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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML18017A9181999-10-0808 October 1999 LER 99-008-00:on 991008,CR Emergency Filtration Sys Tech Specs Occurred.Caused by Site Personnel Failed to Recognize That Blocking Open CR Emergency Filtration Sys.Procedures Revised.With 991008 Ltr ML18017A8671999-09-10010 September 1999 LER 99-007-00:on 990811,determined That Cvis ARMs High Alarm Setpoints Were Not within TS Limit.Caused by Not Having Procedure to Verify If Cvis ARM High Alarm Setpoints Were within TS Requirements.Revised Procedures.With 990910 Ltr ML18016B0481999-08-0404 August 1999 LER 99-006-01:on 981124,noted Failure to Comply with TS 4.0.4 & TS 3/4.6.3, Civs. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Was Revised ML18016A9801999-06-0404 June 1999 LER 99-006-00:on 981124,failed to Comply with TS 4.0.4 & TS 3/4.6.3, Civ. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Will Be Revised.With 990604 Ltr ML18016A9111999-04-12012 April 1999 LER 99-005-00:on 990313,plant Exceeded ESFAS TS 3.3.2,Action 21.Caused by Inadequate Procedure Rev Preparation.Licensee Revised Applicable Maint Surveillance Test Procedure (MST-10072) to Identify TS Required Actions.With 990412 Ltr ML18016A8971999-04-0808 April 1999 LER 99-004-00:on 990312,unit Trip Was Noted.Caused by Degraded Condition of SG Water Level Flow Control Valve. Replaced Positioners on All Three FW Regulating Valves.With 990408 Ltr ML18016A8261999-02-22022 February 1999 LER 99-003-00:on 990123,noted That Plant Was Outside Design Basis Due to Isolation of Fire Protection Containment Sprinkler Sys.Caused by Human Error.Restored Containment Sprinkler Sys to Operable Status.With 990222 Ltr ML18016A8111999-02-12012 February 1999 LER 99-002-00:on 990114,RT Due to Not Removing Temporary Device from Relay Following Calibration Was Noted.Caused by Human Error.Counseled Personnel Involved in Event.With 990212 Ltr ML18016A7971999-02-0505 February 1999 LER 99-001-00:on 990106,SF Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Fasteners Bending Under Specific Circumstances.Increased Water Level.With 990205 Ltr ML18016A7941999-01-29029 January 1999 LER 98-004-01:on 980313,identified Design Deficiency Re Potential Runout of Tdafwp.Caused by Inadequate Original AFW Sys Design.Operability Evaluation Was Completed on 980313 & Addl Engineering Analysis Was Performed by Vendor ML18016A7211998-11-17017 November 1998 LER 98-007-00:on 981023,turbine Control Anomaly Caused Manual Rt.Caused by Failure to Incorporate Verbal Vendor Guidance in Operating Procedures.Addl Vendor Guidance Will Be Verified & Added to Procedures.With 981117 Ltr ML18016A4841998-07-0707 July 1998 LER 97-002-01:on 970207,determined That Cold Weather Conditions Resulted in Mfiv Being Potentially Inoperable During Period 970117-20.Caused by Inadequate Design of HVAC Sys.Implemented Mods to Steam Tunnel HVAC Sys ML18016A4701998-06-30030 June 1998 LER 97-021-03:on 980210,discovered That SFP Water Level Had Not Been Verified Greater than 23 Feet Above BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements. Will Submit TS Change Request to Revise TS 3.9.1.11 ML18016A4491998-06-0808 June 1998 LER 98-006-00:on 980508,failure to Perform Insp & Preventive Maint on MCCB as Required by TS Was Noted.Caused by Inadequate Sps.Tested 9 Pressurizer Heater Bank Breakers by Cycling each.W/980608 Ltr ML18022B0551998-05-20020 May 1998 LER 98-005-00:on 980420,TS Verbatim non-compliance Was Determined.Caused by Misinterpretation of TS Requirements. Issued Memo to Reemphasize Need to Comply W/Literal Meaning of TS Requirements in Verbatim manner.W/980520 Ltr ML18016A4061998-04-30030 April 1998 LER 98-002-01:on 980121,determined Ssps (P-11 Permissive) Testing Deficiency.Caused by Inadequate Review of Initial Ts.Will Revise & Perform Surveillance Test Procedures to Verify Operability of P-11 Permissive ML18016A3841998-04-13013 April 1998 LER 98-004-00:on 980313,design Deficiency Related to Indequate Runout Protection for Turbine Driven AFW Pump Was Identified.Caused by Inadequate Original AFW Sys Design. Evaluation (ESR 98-00100) Will Be completed.W/980409 Ltr ML18016A3441998-03-12012 March 1998 LER 97-021-02:on 980210,identified Failure to Properly Test non-safety Related Pressurizer Porv.Caused by Inadequate Surveillance Test Procedures.Revised Operations Surveillance Test OST-1117 to Include Testing of Subject PORV ML18016A3291998-02-27027 February 1998 LER 98-003-00:on 980129,failure to Perform Shutdown Margin Calculation Required by TS Surveillance Requirements Occurred.Caused by Ambiguity in TS 3.1.3.1.c.Procedures revised.W/980227 Ltr ML18016A3211998-02-20020 February 1998 LER 98-002-00:on 980121,solid State Protection Sys Testing Deficiency Occurred.Caused by Inadequate Review of Initial Tech Specs.Ts Testing Frequency for P-11 Permissive Revised. W/980217 Ltr ML18016A3131998-02-0909 February 1998 LER 98-001-00:on 980109,potential Condition Outside Design Basis Related to Instrument Air Sys Leak Causing SG pre- Heater Bypass Isolation Valves to Be Inoperable Was Noted. Caused by Inadequate Design Control.Generated Jco 98-01 ML18016A2641997-12-18018 December 1997 LER 97-024-00:on 971118,SSPS Testing Deficiency Was Noted. Caused by Inadequate Testing Scheme Provided by Ssps Vendor. Revised procedure.W/971218 Ltr ML18016A2501997-11-24024 November 1997 LER 97-023-00:on 920721,RCS PIV Testing Deficiency Was Noted.Caused by Failure to Consider All Testing Variables During Initial Sp Development.Surveillance Tp OST-1506 Was Revised to Incorporate Correction factor.W/971124 Ltr ML18016A2201997-10-22022 October 1997 LER 97-021-01:on 970922,discovered That Spent Fuel Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements.Revised Daily Surveillance Procedures ML18016A2081997-10-14014 October 1997 LER 97-016-01:on 970608,reactor Trip Occurred,Due to Personnel Error While Attempting to Adjust Power Range Nuclear Instrumentation Channel Following Performance of Calorimetric.Procedures revised.W/971014 Ltr ML18016A2111997-10-14014 October 1997 LER 96-008-02:on 960425,turbine Trip/Reactor Trip Occurred. Caused by High Resistance Connection Resulting from a Phase Switch Jaw & Blade Contacts.Failed a Phase Disconnect Switch on Breaker 52-7 Replaced ML18016A1931997-09-29029 September 1997 LER 97-022-00:on 970829,TS Required Shutdown Due to Expiration of AFW Lco.Caused by Personnel Error.Completed Repairs TDAFW Pump & Returned Plant to Svc on 970831. W/970926 Ltr ML18016A1891997-09-12012 September 1997 LER 97-020-00:on 970814,inadequate Fire Protection Provided for safety-related EDG Fuel Oil Transfer Pump Cables Resulted in Operation Outside Design Basis.Caused by Engineering Oversight.Established Fire watches.W/970912 Ltr ML18016A1881997-09-12012 September 1997 LER 97-021-00:on 970814,spent Fuel Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Misinterpretation of Ts.Directions Provided to Operations.W/970912 Ltr ML18012A8641997-08-18018 August 1997 LER 97-019-00:on 970720,turbine Trip/Reactor Trip Occurred. Caused by Three Phase Fault That Collapsed Excitation Field in Main Generator,Resulting in Generator Lockout.Exciter Rotor Assembly Was replaced.W/970818 Ltr ML18012A8581997-08-0808 August 1997 LER 96-018-01:on 960903,manual Reactor Trip Occurred Due to Loss of Normal Sw.Caused by Mechanical Failure of B Water Pump & a Normal SW to Remain Running Once Manually Started.Restored a Normal SW Pump to Svc ML18012A8551997-08-0808 August 1997 LER 96-013-02:on 961028,condition Outside of Design Basis Where RWST Had Been Aligned w/non-seismically Qualified Sys Was Identified.Caused by Failure to Reconcile Operating Procedure Lineups.Established Administrative Controls ML18012A8471997-07-31031 July 1997 LER 97-018-00:on 970701,determined That Plant Procedures Had Not Received Proper Reviews & Approvals.Caused by Failure to Comply W/Plant Administrative Procedure AP-006.Counseled Involved individuals.W/970731 Ltr ML18012A8371997-07-24024 July 1997 LER 97-S01-00:on 970405,unescorted Access Inappropriately Granted to Contract Outage Workers Was Determined.Caused by Personnel Error.Access Files for Individuals Inappropriately Granted Unescorted Access Were Placed on Access Hold ML18012A8291997-07-11011 July 1997 LER 97-017-00:on 970612,failed to Recognize Inoperable Reactor Afd Monitor.Caused by Personnel Error.Operators Involved in Event Will Be Counseled Prior to Assuming Shift duties.W/970711 Ltr ML18012A8301997-07-0808 July 1997 LER 97-016-00:on 970608,reactor Trip Occurred Due to Personnel Error in Adjusting Power Range (Pr) Nuclear Instrumentation (Ni).Issued Night Order Prohibiting Pr Ni Adjustment When Redundant Channel inoperable.W/970708 Ltr ML18012A8241997-07-0202 July 1997 LER 97-015-00:on 970602,inadequate Auxiliary Feedwater Sys Flow Control Valve Surveillance Testing Deficiency Was Identified.Caused by Failure to Recognize Impact on TS 4.7.1.2.1.Readjusted AFW FCV Actuator spring.W/970702 Ltr ML18022B0181997-06-13013 June 1997 LER 97-014-00:on 970514,SI Occurred During Ssps Surveillance Testing.Caused by Inattention to Detail During Recent Rev to Surveillance Test Procedure Being Used.Revised Deficient Surveillance procedures.W/970613 Ltr ML18012A8081997-06-0909 June 1997 LER 97-013-00:on 970508,entry Into Mode-6 Without Operable Components,Resulting in TS 3.0.4 Violation Occurred.Caused by Personnel Error.Personnel Involved counseled.W/970609 Ltr ML18012A8021997-06-0606 June 1997 LER 97-023-02:on 961114,design Deficiency Was Identified in Emergency DG Protection Circuitry.Caused by Inadequate Plant Design.Revised Surveillance Test Procedures OST-1013 & OST-1073.W/970606 Ltr ML18012A8011997-06-0404 June 1997 LER 97-012-00:on 970505,determined That Previous Auxiliary Control Panel Had Not Verified Operability of Interposing Relays.Caused by Misinterpretation of Tss.Reviewed Other Remote Shutdown Panel Transfer circuitry.W/970604 Ltr ML18012A7951997-05-29029 May 1997 LER 96-023-01:on 961114,design Deficiency in EDG Protection Circuitry Was Identified.Caused by Inadequate Original Plant Design.Surveillance Test Procedures OST-1013 & OST-1073 revised.W/970529 Ltr ML18012A7891997-05-22022 May 1997 LER 97-011-00:on 970422,inappropriate TS Interpretation Resulted in Violations of ECCS Accumulator TS & Entry Into TS 3.0.3.Caused by Procedural Inadequacy.Tsi 88-001 Cancelled 970508 & Procedures revised.W/970522 Ltr ML18012A7871997-05-19019 May 1997 LER 97-010-00:on 970418,design Deficiency Determined Re Reactor Coolant Pump Motor Oil Collection Sys.Caused by RCP Ocs Design Detail.Rcp Ocs Enclosures for Each of Three Installed RCP Motors Have Been modified.W/970519 Ltr ML18012A7761997-05-0707 May 1997 LER 97-009-00:on 970407,fuse Was Removed from CR Ventilation Isolation Signal Power Supply Circuitry Due to Personnel Error.Individuals Involved Were counseled.W/970507 Ltr ML18012A7751997-05-0505 May 1997 LER 97-008-00:on 970404,safety-related AHU Not Declared Inoperable During Maintenance on Associated Temperature Switches Resulting in Violation of Ts.Caused by Incorrect Interpretation.Operations Night Order issued.W/970505 Ltr ML18012A6291997-04-24024 April 1997 LER 97-007-00:on 970325,inoperable CCW Sys TS 3.0.3 Entry Made.Caused by Combination of Procedural Inadequacies, Improper Use of Procedure Guidance & Poor Communication. Applicable Individuals counseled.W/970423 Ltr ML18022B0151997-04-17017 April 1997 LER 97-006-00:on 970318,breach Was Identified in Thermo-Lag Fire Barrier Wall Due to Inadequate Initial Design,Poor Construction Methods & Incomplete as-built Design.Visual Insp of Thermo-Lag Barrier Walls performed.W/970417 Ltr ML18012A6041997-04-0303 April 1997 LER 97-004-00:on 970304,in-plant Spent Fuel Cask Handling Activities Conducted Outside Design Basis.Caused by Lack of Understanding of Requirements.Operations Placed on Hold Pending NRC Review & Approval of procedures.W/970331 Ltr ML18012A6031997-03-31031 March 1997 LER 97-003-00:on 970227,steam Generator Low Level Protection Circuitry Outside Design Basis Occurred.Caused by Inadequate Failure Modes & Effects Analysis Performed as-built Piping Configuration for S/G Level.Review performed.W/970331 Ltr 1999-09-10
[Table view] Category:RO)
MONTHYEARML18017A9181999-10-0808 October 1999 LER 99-008-00:on 991008,CR Emergency Filtration Sys Tech Specs Occurred.Caused by Site Personnel Failed to Recognize That Blocking Open CR Emergency Filtration Sys.Procedures Revised.With 991008 Ltr ML18017A8671999-09-10010 September 1999 LER 99-007-00:on 990811,determined That Cvis ARMs High Alarm Setpoints Were Not within TS Limit.Caused by Not Having Procedure to Verify If Cvis ARM High Alarm Setpoints Were within TS Requirements.Revised Procedures.With 990910 Ltr ML18016B0481999-08-0404 August 1999 LER 99-006-01:on 981124,noted Failure to Comply with TS 4.0.4 & TS 3/4.6.3, Civs. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Was Revised ML18016A9801999-06-0404 June 1999 LER 99-006-00:on 981124,failed to Comply with TS 4.0.4 & TS 3/4.6.3, Civ. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Will Be Revised.With 990604 Ltr ML18016A9111999-04-12012 April 1999 LER 99-005-00:on 990313,plant Exceeded ESFAS TS 3.3.2,Action 21.Caused by Inadequate Procedure Rev Preparation.Licensee Revised Applicable Maint Surveillance Test Procedure (MST-10072) to Identify TS Required Actions.With 990412 Ltr ML18016A8971999-04-0808 April 1999 LER 99-004-00:on 990312,unit Trip Was Noted.Caused by Degraded Condition of SG Water Level Flow Control Valve. Replaced Positioners on All Three FW Regulating Valves.With 990408 Ltr ML18016A8261999-02-22022 February 1999 LER 99-003-00:on 990123,noted That Plant Was Outside Design Basis Due to Isolation of Fire Protection Containment Sprinkler Sys.Caused by Human Error.Restored Containment Sprinkler Sys to Operable Status.With 990222 Ltr ML18016A8111999-02-12012 February 1999 LER 99-002-00:on 990114,RT Due to Not Removing Temporary Device from Relay Following Calibration Was Noted.Caused by Human Error.Counseled Personnel Involved in Event.With 990212 Ltr ML18016A7971999-02-0505 February 1999 LER 99-001-00:on 990106,SF Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Fasteners Bending Under Specific Circumstances.Increased Water Level.With 990205 Ltr ML18016A7941999-01-29029 January 1999 LER 98-004-01:on 980313,identified Design Deficiency Re Potential Runout of Tdafwp.Caused by Inadequate Original AFW Sys Design.Operability Evaluation Was Completed on 980313 & Addl Engineering Analysis Was Performed by Vendor ML18016A7211998-11-17017 November 1998 LER 98-007-00:on 981023,turbine Control Anomaly Caused Manual Rt.Caused by Failure to Incorporate Verbal Vendor Guidance in Operating Procedures.Addl Vendor Guidance Will Be Verified & Added to Procedures.With 981117 Ltr ML18016A4841998-07-0707 July 1998 LER 97-002-01:on 970207,determined That Cold Weather Conditions Resulted in Mfiv Being Potentially Inoperable During Period 970117-20.Caused by Inadequate Design of HVAC Sys.Implemented Mods to Steam Tunnel HVAC Sys ML18016A4701998-06-30030 June 1998 LER 97-021-03:on 980210,discovered That SFP Water Level Had Not Been Verified Greater than 23 Feet Above BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements. Will Submit TS Change Request to Revise TS 3.9.1.11 ML18016A4491998-06-0808 June 1998 LER 98-006-00:on 980508,failure to Perform Insp & Preventive Maint on MCCB as Required by TS Was Noted.Caused by Inadequate Sps.Tested 9 Pressurizer Heater Bank Breakers by Cycling each.W/980608 Ltr ML18022B0551998-05-20020 May 1998 LER 98-005-00:on 980420,TS Verbatim non-compliance Was Determined.Caused by Misinterpretation of TS Requirements. Issued Memo to Reemphasize Need to Comply W/Literal Meaning of TS Requirements in Verbatim manner.W/980520 Ltr ML18016A4061998-04-30030 April 1998 LER 98-002-01:on 980121,determined Ssps (P-11 Permissive) Testing Deficiency.Caused by Inadequate Review of Initial Ts.Will Revise & Perform Surveillance Test Procedures to Verify Operability of P-11 Permissive ML18016A3841998-04-13013 April 1998 LER 98-004-00:on 980313,design Deficiency Related to Indequate Runout Protection for Turbine Driven AFW Pump Was Identified.Caused by Inadequate Original AFW Sys Design. Evaluation (ESR 98-00100) Will Be completed.W/980409 Ltr ML18016A3441998-03-12012 March 1998 LER 97-021-02:on 980210,identified Failure to Properly Test non-safety Related Pressurizer Porv.Caused by Inadequate Surveillance Test Procedures.Revised Operations Surveillance Test OST-1117 to Include Testing of Subject PORV ML18016A3291998-02-27027 February 1998 LER 98-003-00:on 980129,failure to Perform Shutdown Margin Calculation Required by TS Surveillance Requirements Occurred.Caused by Ambiguity in TS 3.1.3.1.c.Procedures revised.W/980227 Ltr ML18016A3211998-02-20020 February 1998 LER 98-002-00:on 980121,solid State Protection Sys Testing Deficiency Occurred.Caused by Inadequate Review of Initial Tech Specs.Ts Testing Frequency for P-11 Permissive Revised. W/980217 Ltr ML18016A3131998-02-0909 February 1998 LER 98-001-00:on 980109,potential Condition Outside Design Basis Related to Instrument Air Sys Leak Causing SG pre- Heater Bypass Isolation Valves to Be Inoperable Was Noted. Caused by Inadequate Design Control.Generated Jco 98-01 ML18016A2641997-12-18018 December 1997 LER 97-024-00:on 971118,SSPS Testing Deficiency Was Noted. Caused by Inadequate Testing Scheme Provided by Ssps Vendor. Revised procedure.W/971218 Ltr ML18016A2501997-11-24024 November 1997 LER 97-023-00:on 920721,RCS PIV Testing Deficiency Was Noted.Caused by Failure to Consider All Testing Variables During Initial Sp Development.Surveillance Tp OST-1506 Was Revised to Incorporate Correction factor.W/971124 Ltr ML18016A2201997-10-22022 October 1997 LER 97-021-01:on 970922,discovered That Spent Fuel Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements.Revised Daily Surveillance Procedures ML18016A2081997-10-14014 October 1997 LER 97-016-01:on 970608,reactor Trip Occurred,Due to Personnel Error While Attempting to Adjust Power Range Nuclear Instrumentation Channel Following Performance of Calorimetric.Procedures revised.W/971014 Ltr ML18016A2111997-10-14014 October 1997 LER 96-008-02:on 960425,turbine Trip/Reactor Trip Occurred. Caused by High Resistance Connection Resulting from a Phase Switch Jaw & Blade Contacts.Failed a Phase Disconnect Switch on Breaker 52-7 Replaced ML18016A1931997-09-29029 September 1997 LER 97-022-00:on 970829,TS Required Shutdown Due to Expiration of AFW Lco.Caused by Personnel Error.Completed Repairs TDAFW Pump & Returned Plant to Svc on 970831. W/970926 Ltr ML18016A1891997-09-12012 September 1997 LER 97-020-00:on 970814,inadequate Fire Protection Provided for safety-related EDG Fuel Oil Transfer Pump Cables Resulted in Operation Outside Design Basis.Caused by Engineering Oversight.Established Fire watches.W/970912 Ltr ML18016A1881997-09-12012 September 1997 LER 97-021-00:on 970814,spent Fuel Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Misinterpretation of Ts.Directions Provided to Operations.W/970912 Ltr ML18012A8641997-08-18018 August 1997 LER 97-019-00:on 970720,turbine Trip/Reactor Trip Occurred. Caused by Three Phase Fault That Collapsed Excitation Field in Main Generator,Resulting in Generator Lockout.Exciter Rotor Assembly Was replaced.W/970818 Ltr ML18012A8581997-08-0808 August 1997 LER 96-018-01:on 960903,manual Reactor Trip Occurred Due to Loss of Normal Sw.Caused by Mechanical Failure of B Water Pump & a Normal SW to Remain Running Once Manually Started.Restored a Normal SW Pump to Svc ML18012A8551997-08-0808 August 1997 LER 96-013-02:on 961028,condition Outside of Design Basis Where RWST Had Been Aligned w/non-seismically Qualified Sys Was Identified.Caused by Failure to Reconcile Operating Procedure Lineups.Established Administrative Controls ML18012A8471997-07-31031 July 1997 LER 97-018-00:on 970701,determined That Plant Procedures Had Not Received Proper Reviews & Approvals.Caused by Failure to Comply W/Plant Administrative Procedure AP-006.Counseled Involved individuals.W/970731 Ltr ML18012A8371997-07-24024 July 1997 LER 97-S01-00:on 970405,unescorted Access Inappropriately Granted to Contract Outage Workers Was Determined.Caused by Personnel Error.Access Files for Individuals Inappropriately Granted Unescorted Access Were Placed on Access Hold ML18012A8291997-07-11011 July 1997 LER 97-017-00:on 970612,failed to Recognize Inoperable Reactor Afd Monitor.Caused by Personnel Error.Operators Involved in Event Will Be Counseled Prior to Assuming Shift duties.W/970711 Ltr ML18012A8301997-07-0808 July 1997 LER 97-016-00:on 970608,reactor Trip Occurred Due to Personnel Error in Adjusting Power Range (Pr) Nuclear Instrumentation (Ni).Issued Night Order Prohibiting Pr Ni Adjustment When Redundant Channel inoperable.W/970708 Ltr ML18012A8241997-07-0202 July 1997 LER 97-015-00:on 970602,inadequate Auxiliary Feedwater Sys Flow Control Valve Surveillance Testing Deficiency Was Identified.Caused by Failure to Recognize Impact on TS 4.7.1.2.1.Readjusted AFW FCV Actuator spring.W/970702 Ltr ML18022B0181997-06-13013 June 1997 LER 97-014-00:on 970514,SI Occurred During Ssps Surveillance Testing.Caused by Inattention to Detail During Recent Rev to Surveillance Test Procedure Being Used.Revised Deficient Surveillance procedures.W/970613 Ltr ML18012A8081997-06-0909 June 1997 LER 97-013-00:on 970508,entry Into Mode-6 Without Operable Components,Resulting in TS 3.0.4 Violation Occurred.Caused by Personnel Error.Personnel Involved counseled.W/970609 Ltr ML18012A8021997-06-0606 June 1997 LER 97-023-02:on 961114,design Deficiency Was Identified in Emergency DG Protection Circuitry.Caused by Inadequate Plant Design.Revised Surveillance Test Procedures OST-1013 & OST-1073.W/970606 Ltr ML18012A8011997-06-0404 June 1997 LER 97-012-00:on 970505,determined That Previous Auxiliary Control Panel Had Not Verified Operability of Interposing Relays.Caused by Misinterpretation of Tss.Reviewed Other Remote Shutdown Panel Transfer circuitry.W/970604 Ltr ML18012A7951997-05-29029 May 1997 LER 96-023-01:on 961114,design Deficiency in EDG Protection Circuitry Was Identified.Caused by Inadequate Original Plant Design.Surveillance Test Procedures OST-1013 & OST-1073 revised.W/970529 Ltr ML18012A7891997-05-22022 May 1997 LER 97-011-00:on 970422,inappropriate TS Interpretation Resulted in Violations of ECCS Accumulator TS & Entry Into TS 3.0.3.Caused by Procedural Inadequacy.Tsi 88-001 Cancelled 970508 & Procedures revised.W/970522 Ltr ML18012A7871997-05-19019 May 1997 LER 97-010-00:on 970418,design Deficiency Determined Re Reactor Coolant Pump Motor Oil Collection Sys.Caused by RCP Ocs Design Detail.Rcp Ocs Enclosures for Each of Three Installed RCP Motors Have Been modified.W/970519 Ltr ML18012A7761997-05-0707 May 1997 LER 97-009-00:on 970407,fuse Was Removed from CR Ventilation Isolation Signal Power Supply Circuitry Due to Personnel Error.Individuals Involved Were counseled.W/970507 Ltr ML18012A7751997-05-0505 May 1997 LER 97-008-00:on 970404,safety-related AHU Not Declared Inoperable During Maintenance on Associated Temperature Switches Resulting in Violation of Ts.Caused by Incorrect Interpretation.Operations Night Order issued.W/970505 Ltr ML18012A6291997-04-24024 April 1997 LER 97-007-00:on 970325,inoperable CCW Sys TS 3.0.3 Entry Made.Caused by Combination of Procedural Inadequacies, Improper Use of Procedure Guidance & Poor Communication. Applicable Individuals counseled.W/970423 Ltr ML18022B0151997-04-17017 April 1997 LER 97-006-00:on 970318,breach Was Identified in Thermo-Lag Fire Barrier Wall Due to Inadequate Initial Design,Poor Construction Methods & Incomplete as-built Design.Visual Insp of Thermo-Lag Barrier Walls performed.W/970417 Ltr ML18012A6041997-04-0303 April 1997 LER 97-004-00:on 970304,in-plant Spent Fuel Cask Handling Activities Conducted Outside Design Basis.Caused by Lack of Understanding of Requirements.Operations Placed on Hold Pending NRC Review & Approval of procedures.W/970331 Ltr ML18012A6031997-03-31031 March 1997 LER 97-003-00:on 970227,steam Generator Low Level Protection Circuitry Outside Design Basis Occurred.Caused by Inadequate Failure Modes & Effects Analysis Performed as-built Piping Configuration for S/G Level.Review performed.W/970331 Ltr 1999-09-10
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML18017A9181999-10-0808 October 1999 LER 99-008-00:on 991008,CR Emergency Filtration Sys Tech Specs Occurred.Caused by Site Personnel Failed to Recognize That Blocking Open CR Emergency Filtration Sys.Procedures Revised.With 991008 Ltr ML18017A9151999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Shearon Harris Npp. with 991012 Ltr ML20217A9931999-09-30030 September 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data ML18017A8671999-09-10010 September 1999 LER 99-007-00:on 990811,determined That Cvis ARMs High Alarm Setpoints Were Not within TS Limit.Caused by Not Having Procedure to Verify If Cvis ARM High Alarm Setpoints Were within TS Requirements.Revised Procedures.With 990910 Ltr ML18017A8621999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Harris Nuclear Plant.With 990908 Ltr ML18016B0481999-08-0404 August 1999 LER 99-006-01:on 981124,noted Failure to Comply with TS 4.0.4 & TS 3/4.6.3, Civs. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Was Revised ML18017A8361999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Shearon Harris Nuclear Power Plant.With 990811 Ltr ML18016B0151999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Shearon Harris Npp. with 990713 Ltr ML20196H8621999-06-30030 June 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data, June 1999 Rept ML18016A9801999-06-0404 June 1999 LER 99-006-00:on 981124,failed to Comply with TS 4.0.4 & TS 3/4.6.3, Civ. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Will Be Revised.With 990604 Ltr ML18016A9851999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Shearon Harris Nuclear Plant,Unit 1.With 990614 Ltr ML18017A8981999-05-12012 May 1999 Technical Rept Entitled, Harris Nuclear Plant-Bacteria Detection in Water from C&D Spent Fuel Pool Cooling Lines. ML18016A9581999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Shearon Harris Nuclear Plant,Unit 1.With 990513 Ltr ML18016A9011999-04-12012 April 1999 Part 21 Rept Re Defect in Component of DSRV-16-4,Enterprise DG Sys.Caused by Potential Problem with Connecting Rod Assemblies Built Since 1986,that Have Been Converted to Use Prestressed Fasteners.Affected Rods Should Be Inspected ML18016A9111999-04-12012 April 1999 LER 99-005-00:on 990313,plant Exceeded ESFAS TS 3.3.2,Action 21.Caused by Inadequate Procedure Rev Preparation.Licensee Revised Applicable Maint Surveillance Test Procedure (MST-10072) to Identify TS Required Actions.With 990412 Ltr ML18016A8971999-04-0808 April 1999 LER 99-004-00:on 990312,unit Trip Was Noted.Caused by Degraded Condition of SG Water Level Flow Control Valve. Replaced Positioners on All Three FW Regulating Valves.With 990408 Ltr ML18016A8941999-04-0505 April 1999 Revised Pages 20-25 to App 4A of non-proprietary Version of Rev 3 to HI-971760 ML18016A9101999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Shearon Harris Nuclear Power Plant.With 990413 Ltr ML18016A8661999-03-31031 March 1999 Shnpp Operator Training Simulator,Simulator Certification Quadrennial Rept. ML18017A8931999-02-28028 February 1999 Risks & Alternative Options Associated with Spent Fuel Storage at Shearon Harris Nuclear Power Plant. ML18016A8551999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Shearon Harris Npp. with 990312 Ltr ML18016A8261999-02-22022 February 1999 LER 99-003-00:on 990123,noted That Plant Was Outside Design Basis Due to Isolation of Fire Protection Containment Sprinkler Sys.Caused by Human Error.Restored Containment Sprinkler Sys to Operable Status.With 990222 Ltr ML18016A8531999-02-18018 February 1999 Non-proprietary Rev 3 to HI-971760, Licensing Rept for Expanding Storage Capacity in Harris SFP 'C' & 'D'. ML18016A8111999-02-12012 February 1999 LER 99-002-00:on 990114,RT Due to Not Removing Temporary Device from Relay Following Calibration Was Noted.Caused by Human Error.Counseled Personnel Involved in Event.With 990212 Ltr ML18016A7971999-02-0505 February 1999 LER 99-001-00:on 990106,SF Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Fasteners Bending Under Specific Circumstances.Increased Water Level.With 990205 Ltr ML18022B0631999-02-0404 February 1999 Rev 0 to Nuclear NDE Manual. with 28 Oversize Uncodable Drawings of Alternative Plan Scope & 4 Oversize Codable Drawings ML20202J1161999-02-0101 February 1999 SER Accepting Relief Requests Associated with Second 10-year Interval Inservice Testing Program ML18016A8041999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Shearon Harris Nuclear Power Plant.With 990211 Ltr ML18016A7941999-01-29029 January 1999 LER 98-004-01:on 980313,identified Design Deficiency Re Potential Runout of Tdafwp.Caused by Inadequate Original AFW Sys Design.Operability Evaluation Was Completed on 980313 & Addl Engineering Analysis Was Performed by Vendor ML18016A7801998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Shearon Harris Npp. with 990113 Ltr ML18016A7671998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Shnpp,Unit 1.With 981215 Ltr ML18016A9731998-11-28028 November 1998 Changes,Tests & Experiments, for Harris Nuclear Plant.Rept Provides Brief Description of Changes to Facility & Summary & of SE for Each Item That Was Implemented Under 10CFR50.59 Between 970608-981128.With 990527 Ltr ML18016A8351998-11-28028 November 1998 ISI Summary 8th Refueling Outage for Shearon Harris Power Plant,Unit 1. ML18016A7411998-11-25025 November 1998 Rev 1 to Shnpp Cycle 9 Colr. ML18016A7211998-11-17017 November 1998 LER 98-007-00:on 981023,turbine Control Anomaly Caused Manual Rt.Caused by Failure to Incorporate Verbal Vendor Guidance in Operating Procedures.Addl Vendor Guidance Will Be Verified & Added to Procedures.With 981117 Ltr ML18016A7071998-11-0303 November 1998 Rev 0 to Harris Unit 1 Cycle 9 Colr. ML18016A7201998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Shearon Harris Nuclear Power Plant.With 981113 Ltr ML20154F8701998-10-0606 October 1998 Safety Evaluation Authorizing Proposed Alternative to Requirements of OMa-1988,Part 10,Section 4.2.2.3 for 21 Category a Reactor Coolant Sys Pressure Isolation Valves ML18016A6201998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Harris Nuclear Power Plant.With 981012 Ltr ML18016A5971998-09-21021 September 1998 Rev 1 to Harris Unit 1 Cycle 8 Colr. ML18016A5881998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Shnpp,Unit 1.With 980914 Ltr ML18016A5071998-07-31031 July 1998 Monthly Operating Rept for Jul 1998 for Shearon Harris Nuclear Plant.W/980811 Ltr ML18016A9431998-07-0707 July 1998 Rev 1 to QAP Manual. ML18016A4841998-07-0707 July 1998 LER 97-002-01:on 970207,determined That Cold Weather Conditions Resulted in Mfiv Being Potentially Inoperable During Period 970117-20.Caused by Inadequate Design of HVAC Sys.Implemented Mods to Steam Tunnel HVAC Sys ML18016A9371998-06-30030 June 1998 Technical Rept on Matl Identification of Spent Fuel Piping Welds at Hnp. ML18016A4861998-06-30030 June 1998 Monthly Operating Rept for June 1998 for SHNPP.W/980715 Ltr ML18016A4701998-06-30030 June 1998 LER 97-021-03:on 980210,discovered That SFP Water Level Had Not Been Verified Greater than 23 Feet Above BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements. Will Submit TS Change Request to Revise TS 3.9.1.11 ML18016A4491998-06-0808 June 1998 LER 98-006-00:on 980508,failure to Perform Insp & Preventive Maint on MCCB as Required by TS Was Noted.Caused by Inadequate Sps.Tested 9 Pressurizer Heater Bank Breakers by Cycling each.W/980608 Ltr ML18016A4521998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Shearon Harris Nuclear Power Plant.W/980612 Ltr ML18016A7711998-05-26026 May 1998 Non-proprietary Rev 2 to HI-971760, Licensing Rept for Expanding Storage Capacity in Harris Spent Fuel Pools 'C' & 'D'. 1999-09-30
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P&IC3R.I (ACCELERATED RIDS I"V PROCESSli 1
REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9411160233 DOC.DATE: 94/11/10 NOTARIZED: NO DOCKET N FACIL:50-400 Shearon Harris Nuclear Power Plant, Unit 1, Carolina 05000400 AUTH. NAME AUTHOR AFFILIATION VERRILLI,M. Carolina Power 6 Light Co.
DONAHUE,J.W. Carolina Power 6 Light Co.
RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 94-003-01:on 940718,improperly analyzed single failure in ESWS occurred that could potentially result zn charging/
safety injection pumps not performing safety function. Caused by inadecpxate reviews.Review conducted.W/941110 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ! ENCL ( SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Tncident Rpt, etc.
NOTES:Application for permit renewal filed. 05000400 RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD2-1 PD 1 1 LE,N 1 1 INTERNAL: ACRS 1 OD/ROA'B/DSP 2 2 AEOD/SPD/RRAB 1 FIM C~EN ERA 02 1 1 NRR/DE/EELB 1 NRR/DE/EMEB 1 1 NRR/DORS/OEAB 1 NRR/DRCH/HHFB 1 1 NRR/DRCH/HICB 1 NRR/DRCH/HOLB 1 1 NRR/DRSS/PRPB 2 NRR/DSSA/SPLB 1 1 NRR/DSSA/SRXB 1 NRR/PMAS/IRCB-E 1 1 RES/DSIR/EIB 1 RGN2 FILE Ol 1 1 EXTERNAL: L ST LOBBY WARD 1 1 LITCO BRYCE,J H 2 2 NOAC MURPHY,G.A 1 1 NOAC POORE,W. 1 1 NRC PDR 1 1 NUDOCS FULL TXT 1 1 NOTE TO ALL"RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE iVASTE! CONTACTTHE DOCL'ifENTCONTROL DESK, ROOM P I -37 (EXT. 504-2083 ) TO EL LifI NATE YOl R NAifE F ROil DISTRIBUTION LISTS I'OR DOC!.'iifENTS YOU DON"I'EED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 27 ENCL 27
Carolina Power & Light Company Harris Nuclear Plant PO Box 165 New Hill NC 27562 g0V i O 198't
~
Letter Number: 'HO-941057 U.S. Nuclear Regulatory Commission ATTN: NRC Document Control 'Desk Washington, DC 20555 SHEARON HARRIS NUCLEAR POWER PLANT UNIT 1 DOCKET NO. 50-400 LICENSE NO. NPF-63 LICENSEE EVENT REPORT 94-003-01 Gentlemen:
In accordance with Title 10 to the Code of Federal Regulations, the enclosed Licensee Event Report is submitted. The original report fulfilled the requirement for a written submittal within thirty (30) days of a reportable occurrence and was in accordance with the format set forth in NUREG-1022, September 1983. This revision is being submitted to provide supplemental information following completion of additional engineering evaluation related to the identified condition.
Sincerely, J. W. D nahue General Manager Harris Plant MV Enclosure cc: Mr. S. D. Ebneter (NRC - RII)
Mr. N. B. Le (NRC - PM/NRR)
Mr. S. A. Elrod (NRC - HNP)
Mr. W. R. Robinson 94iii602M PDR 941110 State Road 1134 New Hill NC S
ADOCK 05000400 PDR
NRC FORM 366 U.S. NUCLEAR REGULATORY COHMISSION APPROVED BY OHB NO. 3150.0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH LICENSEE EVENT REPORT (LER) THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.
FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH (See reverse for required number of digits/characters for each block) (MHBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001, AND TO THE PAPERWORK REDUCTION PROJECT (3150.0104), OFFICE OF MANAGEHENT AND BUDGET WASHINGTON DC 20503.
FACILITY NAME (1) DXKET NUMBER (2) PAGE (3)
Shearon Harris Nuclear Plant-Unit ¹I 05000/400 1OF4 TITLE (4) Improperly analyzed single failure in the Emergency Service Water System that could potentially result in the Charging/Safety Injection Punps not performing their safety function.
EVENT DATE (5 LER NUMBER 6) REPORT DATE 7 OTHER FACILITIES INVOLVED B SEQUENTIAL REVISION FACILITY HAME DOCKET NUMBER MONTH DAY YEAR YEAR NUMBER NUMBER MONTH DAY YEAR 05000 7 18 94 94 -- 003 11 10 FACILITY NAME DOCKET NUMBER 05000 OPERATING THIS REPORT IS SUBMITTED PURSUANT TO THE RE UIREMENTS OF 10 CFR 5: (Check one or mor e) (11)
NODE (9) 20 '02(b) 20.405(c) 50.73(a)(2)(iv) 73.71(b)
POMER
'0.405(a)(1)(i) 50.36(c)(1) 50.73(a)(2)(v) 73.71(c) 100X LEVEL (10) 20.405(a)(1)(ii) 50.36(c)(2) 50.73(a)(2)(vii) OTHER 20.405(a)(1)(iii) 50 '3(a)(2)(i) 50.73(a)(2)(viii)(A) (Specify in 20.405(a)(1)(iv) 50.73(a)(2)(II) 50.73(a)(2)(viii)(B) Abstract belox and in Text, 20.405(a)(1)(v) 50.73(a)(2)(iii) 50.73(a)(2)(x) HRC Form 366A)
LICENSEE CONTACT FOR THIS LER (12)
TELEPHONE NUMBER (Include Area Code)
Michael Verrilli Sr. Specialist - Licensing (919) 362-2303 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
CAUSE SYSTEM REPORTABLE REPORTABLE COMPONENT MANUFACTURER CAUSE SYSTEM COMPOHENT MANUFACTURER TO HPRDS TO HPRDS SUPPLEMENTAL REPORT EXPECTED 14 MONTH DAY YEAR EXPECTED YES (If yes, complete EXPECTED SUBMISSION DATE). X NO SUBMISSION DATE (15)
ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typexritten tines) (16)
On July 18, 1994, a potential single failure was identified in one train of the Emergency Service Water System (ESW) that, without reasonably expected operator action, might prevent the Charging/Safety Injection Pumps (CSIP) from performing their safety function due to inadequate oil cooling. This postulated scenario would occur due to elevated temperature cooling water being supplied to the CSIP Oil Coolers. Specifically, if the "A" train auxiliary reservoir return valve (1SW-270) failed to open, the "A" train of ESW would be dead-headed at a higher pressure than the "B" train. This difference in pressure, coupled with a pressure gradient within the "A" train due to the action of the Service Water Booster Pump, would result in cooling water back-flowing through the Emergency Diesel Generator (EDG) jacket water coolers before entering the CSIP oil coolers. With the EDG running and loaded, the back flow would be heated above the oil cooler maximum design temperature. This condition was caused by not adequately identifying and considering the effects of an active valve failure on the cross-connection at the CSIP's during initial ESW design and operational valve line-up development. Subsequent system design assessments and reviews also did not identify the abnormal flow path. This was due to the scope of these reviews, which focused on passive type failures such as line breaks in the common piping between headers and their effects on opposite train operability, not the detailed flow and temperature analysis that eventually identified the cited condition. Additional engineering analysis concluded that, upon normally expected identification and mitigating actions by operators in the main control room, the event would have been terminated prior to any adverse effects on the CSIP's. Immediate corrective actions for this event were to close the train cross connects at the CSIP lube oil coolers, thus eliminating the possibility of the described scenario. Additional corrective actions include further engineering review and evaluation in the Emergency and Normal Service Water Systems as well as other systems that may have similar cross connection problems.
NRC FORH 366A U.S. NUCLEAR REGULATORY COHHISSION BY OHB NO. 3150.0104 (5-92) EXPIRES 5/31/95 EST IHATED BURDEN PER RESPONSE TO COHPLY WITH THIS INFORHATION COLLECTION REQUEST: 50.0 HRS.
LICENSEE EVENT REPORT (LER) FORWARD COHHENTS REGARDING BURDEN ESTIHATE TO THE INFORHATION AND RECORDS HANAGEHENT BRANCH (MNBB 7714), U.S. NUCLEAR REGULATORY COHMISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.
FACILITY NAME (1) DOCKET NUHBER (2) LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION Shearon Harris Nuclear Plant - Unit ¹1 05000/400 2OF4 94 003 01 TEXT (Ifmore space fs required, use additional copies of NRC Form 366A) (17)
EVENT DESCRIPTION:
On July 18, 1994, a potential single failure was identified in one train of the Emergency Service Water System (ESW) that, without reasonably expected operator action, might prevent the Charging/Safety Injection Pumps (CSIP) from'performing their safety function due to inadequate oil cooling. This postulated scenario would occur due to elevated temperature cooling water being supplied to the CSIP Oil Coolers, which would eventually lead to oil breakdown and subsequent loss of lubrication. This condition was identified when seat leakage through a shut Normal Service Water isolation valve caused unexpected pressurization of one of the ESW return headers. Because both trains of ESW were cross-connected at the CSIP Oil Coolers at both the supply and return headers, plant personnel became concerned about the effect of backpressure on flow adequacy through the coolers. Failure modes leading to pressurization were reviewed and the effects of the pressurization evaluated. As a result, an unanalyzed single active failure effect was identified. Specifically, if the "A" train auxiliary reservoir return valve (1SW-270) failed to open, the "A" train of ESW would be dead-headed at a higher pressure than the "B" train. This difference in pressure, coupled with a pressure gradient within the "A" train due to the action of the Service Water Booster Pump, would result in cooling water back-flowing through the Emergency Diesel Generator (EDG) jacket water coolers before entering the CSIP oil coolers. With the EDG running and loaded, the back flow would be heated above the oil cooler maximum design temperature. The most conservative minimum time for this heated water to arrive at the CSIP inlet was just over nine minutes. Adequate flow would exist during this time interval and the CSIP's would continue to operate normally prior to the arrival of the hot water.
The scenario involving the postulated failure of 1SW-270 was reported to the Nuclear Regulatory Commission on July 18, 1994 as a four hour non-emergency notification per the immediate notification requirements of 10CFR50.72 and was followed by a written submittal on August 17, 1994. Additional engineering analysis was performed by Carolina Power & Light and vendor engineering personnel following submittal of the original LER. A similar scenario was also run on the plant simulator by six operating crews.
It was concluded that upon normally expected identification and mitigating actions by operators in the main control room, the event would be terminated prior to any adverse effects on the CSIP's. Detailed aspects of the engineering analysis are provide in the "Safety Significance" section of this report.
No previous reports have been submitted related to the failure to properly perform analysis of pertinent safety system component functions.
CAUSE:
This condition was caused by not adequately identifying and considering the effects of an active valve failure on the cross-connection at the CSIP's during initial ESW design and operational valve line-up development.
Subsequent system design assessments and reviews also did not identify the abnormal flow path. This was due to the scope of these reviews, which focused on passive type failures such as line breaks in the common piping between headers and their effects on opposite train operability, not the detailed flow and'temperature analysis that eventually identified the cited condition.
NRC FORM 3 A (5-92)
NRC FORM 366A U.S. NUCLEAR REGULATORY COHHISSION APPROVED BY OHB NO. 3150.0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY MITH THIS INFORHATION COLLECTIOH REQUEST: 50.0 HRS.
FORMARD COHHENTS REGARDING BURDEN ESTIHATE TO LICENSEE EVENT REPORT (LER) THE INFORHATION AND RECORDS HANAGEHENT BRANCH (HNBB 7714); U.S. NUCLEAR REGULATORY COHHISSION, MASHINGTON, DC 20555-000'I AND TO THE PAPERMORK REDUCTION PROJECT (3150-0104), OFFICE OF HANAGEHENT AND BUDGET MASHINGTON DC 20503.
FACILITY NAHE (1) DOCKET NUHBER (2) LER NUHBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION Shearon Harris Nuclear Plant - Unit ¹1 05000/400 3 OF 4 94 003 01 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
SAFETY SIGNIFICANCE:
To address the significance, consequences and impact on CSIP safety function capability, an Engineering Evaluation (PCR-7379) was performed. This evaluation represents a conservative assessment of the impact resulting from the postulated failure of a single plant component (failure of 1SW-270 to open), coincident with a loss of off-site power. This analysis determined through system flow analysis using the KYPIPE code, that under the worst case failure scenario, an adequate cooling water flow rate would be delivered to the CSIP oil coolers. However, it also identified that this cooling water would be at elevated temperatures. This elevated temperature would result from the ESW back flow through the "A" EDG jacket water cooler. The back flow potential was caused by the difference in pressure between the "A" train and "B" train, coupled with a pressure gradient within the "A" train caused by the action of the "A" ESW Booster Pump. (A similar condition would not develop in the "B" train due to differences in piping configuration.) The analysis determined the maximum cooling water temperature exiting the EDG jacket water cooler to be approximately 274 degrees F and the most conservative transit duration for this high temperature water to reach the CSIP lube oil coolers to be just over nine minutes. The most limiting component affected by this high temperature cooling water and resulting high temperature CSIP lube oil is the motor-to-pump speed increaser gear box.
As reported by the manufacturer, continued operability could not be guaranteed at these elevated temperatures.
To prevent adverse effects and possible failure of the CSIP's, operators in the main control room would have to identify the abnormal ESW system alignment and resulting degraded flow condition within the approximate nine to ten minute interval, then terminate the event by either opening 1SW-270, securing the "A" train ESW Pump, securing the running EDG, or restoring the Normal Service Water alignment to the "A" train ESW header. Based on procedure guidance and demonstrated operator performance on the plant simulator, the abnormal ESW "A" train flow patli would be readily apparent from indicated ESW flow rates and pressures on the main control board. Verification of a running ESW pump is directed by Emergency Operating Procedures at this point, which would prompt operators to verify expected flow rates. There will also be several main control board annunciators in alarm that would alert the operators to this condition.
Additionally, an independent verification of Engineered Safety Feature Actuation is performed by the Shift Technical Advisor, which would clearly indicate which components had not gone to their required position.
Based on this combination of control board indication, alarm annunciation, procedural guidance and the STA's verification, there is a very high level of confidence that the control room staff would appropriately identify the condition and take corrective actions. This confidence was validated by plant simulator training, where six HNP operating crews were faced with a similar scenario and each properly took measures to terminate the event in less than four minutes.
CORRECTIVE ACTIONS:
- 1. Immediate corrective actions were to close the system cross connect valves at the CSIP lube oil coolers.
- 2. PCR-7379 was generated to evaluate the impact and consequences of this condition.
- 3. The Service Water System Single Failure Review was updated to include the described potential scenario.
NRC FORH 366A (5-92)
NRC FORM 366A U.S. NUCLEAR REGULATORY COHHISSION PROVE OHB NO. 3150. 0104 (5-92) EXP IRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORHATION COLLECTION REQUEST: 50.0 HRS.
FORNARD COHMENTS REGARDING BURDEN ESTIHATE TO LXCENSEE EVENT REPORT (LER) THE INFORHATION AND RECORDS MANAGEMENT BRANCH (MNBB 7714) i U S NUCLEAR REGULATORY COMMISSIONS MASHINGTON, DC 20555-0001 AND TO THE PAPERIIORK REDUCTION PROJECT (3110-0104), OFFICE OF HANAGEHENT AND BUDGET lrASHINGTON DC 20503.
FACILITY NAME (1) DOCKET NUMBER (2) LER NUHBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION Shearon Harris Nuclear Plant - Unit ¹1 05000/400 4OF4 003 01 TEXT (If more space fs required, use additional copies of NRC Form 366A) (17)
CORRECTIVE ACTIONS: (cont.)
- 4. A general review was performed on other Decay Heat Removal Systems for cross connections that could have adverse system operational effects. This included the High and Low Head Safety Injection, Component Cooling Water and Auxiliary Feedwater systems. No similar vulnerabilities were found.
- 5. Additional engineering review will be performed by conducting a Self Service Water Operational Performance Inspection, which includes a reconstitution of actions taken as a result of Generic Letter ¹89-13.
- 6. Single Failure Training and guidance will be provided for appropriate Nuclear Engineering Personnel.
EIIS INFORMATION:
N/A NRC FORH 366A (5-92)