Installed Seals. Modified Inoperable Fire penetrations.W/970827 Ltr ML17229A4311997-07-29029 July 1997 LER 97-006-00:on 970630,discovered Inadequate Testing of Engineered Safety Features Subgroup Relays.Caused by Inadequacy in Implementing TS Requirements in Surveillance Procedures.Revised Surveillance procedures.W/970729 Ltr ML17229A4241997-07-25025 July 1997 LER 97-005-00:on 970625,discovered That Hot Shutdown Control Panel Shutdown Cooling Flow indicator,FI-3306 Inoperable. Caused by Weakness in Work Order & Procedure Used to Repair FI-3306.Section Meeting W/I&C Planners held.W/970725 Ltr ML17229A3971997-07-11011 July 1997 LER 97-004-00:on 970611,discovered Incorrect Original Cable Tray Fire Stop Assembly Installation Was Outside App R Design Basis.Caused by Personnel Error.Hourly Fire Watch Patrols Will Be posted.W/970711 Ltr ML17229A3871997-06-19019 June 1997 LER 97-003-00:on 970521,determined Required Post Maint Open Stroke Test for Valve V3245,2B2 SIT Discharge Check Valve, Had Not Been Performed.Caused by Personnel Error.Procedure revised.W/970619 Ltr ML17229A3841997-06-17017 June 1997 LER 97-002-00:on 970518,containment Sump Debris Screen Was Not IAW Design Due to Gaps in Screen Encl.Performed SER to Document Containment Sump Design requirements.W/970617 Ltr ML17229A3751997-06-0202 June 1997 LER 97-006-00:on 970501,operation Was Prohibited by TS Due to Inadequately Tested Degraded Voltage Sys.Revised Unit 1 ESFAS Surveillance Test procedure.W/970602 Ltr ML17229A3611997-05-29029 May 1997 LER 97-007-00:on 970502,reactor Coolant Pump Oil Collection Sys Was Outside App R Design Bases.Identified Leak Sites Were Repaired & Mods to RCP Oil Collection Sys to Capture Any Future Leakage from areas.W/970529 Ltr ML17229A3491997-05-21021 May 1997 LER 97-001-00:on 970423,containment Isolation Actuation Occurred.Caused by Increased Radiation Levels During Removal of Upper Guide Structure.Proper Actuation of Containment Isolation Components Was verified.W/970521 Ltr ML17229A3441997-05-13013 May 1997 LER 97-005-00:on 970419,reactor Was Shutdown Due to Reactor Coolant Pressure Boundary Leakage.Hot Cracking Was Caused by Weld Contamination.Repairs to RCPB Were Completed & 1A SDC Train Was Restored to Svc ML17229A3141997-04-30030 April 1997 LER 97-004-00:on 970402,refueling Machine Was Operating in Manner Prohibited by TS Due to Original Design of Refueling Machine Bypass Feature Conflicting W/Ts Requirements. Eliminated Overload Cut Off Limit bypass.W/970430 Ltr ML17229A2951997-03-31031 March 1997 LER 97-003-00:on 970304,automatic Rt Resulted from Loss of Electrical Power to 1A2 Rc Pump.Rcp Breaker Was Replaced & Pump Was Returned to svc.W/970331 Ltr ML17229A2721997-03-21021 March 1997 LER 97-002-00:on 970221,operation in Excess of Max Rated Thermal Power Occurred Due to Digital Data Processing Sys (Ddps) Calorimetric Error.Verified Acceptable Performance of Ddps Functions & Reviewed Software mods.W/970321 Ltr 1999-07-06
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17241A4891999-10-0707 October 1999 LER 99-004-00:on 990912,noted That MSSV Surveillance Was Outside of TS Requirements.Caused by Setpoint Drift.Subject MSSVs Are Being Refurbished & Retested Prior to Unit Startup from SL1-16 Refueling Outage.With 991007 Ltr ML17241A4951999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for St Lucie,Units 1 & 2.With 991014 Ltr ML17241A4741999-08-31031 August 1999 Rev 1 to PCM 99016, St Lucie Unit 1,Cycle 16 Colr. ML17241A4591999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for St Lucie,Units 1 & 2.With 990913 Ltr ML17241A4301999-07-31031 July 1999 Monthly Operating Repts for Jul 1999 for St Lucie Units 1 & 2.With 990805 Ltr ML17241A4111999-07-16016 July 1999 LER 99-007-00:on 990610,unplanned Cooldown Transient Occurred Due to Personnel Error.Trained & Briefed Personnel & Revised Procedures.With 990716 Ltr ML17241A4031999-07-0606 July 1999 LER 99-006-00:on 990605,sub-critical Reactor Trip Occurred Due to Inadvertent MSIV Opening.Caused by Personnel Error. Provided Operation Supervision Instruction to Operating Crews,Stand Down Meetings & Operator Aids.With 990706 Ltr ML17241A4041999-07-0606 July 1999 LER 99-005-00:on 990604,CEA Drop Resulted in Manual Reactor Trip.Caused by Procedural Inadequacies.Procedure Changes Are Planned to Correct Lack of Procedural Guidance for CEA Subgroup Power Switch Replacement.With 990706 Ltr ML17241A4091999-06-30030 June 1999 Monthly Operating Repts for June 1999 for St Lucie,Units 1 & 2.With 990712 Ltr ML17241A3941999-06-30030 June 1999 LER 99-004-01:on 990415,as Found Cycle 10 Psv Setpoints Were Outside TS Limits.Caused by Manufacturing Process Defect. All Three Psvs Were Replaced with pre-tested Valves During Cycle 11 Refueling Outage.With 990630 Ltr ML17355A3681999-06-30030 June 1999 Revised Update to Topical QA Rept, Dtd June 1999 ML17241A3551999-06-0404 June 1999 LER 99-002-00:on 990505,both Trains of Safety Injection Actuation Were Blocked During Surveillance.Caused by Procedure Error.Procedure Revised.With 990604 Ltr ML17241A3631999-05-31031 May 1999 Monthly Operating Repts for May 1999 for St Lucie Units 1 & 2.With 990610 Ltr ML17241A3321999-05-17017 May 1999 LER 99-004-00:on 990415,determined That as Found Cycle 10 Psv Setpoints Outside TS Limits.Root Cause Under Investigation.Psvs Replaced with pe-tested Valves During Cycle 11 ML17241A3271999-05-0606 May 1999 LER 99-003-00:on 990406,ECCS Suction Header Leak Resulted in Both ECCS Trains Being Inoperable & Entry Into TS 3.0.3. Caused by Chloride Induced OD Stress Corrosion Cracking of Piping.Made Code Repairs & Coated Piping.With 990506 Ltr ML17241A3331999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for St Lucie,Units 1 & 2.With 990517 Ltr ML17229B0801999-04-0707 April 1999 LER 99-002-00:on 990311,SG ECT Error Caused Operation with Condition Prohibited by Ts.Caused by Deficiencies in Data Analysis Guideline Instructions.Licensee Will Change Data Analysis Guidelines for Lead Analysts.With 990407 Ltr ML17229B0841999-04-0707 April 1999 Rev 2 to PSL-ENG-SEMS-98-102, Engineering Evaluation of ECCS Suction Lines. ML17229B0791999-04-0707 April 1999 LER 99-001-00:on 990309,discovered Inadequate Design & IST SRs for Iodine Removal Sys (Irs).Caused by Original Design Inadequacies & Personnel Error.Naoh Tank Vent Valve V07233 Was Tagged Open.With 990407 Ltr ML17229B0961999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for St Lucie,Units 1 & 2.With 990408 Ltr ML17229B0541999-03-10010 March 1999 LER 99-001-00:on 990211,inadequate TS SRs for SIT & SDC Isolation Valves Were Noted.Caused by Failure to Correctly Implement TS Srs.Submitted LAR to Align Required TS SR with Design Bases Requirements Being Verified.With 990310 Ltr ML17229B0461999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for St Lucie,Units 1 & 2.With 990310 Ltr ML17229B0051999-01-31031 January 1999 Monthly Operating Repts for Jan 1999 for St Lucie,Units 1 & 2.With 990211 Ltr ML17229A9901999-01-20020 January 1999 LER 98-009-00:on 981223,noted That Facility Operated Outside of Design Basis.Caused by non-conservative MSLB Analysis Inputs.Will Review SR Component Differences Between Units & Will re-baseline LTOP Analysis.With 990120 Ltr ML17229A9961999-01-14014 January 1999 SG Tube Inservice Insp Special Rept. ML17229A9821999-01-0404 January 1999 LER 98-010-00:on 981207,RCS Boron Sample Frequency Required by Ts,Was Exceeded by Twelve Minutes.Caused by Personnel Error.Equipment Clearance Order Was Lifted to Draw Required Sample & Operations Procedure Was Changed.With 990104 Ltr ML17229A9831998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for St Lucie,Units 1 & 2.With 990111 Ltr ML17229A9611998-12-22022 December 1998 LER 97-002-01:on 981204,containment Sump Debris Screen Was Not IAW Design.Caused by Inadequate C/As for Sump Screen Anamolies.All Identified Sump Screen Deficiencies Were Dispositioned &/Or Repaired.With 981222 Ltr ML17229A9561998-12-15015 December 1998 LER 98-008-00:on 981118,missed TS SG U Tube Insp.Caused by Encoding Errors While Using Remote Positioning Fixtures.All SG Tube Surveyed.With 981215 Ltr ML17241A3581998-12-0909 December 1998 Changes,Tests & Experiments Made as Allowed by 10CFR50.59 for Period of 970526-981209. ML17229A9421998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for St Lucie,Units 1 & 2.With 981215 Ltr ML17229A9301998-11-25025 November 1998 LER 98-005-01:on 980807,discovered That New MOV Methodology Caused Past PORV Block Valve Operability Problem.Caused by Inadequacies in Original Vendor MOV Methodology.Planned Valve Mods Will Be Implemented During Cycle 11 1998 Outage ML17229A9021998-11-0404 November 1998 LER 98-008-00:on 981008,inadequate Reactor Protection Sys Trip Bypass TS Was Noted.Caused by Poorly Worded Ts. Submitted LAR to Clarify Power Requirements for High Rate of Power Trips.With 981104 Ltr ML17241A4931998-11-0101 November 1998 Statement of Account for Period of 981101-990930 for Suntrust Bank,As Trustee for Florida Municipal Power Agency Nuclear Decommissioning Trust (St Lucie Project). ML17229A9051998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for St Lucie,Units 1 & 2.With 981110 Ltr ML17229A8871998-10-19019 October 1998 Part 21 Rept Re Potential Defect in Swagelok Stainless Steel Front Ferrule,Part Number SS-503-1 Which Was Machined with Improper Length.C/A Includes Insp Equipment That Will 100% Identify Short Length ML17229A8781998-10-19019 October 1998 Part 21 Rept Re Potential Defect in Swagelok Stainless Steel Front Ferrule,Part Number SS-503-1,which Was Machined with Improper Length.Insp Equipment That Will 100% Identify Short Length ML17229A8771998-10-14014 October 1998 LER 98-006-00:on 980918,inadvertent Afas Actuation Was Noted.Caused by Degradation of Multiple Afas Power Supplies. Replaced Afas Power Supplies & Revised Procedures.With 981014 Ltr ML17229A8761998-10-14014 October 1998 LER 98-007-00:on 980918,identified Discrepancies Between Fire Protection Design Requirements & Field Conditions. Caused by Inadequate Translation & Implementation of Fire Protection Requirements.Procedures Revised.With 981014 Ltr ML17229A8721998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for St Lucie Units 1 & 2.With 981009 Ltr ML17229A8511998-09-0202 September 1998 LER 98-005-00:on 980807,discovered That PORV Margins Were Insufficient to Accommodate Addl Conservatism.Caused by Inadequacies in Original Vendor MOV Methodology.Will Implement Planned Valve Actuator mods.W/980902 Ltr ML17229A8611998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for St Lucie,Units 1 & 2.With 980911 Ltr ML18066A2771998-08-13013 August 1998 Part 21 Rept Re Deficiency in CE Current Screening Methodology for Determining Limiting Fuel Assembly for Detailed PWR thermal-hydraulic Sa.Evaluations Were Performed for Affected Plants to Determine Effect of Deficiency ML17229A8481998-08-0707 August 1998 Rev 1 to PSL-ENG-SEFJ-98-013, St Lucie Unit 2,Cycle 10 Colr. ML17229A9461998-08-0707 August 1998 Rev 0 to PCM 98016, St Lucie Unit 2,Cycle 11 Colr. ML17229A8301998-07-31031 July 1998 Monthly Operating Repts for July 1998 for St Lucie,Units 1 & 2.W/980814 Ltr ML17229A8201998-07-29029 July 1998 LER 98-007-00:on 980630,inadequate Procedure May Have Resulted in SBO Recovery Complications.Caused by Inadequate Procedures.Attached Caution Tags to Appropriate Control switches.W/980729 Ltr ML17229A7981998-06-30030 June 1998 Monthly Operating Repts for June 1998 for St Lucie,Units 1 & 2.W/980713 Ltr ML17229A7701998-05-31031 May 1998 Monthly Operating Repts for May 1998 for St Lucie,Units 1 & 2.W/980612 Ltr ML17229A7411998-05-28028 May 1998 LER 98-004-00:on 980430,discovered Waste Gas Decay Tank Operation W/O Available Oxygen Analyzers,Which Is Prohibited by Ts.Caused by Inadequate Licensee Review of License Amend. Oxygen Analyzer recalibrated.W/980528 Ltr 1999-09-30
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~CATEGORY 10 REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)ACCESSION NBR:9907120142 DOC.DATE: 99/07/06 NOTARIZED:
NO FACIL:50-389 St.Lucie Plant, Unit 2, Florida Power&, Light Co.AUTH.NAME AUTHOR AFFILIATION FREHAFER,K.W.
Florida Power&.Light Co.STALL,J.A.
Florida Power&Light Co.RECIP.NAME RECIPIENT AFFILIATION DOCKET 05000389
SUBJECT:
LER 99-005-00:on 990604,CEA drop resulted in manual reactor trip.Caused by procedural inadequacies.
Procedure changes are planned to correct lack of procedural guidance for CEA sub-group power switch replacement.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR L ENCL I SIZE: TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.NOTES: A RECIPIENT ID CODE/NAME LPD2-2 PD INTERNAL: ACRS NRR/DZPM/IOLB NRR/DSSA/SPLB RES/DRAA/OERAB EXTERNAL: L ST LOBBY WARD NOAC POORE,W.NRC PDR COPIES LTTR ENCL 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RECIPIENT ID CODE/NAME GLEAVES,W FILE CENTE~R NRR'/DRIP/REXB RES/DET/ERAB RGN2 PILE 01 LMZTCO MARSHALL NOAC QUEENER,DS NUDOCS FULL TXT COPIES LTTR ENCL 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 D N NOTE TO ALL"RiDS" RFCIPiEN;S:
PLEASE HELP US TO REDUCE WASTE.TO HAVE YOUR NAME OR ORGAN:ZATiON REMOVED FROM DiSTRiBUTiON LISTS OR REDUCE THE NUMBER OF COPiES RECE:VE".YOU OFL OUR CRGANiZAT ON, CONTACT THE DOCUMENT CONTROL DESK (DCD)ON EXTENSION 415-2063 PULL TEXT CONVERSION REQUIRED TO.AL NUMBER OF COPIES REQUIRED: LTTR 16 ENCL 16 Florida Power&Light Company, 6351 S.Ocean Drive, Jensen Beach, FL 34967 July 6, 1999 L-99-149 10 CFR 5 50.73 U.S.Nuclear Regulatory Commission Attn: Document Control Desk Washington, D.C.20555 Re: St.Lucie Unit 2 Docket No.50-389 Reportable Event: 1999-005-00 Date of Event: June 4, 1999 CEA Drops Result in Manual Reactor Tri The attached Licensee Event Report 1999-005 is being submitted pursuant to the requirements of 10 CFR$50.73 to provide notification of the subject event.Very truly yours, J.A.Stall Vice President St.Lucie Nuclear Plant JAS/EJW/KWF Attachment cc: Regional Administrator, USNRC, Region II Senior Resident Inspector, USNRC, St.Lucie Nuclear Plant'ir907i20i42 990706 PDR ADOCtr 05000389 8 PDR an FPL Group company
,f NRC FORM 366 (6-1996)LICENSEE EVENT REPORT (LER)(See reverse for required number of digits/characters for each block)Estimated burden per response to comply with this mandatory hfonnsgon collection request: 50 hrs.Reported lessons learned sre incorporated into lhe gcenstng process and fed back lo industry.Forward comments regsngng burden esbmste lo the Records Management Branch (TW F33), US.Rudear Reguhtory Commission, Washington, 1)C 205554001, and lo lhe Paperwork Rer)octan Project (315041M(, Office of Management snd Budget, Washington, DC 20503.If an Informathn collecgon does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person hr not required lo respond lo, the Infonnsthn collection.
U.S.NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO.3150.0104 EXPIRES 06/30/2001 FACIUTY NAME (1)St.Lucie Unit 2 DOCKET NUMBER (2)05000389 PAGE (3)Page 1 of 4 TITLE (4)CEA Drops Result in Manual Reactor Trip EVENT DATE (5)DAY YEAR LER NUMBER 6)REPORT DATE 7 YEAR SEQUENTIAL REVISION MONTH NUMBER NUMBER DAY YEAR FACIUTy NAME OTHER FACILITIES INVOLVED (BI DOCKET NUMBER 06 04 1999 1999-005-00 07 06 FACiUTY NAME DOCKET NUMBER OPERATING MODE (9)POWER LEVEL (10)049 50.73(s)(2)(viii)50.73(e)(2)(x)50.73(a)(2)(i)50.73 (e)(2)(ii)50.73(e)(2)(ui) 20.2203(e)
(2)(v)20.2203(s)
(3)(i)20.2203(a)(3)(ii)20.2201(b) 20.2203(e)(1) 20.2203(e)(2)(i) 73.71 THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR 5: (Check one or more)(11)20.2203 (e)(2)(ii)20.2203(a)(2)(iii)20.2203(s)(2)(iv)20.2203(s)(4) 50.36(c)(1) 50.36(c)(2) 50.73(e)(2)(iv) 50.73 (s)(2)(v)50.73(e)(2)(vii)OTHER Specify in Abstract below or ln NAC Form 366A NAME LICENSEE CONTACT FOR THIS LER (12)TELEPHONE NUMSER tiricrvtro Aree Codat Kenneth W.Frehafer, Licensing Engineer (561)467-7748 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 13 CAUSE SYSTEM COMPONENT MANUFACTURER AEPOATABLE TO EPIX CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE To EPIX C490 YES D SUPPLEMENTAL REPORT EXPECTED (14)YES (If yes, complete EXPECTED SUBMISSION DATE).X NO EXPECTED SUBMISSION DATE (15)MONTH DAY ABSTRACT/Limit to 1400 speces, l e., approximately 15 single-spaced typewritten lines/(16)On June 4, 1999, St.Lucie Unit 2 was in Mode 1 at approximately 49 percent reactor power.An event response team was in the process of trouble shooting recent control element assembly anomalies.
Unit 2 was held in reduced power pending the event response team trouble shooting results.At 0313 hours0.00362 days <br />0.0869 hours <br />5.175265e-4 weeks <br />1.190965e-4 months <br />, four sub group 21 control element assemblies fully inserted into the core during replacement of the sub group 21 power supply.A Utility licensed operator, the nuclear plant supervisor, immediately directed a manual reactor trip.The plant was stabilized in Mode 3 for repairs.Repairs were implemented, and plant restart and power ascension commenced on June 11, 1999.The control element assembly drop event was caused by procedural inadequacies that did not require verification of the proper seating of a power switch.This resulted in loss of power to the control element assemblies when their sub group was transferred off the hold bus.Loss of power to the sub group 21 control element assemblies was corrected by reseating the sub group 21 power switch.Procedure changes are planned to correct the lack of procedural guidance for CEA sub group power switch replacement.
The event response team conducted other corrective actions related to the original control element assembly anomalies.
NAC F0AM 366 (6-1999)
NRC FORM 366A (6-19991 LICENSEE EVENT REPORT (LER)TEXT CONTINUATION U.S.NUCLEAR REGULATORY COMMISSION FACILITY NAME (1)St.Lucie Unit 2 DOCKET NUMBER I2)05000389 LER NUMBER IS)SEQUENTIAL REVISION NUMBER NUMBER 1999-005-00 PAGE (3)Page 2 of 4 TEXT (If more speceis required, use edditionel copies of NRC Form 366A/(17)Description of the Event On June 4, 1999, St.Lucie Unit 2 was in Mode 1 at approximately 49 percent reactor power.An event response team (ERT)was in the process of investigating recent control element assembly (CEA)[EIIS:AA]events (a CEA drop two days earlier and CEAs spontaneously transferring to their lower grippers).
Unit 2 was being held in reduced power pending the ERT trouble shooting results.The Unit 2 control element drive mechani.sm control system (CEDMCS)is designed to control the movement of the 91 control rod drive mechanisms.
Each control rod mechanism has 5 coils, which engage various grippers within the CEDM motor to control CEA movement.Under normal conditions, the upper gripper maintains the CEA in its last position.Should power be removed from this gripper, and the other grippers not engage to provide movement, the CEA will drop into the core.Power for the gripper coils is provided by motor generator (MG)sets through the reactor trip switchgear
~The CEDM power source is three phase 240V AC and i.s desi.gned as a floating system to tolerate single ground conditions.
Each CEA sub group utilizes a power switch that pxovides three-phase power for up to four CEAs.The power switch is controlled by logic timing boards and an automatic CEA timing module (ACTM)which decides which coils to fire during movement or holding of each CEA.The ACTM receives information as to the energy provided to the coil through a Hall effect transducer around each coil power cable.Should the ACTM see the possibility of a rod drop it will automatically apply additional power or transfer the CEA to the lower gripper to prevent the rod from dropping.This action is annunciated in the control room.During trouble shooting a decision was made to install a spare power switch[EIIS:AA:JX]
in sub group 21, which required the affected CEAs to be transferred to the maintenance hold bus.After the power switch was replaced,, the sub group 21 CEAs were removed from the hold bus and transferred to sub group 21 while coil traces were obtained.It was observed that with the sub group 21 CEAs on the hold bus, the visicorder traces improved and with the CEAs powered by the sub group the traces were still degraded.The CEAs were placed back on the maintenance hold bus.After further testing and replacement of a logic board, sub group.21 was removed from the hold bus and transferred to the sub group.At 0313 hours0.00362 days <br />0.0869 hours <br />5.175265e-4 weeks <br />1.190965e-4 months <br />, all four sub group 21 CEAs fully inserted into the core upon deenergization of the maintenance hold bus.The nuclear plant supervisor (NPS)immediately directed a manual reactor trip and entry into Emergency Operating Procedure (EOP)-1,"Standard Post Trip Acti.ons".
All safety functions were verified as being maintained and EOP-2,"Reactor Trip Recovery", was entered at 0323 hours0.00374 days <br />0.0897 hours <br />5.340608e-4 weeks <br />1.229015e-4 months <br />.The plant was stabilized in Mode 3.The trip was determined to be uncomplicated with the exception the following issues: During the performance of EOP-1, the 2C main steam reheater (MSR)temperature control valve (TCV)block valve[EIIS:SB:V], MV-08-10, would not close.In accordance with contingency actions, the MSR TCVs were closed.MV-08-10 was subsequently de-energized and manually closed.~The"A" side pressurizer heaters[EIIS:AB:PZR1EHTR]
were de-energized due to a lo-lo level signal from the pressurizer level"X" channel.However, the signal was not reset when pressurizer level was raised above the setpoint.A 72-hour action NRC FOIIM SBBA (9-1999)
NRC FORM 366A (6.1998)LICENSEE EVENT REPORT (LER)TEXT CONTINUATION U.S.NUCLEAR REGUIATORY COMMISSION FACILITY NAME (1)St.Lucie Unit 2 DOCKET NUMBER (2)05000389 LER NUMBER (6)SEQUENTIAL REVISION NUMBER NUMBER 1999-005-00 PAGE (3)Page 3 of 4 TEXT Iif more spacois required, use addidonal copies of NRC Perm 366AI (17)Description of the Event (cont'd)statement was entered in accordance with Technical Specification 3.4.3 at 0313 hours0.00362 days <br />0.0869 hours <br />5.175265e-4 weeks <br />1.190965e-4 months <br /> on June 4, 1999, due to having less than the required number of pressurizer heaters being capable of being powered from a Class 1E electric bus.Cause of the Event CEA Issues Sub group 21 CEAs spontaneously transferring to their lower grippers was caused by noise generated by the failure of the sub group 21 power switch.Disassembly of the power switch indicated a short, which most, likely developed over time between a"C" phase silicon controlled rectifier (SCR)(Q125)anode and ground.Measurements of the power switch"C" phase to ground indicate a shorted condition and detailed inspection of the SCR's mylar insulating washer show a visible breakdown of the insulation and an arc path to ground.Because this condition continued for some time, inducing high noise levels into the system, various ACTM cards interpreted this abnormal condition as unfavorable upper gripper voltage.As designed, the ACTM cards transferred the CEAs to their lower grippers to prevent rod drops.Upon replacement of the sub group 21 power switch and the failed fuse associated with phase"C" the noise was no longer seen on the sub group 21 CEAs.The June 4, 1999 rod drop event was caused by a lack of procedural guidance that should have verified that the replacement CEA sub group 21 power switch was properly seated during trouble shooting activities.
The improper seating of the power switch was not apparent because twice before the sub group 21 CEAs were successfully transferred from the hold bus to the sub group power switch and back.Theze were no indications that the power switch was not properly seated, and that intermittent power was being delivered to the CEAs.Eventually, the latent intermittent electrical power led to the full insertion of the sup group 21 CEAs when the hold bus was deenergized.
Post-Tri Issues The failure of the 2C MSR TCV block valve, MV-08-10, to close was caused by dirty auxiliary contacts in the MCC control circuit.The failure of the"A" side pressurizer heaters to reset on rising pressurizer level was caused by a faulty crimped connection in Foxboro module LC-1110X.Analysis of the Event This event is reportable under 10 CFR 50.73 (a)(2)(iv) as"any event or condition that resulted in a manual or automatic actuation of any Engineered Safety Feature (ESF), including the Reactor Protection System (RPS)." Analysis of Safety Significance The CEDM control system does not provi.de any safety relat'ed functions and the identified problems would not have prevented the affected rods from dropping into the core to shut down the reactor.Additionally, the drop of a CEA subgroup is an analyzed event.Therefore, the condit'ions described above did not present an operability concern.Additionally, during CEA trouble shooting activiti.es, a pre-evolution tailboard was conducted with Operations to install a spare power'switch in NRC FORM 366A (6.1998)
~NRC FORM 366A (6-1998)LICENSEE EVENT REPORT (LER)TEXT CONTINUATION U.S.NUCLEAR REGULATORY COMMISSION FACILITY NAME ('I)St.Lucie Unit 2 DOCKET NUMBER 2)05000389 LER NUMBER (6)SEQUENTIAL REVISION NUMBER NUMBER 1999-005-00 PAGE (3)Page 4 of 4 TEXT (If more speceis required, use eddi(ionel copies of NRC Form 366AJ (17)Analysis of Safety Significance (cont')sub group 21.When all four sub group 21 CEAs fully inserted i,nto the core, Operations confirmed the rod drop indication and manually tripped the reactor in accordance with the pre-evoluti.on tailboard.
Based on the above, this event had no impact on the health and safety of the public.Corrective Actions l.All CEDMCS sub group power switches were verified to have proper electrical and mechanical contact under work order (WO)99010204.2.The system (CEA coils, CEDM power distribution and power switch components for each of the 24 sub groups)was verified to be free of grounds by a megger of 250V or greater to ground.3.Coil traces were obtained during rod movement and verified to be of proper waveform, timing, and that all phases were operating satisfactorily.
4.The auxiliary contacts for MV-08-10 were cleaned under WO 99010433.5.The pressurizer heater control circuitry was repaired under WO 99010873'.Post maintenance test requirements aze being developed for CEA sub group power switches and minimum checks to be performed prior to removing a CEA subgroup from the hold bus.7.Guidelines are being developed for the repair of CEDMCS power switch modules including proper removal and installation.
Additional Information Failed Com onents Identified Component:
Manufacturer:
Model: Power Switch Assembly Combustion Engineering Part No.35200 Similar Events None NRO FOAM 3BBA (B.1998)