Information Notice 1985-23, Inadequate Surveillance and Postmaintenance and Postmodification System Testing: Difference between revisions
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{{#Wiki_filter:SSINS No: | {{#Wiki_filter:SSINS No: | ||
6835 IN 85-23 | |||
===UNITED STATES=== | |||
NUCLEAR REGULATORY COMMISSION | NUCLEAR REGULATORY COMMISSION | ||
OFFICE OF INSPECTION AND ENFORCEMENT | ===OFFICE OF INSPECTION AND ENFORCEMENT=== | ||
WASHINGTON, D.C. | |||
20555 | |||
===March 22, 1985=== | |||
IE INFORMATION NOTICE NO. 85-23: | |||
===INADEQUATE SURVEILLANCE AND POSTMAINTENANCE=== | |||
AND POSTMODIFICATION SYSTEM TESTING | AND POSTMODIFICATION SYSTEM TESTING | ||
| Line 40: | Line 47: | ||
It is expected that recipients will review the information contained in this | It is expected that recipients will review the information contained in this | ||
notice for applicability to their facilities and consider actions, if appropri- ate, to preclude similar problems from occurring at their facilities. However, suggestions contained in this notice do not constitute NRC requirements; there- fore, no specific action or written response is required. | notice for applicability to their facilities and consider actions, if appropri- ate, to preclude similar problems from occurring at their facilities. | ||
However, suggestions contained in this notice do not constitute NRC requirements; there- fore, no specific action or written response is required. | |||
==Description of Circumstances== | ==Description of Circumstances== | ||
| Line 54: | Line 63: | ||
with Rosemont direct-acting differential pressure transmitters during April of | with Rosemont direct-acting differential pressure transmitters during April of | ||
1984). As a result, the UHI isolation valves failed to close during draining | 1984). | ||
As a result, the UHI isolation valves failed to close during draining | |||
of the accumulator when the water level in the UHI accumulator reached the-set | of the accumulator when the water level in the UHI accumulator reached the-set | ||
point. In addition to the improper installation, the postmodification testing | point. | ||
In addition to the improper installation, the postmodification testing | |||
was limited to a dry calibration method that does not use the actual reference | was limited to a dry calibration method that does not use the actual reference | ||
| Line 64: | Line 77: | ||
leg of the accumulator; therefore, the installation error was not detected by | leg of the accumulator; therefore, the installation error was not detected by | ||
the postmodification test. Consequently, the plant was operated for approxi- mately five months with the UHI isolation valves inoperable. | the postmodification test. | ||
Consequently, the plant was operated for approxi- mately five months with the UHI isolation valves inoperable. | |||
The McGuire UHI system design includes a separate nitrogen accumulator that | The McGuire UHI system design includes a separate nitrogen accumulator that | ||
| Line 72: | Line 87: | ||
the reactor vessel during the initial phase of a design-basis loss-of-coolant | the reactor vessel during the initial phase of a design-basis loss-of-coolant | ||
accident (LOCA). Thus, if a design-basis LOCA had occurred while the UHI | accident (LOCA). | ||
Thus, if a design-basis LOCA had occurred while the UHI | |||
isolation valves were inoperable, the UHI system would have been actuated; | isolation valves were inoperable, the UHI system would have been actuated; | ||
| Line 79: | Line 96: | ||
8503210461 | 8503210461 | ||
IN 85-23 March 22, 1985 UHI accumulator had been depleted. | IN 85-23 March 22, 1985 UHI accumulator had been depleted. | ||
===As a result, nitrogen gas could have been=== | |||
injected into the reactor vessel during the course of a design-basis LOCA. | injected into the reactor vessel during the course of a design-basis LOCA. | ||
| Line 91: | Line 109: | ||
A related but separate event involved the establishing of the set points for | A related but separate event involved the establishing of the set points for | ||
closing the UHI isolation valves. | closing the UHI isolation valves. | ||
===On February 14, 1984, DPC approved the=== | |||
use of a dry calibration method, which would establish the trip set point for | use of a dry calibration method, which would establish the trip set point for | ||
closing the UHI isolation valves relative to the bottom of the UHI water accumu- lator tank. However, a 24-inch nonconservative error in the trip set point | closing the UHI isolation valves relative to the bottom of the UHI water accumu- lator tank. | ||
However, a 24-inch nonconservative error in the trip set point | |||
occurred at McGuire Units 1 and 2 when the responsible instrument engineer | occurred at McGuire Units 1 and 2 when the responsible instrument engineer | ||
misinterpreted the tank measurements made by instrument technicians. Because | misinterpreted the tank measurements made by instrument technicians. | ||
Because | |||
the dry calibration method does not use the actual process leg of the UHI accu- mulator, this error was left undetected at both units for several months. The | the dry calibration method does not use the actual process leg of the UHI accu- mulator, this error was left undetected at both units for several months. The | ||
| Line 119: | Line 142: | ||
This defect was discovered on November 26, 1984, by a DPC engineer while per- forming a posttrip review of a reactor scram in which signals of the two | This defect was discovered on November 26, 1984, by a DPC engineer while per- forming a posttrip review of a reactor scram in which signals of the two | ||
affected channels responded contrary to that expected. | affected channels responded contrary to that expected. | ||
===This event was caused=== | |||
because an electrical jumper was not installed on two of the four overpower | because an electrical jumper was not installed on two of the four overpower | ||
delta temperature input logic cards. | delta temperature input logic cards. | ||
===The purpose of the jumper is to ensure=== | |||
that the overpower delta temperature system provides protection for decreasing | that the overpower delta temperature system provides protection for decreasing | ||
temperature, as might be expected on a steam line break. DPC's surveillance | temperature, as might be expected on a steam line break. | ||
DPC's surveillance | |||
tests only verified that protection would be provided for increasing tempera- ture, but not for decreasing temperature. This defect was left undetected for | tests only verified that protection would be provided for increasing tempera- ture, but not for decreasing temperature. This defect was left undetected for | ||
| Line 133: | Line 160: | ||
an unknown period of time, but most likely it had existed since initial plant | an unknown period of time, but most likely it had existed since initial plant | ||
startup. Subsequent investigations revealed that in addition to inadequate | startup. | ||
Subsequent investigations revealed that in addition to inadequate | |||
testing, there was an absence of instructions and descriptions of the required | testing, there was an absence of instructions and descriptions of the required | ||
| Line 152: | Line 181: | ||
Dieor | Dieor | ||
Divis | Divis | ||
of Emergency Preparedness | |||
and 'ngineering Response | and 'ngineering Response | ||
Office of Inspection and Enforcement | ===Office of Inspection and Enforcement=== | ||
Technical Contacts: I. Villalva, IE | |||
(301) 492-9007 | |||
===H. Dance, RII=== | |||
(404) 221-5533 Attachment: | |||
===List of Recently Issued IE Information Notices=== | |||
===Attachment 1=== | |||
IN 85-23 | |||
===March 22, 1985=== | |||
LIST OF RECENTLY ISSUED | |||
===IE INFORMATION NOTICES=== | |||
Information | |||
Date of | |||
Notice No. | |||
Subject | |||
Issue | |||
Issued to | |||
85-22 | |||
85-21 Failure Of Limitorque Motor- | |||
===Operated Valves Resulting=== | |||
From Incorrect Installation | |||
===Of Pinon Gear=== | |||
Main Steam Isolation Valve | |||
===Closure Logic=== | |||
3/21/85 | |||
3/18/85 | |||
85-20 | |||
Motor-Operated Valve Failures 3/12/85 | |||
===Due To Hammering Effect=== | |||
85-19 | |||
85-10 | |||
Sup. 1 | |||
84-18 | |||
83-70 | |||
Sup. 1 | |||
85-17 | |||
85-16 | |||
85-15 | |||
===Alleged Falsification Of=== | |||
Certifications And Alteration | |||
===Of Markings On Piping, Valves=== | |||
And Fittings | |||
===Posstensioned Containment=== | |||
Tendon Anchor Head Failure | |||
Of | ===Failures Of Undervoltage=== | ||
Output Circuit Boards In The | |||
Westinghouse-Designed Solid | |||
===State Protection System=== | |||
Vibration-Induced Valve | |||
Failures | |||
===Possible Sticking Of ASCO=== | |||
Solenoid Valves | |||
Time/Current Trip Curve | |||
Discrepancy Of ITE/Siemens- | |||
===Allis Molded Case Circuit=== | |||
Breaker | |||
===Nonconforming Structural=== | |||
Steel For Safety-Related | |||
Use | |||
85 | 3/11/85 | ||
3/8/85 | |||
3/7/85 | |||
3/4/85 | |||
3/1/85 | |||
2/27/85 | |||
2/22/85 | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | an OL or CP | ||
===All PWR facilities=== | |||
holding an OL or CP | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | an OL or CP | ||
===All Westinghouse=== | |||
PWR facilities | |||
holding an OL or CP | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | an OL or CP | ||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | |||
OL = Operating License | OL = Operating License | ||
Latest revision as of 10:24, 16 January 2025
SSINS No:
6835 IN 85-23
UNITED STATES
NUCLEAR REGULATORY COMMISSION
OFFICE OF INSPECTION AND ENFORCEMENT
WASHINGTON, D.C.
20555
March 22, 1985
IE INFORMATION NOTICE NO. 85-23:
INADEQUATE SURVEILLANCE AND POSTMAINTENANCE
AND POSTMODIFICATION SYSTEM TESTING
Addressees
All nuclear power reactor facilities holding an operating license (OL) or a
construction permit (CP).
Purpose
This information notice is to alert addressees of several instances pertaining
to improper system modifications, inadequate postmodification system testing, and inadequate surveillance testing recently detected at the McGuire nuclear
power facility.
It is expected that recipients will review the information contained in this
notice for applicability to their facilities and consider actions, if appropri- ate, to preclude similar problems from occurring at their facilities.
However, suggestions contained in this notice do not constitute NRC requirements; there- fore, no specific action or written response is required.
Description of Circumstances
On November 1, 1984, Duke Power Company (DPC) informed the NRC that the four
Rosemont differential pressure transmitters that control the closing of four
isolation valves of the upper-head injection (UHI) system at McGuire Unit 1 were improperly installed (i.e., the impulse lines were reversed when the
original Barton reverse-acting differential pressure switches were replaced
with Rosemont direct-acting differential pressure transmitters during April of
1984).
As a result, the UHI isolation valves failed to close during draining
of the accumulator when the water level in the UHI accumulator reached the-set
point.
In addition to the improper installation, the postmodification testing
was limited to a dry calibration method that does not use the actual reference
leg of the accumulator; therefore, the installation error was not detected by
the postmodification test.
Consequently, the plant was operated for approxi- mately five months with the UHI isolation valves inoperable.
The McGuire UHI system design includes a separate nitrogen accumulator that
supplies pressurized nitrogen to force the water from the UHI accumulator into
the reactor vessel during the initial phase of a design-basis loss-of-coolant
accident (LOCA).
Thus, if a design-basis LOCA had occurred while the UHI
isolation valves were inoperable, the UHI system would have been actuated;
however, the UHI isolation valves would not have closed when the water in the
8503210461
IN 85-23 March 22, 1985 UHI accumulator had been depleted.
As a result, nitrogen gas could have been
injected into the reactor vessel during the course of a design-basis LOCA.
Under such conditions, and using Appendix K assumptions, DPC's analysis indi- cated that the peak cladding temperature of 2200'F most likely would have been
exceeded and that the worst-case increase in containment pressure could have
resulted in exceeding the design pressure by 2 psi.
A related but separate event involved the establishing of the set points for
closing the UHI isolation valves.
On February 14, 1984, DPC approved the
use of a dry calibration method, which would establish the trip set point for
closing the UHI isolation valves relative to the bottom of the UHI water accumu- lator tank.
However, a 24-inch nonconservative error in the trip set point
occurred at McGuire Units 1 and 2 when the responsible instrument engineer
misinterpreted the tank measurements made by instrument technicians.
Because
the dry calibration method does not use the actual process leg of the UHI accu- mulator, this error was left undetected at both units for several months. The
calibration error was finally detected on November 2, 1984, while DPC personnel
were taking "as-found" data in response to the previous error involving the
incorrect installation of the differential pressure transmitters. The conse- quences of this event would be the early isolation of the UHI water accumulator
during a design-basis LOCA, resulting in less water being delivered to the
vessel than assumed in the analysis.
A completely unrelated event involved the inoperability of two of the four
overpower delta temperature reactor protection channels at McGuire Unit 2.
This defect was discovered on November 26, 1984, by a DPC engineer while per- forming a posttrip review of a reactor scram in which signals of the two
affected channels responded contrary to that expected.
This event was caused
because an electrical jumper was not installed on two of the four overpower
delta temperature input logic cards.
The purpose of the jumper is to ensure
that the overpower delta temperature system provides protection for decreasing
temperature, as might be expected on a steam line break.
DPC's surveillance
tests only verified that protection would be provided for increasing tempera- ture, but not for decreasing temperature. This defect was left undetected for
an unknown period of time, but most likely it had existed since initial plant
startup.
Subsequent investigations revealed that in addition to inadequate
testing, there was an absence of instructions and descriptions of the required
jumpers.
The above examples illustrate the need for thorough reviews and detailed
attention to plant surveillance and postmaintenance and postmodification tests, to ensure that they accomplish the required verification of system function.
IN 85-23 March 22, 1985 No specific action or written response is required by this information notice;
however, if you have any questions regarding this notice, please contact the
Regional Administrator of the appropriate NRC regional office or the technical
contact listed below.
Dieor
Divis
and 'ngineering Response
Office of Inspection and Enforcement
Technical Contacts: I. Villalva, IE
(301) 492-9007
H. Dance, RII
(404) 221-5533 Attachment:
List of Recently Issued IE Information Notices
Attachment 1
March 22, 1985
LIST OF RECENTLY ISSUED
IE INFORMATION NOTICES
Information
Date of
Notice No.
Subject
Issue
Issued to
85-22
85-21 Failure Of Limitorque Motor-
Operated Valves Resulting
From Incorrect Installation
Of Pinon Gear
Closure Logic
3/21/85
3/18/85
85-20
Motor-Operated Valve Failures 3/12/85
Due To Hammering Effect
85-19
85-10
Sup. 1
84-18
83-70
Sup. 1
85-17
85-16
85-15
Alleged Falsification Of
Certifications And Alteration
Of Markings On Piping, Valves
And Fittings
Posstensioned Containment
Tendon Anchor Head Failure
Failures Of Undervoltage
Output Circuit Boards In The
Westinghouse-Designed Solid
State Protection System
Vibration-Induced Valve
Failures
Possible Sticking Of ASCO
Time/Current Trip Curve
Discrepancy Of ITE/Siemens-
Allis Molded Case Circuit
Breaker
Nonconforming Structural
Steel For Safety-Related
Use
3/11/85
3/8/85
3/7/85
3/4/85
3/1/85
2/27/85
2/22/85
All power reactor
facilities holding
All PWR facilities
All power reactor
facilities holding
All power reactor
facilities holding
All power reactor
facilities holding
All Westinghouse
PWR facilities
All power reactor
facilities holding
All power reactor
facilities holding
All power reactor
facilities holding
All power reactor
facilities holding
OL = Operating License
CP = Construction Permit