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NRCFORH366A(5-92)U.S.NUCLEARREGULATORYCOWISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATIONAPPROVEDBYQNINO.3150-0104EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCOHPLYNITHTHISIHFORHATIOHCOLLECTIOHREQUEST:50.0HRS.FORNARDCONHEHTSREGARDIHGBURDENESTIHATETOTHEINFORHATIOHANDRECORDSHAHAGEHEHTBRANCH(HHBB7714),U.S.NUCLEARREGULATORYCONHISSIOH,NASHIHGTON,DC20555-0001,ANDTOTHEPAPERNORKREDUCTIONPROJECT(3150-0104),OFFICEOFHAHAGENENTANDBUDGETNASHINGTONDC20503.FACILITYNAHE1R.E.GinnaNuclearPowerPlantDOCKETNINIBER20500024494--001--00LERNINBER6YEARSEQUENTIALREVISIONPAGE37OF9TEXT(Ifmorespaceisrequired,useadditionalcopiesofNRCForm366A)(17)The"B<<MainSteamLineRadiationMonitor(R-32)inoperabilitywasnotdiscovereduntilJanuary19,1994.Therefore,theconditionwasnotrecognizedatthetimeaSpecialReportwouldhavebeenrequired.Consequently,aSpecialReportwasnotsubmittedwithin30daysfollowingtheeventonOctober7,1993.Anassessmentwasperformedconsideringboththesafetyconsequencesandimplicationsofthiseventwiththefollowingresultsandconclusions:TherewerenooperationalorsafetyconsequencesorimplicationsattributedtoR-32beinginoperableforgreaterthansevendays,becauseR-32wasstillfunctioningandcapableofrespondingtoradiationlevelsat104oftheTSlimits,insteadofthedesired14ofTSlimits.Becausethesetpointisveryconservativetobeginwith,theonedecadeerrorinthecalibrationconstantstillallowedthesystemtorespondwellwithintheTSlimits.ThedesignforR-32isthatwhentheoutputreaches0.1mr/hr,recorderRK-47AactivatestoprovideindicationandrecordingofR-32intheControlRoom.R-32was.functioningcorrectly,butduetothistranspositionerror,theoutputwasinerrorlowbyonedecade.(ThedetectorforR-32continuedtofunctionasdesigned,andcontinuedtodetectandmonitorradioactivity.Thedetectoroutput,asmeasuredinCPMwasstill,correct.However,the.outputreading,"as'expressedinmr/hr,wa'sone'ecadetoolow.)Therefore,theRK-47ArecorderintheControlRoomwouldnothaveactivateduntiltheactualradiationreached1mr/hr(onedecadehigherthandesired).Thiscorrespondstoareleaseconcentrationofapproximately1E-02microcuriespercubiccentimeter(uCi/cc)noblegasesorareleaserateofapproximately1.33E-02curiesper'econd(Ci/sec).Notethatthe"instantaneous"TSlimitforareleaseratefromthelocationwouldbesimilartotheAirEjectoror1.42E-01Ci/sec.Theerrorbeforetherecorderstartedwouldrepresent104oftheTSlimit,ratherthan1%whenthecorrectcalibrationconstantisused.NRCFORI4366A(5.92)
NRCFORH366A(5-92)U.S.NUCLEARREGULATORYCOWISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATIONAPPROVEDBYQNINO.3150-0104EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCOHPLYNITHTHISIHFORHATIOHCOLLECTIOHREQUEST:50.0HRS.FORNARDCONHEHTSREGARDIHGBURDENESTIHATETOTHEINFORHATIOHANDRECORDSHAHAGEHEHTBRANCH(HHBB7714),U.S.NUCLEARREGULATORYCONHISSIOH,NASHIHGTON,DC20555-0001,ANDTOTHEPAPERNORKREDUCTIONPROJECT(3150-0104),OFFICEOFHAHAGENENTANDBUDGETNASHINGTONDC20503.FACILITYNAHE1R.E.GinnaNuclearPowerPlantDOCKETNINIBER20500024494--001--00LERNINBER6YEARSEQUENTIALREVISIONPAGE37OF9TEXT(Ifmorespaceisrequired,useadditionalcopiesofNRCForm366A)(17)The"B<<MainSteamLineRadiationMonitor(R-32)inoperabilitywasnotdiscovereduntilJanuary19,1994.Therefore,theconditionwasnotrecognizedatthetimeaSpecialReportwouldhavebeenrequired.Consequently,aSpecialReportwasnotsubmittedwithin30daysfollowingtheeventonOctober7,1993.Anassessmentwasperformedconsideringboththesafetyconsequencesandimplicationsofthiseventwiththefollowingresultsandconclusions:TherewerenooperationalorsafetyconsequencesorimplicationsattributedtoR-32beinginoperableforgreaterthansevendays,becauseR-32wasstillfunctioningandcapableofrespondingtoradiationlevelsat104oftheTSlimits,insteadofthedesired14ofTSlimits.Becausethesetpointisveryconservativetobeginwith,theonedecadeerrorinthecalibrationconstantstillallowedthesystemtorespondwellwithintheTSlimits.ThedesignforR-32isthatwhentheoutputreaches0.1mr/hr,recorderRK-47AactivatestoprovideindicationandrecordingofR-32intheControlRoom.R-32was.functioningcorrectly,butduetothistranspositionerror,theoutputwasinerrorlowbyonedecade.(ThedetectorforR-32continuedtofunctionasdesigned,andcontinuedtodetectandmonitorradioactivity.Thedetectoroutput,asmeasuredinCPMwasstill,correct.However,the.outputreading,"as'expressedinmr/hr,wa'sone'ecadetoolow.)Therefore,theRK-47ArecorderintheControlRoomwouldnothaveactivateduntiltheactualradiationreached1mr/hr(onedecadehigherthandesired).Thiscorrespondstoareleaseconcentrationofapproximately1E-02microcuriespercubiccentimeter(uCi/cc)noblegasesorareleaserateofapproximately1.33E-02curiesper'econd(Ci/sec).Notethatthe"instantaneous"TSlimitforareleaseratefromthelocationwouldbesimilartotheAirEjectoror1.42E-01Ci/sec.Theerrorbeforetherecorderstartedwouldrepresent104oftheTSlimit,ratherthan1%whenthecorrectcalibrationconstantisused.NRCFORI4366A(5.92)
NRCFORH366A(5-92)U.S.NUCLEARREGULATORYCOIIISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATION'PPROVEDBY(NBNO.3150-0104EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCONPLYIJITHTHISINFORHATIOHCOLLECTIOHREQUEST:50.0HRS.FORIIARDCOHHEHTSREGARDIHGBURDENESTINATETOTHEIHFORHATIONAHDRECORDSNANAGEHENTBRANCH(NHBB7714),U.S.NUCLEARREGULATORYCONHISSIOH,IIASHIHGTON,DC20555-0001ANDTOTHEPAPERNORKREDUCTIONPROJECT(3140-0104),OFFICEOFHANAGEHENTANDBUDGETIIASHINGTONDC20503.FACILITYlONE1R.E.GinnaNuclearPowerPlantDOCKETNINBER205000244YEAR94LERNINBER6SEQUENTIAL--001-REVISION00PAGE38OF9TEXT(Ifmorespaceisrequired,useadditionalcopiesofHRCForm366A)(17)ThereleasepaththatR-32monitorsismainsteamreliefvalvedischarge.R-32readingsareusedtodeterminethepotentialdosetothegeneralpopulationthroughreleasesfromthesteamgenerators,whenthereliefvalveshaveliftedafteraprimarytosecondarysteamgeneratorleak.TherewerenoreleasesthroughthisreleasepathduringthetimethatR-32wasconsideredinoperable.Ifreliefvalveshadliftedduringthistime,thedurationofthereleaseandtheamountofactivityreleasedwouldhavebeendeterminedfromdatafromseveralsources,includingR-32.R-32data'wouldhavebeendiscoveredtobeinconsistentwithotherdata'tsuchatime,andwouldnotaffecttheaccuracyofreleasecalculations.Basedontheabove,itcanbeconcludedthatthepublic'shealthandsafetywasassuredatalltimes.V.CORRECTIVEACTIONA.ACTIONTAKENTORETURNAFFECTEDSYSTEMSTOPRE-EVENTNORMALSTATUS:oThecorrectvalueofthecalibrationconstantforR-32wasdeterminedandeditedintotheR-32controlterminal,perCPI-MON-R31/R32.oPT-17.5waschangedtoreflectthecorrectvalueofthecalibrationconstantandwasperformedtoverifyoperabilityofR-32.oAPPCSchannelcheckwasperformedtoverifyoperabilityofR-32.CoTheotherradiationchannelscontrolledbytheSPINGCT-1controlterminalwereverifiedtohavethecorrectcalibrationconstantseditedintothecontrolterminal.HRCFORH366A(5-92)
NRCFORH366A(5-92)U.S.NUCLEARREGULATORYCOIIISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATION'PPROVEDBY(NBNO.3150-0104EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCONPLYIJITHTHISINFORHATIOHCOLLECTIOHREQUEST:50.0HRS.FORIIARDCOHHEHTSREGARDIHGBURDENESTINATETOTHEIHFORHATIONAHDRECORDSNANAGEHENTBRANCH(NHBB7714),U.S.NUCLEARREGULATORYCONHISSIOH,IIASHIHGTON,DC20555-0001ANDTOTHEPAPERNORKREDUCTIONPROJECT(3140-0104),OFFICEOFHANAGEHENTANDBUDGETIIASHINGTONDC20503.FACILITYlONE1R.E.GinnaNuclearPowerPlantDOCKETNINBER205000244YEAR94LERNINBER6SEQUENTIAL--001-REVISION00PAGE38OF9TEXT(Ifmorespaceisrequired,useadditionalcopiesofHRCForm366A)(17)ThereleasepaththatR-32monitorsismainsteamreliefvalvedischarge.R-32readingsareusedtodeterminethepotentialdosetothegeneralpopulationthroughreleasesfromthesteamgenerators,whenthereliefvalveshaveliftedafteraprimarytosecondarysteamgeneratorleak.TherewerenoreleasesthroughthisreleasepathduringthetimethatR-32wasconsideredinoperable.Ifreliefvalveshadliftedduringthistime,thedurationofthereleaseandtheamountofactivityreleasedwouldhavebeendeterminedfromdatafromseveralsources,includingR-32.R-32data'wouldhavebeendiscoveredtobeinconsistentwithotherdata'tsuchatime,andwouldnotaffecttheaccuracyofreleasecalculations.Basedontheabove,itcanbeconcludedthatthepublic'shealthandsafetywasassuredatalltimes.V.CORRECTIVEACTIONA.ACTIONTAKENTORETURNAFFECTEDSYSTEMSTOPRE-EVENTNORMALSTATUS:oThecorrectvalueofthecalibrationconstantforR-32wasdeterminedandeditedintotheR-32controlterminal,perCPI-MON-R31/R32.oPT-17.5waschangedtoreflectthecorrectvalueofthecalibrationconstantandwasperformedtoverifyoperabilityofR-32.oAPPCSchannelcheckwasperformedtoverifyoperabilityofR-32.CoTheotherradiationchannelscontrolledbytheSPINGCT-1controlterminalwereverifiedtohavethecorrectcalibrationconstantseditedintothecontrolterminal.HRCFORH366A(5-92)
NRCFORH366A(5-92)U.S.NUCLEARREGUULTORYCQBIISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATIONAPPROVEDBYQGINO.3150-0104EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCONPLYIIITHTHISIHFORHATIONCOLLECTIONREQUEST:50.0HRS~FORIIARDCOHHEHTSREGARDIHGBURDENESTIHATETOTHEINFORHATIONANDRECORDSHANAGENENTBRANCH(HNBB7714),U.S.NUCLEARREGULATORYCOHHISSIOH~llASHINGTOH,DC20555-0001ANDTOTHEPAPERNORKREDUCTIONPROJECT(3140-0104),OFFICEOFHANAGEHEHTAHDBUDGETMASHING'TOHDC20503.FACILITYNAHE1R.E.GinnaNuclearPowerPlantDOCKETNNBER205000244LERNINBER6YEARSEQUENTIAL94--001--REVISION00~PAGE39OF9TEXT(lfmorespaceisrequired,useadditionalcopiesoiHRCForm366A)(17)B.ACTIONTAKENORPLANNEDTOPREVENTRECURRENCE-oProcedureCPI-MON-R31/R32hasbeenrevisedtoprovideatolerancebandforacceptablevaluesofthecalibrationconstant.Thistolerancewillbeexpressedinbothdecimalandscientificnotation.oCalibrationproceduresforotherchannelscontrolledbyCT-1havebeenreviewed.Procedureswillberevisedtoprovidetheappropriatetolerancebandsforeditableparameters.oTheimportanceofmakingcalculationscorrectlywillbereemphasizedtoallI&Cpersonnel,includingtheconsequencesofincorrectresults.VI.ADDITIONALINFORMATION:A.FAILEDCOMPONENTS:NoneB.PREVIOUSLERsONSIMILAREVENTS:AsimilarLEReventhistoricalsearchwasconductedwiththefollowingresults:NodocumentationofsimilarLEReventswiththesamerootcauseatGinnaNuclearPowerPlantcouldbeidentified.C.SPECIALCOMMENTS:NoneNRCFORH366A(5-92) lI  
NRCFORH366A(5-92)U.S.NUCLEARREGUULTORYCQBIISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATIONAPPROVEDBYQGINO.3150-0104EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCONPLYIIITHTHISIHFORHATIONCOLLECTIONREQUEST:50.0HRS~FORIIARDCOHHEHTSREGARDIHGBURDENESTIHATETOTHEINFORHATIONANDRECORDSHANAGENENTBRANCH(HNBB7714),U.S.NUCLEARREGULATORYCOHHISSIOH~llASHINGTOH,DC20555-0001ANDTOTHEPAPERNORKREDUCTIONPROJECT(3140-0104),OFFICEOFHANAGEHEHTAHDBUDGETMASHING'TOHDC20503.FACILITYNAHE1R.E.GinnaNuclearPowerPlantDOCKETNNBER205000244LERNINBER6YEARSEQUENTIAL94--001--REVISION00~PAGE39OF9TEXT(lfmorespaceisrequired,useadditionalcopiesoiHRCForm366A)(17)B.ACTIONTAKENORPLANNEDTOPREVENTRECURRENCE-oProcedureCPI-MON-R31/R32hasbeenrevisedtoprovideatolerancebandforacceptablevaluesofthecalibrationconstant.Thistolerancewillbeexpressedinbothdecimalandscientificnotation.oCalibrationproceduresforotherchannelscontrolledbyCT-1havebeenreviewed.Procedureswillberevisedtoprovidetheappropriatetolerancebandsforeditableparameters.oTheimportanceofmakingcalculationscorrectlywillbereemphasizedtoallI&Cpersonnel,includingtheconsequencesofincorrectresults.VI.ADDITIONALINFORMATION:A.FAILEDCOMPONENTS:NoneB.PREVIOUSLERsONSIMILAREVENTS:AsimilarLEReventhistoricalsearchwasconductedwiththefollowingresults:NodocumentationofsimilarLEReventswiththesamerootcauseatGinnaNuclearPowerPlantcouldbeidentified.C.SPECIALCOMMENTS:NoneNRCFORH366A(5-92) lI}}
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Revision as of 12:32, 18 May 2018

LER 94-001-00:on 940119,Radition Monitor R-32 Declared Inoperable Due to Low Output by One Decade.Correct Value of Calibr Constant for R-32 Determined & Edited Into R-32 Control terminal.W/940217 Ltr
ML17263A542
Person / Time
Site: Ginna Constellation icon.png
Issue date: 02/17/1994
From: MECREDY R C, ST JOHN J T
ROCHESTER GAS & ELECTRIC CORP.
To:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
LER-94-001, LER-94-1, NUDOCS 9403010270
Download: ML17263A542 (13)


Text

ACCELERATEDDISTRIBUTIONDEMONSTRATIONSYSTEMREGULATORYINFORMATIONDISTRIBUTIONSYSTEM(RIDS)ACCESSIONNBR:9403010270DOC.DATE:,94/02/17NOTARIZED:NOFACIL:50-244RobertEmmetGinnaNuclearPlant,Unit1,RochesterGAUTH.NAMEAUTHORAFFILIATIONSTJOHN,J.T.RochesterGas&ElectricCorp.MECREDY,R.C.RochesterGas&ElectricCorp.RECIP.NAMERECIPIENTAFFILIATIONDOCKET05000244

SUBJECT:

LER94-001-00:on940119,RaditionMonitorR-32declaredinoperableduetolowoutputbyonedecade.Correctvalueofcalo.brconstantforR-32determined&editedintoR-32controlterminal.W/940217ltr.DISTRIBUTIONCODE:IE22TCOPIESRECEIVED:LTRJENCLiSIZE:C7TITLE:50.73/50.9LicenseeEventReport(LER),IncidentRpt,etc.DSNOTES:LicenseExpdateinaccordancewith10CFR2,2.109(9/19/72).05000244DRECIPIENTIDCODE/NAMEPD1-3PDINTERNAL:AEOD/DOAAEOD/ROAB/DSPNRR/DE/EMEBNRR/DRCH/HHFBNRR/DRCH/HOLBNRR/DRSS/PRPBNRR/DSSA/SRXBRES/DSIR/EIBEXTERNALEG&GBRYCE~J~HNRCPDRNSICPOORE,W.COPIESRECIPIENTLTTRENCLIDCODE/NAME11JOHNSON,A1AEOD/DSP/TPAB2NRR/DE/EELB1NRR/DORS/OEAB1NRR/DRCH/HICB1NRR/DRIL/RPEB2DSSA.SPLB1REGILE021RGB=FILE0122LSTLOBBYWARD11NSICMURPHY,G.A11NUDOCSFULLTXTCOPIESLTTRENCL111111-1111111111111111.11DRDNOTETOALL"RIDS"RECIPIENTS:PLEASEHELPUSTOREDUCEWASTE!CONTACTTHEDOCUMENTCONTROLDESK,ROOMPl-37(EXT.20079)TOELIMINATEYOURNAMEFROMDISTRIBUTIONLISTSFORDOCUMENTSYOUDON'TNEED!ADDSFULLTEXTCONVERSIONREQUIREDTOTALNUMBEROFCOPIESREQUIRED:LTTR27ENCL27 ROCHESTERGASANDELECTRICCORPORATION~89EASTAVENUE,ROCHESTERN.Y.14649.0001SeenSrnrtROBERTCMECREDY,VicePresidenlOlnneNuclearProductionFebruary17,1994TELEPHONEAREACODET165462700U.S.NuclearRegulatoryCommissionDocumentControlDeskAttn:AllenR.JohnsonProjectDirectorateI-3Washington,D.C.20555

Subject:

LER94-001,RadiationMonitorR-32("B"MainSteamLine)Inoperable,DuetoPersonnelError,CausesaConditionProhibitedbyPlantTechnicalSpecificationsR.E.GinnaNuclearPowerPlantDocketNo.50-244Inaccordancewith10CFR50.73,LicenseeEventReportSystem,item(a)(2)(i)(B),whichrequiresareportof,"Anyoperationorconditionprohibitedbytheplant'sTechnicalSpecifications",theattachedLicenseeEventReportLER94-001isherebysubmitted.Thiseventhasinnowayaffectedthepublic'shealthandsafety.Verytrulyyours,C~RobertC.Mecredyxc:U.S.NuclearRegulatoryCommissionRegionI475AllendaleRoadKingofPrussia,PA19406GinnaSeniorResidentInspector9403010270940217PDRADOCK05000244SPDR NRCFORH366(5-92)~~U.SNUCLEARREGULATORYCOINIISSIONAPPROVEDBY(NNINO.3150-0104EXPIRES5/31/95LICENSEEEVENTREPORT(LER)(Seereverseforrequirednurherofdigits/charactersforeachblock)ESTIHATEDBURDENPERRESPONSETOCOHPLYIIITHTHISINFORHATIONCOLLECTIOHREQUEST:50,0HRS.FORNARDCOHMEHTSREGARDINGBURDENESTIHATETOTHEIHFORHATIOMANDRECORDSMANAGEMENTBRANCH(HNBB7714),U.S.NUCLEARREGULATORYCOHHISSIOM,NASHIHGTON,DC20555-0001,AMD'TOTHEPAPERMORKREDUCTIONPROJECT(3150-0104),OFFICEOFHANAGEHENTANDBUDGETUASHINGTONDC20503.FAGILITYeua<<1)R.E.GinnaNuclearPowerPlantDOCKETNINBER(2)05000244PAGE(3)10F9TITLE(4)RadiationHonitorR-32("B"HainSteamLine)Inoperable,DuetoPersonnelError,CausesaConditionProhibitedbyPlantTechnicalSpecificationsHONTHDAY0119OPERATINGH(nE(9)POUERLEVEL<<10)TEAR94N097EVENTDATE5YEAR94REPORTDATE7I.ERNWSER6SEQUENTIALHUHBERREVISIONHUHBERHOHTHDAYTEAR1794--001--,0002OTHERFACILITIESINVOLVED8FACILITYNAHEFACILITYHAHEDOCKETNUMBERDOCKETNUHBER20.402(b)20.405(a)(l)(i)20.405(a)(1)(ii)20.405(c)50.36(c)(l)50.36(c)(2)50.73(a)(2)(iv)50.73(a)(2)(v)50.73(a)(2)(vii)73.71(b)73.71(c)OTHERTHISREPORTISSUBHITTEDPURSUANTTOTHEREQUIREHENTSOF10CFR:Checkoneormore1120.405(a)(1)(iii)20.405(a)(1)(iv)20'05(a)(1)(v)5073(a)(2)('I)50.73(a)(2)(ii)50.73(a)(2)(iii)LICENSEECONTACTFORTHISLER1250.73(a)(2)(viii)(A)50.73(a)(2)(viii)(B)50.73(a)(2)(x)(SpecifyinAbstractbelowandinText,NRCForm366AHAMEJohnT.St.Hartin-Director,OperatingExperienceTELEPHONENUHBER(IncludeAreaCode)(315)524.4446COMPLETEONELINEFOREACHCQIPONENTFAILUREDESCRIBEDINTHISREPORT13CAUSESYSTEHCOMPOHEHTHAHUFACTURERREPORTABLETONPRDSCAUSESYSTEHCOHPOMENTHAMUFACTURERREPORTABLETOHPRDSSUPPLEMENTALREPORTEXPECTED14YES(Ifyes,completeEXPECTEDSUBHISSIOMDATE).XNOEXPECTEDSUBHISSIONDATE(15)MONTHDAYYEARABSTRACT(Limitto1400spaces,i.e.,approximately15single-spacedtypewrittenLines)(16)OnJanuary19,1994,atapproximately1330EST,withthereactoratapproximately97gosteadystatepower,theoutputofthe"B"MainSteamLineRadiationMonitorR-32wasdiscoveredtobelowbyonedecade.R-32wasdeclaredinoperable.Investigationrevealedthatacalibrationconstantwasincorrectlydocumentedduetoatranspositionerror,andthe'incorrectvaluewaseditedintotheR-32controlterminal.ImmediatecorrectiveactionwastoeditthecorrectvalueofthecalibrationconstantintoR-32.ThisrestoredtheoutputofR-32tothecorrectrange,andR-32wasdeclaredoperable.(ThiseventisNUREG-1022(A)causecode.)CorrectiveactiontoprecluderepetitionisoutlinedinSectionV(B).ThisLERmeetstherequirementsofaSpecialReportrequiredbytheGinnaTechnicalSpecifications.NRCFORM366(5-92)

NRCFORM366A(5-92)U.S.NUCLEARREGULATORYCOIIISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATIONAPPROVEDBYQGINO.3150-0104EXPIRES5/31/95ESTIMATEDBURDENPERRESPONSETOCOMPLYllITHTHISINFORMATIONCOLLECTIOMREQUEST:50.0HRS.,FORNARDCOMMENTSREGARDIHG,BURDENESTIMATETOTHEIHFORNATIOHAMDRECORDSNAMAGEHENTBRANCH(NNBB7714),U.S.NUCLEARREGULATORYCONNISSIOM,llASHIHGTOM,DC20555-0001ANDTOTHEPAPERNORKREDUCTIOHPROJECT(31(0.0104),OFFICEOFMANAGEMENTANDBUDGET.NASHINGTONDC20503.FACILITYMANE1R.E.GinnaNuclearPowerPlantDOCKETNINBER2YEAR0500024494LERHLNSER6SEQUENTIAL--001--REVISION00PAGE32OF9TEXT(Ifmorespaceisrequired,useadditionalcopiesofHRCForm366A)(17)I.PRE-EVENTPLANTCONDITIONSThereactorwasatapproximately97>steadystatereactorpower.AnengineerwasreviewingaprintoutfromthecontrolterminalfortheUBUMainSteamLineRadiationMonitor(R-32).Thisreviewwasbeingdoneaspartofresearchforaplannedmodification.Thescopeofthemodificationistoreplacethestandbyrecorderformainsteam.lineradiationlevels(recorderRK-47A)withcontinuousindicationoftheseradiationlevelsintheControlRoom.II.DESCRIPTIONOFEVENTA.DATESANDAPPROXIMATETIMESOFMAJOROCCURRENCES:oOctober7,1993:,R-32calibratedperCPI-MON-R31/R32.ThevalueofthecalibrationconstantisincorrectlytransposedandeditedintotheR-32controlterminal.(Eventdate)oOctober7,1993:ProcedurePT-17.5changedtoreflectthetolerancebandofoutputreadingsforR-32,basedonthecalibrationconstanteditedintotheR-32terminal.PT-17.5performedtoverifyoperabilityofR-'32.oJanuary19,1994,1330EST:Discoverydateandtime.oJanuary19,1994,1547EST:ThecorrectvalueofthecalibrationconstantforR-32isdeterminedandeditedintotheR-32controlterminal,perCPI-MON-R31/R32.R-32restoredtooperablestatus.HRCFORM366A(5.92)

NRCFORH366A(5-92)U.SNUCLEARREGULATORYCQtllSSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATIONAPPROVEDBY(RNNO.3150-0104EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCOMPLYWITHTHISINFORHATIONCOLLECTIONREQUEST:50.0HRS.FORWARDCOHMENTSREGARDINGBURDENESTIHATETOTHEINFORHATIONANDRECORDSHANAGEHENTBRANCH(HNBB7714),U.S.NUCLEARREGULATORYCOMMISSION/WASHINGTON,DC20555-0001ANDTOTHEPAPERWORKREDUCTIONPROJECT(3130-0104),OFFICEOFHANAGEMENTANDBUDGETWASHINGTONDC20503.FACILITYNAME1R.E.GinnaNuclearPowerPlantDOCKETNEER2YEAR0500024494--001--00LERNNBER6SEQUENTIALREVISIONPAGE33OF9TEXT(Ifmorespaceisrequired,useadditionaLcopiesofNRCForm366A)(17)B.EVENTPTheannualcalibrationofthe"B"MainSteamLineRadiationMonitor(R-32)wascompletedonOctober7,1993,inaccordancewithcalibrationprocedureCPI-MON-R31/R32,"CalibrationofDAM-3SteamLineRadiationMonitorsR31andR32".Aspartofthecalibration,theInstrumentandControl(I&C)-techniciancalculatesacalibrationconstant,basedonactualdetectorsensitivityandsourcestrength.Aftercompletionofthecalibration,thetechniciantheneditsthenewvalueintothecontrolterminal(SPINGCT-1)forR-32(unit04,channel02oftheSPINGCT-1).(The'SPINGCT-1controlsvariousradiationmonitorchannelsthroughouttheplant.)Thecalibrationconstantisan"editableparameter",andisusedtoconvertcountsperminute(CPM)fromthedetectorintoreadingsofmilliremperhour(mr/hr).Whenthereadingreaches0.1mr/hr,recorderRK-47AintheControlRoomisactivated,andbeginsrecording.Whenthecalibrationconstantwascalculated(onOctober7,1993),theI&Ctechnicianmisplacedthedecimalpointwhiletransposingthecalculatedvaluefromdecimalnotationtoscien-tificnotation.,Consequently,anincorrectpoweroften(onedecadetoolow)wasrecordedontheproceduredatasheetandeditedintotheR-32controlterminal.(Thedecimalreadingwascorrectlycalculatedas"0.0197",butwasincorrectlytransposedanddocumentedas1.97E-03insteadof1.97E-02.)'.TheparameterwastheneditedintotheR-32controlter'minalas1.97E-03.ISurveillanceprocedurePT-17.5-,"HighRangeEffluentMonitorsR-12A,R-14A,R-15A,R-31,R-32",wasthenchangedbytheI&Ctechnician,onOctober7,1993,toreflectthetol'erancebandofoutputreadingsforR-32,basedonthenewvalueofthecalibrationconstant.PT-17.5wasperformed,andthePlantProcessComputerSystem(PPCS)wascheckedtoconfirmthattheou'tputofR-32waswithinthePPCS"qualitycode"and"currentvalue"tolerances.R-32wasthendeclaredoperablebytheControlRoomoperators.NRCFORH366A(5-92)

HRCFORM366A(592)USNUCLEARREGULATORYCQIIISSIOHLICENSEEEVENTREPORT(LER)TEXTCONTINUATIONAPPROVEDBYOIBNO.3150-0104EXPIRES5/31/95ESTIMATEDBURDENPERRESPOHSETOCOMPLYWITHTHISINFORMATIONCOLLECTIONREQUEST:50.0HRS.FORWARDCOMMENTSREGARDINGBURDENESTIMATETOTHEINFORMATIONANDRECORDSMANAGEHEHTBRANCH(MNBB7714),U.S.NUCLEARREGULATORYCOMMISSIOHiWASHINGTON,DC20555-0001AHDTOTHEPAPERWORKREDUCTIONPROJECT(31400104),OFFICEOFMANAGEMENTAHDBUDGETWASHINGTONDC20503.FACILITYNAKE1R.E.GinnaNuclearPowerPlantDOCKETNNBER205000244YEAR94--001--00LERNNBER6SEQUENTIALREVISIONPAGE34OF9TEXT(Ifmorespaceisrequired,useadditionalcopiesofHRCForm366A)(17)PT-17.5wasperformedeachmonththereaftertoverifytheoperabili;tyofR-32.DailychannelcheckswereperformedbyControlRoomoperatorstoconfirm*thePPCSvalueswerestill"withintolerances.OnJanuary19,1994,atapproximately1330EST,withthereactoratapproximately974steadystatereactorpower,anengineerwasreviewingaprintoutfromtheCT-1controlterminal.Thisreviewwasbeingdoneaspartofresearchforaplannedmodification.ThescopeofthemodificationistoreplacestandbyrecorderRK-47AwithcontinuousindicationofmainsteamlineradiationlevelsintheControlRoom.Theengineercalcu-latedthecalibrationconstants,and,basedonhisknowledgeofthesystem,observedthattheconstantbeingusedinR-32wasnotwithinallowablesystemparameters.Furtherinvestigationrevealedthatthisinconsistentvaluewascausedby.thetranspositionerrordiscussedabove.?TheengineernotifiedtheI&Cgroupofhisdiscovery.I&Cconcurredwiththeengineer.Theynotify':edtheControlRoomoperatorsthatR-32had'anincorrectcalibrationconstantandthattheoutputwasonedecadetoolow.TheControlRoomoperatorsevaluatedthisinformation,andformallydeclaredR-32inoperableatapproximately1430ESTonJanuary19,1993.ThecorrectvalueofthecalibrationconstantwaseditedintotheR-32controlterminal,perCPI-MON-R31/R32.PT-17.5.waschangedtoreflectthedataforthecorrectedvalueofthecalibrationconstantandwasperformedtoverifytheoperabilityofR-32.TheControlRoomoperatorscheckedthePPCS,andconfirmedthattheoutputwaswithinthePPCStolerances.'-32wasdeclaredoperable,andreturnedtoserviceatapproximately1547EST,January19,1994.C.INOPERABLESTRUCTURESiCOMPONENTSIORSYSTEMSTHATCONTRIBUTEDTOTHEEVENT:NoneD.OTHERSYSTEMSORSECONDARYFUNCTIONSAFFECTED:NoneNRCFORM366A(5-92)

NRCFORH366A(5-92)US.NUCLEARREGULATORYCOHIISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATIONAPPROVEDBYQlBNO3150-0104EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCOMPLYUITHTHISINFORNATIONCOLLECTIOHREOUEST:50.0HRS.FORIIARDCOHHEHTSREGARDIHGBURDENESTINATETOTHEINFORHATIONANDRECORDSNANAGEHENTBRANCH(NHBB7714),U.S.NUCLEARREGULATORYCONHISSION,MASHIHGTOH,DC20555-0001AHDTOTHEPAPERIQRKREDUCTIONPROJECT(3110-0104),OFFICEOFNANAGEHEHTANDBUDGETNASHINGTOHDC20503.FACILITYNAHE1R.E.GinnaNuclearPowerPlantDOCKETNNBER205000244YEAR94--001--00LERNINBER6SEOUENTIALREVISIONPAGE35OF9TEXT(Ifmorespaceisrequired,useadditionalcopiesofHRCForm366A)(17)E.METHODOFDISCOVERY:Thiseventwasidentifiedbyanengineer,whoreviewedaprintoutfromtheCT-1controlterminalaspartofresearchforaplannedmodificationtoreplacestandbyrecorderRK-47AwithcontinuousindicationintheControlRoom.Theengineerobservedthatthecalibrationconstantbeingusedwasnotwithinallowablesystemparameters.F.OPERATORACTION:'TheControlRoomoperatorswerenotifiedofthisevent,anddeclaredR-32inoperable.,Subsequently,theControlRoomoperatorsnotifiedhighersupervisionandtheNRC.R-32wasdeclaredoperableafterthecorrectcalibrationconstantwaseditedintotheR-32controlterminal,PT-17.5was,satisfactorilycompleted,andPPCSchannelchecksofR-32wereperformed.G.SAFETYSYSTEMRESPONSE:NoneIII.CAUSEOFEVENTA.IMMEDIATECAUSE:TheimmediatecauseofR-32beingconsideredtobeinoperablewasthattheoutputofR-32wasdiscoveredtobelowbyonedecade,suchthatR-32wouldhaveactivatedtheRK-47Arecorderatapproximately1mr/hrinsteadofthedesignvalueof0.1mr/hr.B.INTERMEDIATECAUSE:,TheintermediatecauseofthelowoutputofR-32wasthatthevalueofthecalibrationconstantwastransposedincorrectlywhenchangingthevaluefromdecimalnotationtoscientificnotation.HRCFORH366A(5-92)

NRCFORN366A(5-92)U.S.NUCLEARREGULATORYCIBIISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATIONAPPROVEDBYQGINO.3150-0104EXPIRES5/31/95ESTINATEDBURDENPERRESPONSETOCOHPLYNITHTHISINFORNATIONCOLLECTIONREQUEST:50.0HRS.FORNARDCOHNEHTSREGARDINGBURDENESTINATETOTHEIHFORHATIOHANDRECORDSNANAGENENTBRAHCH(HNBB7714),U.S.NUCLEARREGULATORYCONHISSIOH~NASNINGTOH,DC205550001AHDTOTHEPAPERWORKREDUCTIONPROJECT(3140-0104),OFFICEOFNANAGEMEHTANDBUDGETNASHINGTONDC20503.FACILITYNANE1R.E.GinnaNuclearPowerPlantDOCKETNIMBER205000244YEAR94LERNINBER6SEQUEHTIAL--001--REVISIOHM00PAGE36OF9iTEXT(Ifmorespaceisrequired,useadditionalcopiesofHRCForm366A)(17)C.ROOTCAUSE:TheunderlyingcauseofthetranspositionerrorwasapersonnelerrorbyanI&Ctechnician.Thiswasacognitivepersonnelerrorandwasnotcontrarytothecalibrationprocedurebeing.used.Therewerenounusualcharacteristicsoftheworklocationwhichcontributedtotheerror.(ThiseventisNUREG-1022(A)causecode,PersonnelError.)IV.ANALYSISOFEVENT:Thiseventisreportableinaccordancewith10CFR50.73,LicenseeEventReportSystem,item(a)(2)(i)(B),whichrequiresareportof,"Anyoperationorconditionprohibitedbytheplant'sTechnicalSpecifications".TheoutputofR-32beingonedecadetoolow.resultedinR-32beingconsideredinoperable.SincethisconditionexistedsinceOctober7,1993,andwasnotdiscovereduntilJanuary19,1994,R-32wasinoperableformorethanseven.days.ThisisaconditionprohibitedbytheGinnaTechnicalSpecifications(TS).oSpecification3.5.4states:TheradiationaccidentmonitoringinstrumentationchannelsshowninTable3.5-6shallbeoperable,-.wheneverthereactorisatorabove'otshutdown.Withoneor"moreradiationmonitoringchannelsinoperable,taketheactionshowninTable3.5-6.Startupmaycommenceorcontinueconsistentwiththeactionstatement.oActionstatementsfromTable3.5-6states:WiththenumberofoperablechannelslessthanrequiredbytheMinimumChannelsOperablerequirements,eitherrestoretheinoperablechannel(s)tooperablestatuswithin7daysoftheevent,orprepare,andsubmitaSpecialReporttotheCommissionwithin30daysfollowingtheevent.outliningtheaction'.taken,thecauseoftheinoperabilityandtheplansandscheduleforrestoringthesystemtooperablestatus.HRCFORN366A(5-92)

NRCFORH366A(5-92)U.S.NUCLEARREGULATORYCOWISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATIONAPPROVEDBYQNINO.3150-0104EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCOHPLYNITHTHISIHFORHATIOHCOLLECTIOHREQUEST:50.0HRS.FORNARDCONHEHTSREGARDIHGBURDENESTIHATETOTHEINFORHATIOHANDRECORDSHAHAGEHEHTBRANCH(HHBB7714),U.S.NUCLEARREGULATORYCONHISSIOH,NASHIHGTON,DC20555-0001,ANDTOTHEPAPERNORKREDUCTIONPROJECT(3150-0104),OFFICEOFHAHAGENENTANDBUDGETNASHINGTONDC20503.FACILITYNAHE1R.E.GinnaNuclearPowerPlantDOCKETNINIBER20500024494--001--00LERNINBER6YEARSEQUENTIALREVISIONPAGE37OF9TEXT(Ifmorespaceisrequired,useadditionalcopiesofNRCForm366A)(17)The"B<<MainSteamLineRadiationMonitor(R-32)inoperabilitywasnotdiscovereduntilJanuary19,1994.Therefore,theconditionwasnotrecognizedatthetimeaSpecialReportwouldhavebeenrequired.Consequently,aSpecialReportwasnotsubmittedwithin30daysfollowingtheeventonOctober7,1993.Anassessmentwasperformedconsideringboththesafetyconsequencesandimplicationsofthiseventwiththefollowingresultsandconclusions:TherewerenooperationalorsafetyconsequencesorimplicationsattributedtoR-32beinginoperableforgreaterthansevendays,becauseR-32wasstillfunctioningandcapableofrespondingtoradiationlevelsat104oftheTSlimits,insteadofthedesired14ofTSlimits.Becausethesetpointisveryconservativetobeginwith,theonedecadeerrorinthecalibrationconstantstillallowedthesystemtorespondwellwithintheTSlimits.ThedesignforR-32isthatwhentheoutputreaches0.1mr/hr,recorderRK-47AactivatestoprovideindicationandrecordingofR-32intheControlRoom.R-32was.functioningcorrectly,butduetothistranspositionerror,theoutputwasinerrorlowbyonedecade.(ThedetectorforR-32continuedtofunctionasdesigned,andcontinuedtodetectandmonitorradioactivity.Thedetectoroutput,asmeasuredinCPMwasstill,correct.However,the.outputreading,"as'expressedinmr/hr,wa'sone'ecadetoolow.)Therefore,theRK-47ArecorderintheControlRoomwouldnothaveactivateduntiltheactualradiationreached1mr/hr(onedecadehigherthandesired).Thiscorrespondstoareleaseconcentrationofapproximately1E-02microcuriespercubiccentimeter(uCi/cc)noblegasesorareleaserateofapproximately1.33E-02curiesper'econd(Ci/sec).Notethatthe"instantaneous"TSlimitforareleaseratefromthelocationwouldbesimilartotheAirEjectoror1.42E-01Ci/sec.Theerrorbeforetherecorderstartedwouldrepresent104oftheTSlimit,ratherthan1%whenthecorrectcalibrationconstantisused.NRCFORI4366A(5.92)

NRCFORH366A(5-92)U.S.NUCLEARREGULATORYCOIIISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATION'PPROVEDBY(NBNO.3150-0104EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCONPLYIJITHTHISINFORHATIOHCOLLECTIOHREQUEST:50.0HRS.FORIIARDCOHHEHTSREGARDIHGBURDENESTINATETOTHEIHFORHATIONAHDRECORDSNANAGEHENTBRANCH(NHBB7714),U.S.NUCLEARREGULATORYCONHISSIOH,IIASHIHGTON,DC20555-0001ANDTOTHEPAPERNORKREDUCTIONPROJECT(3140-0104),OFFICEOFHANAGEHENTANDBUDGETIIASHINGTONDC20503.FACILITYlONE1R.E.GinnaNuclearPowerPlantDOCKETNINBER205000244YEAR94LERNINBER6SEQUENTIAL--001-REVISION00PAGE38OF9TEXT(Ifmorespaceisrequired,useadditionalcopiesofHRCForm366A)(17)ThereleasepaththatR-32monitorsismainsteamreliefvalvedischarge.R-32readingsareusedtodeterminethepotentialdosetothegeneralpopulationthroughreleasesfromthesteamgenerators,whenthereliefvalveshaveliftedafteraprimarytosecondarysteamgeneratorleak.TherewerenoreleasesthroughthisreleasepathduringthetimethatR-32wasconsideredinoperable.Ifreliefvalveshadliftedduringthistime,thedurationofthereleaseandtheamountofactivityreleasedwouldhavebeendeterminedfromdatafromseveralsources,includingR-32.R-32data'wouldhavebeendiscoveredtobeinconsistentwithotherdata'tsuchatime,andwouldnotaffecttheaccuracyofreleasecalculations.Basedontheabove,itcanbeconcludedthatthepublic'shealthandsafetywasassuredatalltimes.V.CORRECTIVEACTIONA.ACTIONTAKENTORETURNAFFECTEDSYSTEMSTOPRE-EVENTNORMALSTATUS:oThecorrectvalueofthecalibrationconstantforR-32wasdeterminedandeditedintotheR-32controlterminal,perCPI-MON-R31/R32.oPT-17.5waschangedtoreflectthecorrectvalueofthecalibrationconstantandwasperformedtoverifyoperabilityofR-32.oAPPCSchannelcheckwasperformedtoverifyoperabilityofR-32.CoTheotherradiationchannelscontrolledbytheSPINGCT-1controlterminalwereverifiedtohavethecorrectcalibrationconstantseditedintothecontrolterminal.HRCFORH366A(5-92)

NRCFORH366A(5-92)U.S.NUCLEARREGUULTORYCQBIISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATIONAPPROVEDBYQGINO.3150-0104EXPIRES5/31/95ESTIHATEDBURDENPERRESPONSETOCONPLYIIITHTHISIHFORHATIONCOLLECTIONREQUEST:50.0HRS~FORIIARDCOHHEHTSREGARDIHGBURDENESTIHATETOTHEINFORHATIONANDRECORDSHANAGENENTBRANCH(HNBB7714),U.S.NUCLEARREGULATORYCOHHISSIOH~llASHINGTOH,DC20555-0001ANDTOTHEPAPERNORKREDUCTIONPROJECT(3140-0104),OFFICEOFHANAGEHEHTAHDBUDGETMASHING'TOHDC20503.FACILITYNAHE1R.E.GinnaNuclearPowerPlantDOCKETNNBER205000244LERNINBER6YEARSEQUENTIAL94--001--REVISION00~PAGE39OF9TEXT(lfmorespaceisrequired,useadditionalcopiesoiHRCForm366A)(17)B.ACTIONTAKENORPLANNEDTOPREVENTRECURRENCE-oProcedureCPI-MON-R31/R32hasbeenrevisedtoprovideatolerancebandforacceptablevaluesofthecalibrationconstant.Thistolerancewillbeexpressedinbothdecimalandscientificnotation.oCalibrationproceduresforotherchannelscontrolledbyCT-1havebeenreviewed.Procedureswillberevisedtoprovidetheappropriatetolerancebandsforeditableparameters.oTheimportanceofmakingcalculationscorrectlywillbereemphasizedtoallI&Cpersonnel,includingtheconsequencesofincorrectresults.VI.ADDITIONALINFORMATION:A.FAILEDCOMPONENTS:NoneB.PREVIOUSLERsONSIMILAREVENTS:AsimilarLEReventhistoricalsearchwasconductedwiththefollowingresults:NodocumentationofsimilarLEReventswiththesamerootcauseatGinnaNuclearPowerPlantcouldbeidentified.C.SPECIALCOMMENTS:NoneNRCFORH366A(5-92) lI