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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17241A4891999-10-0707 October 1999 LER 99-004-00:on 990912,noted That MSSV Surveillance Was Outside of TS Requirements.Caused by Setpoint Drift.Subject MSSVs Are Being Refurbished & Retested Prior to Unit Startup from SL1-16 Refueling Outage.With 991007 Ltr ML17241A4111999-07-16016 July 1999 LER 99-007-00:on 990610,unplanned Cooldown Transient Occurred Due to Personnel Error.Trained & Briefed Personnel & Revised Procedures.With 990716 Ltr ML17241A4031999-07-0606 July 1999 LER 99-006-00:on 990605,sub-critical Reactor Trip Occurred Due to Inadvertent MSIV Opening.Caused by Personnel Error. Provided Operation Supervision Instruction to Operating Crews,Stand Down Meetings & Operator Aids.With 990706 Ltr ML17241A4041999-07-0606 July 1999 LER 99-005-00:on 990604,CEA Drop Resulted in Manual Reactor Trip.Caused by Procedural Inadequacies.Procedure Changes Are Planned to Correct Lack of Procedural Guidance for CEA Subgroup Power Switch Replacement.With 990706 Ltr ML17241A3941999-06-30030 June 1999 LER 99-004-01:on 990415,as Found Cycle 10 Psv Setpoints Were Outside TS Limits.Caused by Manufacturing Process Defect. All Three Psvs Were Replaced with pre-tested Valves During Cycle 11 Refueling Outage.With 990630 Ltr ML17241A3551999-06-0404 June 1999 LER 99-002-00:on 990505,both Trains of Safety Injection Actuation Were Blocked During Surveillance.Caused by Procedure Error.Procedure Revised.With 990604 Ltr ML17241A3321999-05-17017 May 1999 LER 99-004-00:on 990415,determined That as Found Cycle 10 Psv Setpoints Outside TS Limits.Root Cause Under Investigation.Psvs Replaced with pe-tested Valves During Cycle 11 ML17241A3271999-05-0606 May 1999 LER 99-003-00:on 990406,ECCS Suction Header Leak Resulted in Both ECCS Trains Being Inoperable & Entry Into TS 3.0.3. Caused by Chloride Induced OD Stress Corrosion Cracking of Piping.Made Code Repairs & Coated Piping.With 990506 Ltr ML17229B0791999-04-0707 April 1999 LER 99-001-00:on 990309,discovered Inadequate Design & IST SRs for Iodine Removal Sys (Irs).Caused by Original Design Inadequacies & Personnel Error.Naoh Tank Vent Valve V07233 Was Tagged Open.With 990407 Ltr ML17229B0801999-04-0707 April 1999 LER 99-002-00:on 990311,SG ECT Error Caused Operation with Condition Prohibited by Ts.Caused by Deficiencies in Data Analysis Guideline Instructions.Licensee Will Change Data Analysis Guidelines for Lead Analysts.With 990407 Ltr ML17229B0541999-03-10010 March 1999 LER 99-001-00:on 990211,inadequate TS SRs for SIT & SDC Isolation Valves Were Noted.Caused by Failure to Correctly Implement TS Srs.Submitted LAR to Align Required TS SR with Design Bases Requirements Being Verified.With 990310 Ltr ML17229A9901999-01-20020 January 1999 LER 98-009-00:on 981223,noted That Facility Operated Outside of Design Basis.Caused by non-conservative MSLB Analysis Inputs.Will Review SR Component Differences Between Units & Will re-baseline LTOP Analysis.With 990120 Ltr ML17229A9821999-01-0404 January 1999 LER 98-010-00:on 981207,RCS Boron Sample Frequency Required by Ts,Was Exceeded by Twelve Minutes.Caused by Personnel Error.Equipment Clearance Order Was Lifted to Draw Required Sample & Operations Procedure Was Changed.With 990104 Ltr ML17229A9611998-12-22022 December 1998 LER 97-002-01:on 981204,containment Sump Debris Screen Was Not IAW Design.Caused by Inadequate C/As for Sump Screen Anamolies.All Identified Sump Screen Deficiencies Were Dispositioned &/Or Repaired.With 981222 Ltr ML17229A9561998-12-15015 December 1998 LER 98-008-00:on 981118,missed TS SG U Tube Insp.Caused by Encoding Errors While Using Remote Positioning Fixtures.All SG Tube Surveyed.With 981215 Ltr ML17229A9301998-11-25025 November 1998 LER 98-005-01:on 980807,discovered That New MOV Methodology Caused Past PORV Block Valve Operability Problem.Caused by Inadequacies in Original Vendor MOV Methodology.Planned Valve Mods Will Be Implemented During Cycle 11 1998 Outage ML17229A9021998-11-0404 November 1998 LER 98-008-00:on 981008,inadequate Reactor Protection Sys Trip Bypass TS Was Noted.Caused by Poorly Worded Ts. Submitted LAR to Clarify Power Requirements for High Rate of Power Trips.With 981104 Ltr ML17229A8771998-10-14014 October 1998 LER 98-006-00:on 980918,inadvertent Afas Actuation Was Noted.Caused by Degradation of Multiple Afas Power Supplies. Replaced Afas Power Supplies & Revised Procedures.With 981014 Ltr ML17229A8761998-10-14014 October 1998 LER 98-007-00:on 980918,identified Discrepancies Between Fire Protection Design Requirements & Field Conditions. Caused by Inadequate Translation & Implementation of Fire Protection Requirements.Procedures Revised.With 981014 Ltr ML17229A8511998-09-0202 September 1998 LER 98-005-00:on 980807,discovered That PORV Margins Were Insufficient to Accommodate Addl Conservatism.Caused by Inadequacies in Original Vendor MOV Methodology.Will Implement Planned Valve Actuator mods.W/980902 Ltr ML17229A8201998-07-29029 July 1998 LER 98-007-00:on 980630,inadequate Procedure May Have Resulted in SBO Recovery Complications.Caused by Inadequate Procedures.Attached Caution Tags to Appropriate Control switches.W/980729 Ltr ML17229A7411998-05-28028 May 1998 LER 98-004-00:on 980430,discovered Waste Gas Decay Tank Operation W/O Available Oxygen Analyzers,Which Is Prohibited by Ts.Caused by Inadequate Licensee Review of License Amend. Oxygen Analyzer recalibrated.W/980528 Ltr ML17229A7381998-05-21021 May 1998 LER 98-006-00:on 980421,missed EDG Fuel Oil Sample Surveillance Was Noted.Caused by Personnel Error.Revised Fuel Oil Sampling Service Purchase Order & Revised Site procedure.W/980521 Ltr ML17229A7011998-04-27027 April 1998 LER 98-003-00:on 980326,discovered Containment Pressure Instrumentation Design Single Failure Vulnerability.Caused by Inadequate Design by Personnel Error.Removed RPS & ESFAS Containment Pressure Bypass Keys immediately.W/980427 Ltr ML17229A6761998-04-0202 April 1998 LER 98-005-00:on 980305,identified Two Conditions That Were Outside App R Design Bases.Caused by Design Oversight During Development of Original App R Safe SD Design.Established 30 Minute Roving Fire Watches & Provided training.W/980402 Ltr ML17229A6731998-03-26026 March 1998 LER 98-002-00:on 980224,radiation Monitor Surveillance Inadequacies Led to Operating of Facility Prohibited by Tss. Caused by Congnitive Personnel Error.Permanent Procedure Changes Were implemented.W/980326 Ltr ML17229A6551998-03-0505 March 1998 LER 98-001-00:on 980206,high/low Pressure Shutdown Cooling Interface Was Noted Outside App R Design Bases.Caused by Personnel Error.Addl Guidance Was Provided to Engineering Dept personnel.W/980305 Ltr ML17229A6281998-02-19019 February 1998 LER 98-004-00:on 980121,emergency Lighting Outside App R Design Bases Occurred.Caused by Congnitive Personnel Error During Translation of App R Section Iii.Procedures Onop 1 & 2 ONP-100.01 Were Issued for Use on 980206.W/980219 Ltr ML17229A6211998-02-0909 February 1998 LER 98-003-00:on 980110,manual Rt Due to DEH Leak at Turbine Test Block Was Noted.Caused by o-ring Extrusion.Shortened Bolts by About 0.125 & Reinstalled at Correct Torque values.W/980209 Ltr ML17229A6191998-02-0404 February 1998 LER 98-002-00:on 980105,CIS Bistable in Bypass Resulted in Condition Prohibited by Tss.Caused by Personnel Error. Radiation Monitor Was Restored to service.W/980204 Ltr ML17229A6161998-02-0303 February 1998 LER 98-001-00:on 980104,inadvertent RPS Actuation Occurred Due to Personnel Error.Caused by Procedural Inadequacies & Inadequate self-checking by Licensed Utility Personnel. Placards Have Been Placed in CRs.W/980203 Ltr ML17229A6051998-01-27027 January 1998 LER 97-010-01:on 971027,inadvertent Core Alteration Prohibited by TSs Were Noted Due to Stuck Cea.Caused by Personnel Error.Cea #24 Was Dislodged & Transferred to Spent Pool for insp.W/980127 Ltr ML17229A5501997-12-0505 December 1997 LER 97-008-00:on 971107,inadequate CR Ventilation Surveillance Resulted in Condition Prohibited by Ts.Caused by non-cognitive Personnel Error.Operating Procedure 2-1900050 Was revised.W/971205 Ltr ML17309A9091997-12-0202 December 1997 LER 97-011-00:on 971102,non-conservative RAS Set Point Resulted in Operation Prohibited by Ts.Caused by Inadequate Set Point & Instrument Loop Scaling Process.Revised ESFAS Functional Tp W/Proper Set point.W/971202 Ltr ML17229A5391997-11-26026 November 1997 LER 97-010-00:on 971027,inadvertant Core Alteration Prohibited by TS Occurred.Caused by CEA Failure to Detach from Ugs.Safety Evaluation Was Performed & Procedural Rev Made to Continue Upper Guide Structure move.W/971126 Ltr ML17229A5151997-11-0707 November 1997 LER 97-007-00:on 971008,inoperable Containment Cooling Fan Resulted in Operation of Facility Outside Design Basis. Caused by non-cognitive Personnel Error.Ccs Operation Was Revised & Issued on 971013.W/971107 Ltr ML17229A4991997-10-17017 October 1997 LER 97-009-00:on 970917,inoperable PORV Block Valve Resulted in Operation Prohibited by Tech Specs Occurred.Caused by Plant GL 89-10 Program Plan to Review Plant Manager Action Item Sys.Porv Block Valve V-1403 restored.W/971017 Ltr ML17309A9011997-08-27027 August 1997 LER 97-008-00:on 970728,mechanical Fire Penetrations Were Inoperable & Outside App R Design Bases.Caused by Seal Mfg Not Providing Formal Documentation for Installed Seals. Modified Inoperable Fire penetrations.W/970827 Ltr ML17229A4311997-07-29029 July 1997 LER 97-006-00:on 970630,discovered Inadequate Testing of Engineered Safety Features Subgroup Relays.Caused by Inadequacy in Implementing TS Requirements in Surveillance Procedures.Revised Surveillance procedures.W/970729 Ltr ML17229A4241997-07-25025 July 1997 LER 97-005-00:on 970625,discovered That Hot Shutdown Control Panel Shutdown Cooling Flow indicator,FI-3306 Inoperable. Caused by Weakness in Work Order & Procedure Used to Repair FI-3306.Section Meeting W/I&C Planners held.W/970725 Ltr ML17229A3971997-07-11011 July 1997 LER 97-004-00:on 970611,discovered Incorrect Original Cable Tray Fire Stop Assembly Installation Was Outside App R Design Basis.Caused by Personnel Error.Hourly Fire Watch Patrols Will Be posted.W/970711 Ltr ML17229A3871997-06-19019 June 1997 LER 97-003-00:on 970521,determined Required Post Maint Open Stroke Test for Valve V3245,2B2 SIT Discharge Check Valve, Had Not Been Performed.Caused by Personnel Error.Procedure revised.W/970619 Ltr ML17229A3841997-06-17017 June 1997 LER 97-002-00:on 970518,containment Sump Debris Screen Was Not IAW Design Due to Gaps in Screen Encl.Performed SER to Document Containment Sump Design requirements.W/970617 Ltr ML17229A3751997-06-0202 June 1997 LER 97-006-00:on 970501,operation Was Prohibited by TS Due to Inadequately Tested Degraded Voltage Sys.Revised Unit 1 ESFAS Surveillance Test procedure.W/970602 Ltr ML17229A3611997-05-29029 May 1997 LER 97-007-00:on 970502,reactor Coolant Pump Oil Collection Sys Was Outside App R Design Bases.Identified Leak Sites Were Repaired & Mods to RCP Oil Collection Sys to Capture Any Future Leakage from areas.W/970529 Ltr ML17229A3491997-05-21021 May 1997 LER 97-001-00:on 970423,containment Isolation Actuation Occurred.Caused by Increased Radiation Levels During Removal of Upper Guide Structure.Proper Actuation of Containment Isolation Components Was verified.W/970521 Ltr ML17229A3441997-05-13013 May 1997 LER 97-005-00:on 970419,reactor Was Shutdown Due to Reactor Coolant Pressure Boundary Leakage.Hot Cracking Was Caused by Weld Contamination.Repairs to RCPB Were Completed & 1A SDC Train Was Restored to Svc ML17229A3141997-04-30030 April 1997 LER 97-004-00:on 970402,refueling Machine Was Operating in Manner Prohibited by TS Due to Original Design of Refueling Machine Bypass Feature Conflicting W/Ts Requirements. Eliminated Overload Cut Off Limit bypass.W/970430 Ltr ML17229A2951997-03-31031 March 1997 LER 97-003-00:on 970304,automatic Rt Resulted from Loss of Electrical Power to 1A2 Rc Pump.Rcp Breaker Was Replaced & Pump Was Returned to svc.W/970331 Ltr ML17229A2721997-03-21021 March 1997 LER 97-002-00:on 970221,operation in Excess of Max Rated Thermal Power Occurred Due to Digital Data Processing Sys (Ddps) Calorimetric Error.Verified Acceptable Performance of Ddps Functions & Reviewed Software mods.W/970321 Ltr 1999-07-06
[Table view] Category:RO)
MONTHYEARML17241A4891999-10-0707 October 1999 LER 99-004-00:on 990912,noted That MSSV Surveillance Was Outside of TS Requirements.Caused by Setpoint Drift.Subject MSSVs Are Being Refurbished & Retested Prior to Unit Startup from SL1-16 Refueling Outage.With 991007 Ltr ML17241A4111999-07-16016 July 1999 LER 99-007-00:on 990610,unplanned Cooldown Transient Occurred Due to Personnel Error.Trained & Briefed Personnel & Revised Procedures.With 990716 Ltr ML17241A4031999-07-0606 July 1999 LER 99-006-00:on 990605,sub-critical Reactor Trip Occurred Due to Inadvertent MSIV Opening.Caused by Personnel Error. Provided Operation Supervision Instruction to Operating Crews,Stand Down Meetings & Operator Aids.With 990706 Ltr ML17241A4041999-07-0606 July 1999 LER 99-005-00:on 990604,CEA Drop Resulted in Manual Reactor Trip.Caused by Procedural Inadequacies.Procedure Changes Are Planned to Correct Lack of Procedural Guidance for CEA Subgroup Power Switch Replacement.With 990706 Ltr ML17241A3941999-06-30030 June 1999 LER 99-004-01:on 990415,as Found Cycle 10 Psv Setpoints Were Outside TS Limits.Caused by Manufacturing Process Defect. All Three Psvs Were Replaced with pre-tested Valves During Cycle 11 Refueling Outage.With 990630 Ltr ML17241A3551999-06-0404 June 1999 LER 99-002-00:on 990505,both Trains of Safety Injection Actuation Were Blocked During Surveillance.Caused by Procedure Error.Procedure Revised.With 990604 Ltr ML17241A3321999-05-17017 May 1999 LER 99-004-00:on 990415,determined That as Found Cycle 10 Psv Setpoints Outside TS Limits.Root Cause Under Investigation.Psvs Replaced with pe-tested Valves During Cycle 11 ML17241A3271999-05-0606 May 1999 LER 99-003-00:on 990406,ECCS Suction Header Leak Resulted in Both ECCS Trains Being Inoperable & Entry Into TS 3.0.3. Caused by Chloride Induced OD Stress Corrosion Cracking of Piping.Made Code Repairs & Coated Piping.With 990506 Ltr ML17229B0791999-04-0707 April 1999 LER 99-001-00:on 990309,discovered Inadequate Design & IST SRs for Iodine Removal Sys (Irs).Caused by Original Design Inadequacies & Personnel Error.Naoh Tank Vent Valve V07233 Was Tagged Open.With 990407 Ltr ML17229B0801999-04-0707 April 1999 LER 99-002-00:on 990311,SG ECT Error Caused Operation with Condition Prohibited by Ts.Caused by Deficiencies in Data Analysis Guideline Instructions.Licensee Will Change Data Analysis Guidelines for Lead Analysts.With 990407 Ltr ML17229B0541999-03-10010 March 1999 LER 99-001-00:on 990211,inadequate TS SRs for SIT & SDC Isolation Valves Were Noted.Caused by Failure to Correctly Implement TS Srs.Submitted LAR to Align Required TS SR with Design Bases Requirements Being Verified.With 990310 Ltr ML17229A9901999-01-20020 January 1999 LER 98-009-00:on 981223,noted That Facility Operated Outside of Design Basis.Caused by non-conservative MSLB Analysis Inputs.Will Review SR Component Differences Between Units & Will re-baseline LTOP Analysis.With 990120 Ltr ML17229A9821999-01-0404 January 1999 LER 98-010-00:on 981207,RCS Boron Sample Frequency Required by Ts,Was Exceeded by Twelve Minutes.Caused by Personnel Error.Equipment Clearance Order Was Lifted to Draw Required Sample & Operations Procedure Was Changed.With 990104 Ltr ML17229A9611998-12-22022 December 1998 LER 97-002-01:on 981204,containment Sump Debris Screen Was Not IAW Design.Caused by Inadequate C/As for Sump Screen Anamolies.All Identified Sump Screen Deficiencies Were Dispositioned &/Or Repaired.With 981222 Ltr ML17229A9561998-12-15015 December 1998 LER 98-008-00:on 981118,missed TS SG U Tube Insp.Caused by Encoding Errors While Using Remote Positioning Fixtures.All SG Tube Surveyed.With 981215 Ltr ML17229A9301998-11-25025 November 1998 LER 98-005-01:on 980807,discovered That New MOV Methodology Caused Past PORV Block Valve Operability Problem.Caused by Inadequacies in Original Vendor MOV Methodology.Planned Valve Mods Will Be Implemented During Cycle 11 1998 Outage ML17229A9021998-11-0404 November 1998 LER 98-008-00:on 981008,inadequate Reactor Protection Sys Trip Bypass TS Was Noted.Caused by Poorly Worded Ts. Submitted LAR to Clarify Power Requirements for High Rate of Power Trips.With 981104 Ltr ML17229A8771998-10-14014 October 1998 LER 98-006-00:on 980918,inadvertent Afas Actuation Was Noted.Caused by Degradation of Multiple Afas Power Supplies. Replaced Afas Power Supplies & Revised Procedures.With 981014 Ltr ML17229A8761998-10-14014 October 1998 LER 98-007-00:on 980918,identified Discrepancies Between Fire Protection Design Requirements & Field Conditions. Caused by Inadequate Translation & Implementation of Fire Protection Requirements.Procedures Revised.With 981014 Ltr ML17229A8511998-09-0202 September 1998 LER 98-005-00:on 980807,discovered That PORV Margins Were Insufficient to Accommodate Addl Conservatism.Caused by Inadequacies in Original Vendor MOV Methodology.Will Implement Planned Valve Actuator mods.W/980902 Ltr ML17229A8201998-07-29029 July 1998 LER 98-007-00:on 980630,inadequate Procedure May Have Resulted in SBO Recovery Complications.Caused by Inadequate Procedures.Attached Caution Tags to Appropriate Control switches.W/980729 Ltr ML17229A7411998-05-28028 May 1998 LER 98-004-00:on 980430,discovered Waste Gas Decay Tank Operation W/O Available Oxygen Analyzers,Which Is Prohibited by Ts.Caused by Inadequate Licensee Review of License Amend. Oxygen Analyzer recalibrated.W/980528 Ltr ML17229A7381998-05-21021 May 1998 LER 98-006-00:on 980421,missed EDG Fuel Oil Sample Surveillance Was Noted.Caused by Personnel Error.Revised Fuel Oil Sampling Service Purchase Order & Revised Site procedure.W/980521 Ltr ML17229A7011998-04-27027 April 1998 LER 98-003-00:on 980326,discovered Containment Pressure Instrumentation Design Single Failure Vulnerability.Caused by Inadequate Design by Personnel Error.Removed RPS & ESFAS Containment Pressure Bypass Keys immediately.W/980427 Ltr ML17229A6761998-04-0202 April 1998 LER 98-005-00:on 980305,identified Two Conditions That Were Outside App R Design Bases.Caused by Design Oversight During Development of Original App R Safe SD Design.Established 30 Minute Roving Fire Watches & Provided training.W/980402 Ltr ML17229A6731998-03-26026 March 1998 LER 98-002-00:on 980224,radiation Monitor Surveillance Inadequacies Led to Operating of Facility Prohibited by Tss. Caused by Congnitive Personnel Error.Permanent Procedure Changes Were implemented.W/980326 Ltr ML17229A6551998-03-0505 March 1998 LER 98-001-00:on 980206,high/low Pressure Shutdown Cooling Interface Was Noted Outside App R Design Bases.Caused by Personnel Error.Addl Guidance Was Provided to Engineering Dept personnel.W/980305 Ltr ML17229A6281998-02-19019 February 1998 LER 98-004-00:on 980121,emergency Lighting Outside App R Design Bases Occurred.Caused by Congnitive Personnel Error During Translation of App R Section Iii.Procedures Onop 1 & 2 ONP-100.01 Were Issued for Use on 980206.W/980219 Ltr ML17229A6211998-02-0909 February 1998 LER 98-003-00:on 980110,manual Rt Due to DEH Leak at Turbine Test Block Was Noted.Caused by o-ring Extrusion.Shortened Bolts by About 0.125 & Reinstalled at Correct Torque values.W/980209 Ltr ML17229A6191998-02-0404 February 1998 LER 98-002-00:on 980105,CIS Bistable in Bypass Resulted in Condition Prohibited by Tss.Caused by Personnel Error. Radiation Monitor Was Restored to service.W/980204 Ltr ML17229A6161998-02-0303 February 1998 LER 98-001-00:on 980104,inadvertent RPS Actuation Occurred Due to Personnel Error.Caused by Procedural Inadequacies & Inadequate self-checking by Licensed Utility Personnel. Placards Have Been Placed in CRs.W/980203 Ltr ML17229A6051998-01-27027 January 1998 LER 97-010-01:on 971027,inadvertent Core Alteration Prohibited by TSs Were Noted Due to Stuck Cea.Caused by Personnel Error.Cea #24 Was Dislodged & Transferred to Spent Pool for insp.W/980127 Ltr ML17229A5501997-12-0505 December 1997 LER 97-008-00:on 971107,inadequate CR Ventilation Surveillance Resulted in Condition Prohibited by Ts.Caused by non-cognitive Personnel Error.Operating Procedure 2-1900050 Was revised.W/971205 Ltr ML17309A9091997-12-0202 December 1997 LER 97-011-00:on 971102,non-conservative RAS Set Point Resulted in Operation Prohibited by Ts.Caused by Inadequate Set Point & Instrument Loop Scaling Process.Revised ESFAS Functional Tp W/Proper Set point.W/971202 Ltr ML17229A5391997-11-26026 November 1997 LER 97-010-00:on 971027,inadvertant Core Alteration Prohibited by TS Occurred.Caused by CEA Failure to Detach from Ugs.Safety Evaluation Was Performed & Procedural Rev Made to Continue Upper Guide Structure move.W/971126 Ltr ML17229A5151997-11-0707 November 1997 LER 97-007-00:on 971008,inoperable Containment Cooling Fan Resulted in Operation of Facility Outside Design Basis. Caused by non-cognitive Personnel Error.Ccs Operation Was Revised & Issued on 971013.W/971107 Ltr ML17229A4991997-10-17017 October 1997 LER 97-009-00:on 970917,inoperable PORV Block Valve Resulted in Operation Prohibited by Tech Specs Occurred.Caused by Plant GL 89-10 Program Plan to Review Plant Manager Action Item Sys.Porv Block Valve V-1403 restored.W/971017 Ltr ML17309A9011997-08-27027 August 1997 LER 97-008-00:on 970728,mechanical Fire Penetrations Were Inoperable & Outside App R Design Bases.Caused by Seal Mfg Not Providing Formal Documentation for Installed Seals. Modified Inoperable Fire penetrations.W/970827 Ltr ML17229A4311997-07-29029 July 1997 LER 97-006-00:on 970630,discovered Inadequate Testing of Engineered Safety Features Subgroup Relays.Caused by Inadequacy in Implementing TS Requirements in Surveillance Procedures.Revised Surveillance procedures.W/970729 Ltr ML17229A4241997-07-25025 July 1997 LER 97-005-00:on 970625,discovered That Hot Shutdown Control Panel Shutdown Cooling Flow indicator,FI-3306 Inoperable. Caused by Weakness in Work Order & Procedure Used to Repair FI-3306.Section Meeting W/I&C Planners held.W/970725 Ltr ML17229A3971997-07-11011 July 1997 LER 97-004-00:on 970611,discovered Incorrect Original Cable Tray Fire Stop Assembly Installation Was Outside App R Design Basis.Caused by Personnel Error.Hourly Fire Watch Patrols Will Be posted.W/970711 Ltr ML17229A3871997-06-19019 June 1997 LER 97-003-00:on 970521,determined Required Post Maint Open Stroke Test for Valve V3245,2B2 SIT Discharge Check Valve, Had Not Been Performed.Caused by Personnel Error.Procedure revised.W/970619 Ltr ML17229A3841997-06-17017 June 1997 LER 97-002-00:on 970518,containment Sump Debris Screen Was Not IAW Design Due to Gaps in Screen Encl.Performed SER to Document Containment Sump Design requirements.W/970617 Ltr ML17229A3751997-06-0202 June 1997 LER 97-006-00:on 970501,operation Was Prohibited by TS Due to Inadequately Tested Degraded Voltage Sys.Revised Unit 1 ESFAS Surveillance Test procedure.W/970602 Ltr ML17229A3611997-05-29029 May 1997 LER 97-007-00:on 970502,reactor Coolant Pump Oil Collection Sys Was Outside App R Design Bases.Identified Leak Sites Were Repaired & Mods to RCP Oil Collection Sys to Capture Any Future Leakage from areas.W/970529 Ltr ML17229A3491997-05-21021 May 1997 LER 97-001-00:on 970423,containment Isolation Actuation Occurred.Caused by Increased Radiation Levels During Removal of Upper Guide Structure.Proper Actuation of Containment Isolation Components Was verified.W/970521 Ltr ML17229A3441997-05-13013 May 1997 LER 97-005-00:on 970419,reactor Was Shutdown Due to Reactor Coolant Pressure Boundary Leakage.Hot Cracking Was Caused by Weld Contamination.Repairs to RCPB Were Completed & 1A SDC Train Was Restored to Svc ML17229A3141997-04-30030 April 1997 LER 97-004-00:on 970402,refueling Machine Was Operating in Manner Prohibited by TS Due to Original Design of Refueling Machine Bypass Feature Conflicting W/Ts Requirements. Eliminated Overload Cut Off Limit bypass.W/970430 Ltr ML17229A2951997-03-31031 March 1997 LER 97-003-00:on 970304,automatic Rt Resulted from Loss of Electrical Power to 1A2 Rc Pump.Rcp Breaker Was Replaced & Pump Was Returned to svc.W/970331 Ltr ML17229A2721997-03-21021 March 1997 LER 97-002-00:on 970221,operation in Excess of Max Rated Thermal Power Occurred Due to Digital Data Processing Sys (Ddps) Calorimetric Error.Verified Acceptable Performance of Ddps Functions & Reviewed Software mods.W/970321 Ltr 1999-07-06
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17241A4891999-10-0707 October 1999 LER 99-004-00:on 990912,noted That MSSV Surveillance Was Outside of TS Requirements.Caused by Setpoint Drift.Subject MSSVs Are Being Refurbished & Retested Prior to Unit Startup from SL1-16 Refueling Outage.With 991007 Ltr ML17241A4951999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for St Lucie,Units 1 & 2.With 991014 Ltr ML17241A4741999-08-31031 August 1999 Rev 1 to PCM 99016, St Lucie Unit 1,Cycle 16 Colr. ML17241A4591999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for St Lucie,Units 1 & 2.With 990913 Ltr ML17241A4301999-07-31031 July 1999 Monthly Operating Repts for Jul 1999 for St Lucie Units 1 & 2.With 990805 Ltr ML17241A4111999-07-16016 July 1999 LER 99-007-00:on 990610,unplanned Cooldown Transient Occurred Due to Personnel Error.Trained & Briefed Personnel & Revised Procedures.With 990716 Ltr ML17241A4031999-07-0606 July 1999 LER 99-006-00:on 990605,sub-critical Reactor Trip Occurred Due to Inadvertent MSIV Opening.Caused by Personnel Error. Provided Operation Supervision Instruction to Operating Crews,Stand Down Meetings & Operator Aids.With 990706 Ltr ML17241A4041999-07-0606 July 1999 LER 99-005-00:on 990604,CEA Drop Resulted in Manual Reactor Trip.Caused by Procedural Inadequacies.Procedure Changes Are Planned to Correct Lack of Procedural Guidance for CEA Subgroup Power Switch Replacement.With 990706 Ltr ML17241A4091999-06-30030 June 1999 Monthly Operating Repts for June 1999 for St Lucie,Units 1 & 2.With 990712 Ltr ML17241A3941999-06-30030 June 1999 LER 99-004-01:on 990415,as Found Cycle 10 Psv Setpoints Were Outside TS Limits.Caused by Manufacturing Process Defect. All Three Psvs Were Replaced with pre-tested Valves During Cycle 11 Refueling Outage.With 990630 Ltr ML17355A3681999-06-30030 June 1999 Revised Update to Topical QA Rept, Dtd June 1999 ML17241A3551999-06-0404 June 1999 LER 99-002-00:on 990505,both Trains of Safety Injection Actuation Were Blocked During Surveillance.Caused by Procedure Error.Procedure Revised.With 990604 Ltr ML17241A3631999-05-31031 May 1999 Monthly Operating Repts for May 1999 for St Lucie Units 1 & 2.With 990610 Ltr ML17241A3321999-05-17017 May 1999 LER 99-004-00:on 990415,determined That as Found Cycle 10 Psv Setpoints Outside TS Limits.Root Cause Under Investigation.Psvs Replaced with pe-tested Valves During Cycle 11 ML17241A3271999-05-0606 May 1999 LER 99-003-00:on 990406,ECCS Suction Header Leak Resulted in Both ECCS Trains Being Inoperable & Entry Into TS 3.0.3. Caused by Chloride Induced OD Stress Corrosion Cracking of Piping.Made Code Repairs & Coated Piping.With 990506 Ltr ML17241A3331999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for St Lucie,Units 1 & 2.With 990517 Ltr ML17229B0801999-04-0707 April 1999 LER 99-002-00:on 990311,SG ECT Error Caused Operation with Condition Prohibited by Ts.Caused by Deficiencies in Data Analysis Guideline Instructions.Licensee Will Change Data Analysis Guidelines for Lead Analysts.With 990407 Ltr ML17229B0841999-04-0707 April 1999 Rev 2 to PSL-ENG-SEMS-98-102, Engineering Evaluation of ECCS Suction Lines. ML17229B0791999-04-0707 April 1999 LER 99-001-00:on 990309,discovered Inadequate Design & IST SRs for Iodine Removal Sys (Irs).Caused by Original Design Inadequacies & Personnel Error.Naoh Tank Vent Valve V07233 Was Tagged Open.With 990407 Ltr ML17229B0961999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for St Lucie,Units 1 & 2.With 990408 Ltr ML17229B0541999-03-10010 March 1999 LER 99-001-00:on 990211,inadequate TS SRs for SIT & SDC Isolation Valves Were Noted.Caused by Failure to Correctly Implement TS Srs.Submitted LAR to Align Required TS SR with Design Bases Requirements Being Verified.With 990310 Ltr ML17229B0461999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for St Lucie,Units 1 & 2.With 990310 Ltr ML17229B0051999-01-31031 January 1999 Monthly Operating Repts for Jan 1999 for St Lucie,Units 1 & 2.With 990211 Ltr ML17229A9901999-01-20020 January 1999 LER 98-009-00:on 981223,noted That Facility Operated Outside of Design Basis.Caused by non-conservative MSLB Analysis Inputs.Will Review SR Component Differences Between Units & Will re-baseline LTOP Analysis.With 990120 Ltr ML17229A9961999-01-14014 January 1999 SG Tube Inservice Insp Special Rept. ML17229A9821999-01-0404 January 1999 LER 98-010-00:on 981207,RCS Boron Sample Frequency Required by Ts,Was Exceeded by Twelve Minutes.Caused by Personnel Error.Equipment Clearance Order Was Lifted to Draw Required Sample & Operations Procedure Was Changed.With 990104 Ltr ML17229A9831998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for St Lucie,Units 1 & 2.With 990111 Ltr ML17229A9611998-12-22022 December 1998 LER 97-002-01:on 981204,containment Sump Debris Screen Was Not IAW Design.Caused by Inadequate C/As for Sump Screen Anamolies.All Identified Sump Screen Deficiencies Were Dispositioned &/Or Repaired.With 981222 Ltr ML17229A9561998-12-15015 December 1998 LER 98-008-00:on 981118,missed TS SG U Tube Insp.Caused by Encoding Errors While Using Remote Positioning Fixtures.All SG Tube Surveyed.With 981215 Ltr ML17241A3581998-12-0909 December 1998 Changes,Tests & Experiments Made as Allowed by 10CFR50.59 for Period of 970526-981209. ML17229A9421998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for St Lucie,Units 1 & 2.With 981215 Ltr ML17229A9301998-11-25025 November 1998 LER 98-005-01:on 980807,discovered That New MOV Methodology Caused Past PORV Block Valve Operability Problem.Caused by Inadequacies in Original Vendor MOV Methodology.Planned Valve Mods Will Be Implemented During Cycle 11 1998 Outage ML17229A9021998-11-0404 November 1998 LER 98-008-00:on 981008,inadequate Reactor Protection Sys Trip Bypass TS Was Noted.Caused by Poorly Worded Ts. Submitted LAR to Clarify Power Requirements for High Rate of Power Trips.With 981104 Ltr ML17241A4931998-11-0101 November 1998 Statement of Account for Period of 981101-990930 for Suntrust Bank,As Trustee for Florida Municipal Power Agency Nuclear Decommissioning Trust (St Lucie Project). ML17229A9051998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for St Lucie,Units 1 & 2.With 981110 Ltr ML17229A8871998-10-19019 October 1998 Part 21 Rept Re Potential Defect in Swagelok Stainless Steel Front Ferrule,Part Number SS-503-1 Which Was Machined with Improper Length.C/A Includes Insp Equipment That Will 100% Identify Short Length ML17229A8781998-10-19019 October 1998 Part 21 Rept Re Potential Defect in Swagelok Stainless Steel Front Ferrule,Part Number SS-503-1,which Was Machined with Improper Length.Insp Equipment That Will 100% Identify Short Length ML17229A8771998-10-14014 October 1998 LER 98-006-00:on 980918,inadvertent Afas Actuation Was Noted.Caused by Degradation of Multiple Afas Power Supplies. Replaced Afas Power Supplies & Revised Procedures.With 981014 Ltr ML17229A8761998-10-14014 October 1998 LER 98-007-00:on 980918,identified Discrepancies Between Fire Protection Design Requirements & Field Conditions. Caused by Inadequate Translation & Implementation of Fire Protection Requirements.Procedures Revised.With 981014 Ltr ML17229A8721998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for St Lucie Units 1 & 2.With 981009 Ltr ML17229A8511998-09-0202 September 1998 LER 98-005-00:on 980807,discovered That PORV Margins Were Insufficient to Accommodate Addl Conservatism.Caused by Inadequacies in Original Vendor MOV Methodology.Will Implement Planned Valve Actuator mods.W/980902 Ltr ML17229A8611998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for St Lucie,Units 1 & 2.With 980911 Ltr ML18066A2771998-08-13013 August 1998 Part 21 Rept Re Deficiency in CE Current Screening Methodology for Determining Limiting Fuel Assembly for Detailed PWR thermal-hydraulic Sa.Evaluations Were Performed for Affected Plants to Determine Effect of Deficiency ML17229A8481998-08-0707 August 1998 Rev 1 to PSL-ENG-SEFJ-98-013, St Lucie Unit 2,Cycle 10 Colr. ML17229A9461998-08-0707 August 1998 Rev 0 to PCM 98016, St Lucie Unit 2,Cycle 11 Colr. ML17229A8301998-07-31031 July 1998 Monthly Operating Repts for July 1998 for St Lucie,Units 1 & 2.W/980814 Ltr ML17229A8201998-07-29029 July 1998 LER 98-007-00:on 980630,inadequate Procedure May Have Resulted in SBO Recovery Complications.Caused by Inadequate Procedures.Attached Caution Tags to Appropriate Control switches.W/980729 Ltr ML17229A7981998-06-30030 June 1998 Monthly Operating Repts for June 1998 for St Lucie,Units 1 & 2.W/980713 Ltr ML17229A7701998-05-31031 May 1998 Monthly Operating Repts for May 1998 for St Lucie,Units 1 & 2.W/980612 Ltr ML17229A7411998-05-28028 May 1998 LER 98-004-00:on 980430,discovered Waste Gas Decay Tank Operation W/O Available Oxygen Analyzers,Which Is Prohibited by Ts.Caused by Inadequate Licensee Review of License Amend. Oxygen Analyzer recalibrated.W/980528 Ltr 1999-09-30
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~CATEGORY3yREGULATORYINFORMATIONDISTRIBUTIONSYSTEM(RIDS)ACCESSIONNBR:9904090149DOC.DATE:99/04/07NOTARIZED:NOFACIL:50-389St.LuciePlant,Unit2,FloridaPowerSLightCo.AUTH.N9ME.AUTHORAFFILIATIONMADDEN,G.R.FloridaPower6LightCo.STALL,J.A.FloridaPower&:LightCo.RECIP.NAMERECIPIENTAFFILIATIONDOCKET05000389
SUBJECT:
LER99-002-00:on990311,SGECTerrorcausesoperationwithconditionprohibitedbyTS.Causedbydeficienciesindataanalysis'guidelineinstructions.Licenseewillchangedataanalysisguidelinesforleadanalysts.With990407ltr.DISTRIBUTIONCODE:IE22TCOPIESRECEIVED:LTRENCLSIZE:TITLE50.73/50.9LicenseeEventReport(LER),IncidentRpt,etc.NOTES:RECIPIENTIDCODE/NAMEPD2-3PDINTERNAL:ACRSAEOD/SPD/RRABNRR/DRCH/HOHBNRR/DRPM/PECBRES/DET/EIBEXTERNAL:LSTLOBBYWARDNOACPOOREiWNRCPDRCOPIESLTTRENCL11111'1111,11111111RECIPIENTIDCODE/NAMEGLEAVES,WAEODSPD/RABLECENTNRRDRCHHQMBNRR/DSSA/SPLBRGN2FILE01LMITCOMARSHALLNOACQUEENER,DSNUDOCSFULLTXTCOPIESLTTRENCL112211111111111111D0NNOTETOALLnRIDS>iRECIPIENTSPLEASEHELPUSTOREDUCEWASTE.TOHAVEYOURNAMEORORGANIZATIONREMOVEDFROMDISTRIBUTIONLISTSORREDUCETHENUMBEROFCOPZESRECEIVEDBYYOUORYOURORGANIZATION,CONTACTTHEDOCUMENTCONTROLDESK(DCD)ONEXTENSION415-2083FULLTEXTCONVERSIONREQUIREDTOTALNUMBEROFCOPIESREQUIRED:LTTR19ENCL19 FloridaPower&LightCompany.6351S.OceanOrive,JensenBeach,FL34957~FPtApril7,1999L-99-8610CFR$50.73U.S.NuclearRegulatoryCommissionAttn:DocumentControlDeskWashington,D.C.20555Re:St.LucieUnit2DocketNo.50-389ReportableEvent:1999-002-00DateofEvent:March11,1999SGECTErrorCausesOperationwithaConditionProhibitedbTechnicalSeciftcationsTheattachedLicenseeEventReport1999-002isbeingsubmittedpursuanttotherequirementsof10CFR$50.73toprovidenotificationofthesubjectevent.Verytrulyyours,J.A.StallSiteVicePresidentSt.LucieNuclearPlantJAS/EJW/GRMAttachmentcc:RegionalAdministrator,USNRCRegionIISeniorResidentInspector,USNRC,St.LucieNuclearPlant9904090149990407PDRADQCK05000389SPDRanFPLGroupcompany NRCFORM366(6-1996)U.S.NUCLEARREGULATORYCOMMISSIONjLICENSEEEVENTREPORT(LER)(Seereverseforrequirednumberofdigits/charactersforeachblock)APPROVEDBYOMBNO.3150.0104EXPIRES06/30/2001Estimatedburdenperresponsetocomplywithlhismandatoryinformationcollectionrequest:50hrs.ReportedlessonsloomedareincorporatedIntolhelicensingprocessandfedbacktoIndustry.FonrrardcommentsregardingburdenestimateloIheRecordsManagementBmnch(TAF33),U.S.NuckrarRegulatoryCommission,Washington,)3C205554001~andtothePaperwrxkReductionProioct(31500104j,OfficeofManagementandBudget,Washington,Dc20503.IfanfnfonnalioncollectiondoesnotdispbryacurrentlyvalidOMBcontrolnumber,theNRCmaynolconductorsponsor,andapersonisnotrequiredtorespondlo,IheInformationcollection.FACILITYNAME(1ISt.LucieUnit2DOCKETNUMBER(2)05000389PAGE(3)Page1of6TITLE(4)SGECTErrorCausesOperationwithaConditionProhibitedbyTechnicalSpecificationsEVENTDATE(5MONTHOAYYEARLERNUMBER6lSEQUENTIALREVISIONNUMBERNUMBERREPORTDATE(7)MONTHDAYFACILITYNAMEYEAROTHERFACILITIESINVOLVED(BlOOCKETNUMBER031119991999-002-00,0407FACILITYNAME1999OOCKE'rNUMBEROPERATINGMDDE(9)POWERLEVEL(10)100THISREPORTISSUBMITTEDPURSUANTTOTHEREQ20.2203(a)(2l(v)20.2203(a)(3)(i)20.2201(b)20.2203(sl(1)X50.73(a)(2)(i)50.73(a)(2)(u)20.2203(a)(2)(i)20.2203(a)(2)(ii)20.2203(a)(3)(u)20.2203(a)(4)50.73(a)(2)(iii)50.73(BH2)(iv)UIREMENTSOF10CFR%t(Checkoneormore)(11)50.73(s)(2)(vin)50.73(a)(2)(x)73.71OTHER20.2203(sl(2)(iii)20.2203(a)(2)(iv)50.36(c)(1)50.36(c)(2)50.73(a)(2)(v)50.73(a)(2)(vii)SpecifyinAbstractbeloworInNACForm366ANAMELICENSEECONTACTFORTHISLER(12)TELEPHONENUMBERSneIIereArseCedetGeorgeR.Madden(561}467-7155COMPLETEONELINEFOREACHCOMPONENTFAILUREDESCRIBEDINTHISREPORT13)CAUSESYSTEMCOMPONENTMANVFACTVAEAREPORTABLETOEPIXCAUSESYSTEMCOMPONENTMANUFACTURERREPORTABLETOEPIXSUPPLEMENTALREPORTEXPECTED(14IYES(I(Yes,completeEXPECTEDSUBMISSIONDATE).evIntaXNoEXPECTEDSUBMISSIONDATE(15)MONTHDAYABSTRACT/limitto1400spaces,/.e.,approximately15single.spacedtypewrittenlines/(16)DuringtheSt.LucieUnit2refuelingoutage11(SL2-11}steamgeneratorinspectioninNovember1998,thetubeatRow49Line85insteamgenerator(SG}2Bwaspluggedduetoawear-inducedindicationthatpenetrated47%throughwall,exceedingtheplugginglimitofTechnicalSpecification4.4.5.4.a.6.Uponreviewofhistoricaldata,itwasdeterminedthatthisindicationwaspresent,butnotidentifiedduringtheSL2-9andSL2-10examinations,andthatthedepthofthei.ndicationwasessentiallyunchangedduringthisperiodofoperation.Therefore,thistubeexceededtheplugginglimit,butremainedinserviceduringoperatingcycles9and10.DetectionandsubsequentpluggingofthistubeindicationresultedfromimprovementsinthedataanalysisandcontrolsimplementedfortheSL2-11inspection.LeadanalystsdidnotinformFPLthatthisindicationwasnotidentifiedduringthepriorexaminations.Themisseddetectionwasidentifiedduringthepostoutagereviewacti.vities.Correctiveactionsinclude:changingdataanalysisguidelinesforleadanalyststoreportconditionstoFPLthatmayindicatearepairabledegradationwasnotreportedinapriorexamination;modifyingdataanalysisguidelinesforwear-induceddegradationtoincludeinstructionstoscreenthe100kHzdifferentialand100kHzabsolutechannelsinadditiontothe400/100kHzdifferenti.almixchannel,andreportflaw-likeindications;andincludingthewearindicationsthatwereidentifiedduringtheSL2-11inspections,butnotreportedinSL2-10inspections,inthetrainingandtestingofdataanalysispersonnel.NACFORM366I6.1996)
NRCFORM366A(8-1998)LICENSEEEVENTREPORT(LER)TEXTCONTINUATIONU.S.NUCLEARREGULATORYCOMMISSIONFACILITYNAMEI1)St.LucieUnit2~DOCKETNUMBERI2)05000389LERNUMBERI6)SEQUENTIALREVISIONNUMBERNUMBER1999-002-00PAGEI3)Page2of6TEXT(Ifmorespeceisrequired,useadditionelcopiesofNRCFarm366A)I17)EventDescriptionOnMarch11,1999,apostoutagereviewofthesteamgenerator(SG)[EIIS:AB:SG)tubedegradationtrendswasbeingpreparedforthefall1998refuelingoutage(SL2-11)steamgeneratorexaminationreport.Itwasnotedthatawear-inducedindicationinthetubeatRow49Line85ofSG2Bwasreportedas47%throughwallanddidnotshowanyevidenceofgrowthbasedoncomparisontotheSL2-10examinationdata.ThistubewaspluggedduringtheSL2-lloutage.ThisreviewconfirmedthatthisindicationwaspresentintheSL2-10examinationdata,andmeasuredapproximatelythesamedepth,butwasnotreported.Althoughtheleadreviewteam(LRT)analysts(contractors)hadmadethissamedeterminationduringtheSL2-11examination,itwasnotbroughttotheattentionoftheFPLrepresentative.AmoreextensivereviewonMarch12,1999determinedthattheindicationwasalsopresentintheSL2-7,SL2-8andSL2-9examinationdataandwasnotreportedbyeithertheprimaryorsecondaryanalysts(contractor).Thisreviewshowedthattheindicationdidnotexceedtheplugginglimit(40%.throughwall)ofplantTechnicalSpecificationsuntiltheSL2-9andlaterexaminations.IntheSL2-11examination,theindicationwasnotreportedbytheprimaryanalyst(contractor),butwasidentifiedbythesecondaryanalyst(contractor)throughtheuseofacomputerdatascreeningsystem(CDS).TheCDSsystemusespre-establishedscreeningparametersthatarequalifiedtodetectdegradationthatisknownorpostulatedtoexistintheSGs.DuringtheSL2-11examination,theCDSsystemparameterswereenhanced"toscreenforpotentialfree-spancracking,whichhasbeenreportedduringprevious'examinationsintheSt.LucieUnit1(originalSGs),SONGS,andCalvertCliffsSGs.Theenhancedscreeningparametersusedforfree-spancrackingoverlappedthesameregionofthetubebundleinwhichthediagonalsupportwear-inducedindicationsoccur,andresultedindetectionofthewear-inducedindicationthatpreviouslywasnotreported.CauseoftheEventAbarrieranalysiswascompletedtodeterminethecausesthatcontributedtothisevent.ThecausesfornotreportingtheindicationintheSL2-10examinationweredeterminedtobe;1)deficienciesindataanalysisguidelineinstructions,and2)inadequatedataanalysttraining.Inaddition,thedataanalysisguidelinedidnotinstructleadanalysts(contractor)toreportconditionstoFPLthatmayindicatethatarepairabledegradationwasnotreportedinpriorexaminations.Thiswouldprovideearlieridentificationofpotentialproblems.AreviewofindustryqualifiedexaminationtechniquesprovidedthroughEPRIshowsthat,forwear-inducedindications,screeningofthe400/100Khzdifferentialmixchannelisoneofseveralacceptabletechniques.Latitudeisgivenfortheusertospecifyadditionalchannelstobescreenedforconfirmationandtoprovideadditionalinstructions.ThisinformationhasbeensharedwithEPRIfortheirreview.Withtheexceptionoftheaddedinstructionstoscreenthe100Khzdifferentialchannelforfree-spancrackinginSL2-11,thedataanalysisguidelineintheSL2-10andSL2-llexaminationswereidenticalwithrespecttothescreeningandreportingofwear-inducedindications.Theguidelinerequiresthattheindicationappearflaw-likeonthe400/100kHzdifferentialmixchannel,oronthe100kHzabsolutechannel.AreviewofSL2-11datashowsthisindicationmaintainsflaw-likecharacteristicsconsideredtypicalofwear-induceddegradationonthe100Khzdifferentialand100Khzabsolutechannels,butdoesnotmaintaintheminthe400/100KhzdifferentialmixNRCFORM388AI8.1998)
NRCFORM366A(6-I998)LICENSEEEVENTREPORT(LER)TEXTCONTINUATIONU.S.NUCLEARREGULATORYCOMMISSIONFACILITYNAMEI1)St.LucieUpit2OOCKETNUMBERI2)05000389LERNUMBER(6)SEQUENTIALREVISIONNUM8ERNUMBER1999-002-00PAGEI3)Page3of6TEXTfifmorespaceisrequired,useedditionelcopiesofNRCForm366A)I17)channel.Theapparentlackofflaw-likecharacteristicsinthe400/100Khzdifferentialmixchannelmaybeattributabletoalongerandmoregradualtaperassociatedwithsomediagonalsupportwear-inducedindications.Thiswouldexplainthelackofflaw-likecharacteristicsinthe400/100Khzdifferentialmixchannel,andprovideanexplanationwhytheindicationwasnotreportedduringpreviousexaminations.Theguidelinedoesprovidelatitudetoreportindicationsnotspecificallyaddressedordescribedwithintheguideline(Section15.8),yettheindicationremainedunreported.Xnretrospect,theguidelineshouldrequiredataanalysispersonneltoreportsuspectedwear-inducedindicationsifanyoftheabovechannelsappearflaw-like.Thislogicshouldbeappliedtobothprimaryandsecondaryanalysisreviews.Theindividualanalysts(contractor)thatreviewedthedataforthisindicationhadpreviousSt.LucieUnit2experienceaswellassimilarplantexperience,andarefromreputableorganizations.Furthermore,theirperformancedemonstrationtestresultsdonotindicateaproblemwithdetectionorreportingofwear-inducedindications.Also,dataanalysts(contractor)aretypicallylimitedto8-10hourshiftstoreducefatigue.Nospecificexaminationdate,vendororganization,orworkshiftcanbeidentifiedasasignificantcontributortothisevent.Thissupportstheconclusionthatpotentialinadequaciesexistintheinstructionsprovidedinthedataanalysisguideline,andthesitespecifictrainingandtestingofdataanalysispersonnelforreportingofwear-inducedindications,ratherthaninpersonnelorequipmentrelatedissues.ThecurrentguidelinedoesnotspecificallyprompttheleadreviewanalyststoreportconditionstoFPLthatmayindicatethatarepairabledegradationwasnotpreviouslyreportedinapriorexamination.Althoughthiswouldnothaveeliminatedthefactthattheindicationwasnotreported,itdiddelaytheevaluationofpotentialproblems.Thisagainappearstobeanoversightinthedataanalysisguidelineinstructions.AnalysisofSGexaminationdataisperformedinaccordancewithwritteninstructionsandprotocolthatareprovidedinFPLdataanalysisguidelines.Priortoeachexamination,dataanalysispersonnel(contractor)areindoctrinated,trained,andtestedtodemonstrateproficiencyinapplicationofguidelineinstructions.DataanalysispersonnelarealsorequiredtopassanHPRIstandardizedtrainingandtestingprogramforQualifiedDataAnalyst.ThedataanalysisprocessatFPLincorporatesindependentprimaryandsecondaryanalysesforalldataacquired.Secondaryanalysis.utilizescomputerdatascreening(CDS)methodstoprovideaddedassurancethatallindicationsarereported.Ateamofresolutionanalysts(contractor)dispositionsdifferencesbetweenprimaryandsecondaryanalyses.Leadreviewteams(LRT)(contractor)reviewtheresolutionteamoutputforconsistencyinapplicationofguidelineinstructions,selectindicationsfordiagnosticexaminations,selectin-situtestingcandidatesandprovidefinalinputtothetubeplugginglist.Inadditiontoroutineanalysisasdiscussedabove,reviewsarecompletedtoevaluategrowthtrends,assessdetectionperformance,providedataanalystfeedback,andensurethatallindicationsreportedinapriorexaminationareaddressedinthecurrentexamination.Theleadreviewanalysts(contractor)areinstructedtousehistoricaldatatoevaluatecurrentoutageresults.Thisistypicallyaccomplishedusingthedatasegmentrecall(DSR)functionprovidedintheanalysissoftware,orbyuseofrawdataavailableonopticaldisksorharddrives.DSRisthefirstcourseofNRCFORM3BBAIB.1998)
NRCFORM366A(81998)LICENSEEEVENTREPORT(LER)TEXTCONTINUATIONU.S.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)St.LucieUnit2DOCKETNUMBERI2)05000389LERNUMBER(6)SEQUENTIALREVISIONNUMBERNUMBER1999-002-00PAGEI3)Page4of6TEXT(Ifmorespeceisrequired,useedditionalcopiesofNRCForm366AJ(17)actionsinceallindicationsreportedinthepriorexaminationshouldbeavailableinthisformat.Thealternativeistherawdataondisk.TheabsenceofaflawhistoryonDSRforanindicationcouldbeusedtoinitiatefurtherevaluationstodetermineiftheindicationwaspresent,butnotreportedinthepreviousexamination,andifitappearedtoexceedthetube-plugginglimit.Thisinturnshouldalertleadpersonnel(contractor)toinformtheFPLrepresentative.Currentscreeninginstructionsinthedataanalysisguidelinehaveidentifiedmorethan500tubesthatareaffectedbywear-induceddegradation,whichistypicalforthesteamgeneratordesigninstalledatSt.LucieUnit2.Currentinstructions,however,donotaccountforindicationsthatlackflaw-likecharacteristicsinthe400/100kHzdifferentialmixchannel,butmaintainflaw-likecharacteristicsinthe100kHzdifferentialor100kHzabsolutechannels.Areviewofindicationsthathaveremainedunreportedinpriorexaminationsshowsthatonlyoneindication(Row49Line85inSG2B)hasexceededthetube-plugginglimitofPlantTechnicalSpecificationsduringpreviousoperation.Theadditionalscreeningrequirementsimplementedforfree-spancrackingappeartobeeffectiveinreportingthisformofwear-induceddegradation,andshouldberequiredintheanalysisinstructions.Znaddition,dataanalysisguidelinesshouldbemodifiedtoinstructleadanalystpersonneltoreportconditionstoFPLthatmayindicatethatrepairabledegradationisnotbeingreportedinpriorexaminations.Dataanalysttrainingandtestingshouldalsoberevisedtoincludewear-inducedindicationsthathavenotbeenreportedinpriorexaminations.AnalysisoftheEventThiseventisreportableunder10CFR50.73(a)(2)(i)(B)asanyoperationorconditionprohibitedbytheTechnicalSpecifications(TS).TS3.4.5statesthateachsteamgeneratorshallbeoperable.TheapplicableACTIONstatementstatesthatwithoneormoresteamgeneratorsinoperablerestoretheinoperablesteamgeneratortooperablestatuspriortoincreasingT,above200'F.TSSurveillance4.4.5.0statesthateachsteamgeneratorshallbedemonstratedoperablebyperformanceoftherequired'ugmentedinserviceinspectionprogram.TS4.4.5.4.a.6PluggingLimitmeanstheimperfectiondepthatorbeyondwhichthetubeshallberemovedfromserviceandisequalto40%ofthenominaltubewallthickness.TS4.4.5.4.a.7statesthatatubeisunserviceableifitleaksorcontainsadefectlargeenoughtoaffectitsstructuralintegrityintheeventofanoperating-basis-earthquake(OBE),aloss-of-coolant-accident(LOCA),orasteamli.neorfeedwaterlinebreak.Contrarytotheabove,onMarch12,1999,FPLidentifiedthatSG2Boperatedthroughoutoperatingcycle9and10withthetubeatRow45Line85havinga47%throughwallwearindication.SafetySignificanceThesteamgeneratortubesaredescribedinUFSARsection5.4.2.1.3.Thetubesaredesignedtoallowforwallthinningandthegeneratorsaredesignedtominimizethepotentialfordenting.TheUFSARdiscussesconsiderationsforlocalizedcorrosionleadingtotubedegradation,whichisthepredominantdegradationmechanismseenintheindustry.St.LucieUnit2DesignBasisDocument,Volume9,discussesreactorcoolantsystemintegrity.Etalsodiscussesthestructuralintegrityrequirementsforsteamgeneratortubes,andprovidesanassessmentofmaximumallowabletubewallNAGFOAM366A181998)
NRCFORM366A(8.1998)LICENSEEEVENTREPORT(LER)TEXTCONTINUATIONU.S.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)St.LucieUnit2DOCKETNUMBER(2)05000389LERNUMBER(6)SEQUENTIALREVISIONNUMBERNUMBER1999-002-00PAGE(31Page5of6TEXTfifmorospaceisrequired,usoadditionalcopiesofNRCForm368A)(171degradationthatcansustaintheloadingimposedbynormaloperationandpostulatedaccidentconditions.Thisshowsthatamaximumallowabletubewalldegradationof63%iswithinthedesignbasisforthesteamgeneratortubing.MechanicalwearintheUnit2steamgeneratorsisaresultofadesignflawinthefabricationoftheunits.ThedesignflawwasdiscoveredfollowingaprimarytosecondaryleakatanotherplantandatSt.LucieUnit2duringCycle2shortlythereafter.InthetubeleakeventatSt.Lucie2,theleakagewaslimitedtoapproximately20gallonsperday(gpd).Airejectormonitorsreadilydetectedit,andtheunitwasshutdownwithinafewdays.ThehistoricaltubeleaksatSONGSUnit2andSt.LucieUnit2occurredinaregionofthetubebundlethatwasanalyzedtobesusceptibletorapidgrowthrates.PreventativetubepluggingwascompletedatSt.LucieUnit2toremovethesusceptibletubesfromservice~Therefore,itiscurrentlyunlikelythatweardegradationwouldresultinthroughwallpenetrationandprimarytosecondaryleakageinoneortwocyclesofoperation.Extensiveinspectionshavebeencompletedateachrefuelingoutagesincethattime,andtherateofwearhasbeenlow.Afterimplementationofpreventivepluggingmeasures,itwasnotexpectedthattherateofwear-induceddamagewouldresultinathroughwallpenetrationafteroneortwocyclesofoperation.Furthermore,thepotentialeffectsassociatedwithathroughwallpenetrationscenariohavebeenshowntohavenoeffectonsafety.Adesignbasissteamgeneratortuberupture(SGTR)accident,asdescribedinChapter15oftheSt.LucieUFSAR,isdefinedasadouble-endedguillotinebreakofatubethatresultsininitialprimarytosecondaryleakratesinexcessof300GPM.ABB/CEhasperformedprototypicallaboratorytestingtoempiricallydeterminetheleakratefromtubedefectsthatwereintendedtosimulateweardefects,producebytubesupports.Thesetestsshowed"thatinallcases,whenwear-initiateddegradationislesqthanthestructurallimitofthetubing,primarytosecondaryleakagewouldnotbeexpectedtooccurundernormaloperationorpostulatedaccidentconditions.Eveninthemajorityofcaseswhensuchdegradationexceedsthestructurallimit,athroughwallpenetrationofthistypewillresultinaleakratelessthanoneGPM,andwouldnotsuddenlyleakinanuncontrolledmanner.ThesetestresultshavebeenfurthersubstantiatedbytheslowsteadyleakratesthatoccurredduringearlyoperationfromthroughwallpenetrationsintheSONGSUnit2andSt.LucieUnit2steamgenerators.Therefore,'heleakratesthatcouldresultfromweardefectswouldbewithinthecurrentTechnicalSpecificationlimitsoftheunitandwould,therefore,representanoperationalconcernbutnotasafetyconcern.Asaresult,potentialtubedefectsfrommechanicalweararenotconsideredasapossibleinitiatingeventofaSGTRaccidentbut,rather,asapotentialincreaseinthenormalsecondarysystemradionuclideinventorythatisusedasaninitialconditionforotherChapter15accidentanalyses'econdarysystemradionuclideinventoriesassumedintheUFSARChapter15safetyanalysisarebasedononepercentfailedfuelandacontinuousoneGPMprimarytosecondaryleakrate.Asdiscussedabove,themostsevereleakratesassociatedwithtypicalthroughwallwearpenetrationsaretypicallymuchlessthanoneGPM.Inaddition,operationwithonepercentfailedfuelisconsideredhighlyunlikely.Hence,actualsecondarysystemradionuclideinventoriesareexpectedtobemuchlessthanthoseassumedintheaccidentanalysis.Asaresult,theradiologicalconsequencesassociatedwithpostulatedwear-inducedtubeleakagewillbeboundedbythoseaccidentscurrentlydescribedinChapter15oftheUFSAR.NRCFORM309A(9.1998) 0 NRCFORM3BBAIB.I990)LICENSEEEVENTREPORT(LER)TEXTCONTINUATIONU.S.NUCLEARREGULATORYCOMMISSIONFACILITYNAME(1)St.LucieUnit2DOCKETNUMBER(2I05000389LERNUMBER(6)SEQUENTIALREVISIONNUMBERNUMBER1999-002-00PAGE(3)Page6of6TEXTilfmorospecersrequired,useedditionelcopiesoflVRCForm3S6A)(17)ItshouldalsobenotedthatoperationwithacontinuousoneGPMprimarytosecondaryleakrateisanunrealisticassumption.TheSt.Lucie2TechnicalSpecificationsdonotpermitoperation'ftotalprimarytosecondaryleakageexceedsoneGPMthroughallsteamgenerators,orifleakagefromanyonesteamgeneratorexceeds720gallonsperday(0.5GPM).StLucieperformsprimarysystemwaterinventorybalancesatleastevery72hours,whicharecapableofdetectingleakratesofthismagnitude.Inaddition,secondarysystemradiationmonitorsarecapableofdetectingincreasesinsecondarysystemradiationthatwouldresult.fromprimarytosecondaryleaks.Ineithercase,anorderlyreactorshutdownwouldlikelybeperformedbeforesecondarysystemradionuclideinventoriesreachedthelevelsassumedintheaccidentanalysis.Basedontheabovediscussion,wear-induceddegradationinthesteamgeneratorsisnotasafetyconcern.Inaddition,asdiscussedabove,maximumallowabledegradationthatwillsustaintheloadingimposedbynormaloperationandpostulatedaccidentconditionsis63%throughwallpenetration.SincethedegradationinRow49Line85inSG2Bwas47%throughwall,itdidnotexceedthedesignbasis,andstructuralintegritywasnotcompromised.Therefore,thetubewasnotconsideredunserviceableasdescribedinPlantTechnicalSpecificationSection4.4.5.4.a.7.Basedontheabovediscussion,theoperationduringcycles9and10withthedegradationinthetubeatRow49Line85at47%throughwalldidnotadverselyaffectthehealthandsafetyofthepublic.CorrectiveActions1.IncludeinstructionsindataanalysisguidelinesforleadanalystpersonneltoreportconditionstoFPLthatmayindicatethatrepairabledegradationhasnotbeenreportedinpriorexaminations.2.Modifydataanalysisguidelinesforwear-induceddegradationtoincludeinstructionstoscreenthe100kHzdifferentialand100kHzabsolutechannelsinadditiontothe400/100kHzdifferentialmixchannel,andreportflaw-likeindications.3.IncludewearindicationsthatwerereportedinSL2-11inspections,butnotreportedinSL2-10inspections,inthetrainingandtestingofdataanalysispersonnelforfutureoutages.FailedComponentsIdentifiedNoneSimilarEventsLER389-1998-008NRCFORM300A(0.1990)