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| {{#Wiki_filter:ACCELERANT DOCUMENT DIST VTION SYSTEM REGULAT Y INFORMATION DISTRIBUTIO SYSTEM (RIDS)'ACCESSION NBR:9303050185 DOC.DATE: 93/02/26 NOTARIZED: | | {{#Wiki_filter:ACCELERANT DOCUMENT DIST VTION SYSTEM REGULAT Y INFORMATION DISTRIBUTIO SYSTEM (RIDS) |
| NO FACIL:50-389 St.Lucie Plant, Unit 2, Florida Power&Light Co.AUTH.NAME AUTHOR.AFFILIATION HURCHALLA,J.A. | | 'ACCESSION NBR:9303050185 DOC.DATE: 93/02/26 NOTARIZED: NO DOCKET FACIL:50-389 St. Lucie Plant, Unit 2, Florida Power & Light Co. 05000389 AUTH. NAME AUTHOR. AFFILIATION HURCHALLA,J.A. Florida Power & Light Co. |
| Florida Power&Light Co.SAGER,D.A. | | SAGER,D.A. Florida Power & Light Co. |
| Florida Power&Light Co.RECIP.NAME RECIPIENT AFFILIATION DOCKET 05000389 | | RECIP.NAME RECIPIENT AFFILIATION |
|
| |
|
| ==SUBJECT:== | | ==SUBJECT:== |
| LER 93-002-00:on 921201,missed surveillance on RCS pressure isolation check valves due to procedural deficiency. | | LER 93-002-00:on 921201,missed surveillance on RCS pressure isolation check valves due to procedural deficiency. D Deficiencies in SR corrected'to include precautions in "procedure.W/930226 ltr. |
| Deficiencies in SR corrected'to include precautions in"procedure.W/930226 ltr.DISTRIBUTION CODE: ZE22T COPIES RECEIVED:LTR L ENCL~SIZE: TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.NOTES: D RECIPIENT ID CODE/NAME PD2-2 LA NORRIS,J INTERNAL: ACNW AEOD/DOA AEOD/ROAB/DSP NRR/DE/EMEB NRR/DRCH/HHFBHE NRR/DRCH/HOLB NRR/DRSS/PRPB NRR/DSSA/SRXB RES/DSIR/EIB EXTERNAL: EG&G BRYCEgJ.H NRC PDR NSIC POORE,W.COPIES LTTR ENCL 1 1 1 1 2 2 1 1 2 2 1 1 1 1 1 1 2 2 1 1 1 1 2 2 1 1 1 1 RECIPIENT ID CODE/NAME PD2-2 PD ACRS AEOD/DSP/TPAB NRR/DE/EELB NRR/DORS/OEAB NRR/DRCH/HICB NRR/DRIL/RPEB R SPLB EG FILE 02 RGN2 FILE 01 L ST LOBBY WARD NSIC MURPHYgG.A NUDOCS FULL TXT COPIES LTTR ENCL 1 1 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 D D D NOTE TO ALL"RIDS" RECIPIENTS PLEASE HELP US TO REDUCE WASTEI CONTACT THE DOCUMENT CONTROL DESK, ROOM PI-37 (EXT.504-2065)TO ELIMINATE YOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!D*1 FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 32 ENCL 32 P.O.Box 128, Ft.Pierce, FL 34954-0128 February 26, 1993 L-93-053 10 CFR 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: 93-002 Date of Event: February 3;1993 Missed Surveillance on Reactor Coolant System'ressure Isolation Check Valves due to Procedural Deficienc The attached Licensee Event Report is being submitted pursuant to the requirements of 10 CFR 50.73 to provide notification of the subject event.Very truly yours, D.A..er Vice r sident St.Lucz.e Plant DAS/JWH/kw | | DISTRIBUTION CODE: ZE22T COPIES RECEIVED:LTR L ENCL ~ SIZE: |
| 'Attachment cc: Stewart D.Ebneter, Regional Administrator, USNRC Region II Senior Resident Inspector, USNRC, St.Lucie Plant DAS/PSL 8867-93 050029 9303050185
| | TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc. |
| 'rr3022b PDR ADQCK 05000389 S PDR an FPL Group company I gpss~
| | NOTES: |
| FPL FOCErrrr'Io or NRC ForrTT S6S/AS)U.S.NUCLEAR REGULATORY COMMrSSION LICENSEE EVENT REPORT (LER)pppNorro olw w1$1$041 Ol ETPTPEINAOOTT TET PIATT 0 TAPE N PEN TEWTCNCE TO OOWET WITH T I4$0PCINIATIOM COUl CTION TECAESTI SOD f000 TOAWAITC COANNNT0 TEOAIEPNO TAATXN EETNAATE TO TIO f0 COfOO NET TE PCITTS IININX ANNT TTTANCN TP4$00 OO MACEENl IN TTNATCITT 00044$0NPA WAWNIOT CN.OO TO f00 NO TO TIN 0ETEWIW$00 TEOOC TKN PNOE CT p1$041WEOf f ICE OP NANAIXINNT AI0$TEOCET WAWNICTTTA OC TI00$FACILITY NAME (1)St.Lucie Unit 2 DOCKET NUMBER (2)PAGE 3 050003891 0 3'~(4)Missed Surveillance on Reactor Coolant System Pressure Isolation Check Valves Due to Procedural Deficiency EVENT DATE (5)DAY YEAR YEAR LER NUMBER (6)S IAL REPORT DATE (7)MONTH DAY YEAR FACILITY NAMES N/A" DOCKET NUMBER(S)OTHER FACILITIES INVOLVED (8)1 2 0 1 9 2 9 3 0 0 2 0 0 0 2 2 6 9 3 N/A 05 0 0 0 OPERATING MODE (9)POWER LEVEL (10)0 0 0 20.402(b)20.405(a)(1)(i) 20.405(a)(1)(ii) 20.405(c)50.36(c)(1) 50.36(c)(2) 50.73(a)(2)(iv) 50.73(a)(2)(v) 50.73(a)(2)(vii) 20.405(a)(1)(iii)
| | RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL D PD2-2 LA 1 1 PD2-2 PD 1 1 NORRIS,J 1 1 D INTERNAL: ACNW 2 2 ACRS 2 2 AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DSP 2 2 NRR/DE/EELB 1 1 NRR/DE/EMEB 1 1 NRR/DORS/OEAB 1 1 NRR/DRCH/HHFBHE 1 1 NRR/DRCH/HICB 1 1 NRR/DRCH/HOLB 1 1 NRR/DRIL/RPEB 1 1 NRR/DRSS/PRPB 2 2 R SPLB 1 1 NRR/DSSA/SRXB 1 1 EG FILE 02 1 1 RES/DSIR/EIB 1 1 RGN2 FILE 01 1 1 EXTERNAL: EG&G BRYCEgJ.H 2 2 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHYgG.A 1 1 NSIC POORE,W. 1 1 NUDOCS FULL TXT 1 1 D |
| X 50.73(a)(2)(i) 50.73(a)(2)(viii)(A) 20.405(a)(1 | | D NOTE TO ALL"RIDS" RECIPIENTS PLEASE HELP US TO REDUCE WASTEI CONTACT THE DOCUMENT CONTROL DESK, ROOM PI-37 (EXT. 504-2065) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED! |
| )(iv)20.405(a)(1)(v) 50.73(a)(2)(ii) 50.73(a)(2)(iii) | | * 1 FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 32 ENCL 32 |
| LICENSEE CONTACT FOR THIS LER 12 50.73(a)(2)(viii)(B) 50.73(a)(2)(x)
| | |
| THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR: Check one or more of the followin (11)73.71(b)73.71(c)OTHER (Specify in Abstract below and in Text NRC Eorm 366A)NAME James A.Hurchalla, Shift Technical Advisor TELEP ONE NUMBER AREA CODE 4 0 7 465-3550 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 13 CAUSE SYSTEM COMPONENT MANUFAC-REPORTABLE TURER TO NPRDS CAUSE SYSTEM COMPONENT MANUFAC-'fURER REPORTABLE TO NPRDS I I I SUPPLEMENTAL REPORT EXPECTED 14 YES (If yes, complete EXPECTED SUBMISSION DATE)X NO EXPECTED MONTH DAY YEAR SUBMISSION DATE (15)ABSTRACT (Limit to 1400 spaces.i.e.
| | P.O. Box 128, Ft. Pierce, FL 34954-0128 February 26, 1993 L-93-053 10 CFR 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: 93-002 Date of Event: February 3; 1993 Missed Surveillance on Reactor Coolant Isolation Check Valves System'ressure due to Procedural Deficienc The attached Licensee Event Report is being submitted pursuant to the requirements of 10 CFR 50.73 to provide notification of the subject event. |
| approximately fifteen single-space typewritten lines)(16)The root cause of the missed surveillances was procedural deficiency. | | Very truly yours, D. A.. er Vice r sident St. Lucz.e Plant DAS/JWH/kw |
| There was no note or caution in the Plant Heatup Procedure as exists in the Prestart Check-Off List on the necessity of testing the valves as required by Technical Specification 4.4.6.2.2.d.
| | 'Attachment cc: Stewart D. Ebneter, Regional Administrator, USNRC Region II Senior Resident Inspector, USNRC, St. Lucie Plant DAS/PSL 8867-93 050029 9303050185 'rr3022b I ADQCK 05000389 PDR S PDR an FPL Group company gpss~ |
| The corrective actions were to ensure current surveillance requirements on the Sl header check valves were met satisfactorily and to change the Plant Heatup Procedure OP 2-0030121 to identify the surveillance requirements following recirculation of the Sl headers during plant heatup.This event is not applicable to Unit 1 due to differences in design.On January 30, 1993 St.Lucie Unit 2 was in Mode 3 implementing the Plant Heatup Procedure OP 2-0030121.
| | |
| As part of this procedure, the Safety Injection (Sl)headers were recirculated causing six Reactor Coolant System (RCS)pressure isolation check valves to be exercised.
| | U.S. NUCLEAR REGULATORY COMMrSSION pppNorro olw w1 $ 1 $ 041 Ol FPL FOCErrrr'Io or ETPTPEINAOOTT NRC ForrTT S6S TETPIATT 0 TAPE N PEN TEWTCNCE TO OOWET WITH T I4$ 0PCINIATIOMCOUlCTION |
| These valves are then required to be tested per Technical Specifications.
| | /AS) |
| The Technical Staff was advised of this and the valves were subsequently tested satisfactorily within the required time interval.A Technical Staff supervisor realized that there was not an adequate procedurally addressed method to ensure performance of surveillance requirements of this evolution during heatups.A review was initiated to address past startups to ensure this requirement had not been previously missed.On February 3, 1993 a Technical Staff pump and valve specialist performing the review discovered only two instances on 12/1/92 and 12/7/92 in which the required surveillances of the RCS pressure isolation check valves had not been performed within the appropriate time interval during past plant heatups.FPL Facsimile of NRC Form 366 (6-89)
| | LICENSEE EVENT REPORT (LER) TECAESTI SOD f000 TOAWAITCCOANNNT0 TEOAIEPNO TAATXNEETNAATE TO TIO f0 COfOO NET TE PCITTS IININXANNT TTTANCNTP4$ 00 OO MACEENl INTTNATCITT 00044$ 0NPA WAWNIOTCN . OO TO f00 NO TO TIN 0ETEWIW$00 TEOOC TKN PNOE CT f |
| FPL FTCSlrrils OI NRC Form S66 (6 SS)U.S.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION AffRONTD CAST NOl 011001 Sr STTSSS:ACCST SSITAAT TD TAROT N ff R IRSACNTS TO CCADAT WIN DTS Sf CISlA DON OCIAT C TION TSCSRST: lf 0 f0TS I ORfrffO COIRNNT 0 TSCIRDNO IMTXN TSTSN OS TO TIR ISCOfOS Are TSTORI0 NANATS ASNr SRANCNTA CTCA ITS IAICTSAR IDIRAATORT | | p1$ 041WEOf ICE OP NANAIXINNTAI0$ TEOCET WAWNICTTTAOC TI00$ |
| ~WADNIOTON.
| | FACILITYNAME (1) DOCKET NUMBER (2) PAGE 3 St. Lucie Unit 2 050003891 0 3 |
| DC TCMR AIO TO TlC SAITRWOTN TSOVCTDN fROSCT TT11001 ffg Cf f TCS Of IAINAIXIRNT ffO TAIOCST, WADNICIDfr DC rlÃrfA FACILITY NAME (1)St.Lucie Unit 2 DOCKET NUMBER (2)YEAR LER NUMBER (6)EQUENTIAL NUMBER'EVISIO NUMBER PAGE (3)05000389 TEXT (/f more spaceis required, use additional NRC Form 366A's)(17)9 3 0 0 2 0 0 0 2 0 3 On January 30, 1993 St.Lucie Unit 2 was in Mode 3 implementing the Plant Heatup Procedure OP 2-00301 21.As part of this procedure, the Safety Injection (Sl)(EIIS: BP)headers were recirculated to equalize their boron concentration with the Reactor Coolant System (RCS)(EIIS: AB).This , evolution caused six RCS pressure isolation check valves (EIIS: BP)to be exercised. | | '~ (4) Missed Surveillance on Reactor Coolant System Pressure Isolation Check Valves Due to Procedural Deficiency EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED(8) |
| This required the valves to be verified closed per Technical Specifications (TS)within 24 hours and leak rate tested within 31 days.The Technical Staff was advised of this and the valves were subsequently tested satisfactorily within the required time interval.A Technical Staff supervisor realized there was not an adequate procedurally addressed method to ensure the required pressure isolation check valve testing during plant heatups.A review was initiated to address past startups to investigate as to whether this requirement had been previously missed.On February 3, 1993 a Technical Staff pump and valve specialist performing the review discovered instances in which the required surveillances had not been performed within the appropriate time interval during past heatups.subsequent to recirculating the Sl Headers.During plant heatups on 12/1/92 and on 12/7/92 the surveillance data sheet for these valves was not performed. | | IAL FACILITYNAMES DOCKET NUMBER(S) |
| This resulted in missing the 24 hour requirement on four Sl header valves and both the 24 hour and 31 day requirements on two Hot Leg Injection valves.The review discovered no other such instances during startups from 1985 until the present.The root cause of the event was inadequate procedural guidance.The check valves which are exercised in the Sl recirculation portion of OP 2-0030121 are required to be verified in their shut position against flow from the Reactor Coolant System per TS 4.4.6.2.2.d within 24 hours and leak tested within 31 days.However, no guidance is provided referencing this requirement. | | DAY YEAR YEAR S MONTH DAY YEAR N/A" 1 2 0 1 9 2 9 3 0 0 2 0 0 0 2 2 6 9 3 N/A 05 0 0 0 THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR: |
| The surveillance requirements of these valves is addressed in the Prestart Check-Off List procedure OP 2-0030120 but it does not adequately address the suweillance requirement of an evolution which may take place at any time over the course of several days.There were no unusual characteristics of the work location which contributed to this event.This event is reportable under 10 CFR 50.73.a.2.i.b, as a missed surveillance required by Technical Specifications. | | OPERATING Check one or more of the followin (11) |
| Technical Specification 4.4.6.2.2.b states that the Reactor Coolant System pressure isolation check valves shall be demonstrated operable by verifying leakage to be within its limit upon actuation or initiation of flow through the valve by verifying valve closure within 24 hours and leak rate testing within 31 days.The bases for this Technical Specification requirement is to provide additional assurance of valve integrity thereby reducing the possibility of an intersystem Loss of Coolant Accident (LOCA).FPL Facsimile of NRC Form 366 (6-69) | | MODE (9) 73.71(b) 20.402(b) 20.405(c) 50.73(a)(2)(iv) |
| F PL I Scsim(s o(NRC Form S66 (('P89)U.S.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROIEO ODO NCI$174 4 1 fl EAPIIE4 IC00 I'STDIATIO RAIS(N PER IESPCNIE TOO(SNIT WITH TIDS SEOISIATCN C(SAECTION IE(SECT: 000 IRS, IORWAISI C(SSRNT0 IECARCNC IAASNN ESTIIIAIE TO(IN IECOIIS AIR IEPCRT 0 SANA(E DE NT 4 RANCH (PDI(4 IA4 IAICAEAR IE(ADA(CRY | | POWER 50.73(a)(2)(v) 73.71(c) 20.405(a)(1)(i) 50.36(c)(1) |
| ~WAR NAITCN, CC RSI4 AIO TO TIE PPEINI(Ã0(IEOVC RON PRON CT (I'I DAD I III Of f ICE CP IIANA(XIEIIT Afo IRANRT.WAR CACTOID OC tfff(A FACILITY NAME (1)St.Lucie Unit 2 DOCKET NUMBER (2)YEAR LER NUMBER (6)EQUENTIAL REVISIO NUMBER NUMBER PAGE (3)0 500 0369 9 3 TEXT (ff more spaceis required, use additional NRC Form 366A's)(17)002-0003 0 3 The six check valves cycled in the recirculation of the Sl header all have redundant check valves between them and the RCS which act as the first pressure boundary.These redundant valves are not cycled as part of the Sl Loop recirculation and were within their surveillance requirements at all times.Should any of these redundant valves not have closed or had leaked excessively it would have become apparent by a low SIT level alarm, high Sl loop header pressure alarm, or by RCS inventory balance.Other suweillance requirements of Technical Specification (TS)4.4.6.2.2 within the Prestart Check-Off List have insured that the surveillances were performed in past plant heatups within the 24 hour.and the 31 day required time intervals.
| | LEVEL (10) 0 0 0 20.405(a)(1)(ii) 50.36(c)(2) 50.73(a)(2)(vii) OTHER (Specify in Abstract 20.405(a)(1)(iii) X 50.73(a)(2)(i) 50.73(a)(2)(viii)(A) below and in Text 20.405(a)(1 )(iv) 50.73(a)(2)(viii)(B) NRC Eorm 366A) 50.73(a)(2)(ii) 20.405(a)(1)(v) 50.73(a)(2)(iii) 50.73(a)(2)(x) |
| During the latest series of plant heatups on Unit 2 the other requirements were no longer applicable as the short period of time between heatups meant that these surveillances need not be performed per the other criteria of TS 4.4.6.2.2. | | LICENSEE CONTACT FOR THIS LER 12 NAME TELEP ONE NUMBER AREA CODE James A. Hurchalla, Shift Technical Advisor 4 0 7 465 -3550 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 13 MANUFAC- REPORTABLE MANUFAC- REPORTABLE CAUSE SYSTEM COMPONENT TURER TO NPRDS CAUSE SYSTEM COMPONENT 'fURER TO NPRDS I I I SUPPLEMENTAL REPORT EXPECTED 14 EXPECTED MONTH DAY YEAR SUBMISSION YES (Ifyes, complete EXPECTED SUBMISSION DATE) X NO DATE (15) |
| Records of testing resulting from other evolutions previous and subsequent to these missed suweillances showed that the cycled valves had been performing as required.Therefore, the health and safety of the public was not affected by this event.1)A review was conducted by the Technical Staff pump and valve specialist to determine if during past heatups the required surveillances of the RCS Pressure Isolation Check Valves had been performed. | | ABSTRACT (Limit to 1400 spaces.i.e. approximately fifteen single-space typewritten lines) (16) |
| Two heatups involved missed surveillances while all the rest were satisfactory. | | On January 30, 1993 St. Lucie Unit 2 was in Mode 3 implementing the Plant Heatup Procedure OP 2-0030121. |
| 2)Deficiencies in surveillance requirement guidance in the Unit 2 Plant Heatup Procedure OP 2-0030121 were corrected to include precautions in the procedure stating tlie required surveillance when the Sl recirculation is performed. | | As part of this procedure, the Safety Injection (Sl) headers were recirculated causing six Reactor Coolant System (RCS) pressure isolation check valves to be exercised. These valves are then required to be tested per Technical Specifications. The Technical Staff was advised of this and the valves were subsequently tested satisfactorily within the required time interval. A Technical Staff supervisor realized that there was not an adequate procedurally addressed method to ensure performance of surveillance requirements of this evolution during heatups. A review was initiated to address past startups to ensure this requirement had not been previously missed. On February 3, 1993 a Technical Staff pump and valve specialist performing the review discovered only two instances on 12/1/92 and 12/7/92 in which the required surveillances of the RCS pressure isolation check valves had not been performed within the appropriate time interval during past plant heatups. |
| Unit 1 is not affected since the safety injection design is slightly different between the units and these check valves do not exist.There were no component failures.The following LERs were on missed surveillances due to procedural deficiencies:
| | The root cause of the missed surveillances was procedural deficiency. There was no note or caution in the Plant Heatup Procedure as exists in the Prestart Check-Off List on the necessity of testing the valves as required by Technical Specification 4.4.6.2.2.d. |
| | The corrective actions were to ensure current surveillance requirements on the Sl header check valves were met satisfactorily and to change the Plant Heatup Procedure OP 2-0030121 to identify the surveillance requirements following recirculation of the Sl headers during plant heatup. This event is not applicable to Unit 1 due to differences in design. |
| | FPL Facsimile of NRC Form 366 (6-89) |
| | |
| | ~ |
| | FPL FTCSlrrils OI U.S. NUCLEAR REGULATORYCOMMISSION AffRONTDCAST NOl 011001 Sr NRC Form S66 STTSSS:ACCST (6 SS) ff SSITAATTD TAROTN R IRSACNTS TO CCADATWIN DTS SfCISlA DON OCIATC TION LICENSEE EVENT REPORT (LER) TSCSRST: lf I 0 f0TS ORfrffO COIRNNT0 TSCIRDNO IMTXNTSTSN OS TO TIR ISCOfOS Are TSTORI0 NANATSASNr SRANCNTACTCA ITS IAICTSARIDIRAATORT TEXT CONTINUATION f WADNIOTON.DC TCMR AIOTO TlC SAITRWOTN TSOVCTDN fROSCT TT11001 ffgCf TCS Of IAINAIXIRNTffO TAIOCST, WADNICIDfrDC rlÃrfA FACILITYNAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3) |
| | YEAR EQUENTIAL 'EVISIO NUMBER NUMBER St. Lucie Unit 2 05000389 366A's) 9 3 0 0 2 0 0 0 2 0 3 TEXT (/f more spaceis required, use additional NRC Form (17) |
| | On January 30, 1993 St. Lucie Unit 2 was in Mode 3 implementing the Plant Heatup Procedure OP 2-00301 21. As part of this procedure, the Safety Injection (Sl) (EIIS: BP) headers were recirculated to equalize their boron concentration with the Reactor Coolant System (RCS) (EIIS: AB). This |
| | , evolution caused six RCS pressure isolation check valves (EIIS: BP) to be exercised. This required the valves to be verified closed per Technical Specifications (TS) within 24 hours and leak rate tested within 31 days. The Technical Staff was advised of this and the valves were subsequently tested satisfactorily within the required time interval. A Technical Staff supervisor realized there was not an adequate procedurally addressed method to ensure the required pressure isolation check valve testing during plant heatups. A review was initiated to address past startups to investigate as to whether this requirement had been previously missed. On February 3, 1993 a Technical Staff pump and valve specialist performing the review discovered instances in which the required surveillances had not been performed within the appropriate time interval during past heatups. |
| | subsequent to recirculating the Sl Headers. During plant heatups on 12/1/92 and on 12/7/92 the surveillance data sheet for these valves was not performed. This resulted in missing the 24 hour requirement on four Sl header valves and both the 24 hour and 31 day requirements on two Hot Leg Injection valves. The review discovered no other such instances during startups from 1985 until the present. |
| | The root cause of the event was inadequate procedural guidance. The check valves which are exercised in the Sl recirculation portion of OP 2-0030121 are required to be verified in their shut position against flow from the Reactor Coolant System per TS 4.4.6.2.2.d within 24 hours and leak tested within 31 days. However, no guidance is provided referencing this requirement. The surveillance requirements of these valves is addressed in the Prestart Check-Off List procedure OP 2-0030120 but it does not adequately address the suweillance requirement of an evolution which may take place at any time over the course of several days. There were no unusual characteristics of the work location which contributed to this event. |
| | This event is reportable under 10 CFR 50.73.a.2.i.b, as a missed surveillance required by Technical Specifications. |
| | Technical Specification 4.4.6.2.2.b states that the Reactor Coolant System pressure isolation check valves shall be demonstrated operable by verifying leakage to be within its limit upon actuation or initiation of flow through the valve by verifying valve closure within 24 hours and leak rate testing within 31 days. The bases for this Technical Specification requirement is to provide additional assurance of valve integrity thereby reducing the possibility of an intersystem Loss of Coolant Accident (LOCA). |
| | FPL Facsimile of NRC Form 366 (6-69) |
| | |
| | ~ |
| | F PL I Scsim(s o( U.S. NUCLEAR REGULATORY COMMISSION APPROIEO ODO NCI $ 174 4 1 fl NRC Form S66 EAPIIE4 IC00 I |
| | (('P89) |
| | 'STDIATIORAIS(N PER IESPCNIE TOO(SNIT WITH TIDS SEOISIATCN C(SAECTION LICENSEE EVENT REPORT (LER) IE(SECT: 000 IRS, IORWAISIC(SSRNT0 IECARCNC IAASNN ESTIIIAIETO(IN IECOIIS AIR IEPCRT 0 SANA(EDE NT 4 RANCH (PDI(4 IA4 IAICAEARIE(ADA(CRY TEXT CONTINUATION WARNAITCN,CC RSI4 AIO TO TIE PPEINI(Ã0( IEOVCRON PRON CT (I'IDADI IIIOf fICE CP IIANA(XIEIITAfo IRANRT.WARCACTOID OC tfff(A FACILITYNAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3) |
| | YEAR EQUENTIAL REVISIO NUMBER NUMBER St. Lucie Unit 2 0 500 0369 9 3 002-0003 0 3 TEXT (ff more spaceis required, use additional NRC Form 366A's) (17) |
| | The six check valves cycled in the recirculation of the Sl header all have redundant check valves between them and the RCS which act as the first pressure boundary. These redundant valves are not cycled as part of the Sl Loop recirculation and were within their surveillance requirements at all times. Should any of these redundant valves not have closed or had leaked excessively it would have become apparent by a low SIT level alarm, high Sl loop header pressure alarm, or by RCS inventory balance. |
| | Other suweillance requirements of Technical Specification (TS) 4.4.6.2.2 within the Prestart Check-Off List have insured that the surveillances were performed in past plant heatups within the 24 hour. |
| | and the 31 day required time intervals. During the latest series of plant heatups on Unit 2 the other requirements were no longer applicable as the short period of time between heatups meant that these surveillances need not be performed per the other criteria of TS 4.4.6.2.2. Records of testing resulting from other evolutions previous and subsequent to these missed suweillances showed that the cycled valves had been performing as required. Therefore, the health and safety of the public was not affected by this event. |
| | : 1) A review was conducted by the Technical Staff pump and valve specialist to determine if during past heatups the required surveillances of the RCS Pressure Isolation Check Valves had been performed. Two heatups involved missed surveillances while all the rest were satisfactory. |
| | : 2) Deficiencies in surveillance requirement guidance in the Unit 2 Plant Heatup Procedure OP 2-0030121 were corrected to include precautions in the procedure stating tlie required surveillance when the Sl recirculation is performed. Unit 1 is not affected since the safety injection design is slightly different between the units and these check valves do not exist. |
| | There were no component failures. |
| | The following LERs were on missed surveillances due to procedural deficiencies: |
| LER 335-90-006 Missed surveillance on Control Element Assemblies Due to Procedural Deficiency LER 33543-016 Inadequate Procedure for Boric Acid Flow Path Surveillance LER 369-91-002 Missed Technical Specification Surveillance Due to Procedural Error FPL Facsimile of NRC Form 366 (6-89)}} | | LER 335-90-006 Missed surveillance on Control Element Assemblies Due to Procedural Deficiency LER 33543-016 Inadequate Procedure for Boric Acid Flow Path Surveillance LER 369-91-002 Missed Technical Specification Surveillance Due to Procedural Error FPL Facsimile of NRC Form 366 (6-89)}} |
|
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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
[Table view] |
Text
ACCELERANT DOCUMENT DIST VTION SYSTEM REGULAT Y INFORMATION DISTRIBUTIO SYSTEM (RIDS)
'ACCESSION NBR:9303050185 DOC.DATE: 93/02/26 NOTARIZED: NO DOCKET FACIL:50-389 St. Lucie Plant, Unit 2, Florida Power & Light Co. 05000389 AUTH. NAME AUTHOR. AFFILIATION HURCHALLA,J.A. Florida Power & Light Co.
SAGER,D.A. Florida Power & Light Co.
RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 93-002-00:on 921201,missed surveillance on RCS pressure isolation check valves due to procedural deficiency. D Deficiencies in SR corrected'to include precautions in "procedure.W/930226 ltr.
DISTRIBUTION CODE: ZE22T COPIES RECEIVED:LTR L ENCL ~ SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
NOTES:
RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL D PD2-2 LA 1 1 PD2-2 PD 1 1 NORRIS,J 1 1 D INTERNAL: ACNW 2 2 ACRS 2 2 AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DSP 2 2 NRR/DE/EELB 1 1 NRR/DE/EMEB 1 1 NRR/DORS/OEAB 1 1 NRR/DRCH/HHFBHE 1 1 NRR/DRCH/HICB 1 1 NRR/DRCH/HOLB 1 1 NRR/DRIL/RPEB 1 1 NRR/DRSS/PRPB 2 2 R SPLB 1 1 NRR/DSSA/SRXB 1 1 EG FILE 02 1 1 RES/DSIR/EIB 1 1 RGN2 FILE 01 1 1 EXTERNAL: EG&G BRYCEgJ.H 2 2 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHYgG.A 1 1 NSIC POORE,W. 1 1 NUDOCS FULL TXT 1 1 D
D NOTE TO ALL"RIDS" RECIPIENTS PLEASE HELP US TO REDUCE WASTEI CONTACT THE DOCUMENT CONTROL DESK, ROOM PI-37 (EXT. 504-2065) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!
- 1 FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 32 ENCL 32
P.O. Box 128, Ft. Pierce, FL 34954-0128 February 26, 1993 L-93-053 10 CFR 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: 93-002 Date of Event: February 3; 1993 Missed Surveillance on Reactor Coolant Isolation Check Valves System'ressure due to Procedural Deficienc The attached Licensee Event Report is being submitted pursuant to the requirements of 10 CFR 50.73 to provide notification of the subject event.
Very truly yours, D. A.. er Vice r sident St. Lucz.e Plant DAS/JWH/kw
'Attachment cc: Stewart D. Ebneter, Regional Administrator, USNRC Region II Senior Resident Inspector, USNRC, St. Lucie Plant DAS/PSL 8867-93 050029 9303050185 'rr3022b I ADQCK 05000389 PDR S PDR an FPL Group company gpss~
U.S. NUCLEAR REGULATORY COMMrSSION pppNorro olw w1 $ 1 $ 041 Ol FPL FOCErrrr'Io or ETPTPEINAOOTT NRC ForrTT S6S TETPIATT 0 TAPE N PEN TEWTCNCE TO OOWET WITH T I4$ 0PCINIATIOMCOUlCTION
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LICENSEE EVENT REPORT (LER) TECAESTI SOD f000 TOAWAITCCOANNNT0 TEOAIEPNO TAATXNEETNAATE TO TIO f0 COfOO NET TE PCITTS IININXANNT TTTANCNTP4$ 00 OO MACEENl INTTNATCITT 00044$ 0NPA WAWNIOTCN . OO TO f00 NO TO TIN 0ETEWIW$00 TEOOC TKN PNOE CT f
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FACILITYNAME (1) DOCKET NUMBER (2) PAGE 3 St. Lucie Unit 2 050003891 0 3
'~ (4) Missed Surveillance on Reactor Coolant System Pressure Isolation Check Valves Due to Procedural Deficiency EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED(8)
IAL FACILITYNAMES DOCKET NUMBER(S)
DAY YEAR YEAR S MONTH DAY YEAR N/A" 1 2 0 1 9 2 9 3 0 0 2 0 0 0 2 2 6 9 3 N/A 05 0 0 0 THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR:
OPERATING Check one or more of the followin (11)
MODE (9) 73.71(b) 20.402(b) 20.405(c) 50.73(a)(2)(iv)
POWER 50.73(a)(2)(v) 73.71(c) 20.405(a)(1)(i) 50.36(c)(1)
LEVEL (10) 0 0 0 20.405(a)(1)(ii) 50.36(c)(2) 50.73(a)(2)(vii) OTHER (Specify in Abstract 20.405(a)(1)(iii) X 50.73(a)(2)(i) 50.73(a)(2)(viii)(A) below and in Text 20.405(a)(1 )(iv) 50.73(a)(2)(viii)(B) NRC Eorm 366A) 50.73(a)(2)(ii) 20.405(a)(1)(v) 50.73(a)(2)(iii) 50.73(a)(2)(x)
LICENSEE CONTACT FOR THIS LER 12 NAME TELEP ONE NUMBER AREA CODE James A. Hurchalla, Shift Technical Advisor 4 0 7 465 -3550 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 13 MANUFAC- REPORTABLE MANUFAC- REPORTABLE CAUSE SYSTEM COMPONENT TURER TO NPRDS CAUSE SYSTEM COMPONENT 'fURER TO NPRDS I I I SUPPLEMENTAL REPORT EXPECTED 14 EXPECTED MONTH DAY YEAR SUBMISSION YES (Ifyes, complete EXPECTED SUBMISSION DATE) X NO DATE (15)
ABSTRACT (Limit to 1400 spaces.i.e. approximately fifteen single-space typewritten lines) (16)
On January 30, 1993 St. Lucie Unit 2 was in Mode 3 implementing the Plant Heatup Procedure OP 2-0030121.
As part of this procedure, the Safety Injection (Sl) headers were recirculated causing six Reactor Coolant System (RCS) pressure isolation check valves to be exercised. These valves are then required to be tested per Technical Specifications. The Technical Staff was advised of this and the valves were subsequently tested satisfactorily within the required time interval. A Technical Staff supervisor realized that there was not an adequate procedurally addressed method to ensure performance of surveillance requirements of this evolution during heatups. A review was initiated to address past startups to ensure this requirement had not been previously missed. On February 3, 1993 a Technical Staff pump and valve specialist performing the review discovered only two instances on 12/1/92 and 12/7/92 in which the required surveillances of the RCS pressure isolation check valves had not been performed within the appropriate time interval during past plant heatups.
The root cause of the missed surveillances was procedural deficiency. There was no note or caution in the Plant Heatup Procedure as exists in the Prestart Check-Off List on the necessity of testing the valves as required by Technical Specification 4.4.6.2.2.d.
The corrective actions were to ensure current surveillance requirements on the Sl header check valves were met satisfactorily and to change the Plant Heatup Procedure OP 2-0030121 to identify the surveillance requirements following recirculation of the Sl headers during plant heatup. This event is not applicable to Unit 1 due to differences in design.
FPL Facsimile of NRC Form 366 (6-89)
~
FPL FTCSlrrils OI U.S. NUCLEAR REGULATORYCOMMISSION AffRONTDCAST NOl 011001 Sr NRC Form S66 STTSSS:ACCST (6 SS) ff SSITAATTD TAROTN R IRSACNTS TO CCADATWIN DTS SfCISlA DON OCIATC TION LICENSEE EVENT REPORT (LER) TSCSRST: lf I 0 f0TS ORfrffO COIRNNT0 TSCIRDNO IMTXNTSTSN OS TO TIR ISCOfOS Are TSTORI0 NANATSASNr SRANCNTACTCA ITS IAICTSARIDIRAATORT TEXT CONTINUATION f WADNIOTON.DC TCMR AIOTO TlC SAITRWOTN TSOVCTDN fROSCT TT11001 ffgCf TCS Of IAINAIXIRNTffO TAIOCST, WADNICIDfrDC rlÃrfA FACILITYNAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
YEAR EQUENTIAL 'EVISIO NUMBER NUMBER St. Lucie Unit 2 05000389 366A's) 9 3 0 0 2 0 0 0 2 0 3 TEXT (/f more spaceis required, use additional NRC Form (17)
On January 30, 1993 St. Lucie Unit 2 was in Mode 3 implementing the Plant Heatup Procedure OP 2-00301 21. As part of this procedure, the Safety Injection (Sl) (EIIS: BP) headers were recirculated to equalize their boron concentration with the Reactor Coolant System (RCS) (EIIS: AB). This
, evolution caused six RCS pressure isolation check valves (EIIS: BP) to be exercised. This required the valves to be verified closed per Technical Specifications (TS) within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> and leak rate tested within 31 days. The Technical Staff was advised of this and the valves were subsequently tested satisfactorily within the required time interval. A Technical Staff supervisor realized there was not an adequate procedurally addressed method to ensure the required pressure isolation check valve testing during plant heatups. A review was initiated to address past startups to investigate as to whether this requirement had been previously missed. On February 3, 1993 a Technical Staff pump and valve specialist performing the review discovered instances in which the required surveillances had not been performed within the appropriate time interval during past heatups.
subsequent to recirculating the Sl Headers. During plant heatups on 12/1/92 and on 12/7/92 the surveillance data sheet for these valves was not performed. This resulted in missing the 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> requirement on four Sl header valves and both the 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> and 31 day requirements on two Hot Leg Injection valves. The review discovered no other such instances during startups from 1985 until the present.
The root cause of the event was inadequate procedural guidance. The check valves which are exercised in the Sl recirculation portion of OP 2-0030121 are required to be verified in their shut position against flow from the Reactor Coolant System per TS 4.4.6.2.2.d within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> and leak tested within 31 days. However, no guidance is provided referencing this requirement. The surveillance requirements of these valves is addressed in the Prestart Check-Off List procedure OP 2-0030120 but it does not adequately address the suweillance requirement of an evolution which may take place at any time over the course of several days. There were no unusual characteristics of the work location which contributed to this event.
This event is reportable under 10 CFR 50.73.a.2.i.b, as a missed surveillance required by Technical Specifications.
Technical Specification 4.4.6.2.2.b states that the Reactor Coolant System pressure isolation check valves shall be demonstrated operable by verifying leakage to be within its limit upon actuation or initiation of flow through the valve by verifying valve closure within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> and leak rate testing within 31 days. The bases for this Technical Specification requirement is to provide additional assurance of valve integrity thereby reducing the possibility of an intersystem Loss of Coolant Accident (LOCA).
FPL Facsimile of NRC Form 366 (6-69)
~
F PL I Scsim(s o( U.S. NUCLEAR REGULATORY COMMISSION APPROIEO ODO NCI $ 174 4 1 fl NRC Form S66 EAPIIE4 IC00 I
(('P89)
'STDIATIORAIS(N PER IESPCNIE TOO(SNIT WITH TIDS SEOISIATCN C(SAECTION LICENSEE EVENT REPORT (LER) IE(SECT: 000 IRS, IORWAISIC(SSRNT0 IECARCNC IAASNN ESTIIIAIETO(IN IECOIIS AIR IEPCRT 0 SANA(EDE NT 4 RANCH (PDI(4 IA4 IAICAEARIE(ADA(CRY TEXT CONTINUATION WARNAITCN,CC RSI4 AIO TO TIE PPEINI(Ã0( IEOVCRON PRON CT (I'IDADI IIIOf fICE CP IIANA(XIEIITAfo IRANRT.WARCACTOID OC tfff(A FACILITYNAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
YEAR EQUENTIAL REVISIO NUMBER NUMBER St. Lucie Unit 2 0 500 0369 9 3 002-0003 0 3 TEXT (ff more spaceis required, use additional NRC Form 366A's) (17)
The six check valves cycled in the recirculation of the Sl header all have redundant check valves between them and the RCS which act as the first pressure boundary. These redundant valves are not cycled as part of the Sl Loop recirculation and were within their surveillance requirements at all times. Should any of these redundant valves not have closed or had leaked excessively it would have become apparent by a low SIT level alarm, high Sl loop header pressure alarm, or by RCS inventory balance.
Other suweillance requirements of Technical Specification (TS) 4.4.6.2.2 within the Prestart Check-Off List have insured that the surveillances were performed in past plant heatups within the 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.
and the 31 day required time intervals. During the latest series of plant heatups on Unit 2 the other requirements were no longer applicable as the short period of time between heatups meant that these surveillances need not be performed per the other criteria of TS 4.4.6.2.2. Records of testing resulting from other evolutions previous and subsequent to these missed suweillances showed that the cycled valves had been performing as required. Therefore, the health and safety of the public was not affected by this event.
- 1) A review was conducted by the Technical Staff pump and valve specialist to determine if during past heatups the required surveillances of the RCS Pressure Isolation Check Valves had been performed. Two heatups involved missed surveillances while all the rest were satisfactory.
- 2) Deficiencies in surveillance requirement guidance in the Unit 2 Plant Heatup Procedure OP 2-0030121 were corrected to include precautions in the procedure stating tlie required surveillance when the Sl recirculation is performed. Unit 1 is not affected since the safety injection design is slightly different between the units and these check valves do not exist.
There were no component failures.
The following LERs were on missed surveillances due to procedural deficiencies:
LER 335-90-006 Missed surveillance on Control Element Assemblies Due to Procedural Deficiency LER 33543-016 Inadequate Procedure for Boric Acid Flow Path Surveillance LER 369-91-002 Missed Technical Specification Surveillance Due to Procedural Error FPL Facsimile of NRC Form 366 (6-89)