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{{#Wiki_filter:ACCEIERDDOCUMENTDISIBVTIONSYSTEMREGULRYINFORMATIONDISTRIBUTSYSTEM(RIDS)ACCESSIONNBR:9302110293DOC.DATE:93/02/05NOTARIZED:NOFACIL:50-389St.LuciePlant,Unit2,FloridaPower&LightCo.AUTH.NAMEAUTHORAFFILIATIONHURCHALLA,J.A.FloridaPowerELightCo.SAGER,D.A.-FloridaPower6LightCo.RECIP.NAMERECIPIENTAFFILIATIONDOCKET05000389
{{#Wiki_filter:ACCEIERDDOCUMENTDISIBVTIONSYSTEMREGULRYINFORMATION DISTRIBUT SYSTEM(RIDS)ACCESSION NBR:9302110293 DOC.DATE:
93/02/05NOTARIZED:
NOFACIL:50-389 St.LuciePlant,Unit2,FloridaPower&LightCo.AUTH.NAMEAUTHORAFFILIATION HURCHALLA,J.A.
FloridaPowerELightCo.SAGER,D.A.
-FloridaPower6LightCo.RECIP.NAME RECIPIENT AFFILIATION DOCKET05000389


==SUBJECT:==
==SUBJECT:==
LER93-001-00:on930108,chemistrytechnicianfailedtosamplethirdSItank6samplingofSItank2A1notperformedwithinTSrequiredintervalafterfillingtank.Causedbypersonnelerror.Personnelcounseled.W/930205ltr.DISTRIBUTIONCODE:IE22TCOPIESRECEIVED:LTRgENCLgSIZE:TITLE:50.73/50.9LicenseeEventReport(LER)-,IncidentRpt,etc.NOTES:RECiPIENTIDCODE/NAMEPD2-2LANORRIS,JINTERNAL:ACNWAEOD/DOA.AEOD/ROAB/DSPNRR/DLPQ/LHFB10NRR/DOEA/OEABNRR/DST/SELB8DNR~SPLB8DlREGFILE02GN2~LE01EXTERNAL:EGErGBRYCE,J.HNRCPDRNSICPOORE,W.COPIESLTTRENCL1111221122111111111111221111RECIPIENTIDCODE/NAMEPD2-2PDACRSAEOD/DSP/TPABNRR/DET/EMEB7ENRR/DLPQ/LPEB10NRR/DREP/PRPB11NRR/DST/SICB8H3NRR/DST/SRXB8ERES/DSIR/EIBLSTLOBBYWARDNSICMURPHY,G.ANUDOCSFULLTXTCOPIESLTTRENCL1-12211111122111111111111RNOTETOALL"RIDS"RECIPIENTS:PLEASEHELPUSTOREDUCEWASTE!CONTACTTHEDOCUMENTCONTROLDESK,ROOMPl-37(EXT.504-2065)TOELIMINATEYOURNAMEFROMDISTRIBUTIONLISTSFORDOCUMENTSYOUDON'TNEED!LSFULLTEXTCONVERSIONREQUIREDTOTALNUMBEROFCOPIESREQUIRED:LTTR31ENCL31 P.O.Box128,Ft.Pierce,FL3o954-0128February5,1993L-'93-3010CFR50.73U.S.NuclearRegulatoryCommissionAttn:DocumentControlDeskWashington,D.C.20555Re:St.LucieUnit2DocketNo.50-389ReportableEvent:93-001DateofEvent:January8,1993MissedSurveillanceforSafetyInectionTankSamlinDuetoPersonnelErrorTheattachedLicenseeEventReportisbeingsubmittedpursuanttotherequirementsof10CFR50.73toprovidenotificationofthesubjectevent.Verytrulyyours,D.A.SVicePSt.LugersidentePlantDAS/JWH/kwAttachmentcc:StewartD.Ebneter,RegionalAdministrator,USNRCRegionII.SeniorResident,Inspector,USNRC,St.LuciePlantDAS/PSLN857-933.000429302110293930205PDRADOCK050003B98PDRanFPLGroupcompany~/gJI FPLFscsirriisoiNRCFormS68(e.es)VS.NLCLEARREGULATORYCOMMISSIONLICENSEEEVENTREPORT(LER)APPITCYT0CNSISA$150010lEXP'.l1500tESTNEEDNATCEN005PESPONSEToCOWLYWITHTHEPPOISAATIONCOLLECTONINOLEST150ll550$,TONWAAOCONMENTSPECAIEANO55505tH5STNAATETOTIEPECOPOSANCINPCTTTSIIANAOENENTTTLFNCH(P~LLS,IACLENLINQAATOIYCONLPSSCFLWANANCTCN.CCt05NLAIOTOTHEPAPENFICFIAFETACTCNPNCVECTOl50010PACF5IcEoFNANAEELENTNoNAxft.wASFNIOTIPLoct05NLFACILITYNAME(1)DOCKETNUMBER(2)St.LucieUnit2A05000389103T'TLE{)MissedSurveillanceforSafetyInjectionTankSamplingDuetoPersonnelErrorEVENTDATE(5)LERNUMBER(6)REPORTDATE(7)OTHERFACILITIESINVOLVED(8)01DAY08YEAR93YEAR93,.'IAL001gR0002DAYYEAR0593FACILITYNAMESN/AN/ADOCKETNUMBER(S)050005000OPERATINGMODE(9)POWERLEVEL(10)100;Cgjlr20.402(b)20.405(a)(1)(i)20.405(c)50.36(c)(1)20A05(a)(1)(II)50.36(c)(2)20.405(a)(1)(iii)20.405(a)(1)(iv)20.405(a)(1)(v)50.73(a)(2)(I)50.73(a)(2)(ii)50.73(a)(2)(iii)LICENSEECONTACTFORTHISLER1250.73(a)(2)(iv)50.73(a){2){v)50.73(a)(2)(vii)50.73(a)(2)(viii)(A)50.73(a)(2)(viii)(B)50.73(a)(2)(x)THISREPORTISSUBMITTEDPURSUANTTOTHEREQUIREMENTSOF10CFR:Checkoneormoreofthefollowin,(11)73.71(b)73;71{c)OTHER(SpecifyinAbstractbelowandinTextNRCForm366A)NAMEJamesA.Hurchalla,ShiftTechnicalAdvisorTELEPONENUMBERAREACODE407465-3550COMPLETEONELINEFOREACHCOMPONENTFAILUREDESCRIBEDINTHISREPORT13CAUSESYSTEMCOMPONENTREPORTABLETONPRDSSYSTEMCOMPONENTMANUFACREPORTABLETURERTONPRDSSUPPLEMENTALREPORTEXPECTED14YES(Ifyes,completeEXPECTEDSUBMISSIONDATE)XNOIIIEXPECTEDMONTHDAYYEARSUBMISSIONDATE(15)ABSTRACT'(Limitto1400spaces.i.e.approximatelyfifteensingle-spacetypewrittenlines)(16)OnJanuary8,at0500aReactorControlOperator(RCO)filledthe2A1,2A2,and2B2SafetytnjectionTanks'SITs)andsubsequentlynotifiedChemistry.AChemistrytechniciansamptedtwooftheSITspertherequiredsurveillancebutfaitedtosamplethethird.OnJanuary8,1993,at2300theUnit2AssistantNuclearPlantSupervisordiscoveredthatthesamplingofthe2A1SafetyInjectionTankhadnotbeenperformedbyChemistrywithintherequiredtimeintervalatterfillingthetank.Using,the25%maximumallowableextensionpermittedby.TechnicalSpecification(TS)4.0.2,thelatesttimeatwhichthesamplingcouldhavebeenperformedontimewasJanuary8,at1230.TherootcauseoftheeventwaspersonnelerrorbyaChemistrytechnicianresponsibleforthesampling.WheninformedbyOperationsthatspecificSITshavebeenfilleditistheresponsibilityoftheChemistrydepartmentpersonnelonshifttosampletheseSITsfortherequiredboronconcentrationperTS4.5.1.1.b.Inaddition,therewasafailureonthepartofthecontrolroompersonneltorealizethatoneofthethreefilledSITshadnotbeensampledwhenChemistrynotifiedthemthattwoSITswerewithinspecification.Correctiveactionswere;1)Performthe2A1SITsutveiltance.2)CreateastatusboardbywhichChemistrycaninsurethattheappropriateSITshavebeensampled.3)TheChemistrypersonnelinvolvedwerecounselled.4)Operationspersonnelhavebeencounselled.5)AHumanPerformanceEvaluationSystemevaluationwassubsequentlyconductedwhosefindingsagreewiththisreport.FPLFacsimileofNRCForm366(6-89)
LER93-001-00:on 930108,chemistry technician failedtosamplethirdSItank6samplingofSItank2A1notperformed withinTSrequiredintervalafterfillingtank.Causedbypersonnel error.Personnel counseled.W/930205 ltr.DISTRIBUTION CODE:IE22TCOPIESRECEIVED:LTR gENCLgSIZE:TITLE:50.73/50.9 LicenseeEventReport(LER)-,IncidentRpt,etc.NOTES:RECiPIENT IDCODE/NAME PD2-2LANORRIS,JINTERNAL:
PPLPSCSIITTleOtNRCFOTm&OSl689)U.S.NUCLEARREGULATORYCOMMISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATlON'APPROITOCAATKLSITCSIPAlsplpaaACGITTSTPAATTOIMICTNPTRRTSPONSlTOOOINTTWITHTIPSPPOISAAOCNCOIlfCTONRTOUTSTIISAIPTSIORNNOCCANRNT0RTGARTNICTAPSXNTSTINATlTOPICRTCORCSAICIISPORTSNANAGTASNTSRANCHTP000AU0,IAICI0AITRlOIAATORYOAA+CSSN70WANTNCTON,OCT000SNAPTOTIRPAPTRWOPNRTOVCTIONPRORCTI'TIICCISPAOIIICCOPNANAKNTNTAM)TANCTT.WANSNCTOIAOCPPNOFACILITYNAME(1)St.LucieUnit2DOCKETNUMBER(2)YEAREQUENTIALNUMBER."T',."REVISIONvlNUMBERLERNUMBER(6)PAGE(3)05000389TEXT(Ifmorespaceisreqoired,tjseadditionalNRCForm366A's)(17)9300000203OperationsfillsSafetyInjectionTanks(SIT)(EIIS:BP)asnecessarytomaintaintherequiredTechnicalSpecification(TS)level.SubsequentlytheseSITsmustbesampledinaccordancewith-ChemistryOperatingProcedure2-C-60within6hourstoensurethattherequiredTSboronconcentrationhasbeenmaintained.OnJanuary8,1993,at0500aReactorControlOperator(RCO)filledthe2A1,2A2,and2B2SITs.At0530henotifiedtheonshiftChemistrytechnician.TheChemistrytechnicianwhoreceivedthecallturnedthesamplingresponsibilityovertoanoncomingtechnicianonthenextshift.ThistechnicianreceivedtheappropriateverbalinstructionsofwhichSITstocheckbutonlysampledthe2A2and2B2SITs.At0830henotifiedthecontrolroomthattheseSITsweresatisfactorywilhrespecttoboronconcentration.OperationspersonnelreceivedthecallandfailedtonoticethatoneoftheSITshadnotbeensampled.At2314theoncomingAssistantNuclearPlantSupervisorwasreviewingtheRCOchronologicalloganddiscoveredthe2A1SIThadnotbeensampled.TheSITwasadministrativelydeclaredoutofserviceandChemistrywasnotifiedtosampleit.Thesampleshowedsatisfactoryboronconcentrationandthe2A1SITwasdeclaredbackinserviceat2345.VTherootcauseoftheeventiscognitivepersonnelerrorbyautilityChemistrytechnicianbyfailingtoensurethesamplingoftheappropriateSITs.AcontributingfactoristhattherewasnomethodotherthanverbalrequestturnoverbetweenChemistrytechnicianstoinsurethatthecorrectSITsaresampled.ThisplacesthefullresponsibilityforthecorrectnessandtimelinessofthisTSsurveillanceonverbalcommunicationwithnorecordedinformationfortheChemistrytechniciantoreference.Inaddition,therewasafailureonthepartofcontrolroompersonneltorealizethatoneofthethreeSITshadnotbeensampledwhenChemistrynotifiedthemthattwoSITswerewithinspecification.Therewerenounusualcharacteristicsoftheworklocationwhichcontributedtothisevent.TVThiseventisreportableunder10CFR50.73.a.2.i.b,asamissedsurveillancerequiredbyTechnicalSpecifications.TechnicalSpecification4.5.1.1.bstatesthateachSafetyInjectionTankshallbedemonstratedoperablewithin6hoursaftereachsolutionvolumeincreasegreaterthanorequalto1%oftankvolumebyverifyingtheboronconcentrationofthesolution.ThepurposeofthissamplingistoprovideassurancethattheboronconcentrationoftheSITshasnotbeenchangedtoavalue-outsidethebandoftheTechnicalSpecificationrequirements.ThisassuresthattheassumptionsusedfortheSITsintheFinalUpdatedSafetyAnalysisReport(FUSAR)arevalid.Thesurveillanceofthe2A1SITwascompletedat2340,or12hoursand40minutespasttherequiredTechnicalSpecificationsampletime.FPLFacsimileofNRCForm366(6-89)
ACNWAEOD/DOA.
FPLFacsimrootrNRCForm666(669t.U.S.NUCLEARREGULATORYCOMMISSIONLICENSEEEVENTREPORT(LER)TEXTCONTINUATlONAPPAOVTOCallNCI0ll00IOI000TIES.0000000TAAATTOnvexNPTfrfE0PONTEToCOAWlvvATNTI0000aNAAOONCcuTCTEPIIEOIE00I0000000fCTIWATErCCANENT0IECANONCTAPCTN00TINATKToOETECOII0AlafEPTNTCNANACTAENTCPlANCNIP0000uaIAcTTArlTEaAATONT~WASHNCTON,OC00000APATToTIE0APTfrWONATECOCTIONPNOEC'0fll000IOl00ÃfICTOfNANACTIENTAIOTANCET.WACIIAOT000OC00NO.FACILITYNAME{1)St.LUCieUnit2DOCKETNUMBER(2)YEARLERNUMBER{6)EQUENTIALNUMBERREVISIONNUMBERPAGE(3)0500038993TEXT(Ifmorespaceisrequired,useadditionalNRCForm366A's)(17)0010003003TheresultsofthechemistrysampleshowedtheboronconcentrationtobewithinTechnicalSpecification3.5.1.c.The2A1SafetyInjectionTankwascapableofperformingitsintendedsafetyfunctionassetforthintheassumptionsoftheFUSAR,sections6.3.2.2.1and6.3.3.4.3.f.TI;erefore,lhehealthandsafetyofthepublicwasnotaffectedbythisevent.1)The2A1SafetyInjectionTank(SIT)ChemistrySurveillancewasperformedwithsatisfactoryresultsJanuary8,1993at2340hours.2)TheChemistrydepartmentnowusesastatusboardtotrackregulatoryrequiredsurveillancesthatarenotperiodicallyscheduled..3)ThepersonnelinvolvedinthiseventhavebeencounselledbytheChemistrysupervisorontheimportanceofmeetingsurveillancerequirements.-4)TheOperationssupervisorhasissuedaNightOrderonthiseventwhichemphasizestheneedforoperatorstotracksurveillancessuchastheonedescribedintheLERviatheoperatorturnoversheet,andtheneedfortheoncomingcrewstocarefullyreviewthechronologicallog.5)AHumanPerformanceEnhancementSystem(HPES)evaluationwasperformed.TheresultsagreewiththeconclusionsofthisLicenseeEventReport.ITINAFnnFilTherewerenocomponentfailuresinvolvedinthisevent.VIAprevioussimilareventisdescribedinLER389-89-008,whichdescribesamissedsurveillanceforSafetyInjectionLoopHeadervalvesfollowingthefillingoftwoSITs.FPLFacsimileofNRCForm366(6.89)}}
AEOD/ROAB/DSP NRR/DLPQ/LHFB10 NRR/DOEA/OEAB NRR/DST/SELB 8DNR~SPLB8DlREGFILE02GN2~LE01EXTERNAL:
EGErGBRYCE,J.H NRCPDRNSICPOORE,W.COPIESLTTRENCL1111221122111111111111221111RECIPIENT IDCODE/NAME PD2-2PDACRSAEOD/DSP/TPAB NRR/DET/EMEB 7ENRR/DLPQ/LPEB10 NRR/DREP/PRPB11 NRR/DST/SICB8H3 NRR/DST/SRXB 8ERES/DSIR/EIB LSTLOBBYWARDNSICMURPHY,G.A NUDOCSFULLTXTCOPIESLTTRENCL1-12211111122111111111111RNOTETOALL"RIDS"RECIPIENTS:
PLEASEHELPUSTOREDUCEWASTE!CONTACTTHEDOCUMENTCONTROLDESK,ROOMPl-37(EXT.504-2065)
TOELIMINATE YOURNAMEFROMDISTRIBUTION LISTSFORDOCUMENTS YOUDON'TNEED!LSFULLTEXTCONVERSION REQUIREDTOTALNUMBEROFCOPIESREQUIRED:
LTTR31ENCL31 P.O.Box128,Ft.Pierce,FL3o954-0128 February5,1993L-'93-3010CFR50.73U.S.NuclearRegulatory Commission Attn:DocumentControlDeskWashington, D.C.20555Re:St.LucieUnit2DocketNo.50-389Reportable Event:93-001DateofEvent:January8,1993MissedSurveillance forSafetyInectionTankSamlinDuetoPersonnel ErrorTheattachedLicenseeEventReportisbeingsubmitted pursuanttotherequirements of10CFR50.73toprovidenotification ofthesubjectevent.Verytrulyyours,D.A.SVicePSt.LugersidentePlantDAS/JWH/kw Attachment cc:StewartD.Ebneter,RegionalAdministrator, USNRCRegionII.SeniorResident, Inspector, USNRC,St.LuciePlantDAS/PSLN857-933.000429302110293 930205PDRADOCK050003B98PDRanFPLGroupcompany~/gJI FPLFscsirriis oiNRCFormS68(e.es)VS.NLCLEARREGULATORY COMMISSION LICENSEEEVENTREPORT(LER)APPITCYT0CNSISA$150010lEXP'.l1500tESTNEEDNATCEN005PESPONSEToCOWLYWITHTHEPPOISAATION COLLECTONINOLEST150 ll550$,TONWAAOCONMENTSPECAIEANO 55505tH5STNAATETOTIEPECOPOSANC INPCTTTSIIANAOENENT TTLFNCH(P~LLS, IACLENLINQAATOIY CONLPSSCFL WANANCTCN.
CCt05NLAIOTOTHEPAPENFICFIA FETACTCNPNCVECTOl50010PACF5IcEoFNANAEELENTNoNAxft.wASFNIOTIPL oct05NLFACILITYNAME(1)DOCKETNUMBER(2)St.LucieUnit2A050003891 03T'TLE{)MissedSurveillance forSafetyInjection TankSamplingDuetoPersonnel ErrorEVENTDATE(5)LERNUMBER(6)REPORTDATE(7)OTHERFACILITIES INVOLVED(8)01DAY08YEAR93YEAR93,.'IAL001gR0002DAYYEAR0593FACILITYNAMESN/AN/ADOCKETNUMBER(S) 050005000OPERATING MODE(9)POWERLEVEL(10)100;Cgjlr20.402(b) 20.405(a)(1)(i) 20.405(c) 50.36(c)(1) 20A05(a)(1)(II) 50.36(c)(2) 20.405(a)(1)(iii) 20.405(a)(1)(iv) 20.405(a)(1)(v) 50.73(a)(2)(I)50.73(a)(2)(ii) 50.73(a)(2)
(iii)LICENSEECONTACTFORTHISLER1250.73(a)(2)(iv) 50.73(a){2){v) 50.73(a)(2)(vii) 50.73(a)(2)(viii)(A) 50.73(a)(2)(viii)(B) 50.73(a)(2)(x)
THISREPORTISSUBMITTED PURSUANTTOTHEREQUIREMENTS OF10CFR:Checkoneormoreofthefollowin, (11)73.71(b)73;71{c)OTHER(SpecifyinAbstractbelowandinTextNRCForm366A)NAMEJamesA.Hurchalla, ShiftTechnical AdvisorTELEPONENUMBERAREACODE407465-3550COMPLETEONELINEFOREACHCOMPONENT FAILUREDESCRIBED INTHISREPORT13CAUSESYSTEMCOMPONENT REPORTABLE TONPRDSSYSTEMCOMPONENT MANUFACREPORTABLE TURERTONPRDSSUPPLEMENTAL REPORTEXPECTED14YES(Ifyes,completeEXPECTEDSUBMISSION DATE)XNOIIIEXPECTEDMONTHDAYYEARSUBMISSION DATE(15)ABSTRACT'(Limitto1400spaces.i.e.
approximately fifteensingle-space typewritten lines)(16)OnJanuary8,at0500aReactorControlOperator(RCO)filledthe2A1,2A2,and2B2Safetytnjection Tanks'SITs) andsubsequently notifiedChemistry.
AChemistry technician samptedtwooftheSITspertherequiredsurveillance butfaitedtosamplethethird.OnJanuary8,1993,at2300theUnit2Assistant NuclearPlantSupervisor discovered thatthesamplingofthe2A1SafetyInjection Tankhadnotbeenperformed byChemistry withintherequiredtimeintervalatterfillingthetank.Using,the25%maximumallowable extension permitted by.Technical Specification (TS)4.0.2,thelatesttimeatwhichthesamplingcouldhavebeenperformed ontimewasJanuary8,at1230.Therootcauseoftheeventwaspersonnel errorbyaChemistry technician responsible forthesampling.
WheninformedbyOperations thatspecificSITshavebeenfilleditistheresponsibility oftheChemistry department personnel onshifttosampletheseSITsfortherequiredboronconcentration perTS4.5.1.1.b.
Inaddition, therewasafailureonthepartofthecontrolroompersonnel torealizethatoneofthethreefilledSITshadnotbeensampledwhenChemistry notifiedthemthattwoSITswerewithinspecification.
Corrective actionswere;1)Performthe2A1SITsutveiltance.
2)CreateastatusboardbywhichChemistry caninsurethattheappropriate SITshavebeensampled.3)TheChemistry personnel involvedwerecounselled.
4)Operations personnel havebeencounselled.
5)AHumanPerformance Evaluation Systemevaluation wassubsequently conducted whosefindingsagreewiththisreport.FPLFacsimile ofNRCForm366(6-89)
PPLPSCSIITTle OtNRCFOTm&OSl689)U.S.NUCLEARREGULATORY COMMISSION LICENSEEEVENTREPORT(LER)TEXTCONTINUATlON
'APPROITOCAAT KLSITCSIPA lsplpaaACGITTSTPAATTOIMICTNPTRRTSPONSl TOOOINTTWITH TIPSPPOISAAOCNCOIlf CTONRTOUTSTIISAIPTSIORNNOCCANRNT0RTGARTNIC TAPSXNTSTINATlTOPICRTCORCSAICIISPORTSNANAGTASNTSRANCHTP000AU0,IAICI0AITRlOIAATORYOAA+CSSN70 WANTNCTON,OCT000S NAPTOTIRPAPTRWOPNRTOVCTIONPRORCTI'TIICCISPAOIIICC OPNANAKNTNTAM)TANCTT.WANSNCTOIAOCPPNOFACILITYNAME(1)St.LucieUnit2DOCKETNUMBER(2)YEAREQUENTIAL NUMBER."T',."REVISIONvlNUMBERLERNUMBER(6)PAGE(3)05000389TEXT(Ifmorespaceisreqoired, tjseadditional NRCForm366A's)(17)9300000203Operations fillsSafetyInjection Tanks(SIT)(EIIS:
BP)asnecessary tomaintaintherequiredTechnical Specification (TS)level.Subsequently theseSITsmustbesampledinaccordance with-Chemistry Operating Procedure 2-C-60within6hourstoensurethattherequiredTSboronconcentration hasbeenmaintained.
OnJanuary8,1993,at0500aReactorControlOperator(RCO)filledthe2A1,2A2,and2B2SITs.At0530henotifiedtheonshiftChemistry technician.
TheChemistry technician whoreceivedthecallturnedthesamplingresponsibility overtoanoncomingtechnician onthenextshift.Thistechnician receivedtheappropriate verbalinstructions ofwhichSITstocheckbutonlysampledthe2A2and2B2SITs.At0830henotifiedthecontrolroomthattheseSITsweresatisfactory wilhrespecttoboronconcentration.
Operations personnel receivedthecallandfailedtonoticethatoneoftheSITshadnotbeensampled.At2314theoncomingAssistant NuclearPlantSupervisor wasreviewing theRCOchronological loganddiscovered the2A1SIThadnotbeensampled.TheSITwasadministratively declaredoutofserviceandChemistry wasnotifiedtosampleit.Thesampleshowedsatisfactory boronconcentration andthe2A1SITwasdeclaredbackinserviceat2345.VTherootcauseoftheeventiscognitive personnel errorbyautilityChemistry technician byfailingtoensurethesamplingoftheappropriate SITs.Acontributing factoristhattherewasnomethodotherthanverbalrequestturnoverbetweenChemistry technicians toinsurethatthecorrectSITsaresampled.Thisplacesthefullresponsibility forthecorrectness andtimeliness ofthisTSsurveillance onverbalcommunication withnorecordedinformation fortheChemistry technician toreference.
Inaddition, therewasafailureonthepartofcontrolroompersonnel torealizethatoneofthethreeSITshadnotbeensampledwhenChemistry notifiedthemthattwoSITswerewithinspecification.
Therewerenounusualcharacteristics oftheworklocationwhichcontributed tothisevent.TVThiseventisreportable under10CFR50.73.a.2.i.b, asamissedsurveillance requiredbyTechnical Specifications.
Technical Specification 4.5.1.1.b statesthateachSafetyInjection Tankshallbedemonstrated operablewithin6hoursaftereachsolutionvolumeincreasegreaterthanorequalto1%oftankvolumebyverifying theboronconcentration ofthesolution.
Thepurposeofthissamplingistoprovideassurance thattheboronconcentration oftheSITshasnotbeenchangedtoavalue-outsidethebandoftheTechnical Specification requirements.
Thisassuresthattheassumptions usedfortheSITsintheFinalUpdatedSafetyAnalysisReport(FUSAR)arevalid.Thesurveillance ofthe2A1SITwascompleted at2340,or12hoursand40minutespasttherequiredTechnical Specification sampletime.FPLFacsimile ofNRCForm366(6-89)
FPLFacsimrootrNRCForm666(669t.U.S.NUCLEARREGULATORY COMMISSION LICENSEEEVENTREPORT(LER)TEXTCONTINUATlON APPAOVTOCallNCI 0ll00IOI000TIES.0000000TAAATTO nvexNPTfrfE0PONTE ToCOAWlvvATN TI0000aNAAOONCcuTCTEPI IEOIE00I0000000fCTIWATErCCANENT0IECANONCTAPCTN00TINATKToOETECOII0AlafEPTNTCNANACTAENTCPlANCNIP0000ua IAcTTArlTEaAATONT~
WASHNCTON,OC00000APATToTIE0APTfrWONATECOCTIONPNOEC'0fll000IOl00ÃfICTOfNANACTIENT AIOTANCET.WACIIAOT000 OC00NO.FACILITYNAME{1)St.LUCieUnit2DOCKETNUMBER(2)YEARLERNUMBER{6)EQUENTIAL NUMBERREVISIONNUMBERPAGE(3)0500038993TEXT(Ifmorespaceisrequired, useadditional NRCForm366A's)(17)0010003003Theresultsofthechemistry sampleshowedtheboronconcentration tobewithinTechnical Specification 3.5.1.c.The2A1SafetyInjection Tankwascapableofperforming itsintendedsafetyfunctionassetforthintheassumptions oftheFUSAR,sections6.3.2.2.1 and6.3.3.4.3.f.
TI;erefore, lhehealthandsafetyofthepublicwasnotaffectedbythisevent.1)The2A1SafetyInjection Tank(SIT)Chemistry Surveillance wasperformed withsatisfactory resultsJanuary8,1993at2340hours.2)TheChemistry department nowusesastatusboardtotrackregulatory requiredsurveillances thatarenotperiodically scheduled..
3)Thepersonnel involvedinthiseventhavebeencounselled bytheChemistry supervisor ontheimportance ofmeetingsurveillance requirements.
-4)TheOperations supervisor hasissuedaNightOrderonthiseventwhichemphasizes theneedforoperators totracksurveillances suchastheonedescribed intheLERviatheoperatorturnoversheet,andtheneedfortheoncomingcrewstocarefully reviewthechronological log.5)AHumanPerformance Enhancement System(HPES)evaluation wasperformed.
Theresultsagreewiththeconclusions ofthisLicenseeEventReport.ITINAFnnFilTherewerenocomponent failuresinvolvedinthisevent.VIAprevioussimilareventisdescribed inLER389-89-008, whichdescribes amissedsurveillance forSafetyInjection LoopHeadervalvesfollowing thefillingoftwoSITs.FPLFacsimile ofNRCForm366(6.89)}}

Revision as of 15:09, 29 June 2018

LER 93-001-00:on 930108,chemistry Technician Failed to Sample Third SI Tank & Sampling of SI Tank 2A1 Not Performed within TS Required Interval After Filling Tank.Caused by Personnel Error.Personnel counseled.W/930205 Ltr
ML17227A719
Person / Time
Site: Saint Lucie NextEra Energy icon.png
Issue date: 02/05/1993
From: HURCHALLA J A, SAGER D A
FLORIDA POWER & LIGHT CO.
To:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
L-93-30, LER-93-001-01, LER-93-1-1, NUDOCS 9302110293
Download: ML17227A719 (5)
v • d • e


Text

ACCEIERDDOCUMENTDISIBVTIONSYSTEMREGULRYINFORMATION DISTRIBUT SYSTEM(RIDS)ACCESSION NBR:9302110293 DOC.DATE:

93/02/05NOTARIZED:

NOFACIL:50-389 St.LuciePlant,Unit2,FloridaPower&LightCo.AUTH.NAMEAUTHORAFFILIATION HURCHALLA,J.A.

FloridaPowerELightCo.SAGER,D.A.

-FloridaPower6LightCo.RECIP.NAME RECIPIENT AFFILIATION DOCKET05000389

SUBJECT:

LER93-001-00:on 930108,chemistry technician failedtosamplethirdSItank6samplingofSItank2A1notperformed withinTSrequiredintervalafterfillingtank.Causedbypersonnel error.Personnel counseled.W/930205 ltr.DISTRIBUTION CODE:IE22TCOPIESRECEIVED:LTR gENCLgSIZE:TITLE:50.73/50.9 LicenseeEventReport(LER)-,IncidentRpt,etc.NOTES:RECiPIENT IDCODE/NAME PD2-2LANORRIS,JINTERNAL:

ACNWAEOD/DOA.

AEOD/ROAB/DSP NRR/DLPQ/LHFB10 NRR/DOEA/OEAB NRR/DST/SELB 8DNR~SPLB8DlREGFILE02GN2~LE01EXTERNAL:

EGErGBRYCE,J.H NRCPDRNSICPOORE,W.COPIESLTTRENCL1111221122111111111111221111RECIPIENT IDCODE/NAME PD2-2PDACRSAEOD/DSP/TPAB NRR/DET/EMEB 7ENRR/DLPQ/LPEB10 NRR/DREP/PRPB11 NRR/DST/SICB8H3 NRR/DST/SRXB 8ERES/DSIR/EIB LSTLOBBYWARDNSICMURPHY,G.A NUDOCSFULLTXTCOPIESLTTRENCL1-12211111122111111111111RNOTETOALL"RIDS"RECIPIENTS:

PLEASEHELPUSTOREDUCEWASTE!CONTACTTHEDOCUMENTCONTROLDESK,ROOMPl-37(EXT.504-2065)

TOELIMINATE YOURNAMEFROMDISTRIBUTION LISTSFORDOCUMENTS YOUDON'TNEED!LSFULLTEXTCONVERSION REQUIREDTOTALNUMBEROFCOPIESREQUIRED:

LTTR31ENCL31 P.O.Box128,Ft.Pierce,FL3o954-0128 February5,1993L-'93-3010CFR50.73U.S.NuclearRegulatory Commission Attn:DocumentControlDeskWashington, D.C.20555Re:St.LucieUnit2DocketNo.50-389Reportable Event:93-001DateofEvent:January8,1993MissedSurveillance forSafetyInectionTankSamlinDuetoPersonnel ErrorTheattachedLicenseeEventReportisbeingsubmitted pursuanttotherequirements of10CFR50.73toprovidenotification ofthesubjectevent.Verytrulyyours,D.A.SVicePSt.LugersidentePlantDAS/JWH/kw Attachment cc:StewartD.Ebneter,RegionalAdministrator, USNRCRegionII.SeniorResident, Inspector, USNRC,St.LuciePlantDAS/PSLN857-933.000429302110293 930205PDRADOCK050003B98PDRanFPLGroupcompany~/gJI FPLFscsirriis oiNRCFormS68(e.es)VS.NLCLEARREGULATORY COMMISSION LICENSEEEVENTREPORT(LER)APPITCYT0CNSISA$150010lEXP'.l1500tESTNEEDNATCEN005PESPONSEToCOWLYWITHTHEPPOISAATION COLLECTONINOLEST150 ll550$,TONWAAOCONMENTSPECAIEANO 55505tH5STNAATETOTIEPECOPOSANC INPCTTTSIIANAOENENT TTLFNCH(P~LLS, IACLENLINQAATOIY CONLPSSCFL WANANCTCN.

CCt05NLAIOTOTHEPAPENFICFIA FETACTCNPNCVECTOl50010PACF5IcEoFNANAEELENTNoNAxft.wASFNIOTIPL oct05NLFACILITYNAME(1)DOCKETNUMBER(2)St.LucieUnit2A050003891 03T'TLE{)MissedSurveillance forSafetyInjection TankSamplingDuetoPersonnel ErrorEVENTDATE(5)LERNUMBER(6)REPORTDATE(7)OTHERFACILITIES INVOLVED(8)01DAY08YEAR93YEAR93,.'IAL001gR0002DAYYEAR0593FACILITYNAMESN/AN/ADOCKETNUMBER(S) 050005000OPERATING MODE(9)POWERLEVEL(10)100;Cgjlr20.402(b) 20.405(a)(1)(i) 20.405(c) 50.36(c)(1) 20A05(a)(1)(II) 50.36(c)(2) 20.405(a)(1)(iii) 20.405(a)(1)(iv) 20.405(a)(1)(v) 50.73(a)(2)(I)50.73(a)(2)(ii) 50.73(a)(2)

(iii)LICENSEECONTACTFORTHISLER1250.73(a)(2)(iv) 50.73(a){2){v) 50.73(a)(2)(vii) 50.73(a)(2)(viii)(A) 50.73(a)(2)(viii)(B) 50.73(a)(2)(x)

THISREPORTISSUBMITTED PURSUANTTOTHEREQUIREMENTS OF10CFR:Checkoneormoreofthefollowin, (11)73.71(b)73;71{c)OTHER(SpecifyinAbstractbelowandinTextNRCForm366A)NAMEJamesA.Hurchalla, ShiftTechnical AdvisorTELEPONENUMBERAREACODE407465-3550COMPLETEONELINEFOREACHCOMPONENT FAILUREDESCRIBED INTHISREPORT13CAUSESYSTEMCOMPONENT REPORTABLE TONPRDSSYSTEMCOMPONENT MANUFACREPORTABLE TURERTONPRDSSUPPLEMENTAL REPORTEXPECTED14YES(Ifyes,completeEXPECTEDSUBMISSION DATE)XNOIIIEXPECTEDMONTHDAYYEARSUBMISSION DATE(15)ABSTRACT'(Limitto1400spaces.i.e.

approximately fifteensingle-space typewritten lines)(16)OnJanuary8,at0500aReactorControlOperator(RCO)filledthe2A1,2A2,and2B2Safetytnjection Tanks'SITs) andsubsequently notifiedChemistry.

AChemistry technician samptedtwooftheSITspertherequiredsurveillance butfaitedtosamplethethird.OnJanuary8,1993,at2300theUnit2Assistant NuclearPlantSupervisor discovered thatthesamplingofthe2A1SafetyInjection Tankhadnotbeenperformed byChemistry withintherequiredtimeintervalatterfillingthetank.Using,the25%maximumallowable extension permitted by.Technical Specification (TS)4.0.2,thelatesttimeatwhichthesamplingcouldhavebeenperformed ontimewasJanuary8,at1230.Therootcauseoftheeventwaspersonnel errorbyaChemistry technician responsible forthesampling.

WheninformedbyOperations thatspecificSITshavebeenfilleditistheresponsibility oftheChemistry department personnel onshifttosampletheseSITsfortherequiredboronconcentration perTS4.5.1.1.b.

Inaddition, therewasafailureonthepartofthecontrolroompersonnel torealizethatoneofthethreefilledSITshadnotbeensampledwhenChemistry notifiedthemthattwoSITswerewithinspecification.

Corrective actionswere;1)Performthe2A1SITsutveiltance.

2)CreateastatusboardbywhichChemistry caninsurethattheappropriate SITshavebeensampled.3)TheChemistry personnel involvedwerecounselled.

4)Operations personnel havebeencounselled.

5)AHumanPerformance Evaluation Systemevaluation wassubsequently conducted whosefindingsagreewiththisreport.FPLFacsimile ofNRCForm366(6-89)

PPLPSCSIITTle OtNRCFOTm&OSl689)U.S.NUCLEARREGULATORY COMMISSION LICENSEEEVENTREPORT(LER)TEXTCONTINUATlON

'APPROITOCAAT KLSITCSIPA lsplpaaACGITTSTPAATTOIMICTNPTRRTSPONSl TOOOINTTWITH TIPSPPOISAAOCNCOIlf CTONRTOUTSTIISAIPTSIORNNOCCANRNT0RTGARTNIC TAPSXNTSTINATlTOPICRTCORCSAICIISPORTSNANAGTASNTSRANCHTP000AU0,IAICI0AITRlOIAATORYOAA+CSSN70 WANTNCTON,OCT000S NAPTOTIRPAPTRWOPNRTOVCTIONPRORCTI'TIICCISPAOIIICC OPNANAKNTNTAM)TANCTT.WANSNCTOIAOCPPNOFACILITYNAME(1)St.LucieUnit2DOCKETNUMBER(2)YEAREQUENTIAL NUMBER."T',."REVISIONvlNUMBERLERNUMBER(6)PAGE(3)05000389TEXT(Ifmorespaceisreqoired, tjseadditional NRCForm366A's)(17)9300000203Operations fillsSafetyInjection Tanks(SIT)(EIIS:

BP)asnecessary tomaintaintherequiredTechnical Specification (TS)level.Subsequently theseSITsmustbesampledinaccordance with-Chemistry Operating Procedure 2-C-60within6hourstoensurethattherequiredTSboronconcentration hasbeenmaintained.

OnJanuary8,1993,at0500aReactorControlOperator(RCO)filledthe2A1,2A2,and2B2SITs.At0530henotifiedtheonshiftChemistry technician.

TheChemistry technician whoreceivedthecallturnedthesamplingresponsibility overtoanoncomingtechnician onthenextshift.Thistechnician receivedtheappropriate verbalinstructions ofwhichSITstocheckbutonlysampledthe2A2and2B2SITs.At0830henotifiedthecontrolroomthattheseSITsweresatisfactory wilhrespecttoboronconcentration.

Operations personnel receivedthecallandfailedtonoticethatoneoftheSITshadnotbeensampled.At2314theoncomingAssistant NuclearPlantSupervisor wasreviewing theRCOchronological loganddiscovered the2A1SIThadnotbeensampled.TheSITwasadministratively declaredoutofserviceandChemistry wasnotifiedtosampleit.Thesampleshowedsatisfactory boronconcentration andthe2A1SITwasdeclaredbackinserviceat2345.VTherootcauseoftheeventiscognitive personnel errorbyautilityChemistry technician byfailingtoensurethesamplingoftheappropriate SITs.Acontributing factoristhattherewasnomethodotherthanverbalrequestturnoverbetweenChemistry technicians toinsurethatthecorrectSITsaresampled.Thisplacesthefullresponsibility forthecorrectness andtimeliness ofthisTSsurveillance onverbalcommunication withnorecordedinformation fortheChemistry technician toreference.

Inaddition, therewasafailureonthepartofcontrolroompersonnel torealizethatoneofthethreeSITshadnotbeensampledwhenChemistry notifiedthemthattwoSITswerewithinspecification.

Therewerenounusualcharacteristics oftheworklocationwhichcontributed tothisevent.TVThiseventisreportable under10CFR50.73.a.2.i.b, asamissedsurveillance requiredbyTechnical Specifications.

Technical Specification 4.5.1.1.b statesthateachSafetyInjection Tankshallbedemonstrated operablewithin6hoursaftereachsolutionvolumeincreasegreaterthanorequalto1%oftankvolumebyverifying theboronconcentration ofthesolution.

Thepurposeofthissamplingistoprovideassurance thattheboronconcentration oftheSITshasnotbeenchangedtoavalue-outsidethebandoftheTechnical Specification requirements.

Thisassuresthattheassumptions usedfortheSITsintheFinalUpdatedSafetyAnalysisReport(FUSAR)arevalid.Thesurveillance ofthe2A1SITwascompleted at2340,or12hoursand40minutespasttherequiredTechnical Specification sampletime.FPLFacsimile ofNRCForm366(6-89)

FPLFacsimrootrNRCForm666(669t.U.S.NUCLEARREGULATORY COMMISSION LICENSEEEVENTREPORT(LER)TEXTCONTINUATlON APPAOVTOCallNCI 0ll00IOI000TIES.0000000TAAATTO nvexNPTfrfE0PONTE ToCOAWlvvATN TI0000aNAAOONCcuTCTEPI IEOIE00I0000000fCTIWATErCCANENT0IECANONCTAPCTN00TINATKToOETECOII0AlafEPTNTCNANACTAENTCPlANCNIP0000ua IAcTTArlTEaAATONT~

WASHNCTON,OC00000APATToTIE0APTfrWONATECOCTIONPNOEC'0fll000IOl00ÃfICTOfNANACTIENT AIOTANCET.WACIIAOT000 OC00NO.FACILITYNAME{1)St.LUCieUnit2DOCKETNUMBER(2)YEARLERNUMBER{6)EQUENTIAL NUMBERREVISIONNUMBERPAGE(3)0500038993TEXT(Ifmorespaceisrequired, useadditional NRCForm366A's)(17)0010003003Theresultsofthechemistry sampleshowedtheboronconcentration tobewithinTechnical Specification 3.5.1.c.The2A1SafetyInjection Tankwascapableofperforming itsintendedsafetyfunctionassetforthintheassumptions oftheFUSAR,sections6.3.2.2.1 and6.3.3.4.3.f.

TI;erefore, lhehealthandsafetyofthepublicwasnotaffectedbythisevent.1)The2A1SafetyInjection Tank(SIT)Chemistry Surveillance wasperformed withsatisfactory resultsJanuary8,1993at2340hours.2)TheChemistry department nowusesastatusboardtotrackregulatory requiredsurveillances thatarenotperiodically scheduled..

3)Thepersonnel involvedinthiseventhavebeencounselled bytheChemistry supervisor ontheimportance ofmeetingsurveillance requirements.

-4)TheOperations supervisor hasissuedaNightOrderonthiseventwhichemphasizes theneedforoperators totracksurveillances suchastheonedescribed intheLERviatheoperatorturnoversheet,andtheneedfortheoncomingcrewstocarefully reviewthechronological log.5)AHumanPerformance Enhancement System(HPES)evaluation wasperformed.

Theresultsagreewiththeconclusions ofthisLicenseeEventReport.ITINAFnnFilTherewerenocomponent failuresinvolvedinthisevent.VIAprevioussimilareventisdescribed inLER389-89-008, whichdescribes amissedsurveillance forSafetyInjection LoopHeadervalvesfollowing thefillingoftwoSITs.FPLFacsimile ofNRCForm366(6.89)

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