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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17313B0751999-08-27027 August 1999 LER 99-002-00:on 990730,test Mode Trip Bypass for EDG Output Breakers Not Surveilled.Cause Under Investigation.Operations Personnel Conservatively Invoked SR 3.0.3 for SR 3.8.1.13. with 990827 Ltr ML17313B0191999-07-16016 July 1999 LER 99-005-00:on 990618,RT on Low DNBR Was Noted.Caused by Hardware Induced Calculation Error.Cr Operator Was Taken to Place Reactor in Stable Condition IAW Appropriate Operating Procedure ML17313A9281999-05-0707 May 1999 LER 99-004-00:on 990408,PSV Lift Pressures Were Outside of TS Limits.Caused by Lift Pressure Setpoint Drift.Psvs Have Been Tested,Disassembled,Inspected,Reassembled & Certified at Wyle Labs ML17313A8951999-04-14014 April 1999 LER 99-003-00:on 990317,required Surveillance Requirement Not Completed Due to Deficient Procedure,Was Determined. Caused by Cognitive Personnel Error.St Procedures Revised to Require Chiller to Be Operating & Oil Temperature Checked ML17313A8921999-04-13013 April 1999 LER 98-003-01:on 980902,discovered That MSSV as-found Lift Pressures Were Outside TS Limits.Caused by Bonding of Valve Disc to Nozzle Seat.Affected Valves Were Adjusted,Retested & Returned to Svc ML17313A8891999-04-0909 April 1999 LER 99-001-00:on 990310,RT on High Pressurizer Pressure Was Noted.Caused by Loss of Heat Removal.Cr Supervisor Was Removed from Shift Duties for Diagnostics Skills Training. with 990409 Ltr ML17313A8361999-03-0101 March 1999 LER 99-001-00:on 990103,TS Violation for Power Dependent Insertion Limit Alarm Being Inoperable.Caused by Personnel Error.Revised Procedure to Clarify How Computer Point Is to Be Returned to Scan Mode.With 990302 Ltr ML17313A7701999-01-15015 January 1999 LER 96-008-00:on 960507,inadequate Procedure Results in Nuclear Power Channels Not Calibrated During Power Ascension Tests Occurred.Caused by Deficient Procedure.Procedure Revised ML17313A6611998-10-24024 October 1998 LER 98-008-00:on 980729,EQ of Electrical Connectors Were Not Adequately Demonstrated.Caused Because Test Was Conducted with Only Single Lv Connector & Without Fully Ranged Inputs. Revised EQ Requirements ML17313A5961998-09-14014 September 1998 LER 98-002-00:on 980814,B Train H Recombiner Was Noted Inoperable Due to cross-wired Power Receptacle.Cause of Event Is Under investigation.Cross-wired Power Supply Receptacle for B Train H Recombiner Was re-wired ML17313A5761998-09-0808 September 1998 LER 98-003-01:on 980113,discovered That One Channel of RWT Level Sys Had Failed High.Caused by Water Intrusion Into Electrical Termination Pull Box.Weep Holes Were Drilled Into Bottoms of Pull Boxes Nearest Level Transmitters ML17313A5591998-08-28028 August 1998 LER 98-001-00:on 980730,entered TS 3.0.3 Due to Safety Injection Flow Instruments Being Removed from Svc.Caused by Personnel Error.Transmitters Were Unisolated & Returned to svc.W/980828 Ltr ML17313A5201998-07-30030 July 1998 LER 98-004-00:on 980630,personnel Discovered That Pressure Safety Valve Had Not Received Periodic Set Pressure Test for ASME Class 1 Pressure Safety Valve.Caused by Personnel Error.Pressure Safety Valve reviewed.W/980730 Ltr ML17313A4671998-06-19019 June 1998 LER 98-007-00:on 980520,CR Personnel Observed Flow & Pressure Perturbations on Chemical & Vol Control Sys Letdown Sys.Caused by Cyclic Fatigue Due to Dynamic Pressure Transients.Unit Letdown Piping Replaced ML17313A4131998-06-0505 June 1998 LER 98-006-00:on 980507,determined That Plant Was Outside Design Basis Due to SI Discharge Check Valve Reverse Flow. Check Valve Was Disassembled,Examined & Reassembled, Whereupon Valve Met Acceptance Criteria ML17313A3951998-05-26026 May 1998 LER 98-005-00:on 980428,noted That Required Response Time Testing Had Not Been Performed.Caused by Personnel Error. Coached I&C Personnel Responsible for Reviewing Work Authorization Documentation ML17313A3251998-04-0101 April 1998 LER 98-004-00:on 980304,safety Valves as-found Pressures Out of Tolerance.Cause of Event Is Under Investigation.Three Mssv'S & Psv Will Be Replaced W/Refurbished & Recertified Valves During Refueling Outage U1R7 ML17313A3131998-03-21021 March 1998 LER 98-001-00:on 980301,surveillance Test Deficiency Found During Qaa Leads to TS 3.0.3/4.0.3 Entry.Caused by Personnel Error.Personnel Responsible for Inadequately Performed SR Were Coached ML17313A2251998-03-0505 March 1998 LER 93-005-00:on 930309,CR Personnel Discovered Missed TS LCO Action & Subsequently Performed Surveillance Satisfactorily.Caused by Personnel Error.Appropriate Disciplinary Action issued.W/980305 Ltr ML17313A2241998-02-26026 February 1998 LER 98-001-00:on 980130,reactor Protection & ESFAS Instrumentation Not Bypassed within one-hour Allowed by TS Occurred.Caused by Inadequate Procedures.Expectation to Detect Alarm Conditions Was Emphasized to CR Personnel ML17313A2081998-02-10010 February 1998 LER 97-007-00:on 971006,TS Violation Occurred Due to Inadequate Shutdown Cooling Flow During Modes 5 & 6 Operation.Independent Investigation of Event Was Conducted IAW APS CA program.W/980210 Ltr ML17313A2041998-02-0505 February 1998 LER 97-006-00:on 971028,missed TS 4.0.5 SR Was Noted.Caused by Personnel Error.Independent Investigation of Event Is Being Conducted IAW W/Aps Corrective Action Program ML17313A1201997-11-12012 November 1997 LER 97-006-00:on 971020,manual Reactor Trip Occurred Due to Vibration & Bearing Temp Increases in Reactor Coolant Pump. Caused by Failed Lower Journal Bearing.Bearing Assembly Was Disassembled,Inspected & Rebuilt ML17312B7181997-10-0707 October 1997 LER 97-003-00:on 970907,inadvertent Loss of Power & EDG Start Occurred Due to Procedural Error.Changed Train a & Train B Edg/Ist ST Procedures to Consistently Reflect Proper Pretest Staging Hand switches.W/971007 Ltr ML17312B7051997-09-26026 September 1997 LER 97-003-01:on 970215,seven Main Steam Safety Valves Were Found Out of Tolerance Prior to Refueling Outage.Safety Analysis Performed Based Upon as-found MSSV Data Which Demonstrated That MSSVs Would Perform Safety Functions ML17312B5531997-07-0707 July 1997 LER 97-002-00:on 970528,SR for Core Protection Was Not Performed Due to Inadequate Procedures.Revised Procedures ML17312B5501997-07-0707 July 1997 LER 97-003-00:on 970211,notified of Trevitest Activities Indicating That Total of Seven MSSVs Had as-found Lift Set Pressures Greater than 3 Percent Allowed by TS 3.7.1.1. Investigation Conducted.Seven MSSVs replaced.W/970707 Ltr ML17312B4971997-06-13013 June 1997 LER 97-002-00:on 970531,RT Occurred.Caused by Spurious Opening of All Four Rt Switchgear Breakers.Independent Investigation of Event Being Conducted in Accordance W/Util Corrective Action Program ML17312B1461996-12-17017 December 1996 LER 96-007-00:on 961119,surveillance Test Deficiencies Were Found During GL 96-01 Review Leading to TS 3.0.3 Entries. Caused by Increase in Scope of Required Testing.Supplement Will Be submitted.W/961217 Ltr ML17312A9511996-09-0404 September 1996 LER 96-003-00:on 960809,open Auxiliary Bldg Door Caused Full Bldg Essential Filtration Inoperability.Caused by Personnel Error.C/As Under consideration.W/960904 Ltr ML17312A8641996-07-17017 July 1996 LER 96-001-00:on 960621,inaccurate Gas Calculations for Post Accident Sampling Sys Occurred.Caused by Surveillance Test Worksheet Errors.Independent Investigation of Event Being conducted.W/960717 Ltr ML17300B2541996-06-11011 June 1996 LER 96-001-01:on 960404,inappropriate Grounding of Equipment Resulted in Condition Outside Design Basis of Plant. Established Fire Watches Required for Affected Areas ML17312A8081996-06-0909 June 1996 LER 96-002-00:on 960514,Tech Spec Violation Occurred Due to Erroneous Surveillance Requirement.Caused by Incorporation of C-E Generic Ts.Investigation Being conducted.W/960609 Ltr ML17312A7751996-05-17017 May 1996 LER 96-003-00:on 960122,missed Surveillance for Logic Check of Logs 1 & 2 Safety Excore Bypasses.Caused by Procedural Error.Log Power Functional Test Revised to Check Logs 1 & 2 Bypasses Regardless of Power level.W/960517 Ltr ML17312A7511996-05-0606 May 1996 LER 96-001-00:on 960404,smoke Discovered in Back Boards Area of CR by Security Officer,Performing Hourly Fire Watch Tour. Caused by Improperly Grounded Circuit.Investigation for Inappropriate Grounding of Low Voltage Power Sys Initiated ML17312A7241996-04-25025 April 1996 LER 96-002-00:on 960401,inappropriate Work Practice Resulted in Esfa of Train B Edg.Night Order Was Issued to All Three Units Describing event.W/960425 Ltr ML17312A6861996-04-0606 April 1996 LER 95-007-01:on 950512,determined That Bench Settings of air-operated Letdown & Containment Isolation Valves Adversely Affected Ability of Valves to Perform 10CFR50 App R Safety Function.Affected Valves Modified ML17312A5631996-02-22022 February 1996 LER 95-016-00:on 951212,containment Spray TS Violation Occurred Due to Unrecognized Valve Failure.Shim/Band Was Placed Around Stator of 1JSIBUV665 Motor Operator to Maintain Stator in Correct position.W/960222 Ltr ML17311B3381996-01-0909 January 1996 LER 95-014-00:on 951209,reactor Tripped Following Degradation of Main FW Flow.Caused by Malfunction of Fwcs Power supply,NNN-D11,transfer switch.NNN-D11 Aligned to Normal Power supply.W/960109 Ltr ML17311B3331995-12-31031 December 1995 LER 95-013-00:on 951201,AFW Sys Was Outside Design Basis of Plant.Caused by Design Error.Performed Assessment to Demonstrate That Existing Condition Does Not Pose Addl Safety concerns.W/951231 Ltr ML17311B2801995-11-23023 November 1995 LER 95-011-00:on 951018,identified Procedural Deficiency W/Msiv & FWIV ISTs Due to Personnel Error.Verified Operability of MSIVs & FWIVs.W/951123 Ltr ML17311B2531995-10-20020 October 1995 LER 95-002-00:on 950924,identified That Abnormal Blowdown Valves to Blowdown Flash Tank (Bft) Isolated,Resulting in Reactor Core Power Exceeding 3,800 Mwt Due to Personnel Error.Procedure for Aligning Blowdown to Bft Revised ML17311B1991995-09-21021 September 1995 LER 95-010-00:on 950727,equipment Qualification of Air Handling Unit Caused Essential Cw Pump to Be Inoperable. Used Work Orders to Drill Weep Holes in Motor Lead Connection boxes.W/950921 Ltr ML17311B1741995-09-0404 September 1995 LER 95-004-01:on 950329,containment Electrical Penetration Overcurrent Protective Devices Found Outside Design Basis. Caused by Error on Part of Original Architect Engineer. Modified Affected Circuits Critical to Normal Operational ML17311B1561995-08-27027 August 1995 LER 95-003-00:on 950729,switchyard Voltage Dropped Below Administratively Imposed Limit of 524 Kv for Approx 10 Seconds Due to Transient Grid Voltage.No C/A Taken Since Transmission Sys Transient Short duration.W/950827 Ltr ML17311B1551995-08-25025 August 1995 LER 95-002-01:on 950303,identified That Slb Analyses Failed to Consider as Initial Condition One Percent SDM for All Rods in (ARI) Due to Lack of Coordination & Unclear Div of Responsibilities.Ari Core Data Book SDM Curves Modified ML17311B1211995-08-16016 August 1995 LER 95-005-00:on 950717,RT on Low SG Water Level Was Result Following Degradation of MFW Flow.Completed Evaluation of Event ML17311B0841995-07-28028 July 1995 LER 94-005-01:on 941019,completed TS Required Shutdown Due to Expiration of LCO Time Limit.Design Change Options Identified & Will Be Reviewed to Determine If Valve &/Or Motor Operator Replacement or Mod Necessary ML17311B0721995-07-20020 July 1995 LER 95-004-00:on 950706,identified Four Occassions Between 950407 & 0630 When Conditional Surveillance in TS LCO 3.8.4.1 Action a Not Performed Due to Inattention to Detail. CR Copy of Temporary Procedure 40TP-9ZZ04 Corrected ML17311B0081995-07-0606 July 1995 LER 95-003-00:on 950613,TS LCO 3.0.3 Entered Following Loss of Both Trains of Essential Cw Sys & Both Hydrogen Recombiners.Caused by Spurious Actuations Due to Broken EDG Speed Probe Connector.Connector replaced.W/950706 Ltr 1999-08-27
[Table view] Category:RO)
MONTHYEARML17313B0751999-08-27027 August 1999 LER 99-002-00:on 990730,test Mode Trip Bypass for EDG Output Breakers Not Surveilled.Cause Under Investigation.Operations Personnel Conservatively Invoked SR 3.0.3 for SR 3.8.1.13. with 990827 Ltr ML17313B0191999-07-16016 July 1999 LER 99-005-00:on 990618,RT on Low DNBR Was Noted.Caused by Hardware Induced Calculation Error.Cr Operator Was Taken to Place Reactor in Stable Condition IAW Appropriate Operating Procedure ML17313A9281999-05-0707 May 1999 LER 99-004-00:on 990408,PSV Lift Pressures Were Outside of TS Limits.Caused by Lift Pressure Setpoint Drift.Psvs Have Been Tested,Disassembled,Inspected,Reassembled & Certified at Wyle Labs ML17313A8951999-04-14014 April 1999 LER 99-003-00:on 990317,required Surveillance Requirement Not Completed Due to Deficient Procedure,Was Determined. Caused by Cognitive Personnel Error.St Procedures Revised to Require Chiller to Be Operating & Oil Temperature Checked ML17313A8921999-04-13013 April 1999 LER 98-003-01:on 980902,discovered That MSSV as-found Lift Pressures Were Outside TS Limits.Caused by Bonding of Valve Disc to Nozzle Seat.Affected Valves Were Adjusted,Retested & Returned to Svc ML17313A8891999-04-0909 April 1999 LER 99-001-00:on 990310,RT on High Pressurizer Pressure Was Noted.Caused by Loss of Heat Removal.Cr Supervisor Was Removed from Shift Duties for Diagnostics Skills Training. with 990409 Ltr ML17313A8361999-03-0101 March 1999 LER 99-001-00:on 990103,TS Violation for Power Dependent Insertion Limit Alarm Being Inoperable.Caused by Personnel Error.Revised Procedure to Clarify How Computer Point Is to Be Returned to Scan Mode.With 990302 Ltr ML17313A7701999-01-15015 January 1999 LER 96-008-00:on 960507,inadequate Procedure Results in Nuclear Power Channels Not Calibrated During Power Ascension Tests Occurred.Caused by Deficient Procedure.Procedure Revised ML17313A6611998-10-24024 October 1998 LER 98-008-00:on 980729,EQ of Electrical Connectors Were Not Adequately Demonstrated.Caused Because Test Was Conducted with Only Single Lv Connector & Without Fully Ranged Inputs. Revised EQ Requirements ML17313A5961998-09-14014 September 1998 LER 98-002-00:on 980814,B Train H Recombiner Was Noted Inoperable Due to cross-wired Power Receptacle.Cause of Event Is Under investigation.Cross-wired Power Supply Receptacle for B Train H Recombiner Was re-wired ML17313A5761998-09-0808 September 1998 LER 98-003-01:on 980113,discovered That One Channel of RWT Level Sys Had Failed High.Caused by Water Intrusion Into Electrical Termination Pull Box.Weep Holes Were Drilled Into Bottoms of Pull Boxes Nearest Level Transmitters ML17313A5591998-08-28028 August 1998 LER 98-001-00:on 980730,entered TS 3.0.3 Due to Safety Injection Flow Instruments Being Removed from Svc.Caused by Personnel Error.Transmitters Were Unisolated & Returned to svc.W/980828 Ltr ML17313A5201998-07-30030 July 1998 LER 98-004-00:on 980630,personnel Discovered That Pressure Safety Valve Had Not Received Periodic Set Pressure Test for ASME Class 1 Pressure Safety Valve.Caused by Personnel Error.Pressure Safety Valve reviewed.W/980730 Ltr ML17313A4671998-06-19019 June 1998 LER 98-007-00:on 980520,CR Personnel Observed Flow & Pressure Perturbations on Chemical & Vol Control Sys Letdown Sys.Caused by Cyclic Fatigue Due to Dynamic Pressure Transients.Unit Letdown Piping Replaced ML17313A4131998-06-0505 June 1998 LER 98-006-00:on 980507,determined That Plant Was Outside Design Basis Due to SI Discharge Check Valve Reverse Flow. Check Valve Was Disassembled,Examined & Reassembled, Whereupon Valve Met Acceptance Criteria ML17313A3951998-05-26026 May 1998 LER 98-005-00:on 980428,noted That Required Response Time Testing Had Not Been Performed.Caused by Personnel Error. Coached I&C Personnel Responsible for Reviewing Work Authorization Documentation ML17313A3251998-04-0101 April 1998 LER 98-004-00:on 980304,safety Valves as-found Pressures Out of Tolerance.Cause of Event Is Under Investigation.Three Mssv'S & Psv Will Be Replaced W/Refurbished & Recertified Valves During Refueling Outage U1R7 ML17313A3131998-03-21021 March 1998 LER 98-001-00:on 980301,surveillance Test Deficiency Found During Qaa Leads to TS 3.0.3/4.0.3 Entry.Caused by Personnel Error.Personnel Responsible for Inadequately Performed SR Were Coached ML17313A2251998-03-0505 March 1998 LER 93-005-00:on 930309,CR Personnel Discovered Missed TS LCO Action & Subsequently Performed Surveillance Satisfactorily.Caused by Personnel Error.Appropriate Disciplinary Action issued.W/980305 Ltr ML17313A2241998-02-26026 February 1998 LER 98-001-00:on 980130,reactor Protection & ESFAS Instrumentation Not Bypassed within one-hour Allowed by TS Occurred.Caused by Inadequate Procedures.Expectation to Detect Alarm Conditions Was Emphasized to CR Personnel ML17313A2081998-02-10010 February 1998 LER 97-007-00:on 971006,TS Violation Occurred Due to Inadequate Shutdown Cooling Flow During Modes 5 & 6 Operation.Independent Investigation of Event Was Conducted IAW APS CA program.W/980210 Ltr ML17313A2041998-02-0505 February 1998 LER 97-006-00:on 971028,missed TS 4.0.5 SR Was Noted.Caused by Personnel Error.Independent Investigation of Event Is Being Conducted IAW W/Aps Corrective Action Program ML17313A1201997-11-12012 November 1997 LER 97-006-00:on 971020,manual Reactor Trip Occurred Due to Vibration & Bearing Temp Increases in Reactor Coolant Pump. Caused by Failed Lower Journal Bearing.Bearing Assembly Was Disassembled,Inspected & Rebuilt ML17312B7181997-10-0707 October 1997 LER 97-003-00:on 970907,inadvertent Loss of Power & EDG Start Occurred Due to Procedural Error.Changed Train a & Train B Edg/Ist ST Procedures to Consistently Reflect Proper Pretest Staging Hand switches.W/971007 Ltr ML17312B7051997-09-26026 September 1997 LER 97-003-01:on 970215,seven Main Steam Safety Valves Were Found Out of Tolerance Prior to Refueling Outage.Safety Analysis Performed Based Upon as-found MSSV Data Which Demonstrated That MSSVs Would Perform Safety Functions ML17312B5531997-07-0707 July 1997 LER 97-002-00:on 970528,SR for Core Protection Was Not Performed Due to Inadequate Procedures.Revised Procedures ML17312B5501997-07-0707 July 1997 LER 97-003-00:on 970211,notified of Trevitest Activities Indicating That Total of Seven MSSVs Had as-found Lift Set Pressures Greater than 3 Percent Allowed by TS 3.7.1.1. Investigation Conducted.Seven MSSVs replaced.W/970707 Ltr ML17312B4971997-06-13013 June 1997 LER 97-002-00:on 970531,RT Occurred.Caused by Spurious Opening of All Four Rt Switchgear Breakers.Independent Investigation of Event Being Conducted in Accordance W/Util Corrective Action Program ML17312B1461996-12-17017 December 1996 LER 96-007-00:on 961119,surveillance Test Deficiencies Were Found During GL 96-01 Review Leading to TS 3.0.3 Entries. Caused by Increase in Scope of Required Testing.Supplement Will Be submitted.W/961217 Ltr ML17312A9511996-09-0404 September 1996 LER 96-003-00:on 960809,open Auxiliary Bldg Door Caused Full Bldg Essential Filtration Inoperability.Caused by Personnel Error.C/As Under consideration.W/960904 Ltr ML17312A8641996-07-17017 July 1996 LER 96-001-00:on 960621,inaccurate Gas Calculations for Post Accident Sampling Sys Occurred.Caused by Surveillance Test Worksheet Errors.Independent Investigation of Event Being conducted.W/960717 Ltr ML17300B2541996-06-11011 June 1996 LER 96-001-01:on 960404,inappropriate Grounding of Equipment Resulted in Condition Outside Design Basis of Plant. Established Fire Watches Required for Affected Areas ML17312A8081996-06-0909 June 1996 LER 96-002-00:on 960514,Tech Spec Violation Occurred Due to Erroneous Surveillance Requirement.Caused by Incorporation of C-E Generic Ts.Investigation Being conducted.W/960609 Ltr ML17312A7751996-05-17017 May 1996 LER 96-003-00:on 960122,missed Surveillance for Logic Check of Logs 1 & 2 Safety Excore Bypasses.Caused by Procedural Error.Log Power Functional Test Revised to Check Logs 1 & 2 Bypasses Regardless of Power level.W/960517 Ltr ML17312A7511996-05-0606 May 1996 LER 96-001-00:on 960404,smoke Discovered in Back Boards Area of CR by Security Officer,Performing Hourly Fire Watch Tour. Caused by Improperly Grounded Circuit.Investigation for Inappropriate Grounding of Low Voltage Power Sys Initiated ML17312A7241996-04-25025 April 1996 LER 96-002-00:on 960401,inappropriate Work Practice Resulted in Esfa of Train B Edg.Night Order Was Issued to All Three Units Describing event.W/960425 Ltr ML17312A6861996-04-0606 April 1996 LER 95-007-01:on 950512,determined That Bench Settings of air-operated Letdown & Containment Isolation Valves Adversely Affected Ability of Valves to Perform 10CFR50 App R Safety Function.Affected Valves Modified ML17312A5631996-02-22022 February 1996 LER 95-016-00:on 951212,containment Spray TS Violation Occurred Due to Unrecognized Valve Failure.Shim/Band Was Placed Around Stator of 1JSIBUV665 Motor Operator to Maintain Stator in Correct position.W/960222 Ltr ML17311B3381996-01-0909 January 1996 LER 95-014-00:on 951209,reactor Tripped Following Degradation of Main FW Flow.Caused by Malfunction of Fwcs Power supply,NNN-D11,transfer switch.NNN-D11 Aligned to Normal Power supply.W/960109 Ltr ML17311B3331995-12-31031 December 1995 LER 95-013-00:on 951201,AFW Sys Was Outside Design Basis of Plant.Caused by Design Error.Performed Assessment to Demonstrate That Existing Condition Does Not Pose Addl Safety concerns.W/951231 Ltr ML17311B2801995-11-23023 November 1995 LER 95-011-00:on 951018,identified Procedural Deficiency W/Msiv & FWIV ISTs Due to Personnel Error.Verified Operability of MSIVs & FWIVs.W/951123 Ltr ML17311B2531995-10-20020 October 1995 LER 95-002-00:on 950924,identified That Abnormal Blowdown Valves to Blowdown Flash Tank (Bft) Isolated,Resulting in Reactor Core Power Exceeding 3,800 Mwt Due to Personnel Error.Procedure for Aligning Blowdown to Bft Revised ML17311B1991995-09-21021 September 1995 LER 95-010-00:on 950727,equipment Qualification of Air Handling Unit Caused Essential Cw Pump to Be Inoperable. Used Work Orders to Drill Weep Holes in Motor Lead Connection boxes.W/950921 Ltr ML17311B1741995-09-0404 September 1995 LER 95-004-01:on 950329,containment Electrical Penetration Overcurrent Protective Devices Found Outside Design Basis. Caused by Error on Part of Original Architect Engineer. Modified Affected Circuits Critical to Normal Operational ML17311B1561995-08-27027 August 1995 LER 95-003-00:on 950729,switchyard Voltage Dropped Below Administratively Imposed Limit of 524 Kv for Approx 10 Seconds Due to Transient Grid Voltage.No C/A Taken Since Transmission Sys Transient Short duration.W/950827 Ltr ML17311B1551995-08-25025 August 1995 LER 95-002-01:on 950303,identified That Slb Analyses Failed to Consider as Initial Condition One Percent SDM for All Rods in (ARI) Due to Lack of Coordination & Unclear Div of Responsibilities.Ari Core Data Book SDM Curves Modified ML17311B1211995-08-16016 August 1995 LER 95-005-00:on 950717,RT on Low SG Water Level Was Result Following Degradation of MFW Flow.Completed Evaluation of Event ML17311B0841995-07-28028 July 1995 LER 94-005-01:on 941019,completed TS Required Shutdown Due to Expiration of LCO Time Limit.Design Change Options Identified & Will Be Reviewed to Determine If Valve &/Or Motor Operator Replacement or Mod Necessary ML17311B0721995-07-20020 July 1995 LER 95-004-00:on 950706,identified Four Occassions Between 950407 & 0630 When Conditional Surveillance in TS LCO 3.8.4.1 Action a Not Performed Due to Inattention to Detail. CR Copy of Temporary Procedure 40TP-9ZZ04 Corrected ML17311B0081995-07-0606 July 1995 LER 95-003-00:on 950613,TS LCO 3.0.3 Entered Following Loss of Both Trains of Essential Cw Sys & Both Hydrogen Recombiners.Caused by Spurious Actuations Due to Broken EDG Speed Probe Connector.Connector replaced.W/950706 Ltr 1999-08-27
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17300B3811999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Pvngs,Units 1,2 & 3.With 991007 Ltr ML17300B3271999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Pvngs,Units 1,2 & 3 ML17313B0751999-08-27027 August 1999 LER 99-002-00:on 990730,test Mode Trip Bypass for EDG Output Breakers Not Surveilled.Cause Under Investigation.Operations Personnel Conservatively Invoked SR 3.0.3 for SR 3.8.1.13. with 990827 Ltr ML17313B0611999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Pvngs,Units 1,2 & 3.With 990810 Ltr ML17313B0191999-07-16016 July 1999 LER 99-005-00:on 990618,RT on Low DNBR Was Noted.Caused by Hardware Induced Calculation Error.Cr Operator Was Taken to Place Reactor in Stable Condition IAW Appropriate Operating Procedure ML17300B3151999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Pvngs,Units 1,2 & 3.With 990714 Ltr ML17313A9921999-06-21021 June 1999 Special Rept:On 990525,RMS mini-computer Was Removed from Service to Implement Yr 2000 Mod & Was OOS Longer than 72 H Allowed.Caused by Planned Y2K Mods.Preplanned Alternate Sampling Program Was Initiated ML17313A9911999-06-18018 June 1999 Special Rept:On 990510,loose-part Detection Sys Channel 2 Was Declared Inoperable.Caused by Malfunction of Mineral Cable Connector to Accelerometer.Licensee Will Implement Modifications Which Will Enhance loose-part Detection Sys ML17313A9731999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Pvngs,Units 1,2 & 3.With 990608 Ltr ML17313A9281999-05-0707 May 1999 LER 99-004-00:on 990408,PSV Lift Pressures Were Outside of TS Limits.Caused by Lift Pressure Setpoint Drift.Psvs Have Been Tested,Disassembled,Inspected,Reassembled & Certified at Wyle Labs ML17313A9201999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Pvngs,Units 1,2 & 3.With 990512 Ltr ML17313A8951999-04-14014 April 1999 LER 99-003-00:on 990317,required Surveillance Requirement Not Completed Due to Deficient Procedure,Was Determined. Caused by Cognitive Personnel Error.St Procedures Revised to Require Chiller to Be Operating & Oil Temperature Checked ML17313A8921999-04-13013 April 1999 LER 98-003-01:on 980902,discovered That MSSV as-found Lift Pressures Were Outside TS Limits.Caused by Bonding of Valve Disc to Nozzle Seat.Affected Valves Were Adjusted,Retested & Returned to Svc ML17313A8891999-04-0909 April 1999 LER 99-001-00:on 990310,RT on High Pressurizer Pressure Was Noted.Caused by Loss of Heat Removal.Cr Supervisor Was Removed from Shift Duties for Diagnostics Skills Training. with 990409 Ltr ML17300B3071999-03-31031 March 1999 Seismic Portion of Submittal-Only Screening Review of Palo Verde Nuclear Generating Station Units Ipeee. ML17313A8801999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Pvngs,Units 1,2 & 3.With 990412 Ltr ML20207M9231999-03-12012 March 1999 Amended Part 21 Rept Re Cooper-Bessemer Ksv EDG Power Piston Failure.Total of 198 or More Pistons Have Been Measured at Seven Different Sites.All Potentially Defective Pistons Have Been Removed from Svc Based on Encl Results ML20207H7471999-03-10010 March 1999 1999 Emergency Preparedness Exercise 99-E-AEV-03003 ML17313A8361999-03-0101 March 1999 LER 99-001-00:on 990103,TS Violation for Power Dependent Insertion Limit Alarm Being Inoperable.Caused by Personnel Error.Revised Procedure to Clarify How Computer Point Is to Be Returned to Scan Mode.With 990302 Ltr ML17313A8501999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Palo Verde Nuclear Generating Station.With 990311 Ltr ML17313A7791999-02-0505 February 1999 Safety Evaluation Accepting Licensee Rev to Emergency Plan That Would Result in Two Less Radiation Protection Positions Immediatelu Available During Emergencies ML17313A8061999-01-31031 January 1999 Monthly Operating Repts for Jan 1999 for Pvngs,Units 1,2 & 3.With 990218 Ltr ML17313A7701999-01-15015 January 1999 LER 96-008-00:on 960507,inadequate Procedure Results in Nuclear Power Channels Not Calibrated During Power Ascension Tests Occurred.Caused by Deficient Procedure.Procedure Revised ML17313A7381998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Palo Verde Nuclear Generating Station,Units 1,2 & 3.With 990113 Ltr ML20206H2101998-12-31031 December 1998 SCE 1998 Annual Rept ML17313A7031998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Pvngs,Unit 1,2 & 3. with 981209 Ltr ML17313A6701998-11-0404 November 1998 Rev 2 to PVNGS Unit 2 Colr. ML17313A6741998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Pvngs,Units 1,2 & 3.With 981109 Ltr ML17313A6611998-10-24024 October 1998 LER 98-008-00:on 980729,EQ of Electrical Connectors Were Not Adequately Demonstrated.Caused Because Test Was Conducted with Only Single Lv Connector & Without Fully Ranged Inputs. Revised EQ Requirements ML17313A6561998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for PVNGS Units 1,2 & 3.With 981007 Ltr ML17313A5961998-09-14014 September 1998 LER 98-002-00:on 980814,B Train H Recombiner Was Noted Inoperable Due to cross-wired Power Receptacle.Cause of Event Is Under investigation.Cross-wired Power Supply Receptacle for B Train H Recombiner Was re-wired ML17313A5761998-09-0808 September 1998 LER 98-003-01:on 980113,discovered That One Channel of RWT Level Sys Had Failed High.Caused by Water Intrusion Into Electrical Termination Pull Box.Weep Holes Were Drilled Into Bottoms of Pull Boxes Nearest Level Transmitters ML17313A5591998-08-28028 August 1998 LER 98-001-00:on 980730,entered TS 3.0.3 Due to Safety Injection Flow Instruments Being Removed from Svc.Caused by Personnel Error.Transmitters Were Unisolated & Returned to svc.W/980828 Ltr ML20151S0941998-08-21021 August 1998 Rev 6 to COLR for PVNGS Unit 3 ML20151S0861998-08-21021 August 1998 Rev 4 to COLR for PVNGS Unit 1 ML20151S0901998-08-21021 August 1998 Rev 1 to COLR for PVNGS Unit 2 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 ML17313A5401998-08-13013 August 1998 Special Rept:On 980715,declared PASS Inoperable.Caused by Failure of Offgas Flush/Purge Control Handswitch HS0101. Handswitch Replaced & Post Maintenance Retesting Was Initiated ML17313A5301998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Pvgns,Units 1,2 & 3.W/980812 Ltr ML17313A5201998-07-30030 July 1998 LER 98-004-00:on 980630,personnel Discovered That Pressure Safety Valve Had Not Received Periodic Set Pressure Test for ASME Class 1 Pressure Safety Valve.Caused by Personnel Error.Pressure Safety Valve reviewed.W/980730 Ltr ML17313A5791998-07-0707 July 1998 to PVNGS SG Tube ISI Results for Seventh Refueling Outage Mar & Apr 1998. ML17313A5001998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Palo Verde Nuclear Generating Station,Units 1,2 & 3.W/980710 Ltr ML17313A4671998-06-19019 June 1998 LER 98-007-00:on 980520,CR Personnel Observed Flow & Pressure Perturbations on Chemical & Vol Control Sys Letdown Sys.Caused by Cyclic Fatigue Due to Dynamic Pressure Transients.Unit Letdown Piping Replaced ML17313A4521998-06-19019 June 1998 Rev 5 to COLR for Pvngs,Unit 3. ML17313A4501998-06-19019 June 1998 Rev 4 to COLR for Pvngs,Unit 3. ML17313A4131998-06-0505 June 1998 LER 98-006-00:on 980507,determined That Plant Was Outside Design Basis Due to SI Discharge Check Valve Reverse Flow. Check Valve Was Disassembled,Examined & Reassembled, Whereupon Valve Met Acceptance Criteria ML17313A4211998-05-31031 May 1998 Monthly Operating Repts for May 1998 for Pvngs,Units 1,2 & 3.W/980609 Ltr ML17313A3951998-05-26026 May 1998 LER 98-005-00:on 980428,noted That Required Response Time Testing Had Not Been Performed.Caused by Personnel Error. Coached I&C Personnel Responsible for Reviewing Work Authorization Documentation ML17313A3691998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for PVNGS.W/980412 Ltr ML17313A3251998-04-0101 April 1998 LER 98-004-00:on 980304,safety Valves as-found Pressures Out of Tolerance.Cause of Event Is Under Investigation.Three Mssv'S & Psv Will Be Replaced W/Refurbished & Recertified Valves During Refueling Outage U1R7 1999-09-30
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ACCELERATED DI'~HUBUTION DEMONSTIRATION SYSTEM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)ACCESSION NBR:9005080228 DOC.DATE: 90/04/29 NOTARIZED:
NO" DOCKET FACIL:STN-50-529 Palo Verde Nuclear Station, Unit 2, Arizona Publi 05000529 AUTH.NAME r'UTHOR AFFILIATION BRADISH,T.R.
Arizona Public Service Co.(formerly Arizona Nuclear Power LEVINE,J.M.
Arizona Public Service Co.(formerly Arizona'uclear Power RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 90-003-00:on 900331,loss of power to alternate plant ventilation effluent radiation monitor.W/9'tr.DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE: TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.NOTES:Standardized plant.05000529 RECIPIENT ID CODE/NAME PD5 LA PETERSON,S.
INTERNAL: ACNW AEOD/DOA AEOD/ROAB/DSP NRR/DET/ECMB 9H NRR/DET/ESGB 8D NRR/DLPQ/LPEB10 NRR/DREP/PRPB11 NRR/DST/SICB 7E NRR/DST/SRXB 8E RES/DSIR/EIB EXTERNAL EG&G STUART i V A LPDR NSIC MAYS,G NUDOCS FULL TXT NOTES: COPIES LTTR ENCL 1 1 1 1 2 2 1 1 2 2 1 1 1 1 1 1 2 2 1 1 1 1 1 1 4 4 1 1 1 1 1 1 1 1 RECIPIENT ID CODE/NAME PD5 PD CHAN,T ACRS AEOD/DSP/TPAB DEDRO NRR/DET/EMEB9H3 NRR/DLPQ/LHFB11 NRR/DOEA/OEABll NRR/DST/SELB 8D NRR/DST/SP>BS D1 REG F-I-LE.~02 RGN5 FILE 01 L ST LOBBY WARD NRC PDR NSIC MURPHY'iG A COPIES LTTR ENCL 1 1 1 1 2 2 1 1 1 1 1 1 1'1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 NOTE TO ALL"RIDS" RECIPIEKIS:
PLEASE HELP US TO REDUCE WASTEl CONTACT THE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXI'.20079)TO ELIMINATE YOUR NAME FROM DISTRIBUTION FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 39 ENCL 39 i I Jl Arizona Public Service Company PALO VERDE NUCLEAR GENERATING STATION P.O.BOX 52034~PHOENIX(ARIZONA 85072-2034 JAMES M.LEVINE VICE PRESIDENT NUCLEAR PRODUCTION 192-00654-JML/TRB/RKR April 29, 1990 U.S.Nuclear Regulatory Commission Document Control Desk Washington,.DC 20555
Dear Sirs:
Subj ect: Palo Verde Nuclear Generating Station (PVNGS)Unit 2 Docket No.STN 50-529 (License No.NPF-51)Licensee Event Report 90-003-00 File'0-020-404 Attached please find Licensee Event Report (LER)No.90-003-00 prepared and submitted pursuant to 10CFR50.73.
In accordance with 10CFR50.73(d), we are herewith forwarding a copy of the LER to the Regional Administrator of the Region V office.I If you have any questions, please contact T.R.Bradish, Compl'iance Manager at (602)393-2521.Very truly yours, JML/TRB/RKR/tlg Attachment CC: W.F E.E J.B D.H T.L A.C A.L INPO Conway Van Brunt Martin Coe Chan Gehr Gutterman Records Center (all with attachment) it~'
NRC FORM 368 (669)U.S.NUCLEAR REGULATORY COMMISSION FACILITY NAME (II Palo Verde Unit 2 LICENSEE EVENT REPORT (LER)PAGE 3>DOCKET NUMBER (2)05000529 1 QF 08 t APPAQVED OMB NO.31504104 EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORWARD COMMENTS REGARDING BURDEN ES'TIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (P630).U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555.AND TO, THE PAPERWORK REDUCTION PROJECT (31500104).
OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC20503.TITLE (4)F Loss of Power to Alternate Plant Ventilation Effluent Radiation Monitor MONTH DAY YEAR EVENT DATE (6)YEAR LER NUMBER (5)(cc REVISION NUMBER pm SEQVENTIAL NUMBER AEPQRT DATE (1)MONTH OAY YEAR DOCKET NUMBER(SI 0 5 0 0 0 FACILITY NAMES N A OTHER FACILITIES INVOLVED (8)0 3 3 1 9 0 9 0 0 0 3 0 0 0 429 90 N/A 0 5 0 0 0 OPERATING MODE (9)N POWER LEVEL p p p 20.402 (8 I 20A05(~)(\)5)20.405(e)(I)(Sl 20AOS(~)(1)(iil)20.406(~I (1)(lr)20.405 (~I (I)(r)20AOS(c)50.34(c)Ill 50.38(c)(2) 50.73(~)l1)lll 50.73(el(1)(il) 50.73(el(2) liil)LICENSEE CONTACT FOR THIS LER (12I 60.73(e)(2)(N)60.73(eH2)(rl 60.73(e I (2)(rill 60.73(e)l2)(riii)IAI 50.73(e)(2)(rlii)IB)60.73(~)(2 I I x)THIS REPORT IS SUBMITTED PURSUANT T 0 THE RLQUIREMENTS OF 10 CFR (): ICneck one or more of III~foifowinp/
(11)73.7((OI 73.71(cl OTHER ISpecifyin Aorrrect Oelow enrf in Text, IY/IC Form 366A/NAME Thomas R.Bradish Com liance Mana er TFLEPHONE NUMBER AREA CODE 602 393-2 521 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPQAT (13)CAUSE SYSTEM COMPONENT MANUFAC.TUREA REPORTABLE 85@kgPM4NI r COMPONENT MANUFAC.TURER;prix Yxo"CI Rrpo 9 SUPPLEMENTAL AEPOAT EXPECTED (14)EXPECTED SUBMISSION DATE (15)MONTH DAY YEAR YES III yn, complete EXPECTED SIISMISSIQrf DATE/NQ ABsTRAcT ILimir ro te00 rpecn, I e., epproximeteiy lifreen Iinpie tpece typewrirren fined (16)At approximately 1230 MST on March 31, 1990, Palo Verde Unit 2 was in a refueling outage with ehe reactor core offloaded to the Spent Fuel Pool when a Chemistry Effluent Technician and the Control Room Shift Supervisor discovered that the Preplanned Alternate Sampling Program (PASP)portable sample care for the Fuel Building Ventilation had been inoperable.
At approximately 0620 MST on March 31, 1990, the load center supplying power eo ehe PASP portable sample care had been deenergized for a preplanned electrical outage.When the load center was deenergized', it was not recognized that it supplied power to the PASP portable sample cart.At approximately 0840 MST on March 31, 1990, the PASP portable sample cart was returned to OPERABLE status.With the PASP portable sample cart inoperable for approximately two hours and tweney minutes, Unit 2 operated in a condition contrary to Technical Specification 3.3.3.8.The cause of the event was a personnel error due to inadequate identification of the loads on the load center prior to deenergization.
As corrective action a Design Modification has been issued to supply dedicated power to these loads.Similar events were reported in LERs 529/87-14, 529/88-13, 530/88-07, 530/89-03, and 529/89-005.
NRC Form 385 (669)
I+I NRC FORM355A (549)ILS.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT ILER)TEXT CONTINUATION APPROVED OMB NO, 3150010O E XPIR ES: O/30l92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REOUEST: 50J>HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH IP430).U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31500104>.
OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON.
DC 20503.FACILITY NAME (I)DOCKET NUMBER (2), YEAR LER NUMBER (5):~SEOUENTIAL I: N NUMBER>IIEET REVISION NUM 54 PAGE (3)Palo Verde Unit 2 TEXT (ll moro AOoco ls IPOohd, ooo a5Ãonol HRC Form 35543)(IT)0 5 0 0'0 5 990-0 03 0 0 02oF 08 I.DESCRIPTION OF WHAT OCCURRED: Initial Conditions:
At approximately 0620 MST on March.31, 1990,'Palo Verde Unit 2.was in a refueli'ng outage with the reactor core (AC)offloaded to the Spent Fuel Pool (ND).Reportable Event Description (Including Dates and Approximate Times of Major Occurrences):
Event Classification:
Condition Prohibited'by the Plant's Technical Specifications (TS)At approximately 1230 MST on March 31, 1990, a Chemistry Effluent Technician (utility, non-licensed) and the Control Room Shift Supervisor (utility, licensed)discovered that the Preplanned Alternate Sampling Program (PASP)(IL) portable sample cart for the Fuel Building ventilation (VL)had been inoperable.
The power supply for the PASP portable sample cart had been deenergized for'preplanned electrical outage at approximately 0620 MST on March 31, 1990.The power supply was reenergized at approximately 0802 MST.Prior to the event discovery, at approximately 0840 MST on March 31, 1990, the PASP portable sample cart flow had been verified to confirm proper operation.
With the PASP portable sample cart inoperable for approximately two hours and twenty minutes, Unit 2 operated in a condition contrary to TS 3.3.'3.8.Prior to the event, at approximately 1700 MST on March 23, 1990, the Fuel Building Ventilation System Low and High Range Radioactive Gaseous Effluent Monitors (RU-145 and RU-146)(MON)(IL) were removed from service when their power supply was deenergized for scheduled maintenance during the refueling outage'his was reported in Special Report 2-SR-90-001 dated April 12, 1990, in accordance with TS 3.3.3.8 ACTION 42b and TS 6.9.2.Appropriate.actions were initiated in accordance with approved procedures.
These actions included the installation of the PASP portable sample cart within one hour in accordance with TS 3.3.3.8 ACTIONS 37 and 40..The portable sample cart taps into the Fuel Building ventilation and uses a particulate and charcoal cartridge for sample collection with an inline flow gauge and sampling pump.The portable sample cart is electrically powered from a local outlet.The Portable Area Monitor (PAM)was also installed.
The'PAM is located on the Fuel Building roof to monitor the Fuel Building Ventilation discharge pipe.The output from the PAM is connected to the Radiation Monitoring System NR C Form 355A (539)
NRC FOAM355A (589)U.S.NUCLEAR REGULATORY COI4MISSION LICENSEE EVENT REPORT ILER)TEXT CONTINUATION APPAOVED OMB NO.31500104 EXPIRE5;4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION AEOUESTI 508)HRS.FORWARD COMMENTS REGAADING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (P530).U.S.NUCLEAR REGULATORY COMMISSION.
WASHINGTON, DC 20555.AND TO THE PAPERWORK REDUCTION PROJECT (31500104).
OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503.FACILITY NAME (1)DOCKET NUMBER (2)YEAR LER NUMBER (5)SEOVENW*L NUMBER REVISION NVMSER PAGE (3)Palo Verde Unit 2 TEXT///mom<<>>44/I moo/md, o44 odI//oor>>/HRC FomI 3/JSAS/OT) o s o o o 52 990 0 0 3 0 0 0 3 oF0 8 (RMS)mini computer (CPU)(IL)in the Chemistry Lab.The PAM is also powered from a local outlet.Following the installation of the portable sample cart, the process and sample flow rates were verified a minimum of every four hours pursuant to TS 3.3.3.8 ACTION 36.At approximately 0615 MST on March 31, 1990, a portable sample cart flow check was performed.
At that time, the portable sample cart was energized and operable.At approximately 0620 MST on March 31, 1990, a non-class IE 480 Volt load center (NGN-L17)(XFMR)(EC), which normally supplies nonessential lighting and outlets, was deenergized to permit connection of a temporary power supply to allow its normal power supply to be deenergized for a preplanned electrical outage.The load center was providing power to the local outlets for the portable sample cart and PAM.During the next scheduled tour, at approximately 0711 MST, a Chemistry Effluent Technician discovered that the PAM was not operating and notified the Control Room Shift Supervisor (utility, licensed).
At approximately 0750 MST while investigating the PAM inoperability, the Chemistry Effluent Technician discovered that the PAM was deenergized and notified the Control Room Shift Supervisor.
The Control Room Shift Supervisor determined that the PAM was inoperable due to its load center being deenergized.
At approximately 0802 MST, the PAM was returned to service when the load center was reenergized.
The PAM had been inoperable from approximately 0620 MST to approximately 0802 MST on March 31, 1990, a period of approximately 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> and 42 minutes.The PAM was not required to be OPERABLE during thi.s time period to meet TS requirements.
At approximately 1230 MST on March 31, 1990, while reviewing the loads supplied by the load center, the Chemistry Effluent Technician and the Control Room Shift Supervisor discovered that the portable sample cart was powered by the same load center as the PAM.Prior to this discovery, at approximately 0840 MST on March 31, 1990 (after the load center had been reenergized), proper operation of the portable sample cart flow had been verified during the regularly scheduled surveillance.
The portable sample cart was inoperable from approximately 0620 MST to 0840 MST on March 31, 1990, for approximately 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> and 20 minutes.This is contrary to TS 3.3.3.8 ACTION 40 which requires that"effluent releases via the affected pathway may continue provided samples are continuously collected with auxiliary sampling equipment".
NRC Form 35SA (5/)9) i IS NRC FORM 366A (64)9)U.S.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT{LERI TEXT CONTINUATION APPROVED 0MB NO.31500104 EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUESTI 500 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (P430).U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31500104).
OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503.FACILITY NAME (1)DOCKET NUMBER (2)LER NUMBER (6)YEAR 2 SEQUENTIAL A~i REVISION NUMFER 4)(NUMSTR PAGE (3)Palo Verde Unit 2 TEXT///moru 4puru/4 rrqu/rrd, uru udd44mr/SRC Form 3664'4/(17)0 5 0 0 0 5 2 9 0-0 0 3 0 0 04OF 0 8 Status of structures, systems, or components that were inoperable at the start of the event that contributed to the event: As stated in.Section I.B, the Fuel Building Ventilation System Radioactive Gaseous Effluent Monitors, RU-145 and RU-146, were inoperable due to deenergization of their power supply for scheduled maintenance during the refueling outage.The PASP portable sample cart and PAM became inoperable as described in Section I.B.No other structures, systems, or components were inoperable at the start of the event that contributed to the event.D.Cause of each component or system failure, if known: Not applicable
-no component or system failures were involved.Failure mode, mechanism, and effect of each failed component, if known: Not applicable
-no failures were noted.For failures of components with multiple functions, list of systems or secondary functions that were also affected: Not applicable
-no component failures were involved.For failures that rendered a train of a safety system inoperable, estimated time elapsed from the discovery of the failure until the train was returned to service: Not applicable
-no failures were involved.H.Method of discovery of each component or system failure or procedural error: Not applicable
-no component or system failures or procedural errors were involved.Cause of Event: The cause of the event was a personnel error (SALP Cause Code A)by chemistry personnel (utility, non-licensed).
Interim corrective action from a previous similar event (LER 529/89-005) required that PASP equipment be electrically powered such that a loss of power would provide an alarm in the control room, Preplanned bus outages during the refueling resulted'in loss of power to several radiation NRC F omI 366A (64)9) i 0 NRC FORM 366A (609)U.S.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT ILER1 TEXT CONTINUATION APPROVED OMB NO.31500104 EXPIRES;4/30/62 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REOUEST: 500 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (P4r30).U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31504104).
OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503.FACILITY NAME (1)r DOCKET NUMBER (2)LER NUMBER (6)YEAR>(/sE BEDUENTIAL:,j~%
RfvorON NUMBER F.'6 NUMBEA PAGE (3I Palo Verde Unit 2 TEXT///mort tpttt/4 rttvttd, vtt tddidont/NRC Form3//SA'4/(17) 0 5 0 0 0 5 2 9 9 0 003.-00 0 5 QF monitors.In accordance with TS ACTION requirements, PASP equipment was placed in service to provide alternate sampling for the monitors out of service.Since the alarm computer in the control room could not accept all of the alarms, the alternate sample cart for Radiation Monitor RU-145 was not connected to the alarm computer in the control room.Other higher priority PASP equipment was connected instead.Since the PASP equipment could not be connected to the alarm computer, chemistry personnel should have taken additional action and notified the control room that the PASP equipment was being supplied from a specific outlet and that additional measures were required to prevent a loss of power to the PASP equipment (e.g., caution tag power supplies for the PASP equipment)'.
Chemistry personnel did not inform the control room which electrical outlets were supplying power to the PASP equipment resulting in operations personnel (utility, licensed)not performing an adequate review of the loads on the non class 1E load center prior to deenergizing the load center.There were no administrative controls which recommended that chemistry personnel inform the control room which outlets were supplying power to the PASP equipment.
'There were no unusual characteristics of the work location that directly contributed to this event.Safety System Response: Not applicable
-no safety system responses occurred and none were necessary.
Failed Component Information:
Not applicable
-no component failures were involved.II.ASSESSMENT OF THE SAFETY CONSEQUENCES AND IMPLICATIONS OF THIS EVENT: The portable sample cart was determined to be inoperable for approximately 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> and 20 minutes.There was no fuel movement or crane movement over the spent fuel pool during this event.The Fuel Building Area Radiation Monitors (RU-19 and RU-31)did not indi'cate any change in radiation levels during this event.The PASP sample from the portable sample cart and the PAM did not indicate any significant radiation levels prior to and after this event.Therefore, there were no safety consequences or implications as a result of this event.This event did not adversely effect the health and safety of the public.NR C Form 366A (BBB)
- i5 V NRC FORM 366A (64)9)U.S.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)TEXT CONTINUATION APPROVED OMB NO.31500104 EXPIRES: 4/30/92 ESTIMATED'BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (F430), U.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555.AND TO THE PAPERWORK REDUCTION PROJECT (31504104).
OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503.FACILITY NAME (II DOCKET NUMBER (2)LER NUMBER (6)YE4 R pig SEQUENTIAL NOUS ER%SFI REVISION~P?i NUMSER PAGE (3)Palo Verde Unit 2 TEXT/lf moru 4/?444/4 mqu/Iud, u44 Pdde'on4//VRC Fum?3//643/07)III.CORRECTIVE ACTIONS'5 0 0 0 5 2 9 90-003-0 0 06oF 08 A.Immediate:
Power was returned to the alternate sampling system and PAM.B.Action to Prevent Recurrence:
A Design Modification has been issued to supply dedicated power to the portable sample cart in all three units.Implementation of the design modification in Units 1, 2, and 3 is expected by September 1990.A procedure change has been initiated to the RMS Sample Collection Procedure for all three units to require that when PASP equipment cannot be connected to the alarm computer in the control room, chemistry personnel inform the control room which electrical outlets PASP equipment is powered from and request that the power supplies for the PASP equipment (when it is in use)be caution tagged to alert personnel that Technical Specification required equipment is connected to these power supplies.The procedure change is expected to be implemented by June 30, 1990'.As interim corrective action until the procedure change is implemented, when PASP equipment cannot be connected to the alarm computer in the control room,, chemistry personnel in all three units will notify the control room when the PASP is being implemented, identify the electrical outlets PASP equipment is being powered from, and request that the power supplies for the PASP equipment can be caution tagged to alert personnel that Technical Specification required equipment is connected to these power supplies.IV.PREVIOUS SIMILAR EVENTS: Five previous events have occurred which are similar to this event: LER'529/87-014 described an event where the alternate sampling system for the Fuel Building Ventilation Radiation Monitor (RU-145)had been turned off and rendered inoperable.
As corrective action to prevent recurrence, a placard was installed on the cart which identifies the cart as Technical Specification required equipment.
Since the event described in this LER involves deenergizing the power supply for the PASP equipment, the corrective action described in LER 87-014 would not have been expected to prevent the event described in this LER.NRC FOIRI 366A (669) iS NRC FORM 366A (64)9)VS.NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT'(LERI TEXT CONTINUATION APPROVED OMB NO.3)504)104 EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST: 500 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (P430).V.S.NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWOAK REDUCTION PROJECT (31504))04).
OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503.FACILITY NAME (I)DOCKET NUMBER (2)LER NUMBER (6)YEAR SrPr'EQUENTrAL glor r(svrsloN NUMBED../t NUMSso PAGE (3)Palo Verde Unit TEXT///mors ttrttt/4 rosrr/rtd, rrto tddr(4rrrt/HRC Form 3664'4/<17) 0 5 0 0 0 529 0-0 3 0 0 7 QF 0 LER 529/88-013 described an event where the alternate sampling system for Normal Plant Ventilation Radiation Monitor (RU-143)had been rendered inoperable when the circuit breaker opened.As corrective action to prevent recurrence, an Engineering Evaluation Request was issued to evaluate the feasibility of supplying alternate power to the loads.Based on this.evaluation, a design modification was issued to supply dedicated power to the sample cart.Implementation of this change is expected by September 1990.Since this change has not been installed in the unit, it did not prevent the event described in this LER.LER 530/88-007 described an event where the alternate sampling system for the Condenser Vacuum Pump/Gland Seal Exhaust Radiation Monitor (RU-141)became electrically disconnected from a nearby electrical outlet and thus, rendered inoperable.
As action to prevent recurrence, the involved individual was counseled, additional training was performed, and enhanced labeling for the sample cart was developed.
The counseling, training, and labeling would not have prevented the event described in this LER.LER 528/89-003 described an event where the alternate sampling system for the Fuel Building Exhaust Radiation Monitor (RU-145)became inoperable when, the circuit breaker opened.As corrective action to prevent recurrence, a Design Modification was issued to supply dedicated power to the sample cart.Implementation of this change is expected by September 1990.Since this change has not been installed in the unit, it did not prevent this event.LER 529/89-005 described an event where the alternate sampling system for the Normal Plant Ventilation Radiation Monitor (RU-143)became inoperable when the circuit breaker opened due to an overload condition.
As corrective action to prevent recurrence, a Design Modification was issued to supply dedicated power to the sample cart.Implementation of this change is expected by September 1990.Since this change has not been installed in the unit, it did not prevent this event.Additionally as an interim corrective action in LER 89-005, PASP equipment was to be electrically powered such that a loss of this power would provide an alarm in the control room.Preplanned bus outages during the refueling outage resulted in loss of power to several radiation monitors.In accordance with TS ACTION requirements, PASP equipment was placed in service to provide alternate sampling for the monitors out of service.However, the alarm computer in the control room has limited capacity and could not accept all of the'larms.
The alternate sample cart for radiation monitor RU-145 was not connected to the alarm computer in HAC Form 366A (669)
NRC FORM 366A (64)9)U.S, NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT ILERI TEXT CONTINUATION APPROVED OMB NO.31500104 EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REOUESTI 50.0 HRS.FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND RE'PORTS MANAGEMENT BRANCH (P430), U.S.NUCLEAR REGULATORY COMMISSION.
WASHINGTON, OC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31500104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503.FACILITY NAME (11 DOCKET NUMBER (2)YEAR LER NUMBER (6)<jd)SSOUSNTIAL
)4 NUMSSR<4?: REVISION NVMSER PAGE (3)Palo Verde Unit 2 TEXT lll nels spsss is srquirsd, pss sdd/IloIMI/VRC Form 36//A'4/(17) o s o o o 52 990 003-0 0 os>>os the control room since other higher priority PASP equipment were connected instead.Therefore, this corrective action did'not prevent this event.NRC FOIIII 366A (689) il l