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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A3671998-07-14014 July 1998 LER 98-002-00:on 971019,CR Emergency Air Treatment Sys Actuating Function Was Not Operable.Caused by Mispositioned Switch.Revised Procedure CPI-MON-R37.W/980714 Ltr ML17265A1921998-03-11011 March 1998 LER 98-001-00:on 980209,discovered That Boraflex Degradation in SPF Was Greater than Was Assumed.Caused by Dissolution of Boron on Boraflex Matrix,Per 10CFR50.21.Removed Spent Fuel Assemblies from Selected Degraded Storage Rack Cells ML17265A1641998-02-0606 February 1998 LER 97-007-01:on 971117,reactor Engineer Recognized That Neutron Flux Low Range Trip Circuitry for Channel Was Not in Tripped Condition as Required.Caused by Technical Inadequacies.Channel Defeat Will Be Identified ML17265A1601998-02-0606 February 1998 LER 97-006-01:on 971103,verification of B Concentration Was Not Performed Due to Misinterpretation of Event Sequence. Audible Count Rate Function Was Restored to Operable Status ML17264B1441997-12-17017 December 1997 LER 97-007-00:on 971117,NF Low Range Trip Circuitry for Channel N-44 Was Not Placed in Tripped Condition.Caused by Technical Inadequacies in Procedures.Implemented EWR 4862 to Resolve Design deficiency.W/971217 Ltr ML17264B1291997-12-0303 December 1997 LER 97-006-00:on 971103,NIS Audible Count Rate Function Was Inoperable.Caused by Misinterpretation of Event Sequence Due to Not Verifying Boron Concentration.B Verification Occurred Every 12 H Per ITS LCO Action 3.9.2.C.3.W/971203 Ltr ML17264B1271997-12-0101 December 1997 LER 97-005-00:on 971031,undetected Unblocking of SI Actuation Signal Occurred at Low Pressure Condition,Due to Faulty Bistable Which Resulted in Inadvertent SI Actuation Signal.Sias,Ci & CVI Signals Were Reset ML17264B1211997-11-24024 November 1997 LER 97-004-00:on 971024,radiation Monitor Alarm Were Noted Due to Higher than Normal Radioactive Gas Concentration Resulted in Cvi.New R-12 Alarm Setpoint Was Maintained for Duration of Refueling Outage ML17264B0461997-09-29029 September 1997 LER 97-003-01:on 970730,bistable Instrument Trip Setpoint Could Have Exceeded Allowable Value.Caused by Insufficient Existing Margin Between Trip Setpoint & Allowable Value. Held Switches in Tripped configuration.W/970929 Ltr ML17264B0111997-08-27027 August 1997 LER 97-003-00:on 970730,high Steam Flow Bistable Instrument Setpoint Plus Instrument Uncertainty Could Exceed Allowable Value in ITS Was Identified.Caused by Entry Into ITS LCO 3.0.3.Switches Placed in Tripped configuration.W/970827 Ltr ML17264A9941997-08-19019 August 1997 LER 97-002-00:on 970720,34.5 Kv Offsite Power Circuit 751 Was Lost.Caused by Automatic Actuation of B Emergency DG Due to Undervoltage on Safeguards Buses 16 & 17.Offsite Power Restored to Safeguards Buses 16 & 17.W/970819 Ltr ML17264A9911997-08-11011 August 1997 LER 96-009-02:on 960723,determined That Leak Rate Outside Containment Was Greater than Program Limit.Caused by Weld Defect.Isolated Leak & Cut Out & Replaced Leaking Pipe ML17264A8271997-03-0303 March 1997 LER 97-001-00:on 970131,discovered Service Water Temp Was Less than Specified Value.Caused by non-representative Method of Monitoring.Increased Water Temp in Screenhouse Bay to Greater than 35 Degrees F.W/970303 Ltr ML17264A8071997-01-22022 January 1997 LER 96-015-00:on 961223,discovered Thermally Induced Overpressure Transient Could Occur.Caused by Thermal Expansion of Fluid During Design Basis Accident Condition. Installed Relief Valve on Affected line.W/970122 Ltr ML17264A7471996-11-27027 November 1996 LER 96-013-00:on 961029,circuit Breakers Closed While in Mode 3 & Resulted in Condition Prohibited by TS Due to Personnel Error.Circuit Breakers for MOV-878B & MOV-878D Were re-opened.W/961127 Ltr ML17264A6051996-09-19019 September 1996 LER 96-012-00:on 960820,feedwater Transient Occurred,Due to Closure of Feedwater Regulating Valve,Causing Lo Lo Steam Generator Level Reactor Trip.Sgs Were Restored & Missing Screw in 1/P-476 Was replaced.W/960919 Ltr ML17264A6061996-09-19019 September 1996 LER 96-009-01:on 960723,leakage Outside Containment Occurred,Due to Weld Defect,Resulting in Leak Rate Greater than Program Limits.Source of Leakage Isolated from RWST by Freeze Seal,Allowing Exit from ITS LCO 3.0.3.W/960919 Ltr ML17264A5911996-09-0505 September 1996 LER 96-011-00:on 960807,improper Configuration of Circuit Breaker Occurred,Due to Undetected Internal Interference, Resulting in Automatic Start of Both Auxiliary Feedwater Pumps.Running AFW Pumps Were secured.W/960905 Ltr ML17264A5921996-09-0505 September 1996 LER 96-010-00:on 960806,latching of Main Turbine While in Mode 4 Occurred,Due to Defective Procedure,Resulting in Automatic Start of Auxiliary Feedwater Pump.Caused by Defective Maint Procedure.Procedure revised.W/960905 Ltr ML17264A5891996-08-22022 August 1996 LER 96-009-00:on 960723,determined Leak on Piping Sys Outside Containment Greater than Program Limit.Caused by Weld Defect.Pipe & Socket Welds Were Cut Out & Replaced. W/960822 Ltr ML17264A5781996-08-0606 August 1996 LER 96-008-00:on 960707,main Feedwater Pump Breakers Opened. Caused by Change in Seal Water Differential Pressure Occurred During Sys Realignment.Afw Flow Controlled as Desired to Maintain S/G level.W/960806 Ltr ML17264A5561996-07-12012 July 1996 LER 96-007-00:on 960612,CR Operators Identified Control Rods Misaligned & Not Moving in Proper Sequence.Caused by Faulty Firing Circuit Card in Rod Control Sys.Faulty Firing Circuit Card in 1BD Power Cabinet replaced.W/960712 Ltr ML17264A5421996-06-20020 June 1996 LER 96-006-00:on 960521,discovered Containment Penetration Not in Required Status.Caused by Personnel Error.Installed Flange Inside Containment Penetration 2.W/960620 Ltr ML17264A5411996-06-17017 June 1996 LER 96-005-00:on 960516,PORC Determined Deficient Procedures Do Not Meet SRs for Testing safety-related Logic Circuits. Caused by Inadequancies in Individual Testing Procedures. Procedures Re Improved TSs revised.W/960617 Ltr ML17264A5051996-05-17017 May 1996 LER 96-003-01:on 960308,identified That Both Pressurizer PORVs Inoperable Concurrently Due to Disconnection of Flex Hose to Both PORV Actuators to Install air-sets for Benchset & Limit Switch Activities.Hpes Completed ML17264A4481996-04-0808 April 1996 LER 96-003-00:on 960308,both Pressurizer Relief Valves Inoperable.Hpes Evaluation Is Being Conducted to Determined Cause of Event.C/As:Both PORVs restored.W/960408 Ltr ML17264A4471996-04-0808 April 1996 LER 96-002-00:on 960307,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump.C/As: Thermography performed.W/960408 Ltr ML17264A4101996-03-18018 March 1996 LER 96-001-00:on 950504,inservice Test Not Performed During Refueling Outage.Caused by Inadequate Tracking of Surveillance Frequency.Valve Test Performed & Disassembled. W/960318 Ltr ML17264A2971995-12-14014 December 1995 LER 95-009-00:on 950817,surveillance Was Not Performed Due to Improper Application of TS Requirements Resulting in TS Violation.Testing of MOV-515 Was Performed on 951115.W/ 951214 Ltr ML17264A1711995-09-25025 September 1995 LER 95-008-00:on 950825,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump That Resulted in Manual Rt.Returned S/G Levels to Normal Operating levels.W/950925 Ltr 1999-09-22
[Table view] Category:RO)
MONTHYEARML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A3671998-07-14014 July 1998 LER 98-002-00:on 971019,CR Emergency Air Treatment Sys Actuating Function Was Not Operable.Caused by Mispositioned Switch.Revised Procedure CPI-MON-R37.W/980714 Ltr ML17265A1921998-03-11011 March 1998 LER 98-001-00:on 980209,discovered That Boraflex Degradation in SPF Was Greater than Was Assumed.Caused by Dissolution of Boron on Boraflex Matrix,Per 10CFR50.21.Removed Spent Fuel Assemblies from Selected Degraded Storage Rack Cells ML17265A1641998-02-0606 February 1998 LER 97-007-01:on 971117,reactor Engineer Recognized That Neutron Flux Low Range Trip Circuitry for Channel Was Not in Tripped Condition as Required.Caused by Technical Inadequacies.Channel Defeat Will Be Identified ML17265A1601998-02-0606 February 1998 LER 97-006-01:on 971103,verification of B Concentration Was Not Performed Due to Misinterpretation of Event Sequence. Audible Count Rate Function Was Restored to Operable Status ML17264B1441997-12-17017 December 1997 LER 97-007-00:on 971117,NF Low Range Trip Circuitry for Channel N-44 Was Not Placed in Tripped Condition.Caused by Technical Inadequacies in Procedures.Implemented EWR 4862 to Resolve Design deficiency.W/971217 Ltr ML17264B1291997-12-0303 December 1997 LER 97-006-00:on 971103,NIS Audible Count Rate Function Was Inoperable.Caused by Misinterpretation of Event Sequence Due to Not Verifying Boron Concentration.B Verification Occurred Every 12 H Per ITS LCO Action 3.9.2.C.3.W/971203 Ltr ML17264B1271997-12-0101 December 1997 LER 97-005-00:on 971031,undetected Unblocking of SI Actuation Signal Occurred at Low Pressure Condition,Due to Faulty Bistable Which Resulted in Inadvertent SI Actuation Signal.Sias,Ci & CVI Signals Were Reset ML17264B1211997-11-24024 November 1997 LER 97-004-00:on 971024,radiation Monitor Alarm Were Noted Due to Higher than Normal Radioactive Gas Concentration Resulted in Cvi.New R-12 Alarm Setpoint Was Maintained for Duration of Refueling Outage ML17264B0461997-09-29029 September 1997 LER 97-003-01:on 970730,bistable Instrument Trip Setpoint Could Have Exceeded Allowable Value.Caused by Insufficient Existing Margin Between Trip Setpoint & Allowable Value. Held Switches in Tripped configuration.W/970929 Ltr ML17264B0111997-08-27027 August 1997 LER 97-003-00:on 970730,high Steam Flow Bistable Instrument Setpoint Plus Instrument Uncertainty Could Exceed Allowable Value in ITS Was Identified.Caused by Entry Into ITS LCO 3.0.3.Switches Placed in Tripped configuration.W/970827 Ltr ML17264A9941997-08-19019 August 1997 LER 97-002-00:on 970720,34.5 Kv Offsite Power Circuit 751 Was Lost.Caused by Automatic Actuation of B Emergency DG Due to Undervoltage on Safeguards Buses 16 & 17.Offsite Power Restored to Safeguards Buses 16 & 17.W/970819 Ltr ML17264A9911997-08-11011 August 1997 LER 96-009-02:on 960723,determined That Leak Rate Outside Containment Was Greater than Program Limit.Caused by Weld Defect.Isolated Leak & Cut Out & Replaced Leaking Pipe ML17264A8271997-03-0303 March 1997 LER 97-001-00:on 970131,discovered Service Water Temp Was Less than Specified Value.Caused by non-representative Method of Monitoring.Increased Water Temp in Screenhouse Bay to Greater than 35 Degrees F.W/970303 Ltr ML17264A8071997-01-22022 January 1997 LER 96-015-00:on 961223,discovered Thermally Induced Overpressure Transient Could Occur.Caused by Thermal Expansion of Fluid During Design Basis Accident Condition. Installed Relief Valve on Affected line.W/970122 Ltr ML17264A7471996-11-27027 November 1996 LER 96-013-00:on 961029,circuit Breakers Closed While in Mode 3 & Resulted in Condition Prohibited by TS Due to Personnel Error.Circuit Breakers for MOV-878B & MOV-878D Were re-opened.W/961127 Ltr ML17264A6051996-09-19019 September 1996 LER 96-012-00:on 960820,feedwater Transient Occurred,Due to Closure of Feedwater Regulating Valve,Causing Lo Lo Steam Generator Level Reactor Trip.Sgs Were Restored & Missing Screw in 1/P-476 Was replaced.W/960919 Ltr ML17264A6061996-09-19019 September 1996 LER 96-009-01:on 960723,leakage Outside Containment Occurred,Due to Weld Defect,Resulting in Leak Rate Greater than Program Limits.Source of Leakage Isolated from RWST by Freeze Seal,Allowing Exit from ITS LCO 3.0.3.W/960919 Ltr ML17264A5911996-09-0505 September 1996 LER 96-011-00:on 960807,improper Configuration of Circuit Breaker Occurred,Due to Undetected Internal Interference, Resulting in Automatic Start of Both Auxiliary Feedwater Pumps.Running AFW Pumps Were secured.W/960905 Ltr ML17264A5921996-09-0505 September 1996 LER 96-010-00:on 960806,latching of Main Turbine While in Mode 4 Occurred,Due to Defective Procedure,Resulting in Automatic Start of Auxiliary Feedwater Pump.Caused by Defective Maint Procedure.Procedure revised.W/960905 Ltr ML17264A5891996-08-22022 August 1996 LER 96-009-00:on 960723,determined Leak on Piping Sys Outside Containment Greater than Program Limit.Caused by Weld Defect.Pipe & Socket Welds Were Cut Out & Replaced. W/960822 Ltr ML17264A5781996-08-0606 August 1996 LER 96-008-00:on 960707,main Feedwater Pump Breakers Opened. Caused by Change in Seal Water Differential Pressure Occurred During Sys Realignment.Afw Flow Controlled as Desired to Maintain S/G level.W/960806 Ltr ML17264A5561996-07-12012 July 1996 LER 96-007-00:on 960612,CR Operators Identified Control Rods Misaligned & Not Moving in Proper Sequence.Caused by Faulty Firing Circuit Card in Rod Control Sys.Faulty Firing Circuit Card in 1BD Power Cabinet replaced.W/960712 Ltr ML17264A5421996-06-20020 June 1996 LER 96-006-00:on 960521,discovered Containment Penetration Not in Required Status.Caused by Personnel Error.Installed Flange Inside Containment Penetration 2.W/960620 Ltr ML17264A5411996-06-17017 June 1996 LER 96-005-00:on 960516,PORC Determined Deficient Procedures Do Not Meet SRs for Testing safety-related Logic Circuits. Caused by Inadequancies in Individual Testing Procedures. Procedures Re Improved TSs revised.W/960617 Ltr ML17264A5051996-05-17017 May 1996 LER 96-003-01:on 960308,identified That Both Pressurizer PORVs Inoperable Concurrently Due to Disconnection of Flex Hose to Both PORV Actuators to Install air-sets for Benchset & Limit Switch Activities.Hpes Completed ML17264A4481996-04-0808 April 1996 LER 96-003-00:on 960308,both Pressurizer Relief Valves Inoperable.Hpes Evaluation Is Being Conducted to Determined Cause of Event.C/As:Both PORVs restored.W/960408 Ltr ML17264A4471996-04-0808 April 1996 LER 96-002-00:on 960307,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump.C/As: Thermography performed.W/960408 Ltr ML17264A4101996-03-18018 March 1996 LER 96-001-00:on 950504,inservice Test Not Performed During Refueling Outage.Caused by Inadequate Tracking of Surveillance Frequency.Valve Test Performed & Disassembled. W/960318 Ltr ML17264A2971995-12-14014 December 1995 LER 95-009-00:on 950817,surveillance Was Not Performed Due to Improper Application of TS Requirements Resulting in TS Violation.Testing of MOV-515 Was Performed on 951115.W/ 951214 Ltr ML17264A1711995-09-25025 September 1995 LER 95-008-00:on 950825,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump That Resulted in Manual Rt.Returned S/G Levels to Normal Operating levels.W/950925 Ltr 1999-09-22
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17265A7601999-10-0505 October 1999 Part 21 Rept Re W2 Switch Supplied by W Drawn from Stock, Did Not Operate Properly After Being Installed on 990409. Switch Returned to W on 990514 for Evaluation & Root Cause Analysis ML17265A7621999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Re Ginna Npp.With 991008 Ltr ML17265A7531999-09-23023 September 1999 Part 21 Rept Re Corrective Action & Closeout of 10CFR21 Rept of Noncompliance Re Unacceptable Part for 30-4 Connector. Unacceptable Parts Removed from Stock & Scrapped ML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7471999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Re Ginna Npp.With 990909 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7341999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Re Ginna Npp.With 990806 Ltr ML17265A7291999-07-29029 July 1999 Interim Part 21 Rept Re safety-related DB-25 Breaker Mechanism Procured from W Did Not Pas Degradatin Checks When Drawn from Stock to Be Installed Into BUS15/03A.Holes Did Not line-up & Tripper Pan Bent ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7131999-07-22022 July 1999 Special Rept:On 990407,radiation Monitor RM-14A Was Declared Inoperable.Caused by Failed Communication Link from TSC to Plant Process Computer Sys.Communication Link Was re-established & RM-14A Was Declaed Operable on 990521 ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7211999-07-19019 July 1999 ISI Rept for Third Interval (1990-1999) Third Period, Second Outage (1999) at Re Ginna Npp. ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A7661999-06-30030 June 1999 1999 Rept of Facility Changes,Tests & Experiments Conducted Without Prior NRC Approval for Jan 1998 Through June 1999, Per 10CFR50.59.With 991020 Ltr ML17265A7011999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Re Ginna Npp.With 990712 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6761999-06-16016 June 1999 Part 21 Rept Re Defects & noncompliances,10CFR21(d)(3)(ii), Which Requires Written Notification to NRC on Identification of Defect or Failure to Comply. Relays Were Returned to Eaton for Evaluation & Root Cause Analysis ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17265A6681999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Re Ginna Nuclear Power Plant.With 990608 Ltr ML17265A6651999-05-27027 May 1999 Interim Rept Re W2 Control Switch,Procured from W,Did Not Operate Satisfactorily When Drawn from Stock to Be Installed in Main Control Board for 1C2 Safety Injection Pump. Estimated That Evaluation Will Be Completed by 991001 ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6591999-05-17017 May 1999 Part 21 Rept Re Relay Deficiency Detected During pre-installation Testing.Caused by Incorrectly Wired Relay Coil.Relays Were Returned to Eaton Corp for Investigation. Relays Were Repaired & Retested ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6381999-05-0707 May 1999 Part 21 Rept Re Replacement Turbocharger Exhaust Turbine Side Drain Port Not Functioning as Design Intended.Caused by Manufacturing Deficiency.Turbocharger Was Reaasembled & Reinstalled on B EDG ML17265A6391999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Re Ginna Nuclear Power Plant.With 990510 Ltr ML17265A6361999-04-23023 April 1999 Part 21 Rept Re Power Supply That Did Not Work Properly When Drawn from Stock & Installed in -25 Vdc Slot.Power Supply Will Be Sent to Vendor to Perform Failure Mode Assessment.Evaluation Will Be Completed by 991001 ML17265A6301999-04-18018 April 1999 Rev 1 to Cycle 28 COLR for Re Ginna Npp. ML17265A6251999-04-15015 April 1999 Special Rept:On 990309,halon Systems Were Removed from Svc & Fire Door F502 Was Blocked Open.Caused by Mods Being Made to CR Emergency Air Treatment Sys.Continuous Fire Watch Was Established with Backup Fire Suppression Equipment ML17265A6551999-04-0909 April 1999 Initial Part 21 Rept Re Mfg Deficiency in Replacement Turbocharger for B EDG Supplied by Coltec Industries. Deficiency Consisted of Missing Drain Port in Intermediate Casing.Required Oil Drain Port Machined Open ML17265A6291999-03-31031 March 1999 Rev 0 to Cycle 28 COLR for Re Ginna Npp. ML17265A6241999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Ginna Station.With 990409 Ltr ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A5661999-03-0101 March 1999 Rev 26 to QA Program for Station Operation. ML17265A5961999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Ginna Nuclear Power Plant.With 990310 Ltr ML17265A5371999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Re Ginna Nuclear Power Plant.With 990205 Ltr ML17265A5951998-12-31031 December 1998 Rg&E 1998 Annual Rept. ML17265A5001998-12-21021 December 1998 Rev 26 to QA Program for Station Operation. ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4761998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Re Ginna Nuclear Power Plant.With 981210 Ltr ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4531998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Re Ginna Nuclear Power Plant.With 981110 Ltr ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A4291998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Re Ginna Nuclear Power Plant.With 981009 Ltr 1999-09-30
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F'RIORIY'Y IACCELER.ATED RIDS PROC! %SIX REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9410270363 DOC.DATE: 94/10/17 NOTARIZED: NO DOCKET N FACIL:50-244 Robert Emmet Ginna Nuclear Plant, Unit 1, Rochester G 05000244 AUTH. NAME AUTHOR AFFILIATION ST MARTIN,J.T. Rochester Gas & Electric Corp.
MECREDY,R.C. Rochester Gas & Electric Corp.
RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 94-010-00:on 940916,volt bus 12B inadvertenly tripped.
Caused by defective procedure. Normal power supple.es restored "B" emeregency diesel generator stopped
& & aligned for auto standby.W/941017 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
NOTES:License Exp date in accordance with 10CFR2,2.109(9/19/72). 05000244 RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD1-3 PD 1 1 JOHNSON,A 1 1 INTERNAL AEOD/~GAB/DSQ 2 2 AEOD/SPD/RRAB 1 1 XHXF~02 1 1 NRR/DE/EELB 1 1' NRR/DE/EMEB l. 1 NRR/DORS/OEAB 1 NRR/DRCH/HHFB 1 1 NRR/DRCH/HICB 1 1 NRR/DRCH/HOLB 1 1 NRR/DRSS/PRPB 2 2 NRR/DSSA/SPLB 1 1 NRR/DSSA/SRXB 1 1 NRR/PMAS/IRCB-E 1 1 RES/DSIR/EIB 1 1 RGN1 FILE 01 1 1 EXTERNAL: EG&G BRYCE,J.H 2 2 L ST LOBBY WARD 1 1 NOAC MURPHY 1 G A 1 1 NOAC POORE,W. 1 1 NRC PDR 1 1 NUDOCS FULL TXT 1 1 N
VOTE TO ALL"Rl DS" RECIPIENTS:
PLEASE HELP L!S TO REDUCE iVASTE! CONTACTTIIE DOCL'iIEiTCOiTROL DESK, ROOXI PI-37 (EXT, 504-2033 ) TO ELIilliATEVOL'R RAMIE PROil DISTRIBL'TIOiLIS'I'S I'OR DOCL'iIEi'I'S 5'OL'Oi "I'L'I'.I)!
FULL TEXT CONVERSXON REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 26 ENCL 26
'
10ec r
StAIC ROCHESTER GAS AND ELECTRIC CORPORATION ~ 89 EAST AVENUE, ROCHESTER N.Y. f4649-000f ROBERT C. MECREDY TELEPHOME Vice President AAEACQM 716 546 2700 Ginned Nuclear Production October 17, 1994 UPS. Nuclear Regulatory Commission Document Control Desk Attn: Allen R. Johnson PWR Project Directorate I-3 Washington, D.C. 20555
Subject:
LER 94-010, Loss of 4160 Volt Bus 12B, Due to Defective Procedure, Results in Automatic Start of "B" Emergency Diesel Generator R.E. Ginna Nuclear Power Plant Docket No. 50-244 In accordance with 10 CFR 50.73, Licensee Event Report System, item (a) (2) (iv), which requires a report of, "any event or condition that resulted in a manual or"automatic actuation of any engineered safety feature (ESF), including the reactor protection system (RPS)", the attached Licensee Event Report LER 94-010 is hereby submitted.
This event has in no way affected the public's health and safety.
Very truly yours, Robert C. Mecredy xc: U.S. Nuclear Regulatory Commission Region I 475 Allendale Road King of Prussia, PA 19406 Ginna USNRC Senior Resident Inspector 9410270363 941017 PDR ADOCK 05000244 S PDR
NRC FORH 366 U.S. NUCLEAR REGULATORY COHHISSION APPROVED BY OHB NO. 3150 ~ 0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY HITH THIS IHFORHATION COLLECTION REQUEST: 50.0 HRS.
LICENSEE EVENT REPORT (LER) FORHARD COMMENTS REGARDIHG BURDEN ESTIHATE TO THE INFORMATION AND RECORDS HANAGEMENT BRANCH (HNBB 7714), U.ST NUCLEAR REGULATORY COHHISSION ~
(See reverse for required number of digits/characters for each block) llASHIHGTON, DC 20555-0001, AND TO THE PAPERNORK REDUCTION PROJECT (3150-0104), OFFICE OF HANAGEMENT AND BUDGET WASHINGTON DC 20503.
FACILITY NAME (1) R. E. Ginna Nuclear Power Plant DOCKET NUHBER (2) PAGE (3) 05000244 10F 10-TITLE (4) Loss of 4160 Volt Bus 12B, Due to Defective Procedure, Results in Automatic Start of "B" Emergency Diesel Generator EVENT DATE (5) LER NUHBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED (8)
SEQUENTIAL REVISION FACILITY HAHE DOCKET NUHBER MONTH DAY YEAR YEAR MONTH DAY YEAR HUHBER NUHBER 09 16 94 94 --010-- 00 10 17 94 FACILITY HAHE DOCKET HUHBER OPERATING THIS REPORT IS SUBHITTED PURSUANT TO THE RE UIREHENTS OF 10 CFR 5: (Check one or mor e) (11)
HODE (9) N 20.402(b) 20.405(c) 50.73(a)(2)(iv) 73.71(b)
PNER 20.405(a )(1)(i) 50.36(c)(1) 50.73(a)(2)(v) 73.71 (c)
LEVEL (10) 20.405(a)(1)(ii) 50.36(c)(2) 50 '3(a)(2)(vii) OTHER 20.405(a)(1)(iii) 50.73(a)(2)(i) 50.73(a)(2)(viii)(A) (Specify in 20 '05(a)(1)(iv) 50.73(a)(2)(ii) 50 73(a) (2) (vi i i ) (0) Abstract below
~
and in Text, 20.405(a)(1)(v) 50.73(a)(2)(III) 50.73(a)(2)(x) NRC Form 366A)
LICENSEE CONTACT FOR THIS LER (12)
NAME John T. St. Martin - Director, Operating Experience TELEPHONE HUHBER (Include Area Code)
(315) 524-4446 COMPLETE ONE LINE FOR EACH COHPONENT FAILURE DESCRIBED IN THIS REPORT (13)
REPORTABLE REPORTABLE CAUSE SYSTEH COHPONENT HANUFACTURER CAUSE SYSTEM COHPONENT HANUFACTURER TO HPRDS TO NPRDS SUPPLEHENTAL REPORT EXPECTED (14) EXPECTED HOHTH DAY YEAR YES SUBHISS ION (lf yes, complete EXPECTED SUBHISSION DATE).
X NO DATE (15)
ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) (16)
On September 16, 1994, at approximately 1018 EDST, with the reactor at approximately 98% steady state power, the 4160 Volt circuit breaker that was supplying power to 4160 Volt bus 12B was inadvertently tripped. This resulted in deenergization of bus 12B and momentary loss of power to uBn train 480 Volt safeguards buses 16 and 17.
The nBn Emergency Diesel Generator started and reenergized buses 16 and 17, as per design.
The underlying cause of the inadvertent circuit breaker trip was a defective procedure. This event is NUREG-1022 Cause Code (D).
Corrective action to preclude repetition is outlined in Section V.B.
HRC FORM 366 (5-92)
NRC FORH 366A U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150.0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY 'NITN THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.
FORMARD COMHENTS REGARDING BURDEN ESTIHATE TO LICENSEE EVENT REPORT (LER) THE INFORMATION AND RECORDS HANAGEHENT BRANCH TEXT CONTINUATION (MNBB 7T14), U.S. NUCLEAR REGULATORY COHHISSION, llASNINGTON, DC 20555 0001 AND TO THE PAPERISRK REDUCTION PROJECT (3140.0104), OFFICE OF MANAGEMENT AND BUDGET llASHINGTON DC 20503.
FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
YEAR SEQUENT IAL REVISION R.E. Ginna Nuclear Power Plant 05000244 2 OF 10 94 010 00 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
PRE-EVENT PLANT CONDITIONS The plant was at approximately 98% steady state reactor power, with no major operational activities in progress. All offsite power to 4160 Volt buses 12A and 12B was being supplied from Circuit 767 (34.5 KV offsite power source). Circuit 767 was supplying power through 34.5 KV to 4160 Volt transformer 12B (12B transformer), via 4160 Volt circuit breakers 52/12BY (to bus 12A) and 52/12BX (to bus 12B). (See the attached sketch of the offsite power distribution system.) 34.5 KV to 4160 Volt transformer 12A (12A transformer),
which is .supplied from Circuit 751 (34.5 KV offsite power source),
was deenergized and declared inoperable to permit previously scheduled maintenance and testing of the 12A transformer and associated circuit breakers.
At the time of this event, trip testing was in progress on 4160 Volt circuit breaker 52/12AX (alternate power supply from the 12A transformer to bus 12B), in accordance with Maintenance Procedure PME-50-04-52/12AX, "Bus 12B Alternate Power Source." Plant electricians had just notified the Control Room operators that circuit breaker 12AX would be closed while in the "test" position.
II. DESCRIPTION OF EVENT A. DATES AND APPROXIMATE TIMES OF MAJOR OCCURRENCES:
o September 16, 1994, 1018 EDST: Event date and time.
o September 16, 1994, 1018 EDST: Discovery date and time.
o September 16, 1994, 1018 EDST: Control Room operators verify the "B" Emergency Diesel Generator (D/G) operation and safeguards buses 16 and 17 energized.
o September 16, 1994, 1120 EDST: Circuit 751 declared operable at the completion of maintenance and testing.
o September 16, 1994, 1125 EDST: Safeguards buses 16 and 17 were resupplied from Circuit 751.
o September 16, 1994, 1142 EDST: The "B" Emergency D/G was stopped and realigned for auto standby.
NRC FORM 366A (5-92)
NRC FORM 366A U.S. NKLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY lllTH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.
FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER) THE IHFORHATION AND RECORDS HANAGEMENT BRANCH TEXT CONTINUATION (MNBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140.0104), OFFICE OF HANAGEHENT AND BUDGET WASHINGTON DC 20503.
FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 3 OF 10 94 -- 010-- 00 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
B. EVENT:
On September 16, 1994, at approximately 1018 EDST, with the reactor at approximately 98~ steady state full power, the Control Room received numerous annunciator alarms. The Control Room operators immediately determined that 4160 Volt bus 12B was deenergized, that "B" train 480 Volt safeguards buses 16 and 17 had lost their power supply from bus 12B, and that the "B" Emergency D/G had started and was tied to safeguards buses 16 and 17.
The Control Room operators immediately performed the appropriate actions of Abnormal Procedure AP-ELEC.1 (Loss of 12A And/Or 12B Transformer) to stabilize the plant, and verified that the "B" Emergency D/G was operating properly and that safeguards buses 16 and 17 were energized. The Control Room operators observed that bus 12B had deenergized and displayed zero (0) voltage, because the circuit breaker supplying power to bus 12B had tripped. The loss of power to bus 12B resulted in undervoltage on safeguards'buses 16 and 17, and the "B" Emergency D/G started and reenergized these buses, as per design.
When the scheduled maintenance and testing was completed on the 12A transformer and associated breakers, the Control Room operators cleared the holds on Circuit 751 and th'e 12A transformer. A switching order was used to restore Circuit 751, 12A transformer, and associated breakers to operable status. 34.5 KV circuit breaker 75112 was closed, energizing the 12A transformer.
The Control Room operators directed plant electricians to investigate the failure, and there were no anomalies noted. At approximately 1120 EDST, using Equipment Restoration procedure ER-ELEC.1 (Restoration of Offsite Power), the Control Room operators closed circuit breaker 12AX, energizing bus 12B from the 12A
't transformer.
At approximately 1125 EDST, "B" train safeguards buses 16 and 17 were resupplied by offsite power, via Circuit 751 approximately 1142 EDST, September 16, 1994, the "B" Emergency D/G was stopped and realigned for auto standby.
NRC FORM 366A (5-92),
NRC FORM 366A U.S. NUCLEAR REGULATORY COHHISSION APPROVED BY OHB NO. 3150 ~ 0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPOHSE TO COHPLY WITH THIS INFORHAT ION COLLECTION REQUEST: 50.0 HRS.
FORWARD COMHENTS REGARDING BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER) THE INFORHATION AND RECORDS HANAGEHENT BRANCH TEXT CONTINUATION (HNBB 7714), U.S. NUCLEAR REGULATORY COMHISSION, WASHIHGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.
FACILITY NAHE (1) DOCKET NUHBER (2) LER NUMBER (6) PAGE (3)
YEAR SEOUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 4 OF 10 010 00 TEXT (tf more space is required, use additional copies of NRC Form 366A) (17)
C. I NOPERABLE STRUCTURES i COMPONENTS i OR SYSTEMS THAT CONTR BUTED TO I THE EVENT:
Circuit 751 was inoperable for scheduled maintenance of the 12A transformer, beginning at approximately 0717 EDST on September 15, 1994, and was restored to service at approximately 1120 EDST on September 16, 1994..
D. OTHER SYSTEMS OR SECONDARY FUNCTIONS AFFECTED:
The momentary loss of power caused a loss of program memory for radiation monitor terminal RCT-1 and associated channels R-12A (Containment ventilation effluent), R-14A (Plant ventilation ef fluent), R-31 (>>A>> steam line monitor), and R-32 (B>> steam line monitor) .
E. METHOD OF DISCOVERY:
This event was immediately apparent due to Main Control Board alarms and indications in the Control Room when bus 12B was deenergized.
These included Main Control Board annunciators J-5 (gll or gl2 Transformer Out of Synch), J-6 (4KV Main or Tie Breaker Trip), J-7 (480 V Main or Tie Breaker Trip), J-8 (480V MCC Supply Breaker Trip), and L-28 (12B XFMR or 12B Bus Trouble).
F. OPERATOR ACTION:
Following the undervoltage condition on buses 16 and 17, the >>B>>
Emergency D/G automatically started and energized these buses. The Control Room operators immediately performed the appropriate actions and verified that the >>B>> Emergency D/G was operating properly, and that safeguards buses 16 and 17 were energized.'he Control Room operators cleared the holds on Circuit 751, restored offsite power to buses 16 and 17, stopped the >>B>> Emergency D/G, and realigned it for auto standby.
HRC FORM 366A (5-92)
N NRC FORH 366A U.S. NUCLEAR REGULATORY COHHISSION APPROVED BY OHB NO. 3150.0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY WITH THIS INFORHATION COLLECTIOH REQUEST: 50.0 HRS.
FORWARD COHHEHTS REGARDIHG BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER) THE INFORHATION .AHD RECORDS HANAGEMEHT BRANCH TEXT CONTINUATION (MNBB 7714), U.S. NUCLEAR REGULATORY COHHISSIOH ~
'WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3110.0104), OFF ICE OF MAHAGEHEHT AHD BUDGET WASHINGTON DC 20503.
FACILITY NAHE (1) DOCKET NUHBER (2) LER NUHBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 5 OF 10 94 010 00 TEXT (If more space is required, use additionaI copies of HRC Form 366A) (17)
At approximately 1354 EDST on September 16, 1994, the Shift Supervisor notified the NRC per 10 CFR 50.72 (b) (2) (ii) .
,SAFETY SYSTEM RESPONSES:
The >>B>> Emergency D/G automatically started due to the undervoltage condition on buses 16 and 17, displayed proper voltage and frequency and closed into safeguards buses 16 and 17 to supply emergency power.
III. CAUSE OF EVENT IMMEDIATE CAUSE:
The automatic actuation of the .>>B>> Emergency D/G was due to undervoltage on safeguards buses 16 and 17.
B. INTERMEDIATE CAUSE:
The undervoltage on safeguards buses 16 and 17 was due to bus 12B being deenergized when circuit breaker 12BX tripped due to an electrical interlock.
C. ROOT CAUSE:
The underlying cause of the tripping of circuit breaker 12BX was a defective procedure. During development of this procedure (PME-50-04-52/12AX), the switch development of an elementary wiring diagram (EWD) was not used as a reference in determining post-maintenance operability testing. The procedure is for preventive maintenance of Model P-51000 POWL-VAC metal-clad switchgear, manufactured by Powell Electrical Mfg. Co.
There is a normally open >>s>> contact (52S/12AX) in the trip circuit for breaker 12BX that comes from breaker 12AX, to prevent both 4160 Volt circuit breakers (12AX and 12BX) from being closed simultaneously. Contact 52S/12AX is located in the mechanism-operated cell (MOC) switch of these'ircuit breakers. These >>s>>
contacts change state with movement of the breaker mechanism.
Technical reviewers incorrectly assumed that the cell switch would not function when in "test", and therefore concluded that with breaker 12AX in "test", contact 52S/12AX would not close.
NRC FORM 366A (5-92)
NRC FORM 366A U.S. NUCLEAR REGULATORY COHHISSIOH APPROVED BY OHB NO. 3150-0104 (5-92) EXP I RES 5/31/95 EST IHATED BURDEN PER RESPONSE TO COHPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.
FORWARD COHHEHTS REGARD IHG BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER) THE INFORMATION AHD RECORDS HAHAGEMENT BRANCH TEXT CONTINUATION (MNBB 7714), U.ST NUCLEAR REGULATORY COHHISSIOH, WASHINGTON, DC 20555-0001 AHD TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF MANAGEMENT AND BUDGET 'WASHIHGTON DC 20503.
FACILITY NAHE (1) DOCKET NUMBER (2) LER NUHBER (6) PAGE 3)
YEAR SEQUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 6 OF 10 94 -- 010-- pp
~y TEXT (If more space is required, use additional copies of HRC Form 366A) (17)
There is another contact in series with the 52S/12AX contact that operates from the synchronizing switch for the circuit breaker.
This contact is closed when the synch switch is in the "Off" position. When reviewing the EWD, technical reviewers misinterpreted the function of this contact, and assumed that the contact was closed when the synch switch was in the "On" position.
Thus, the trip logic for circuit breaker 12BX was made up when the synch switch was in the "Off" position as soon as breaker 12AX closed, causing breaker 12BX to trip per design.
After further investigation, it was discovered that this same incorrect interpretation of switch contact status was made for circuit breakers 12AX, 12AY, and 12BY. There were a total of eight defective procedures, one preventive and one corrective maintenance procedure for each of the four circuit breakers.
This event is NUREG-1022 Cause Code (D), Defective Procedure.
This loss of power meets the NUMARC 93-01, "Industry Gui'deline for Monitoring the Effectiveness of Maintenance at Nuclear Power Plants", definition of a "Maintenance Preventable Functional Failure".
IV. ANALYSIS OF EVENT:
This event is reportable in accordance with 10 CFR 50.73, Licensee Event Report System, item (a) (2) (iv), which requires a report of, "any event or condition that resulted in a manual or automatic actuation of any engineered safety feature (ESF), including the reactor protection system (RPS)", in that the starting of the "B" Emergency D/G was an automatic actuation of an ESF system.
HRC FORM 366A (5-92)
NRC FORH 366A UPS. NUCLEAR REGULATORY COHHISSION APPROVED BY OHB NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS.
FORWARD COHHENTS REGARDING BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER) THE INFORMATION AND RECORDS MAHAGEHEHT BRANCH TEXT CONTINUATION (HHBB 7714), U.ST NUCLEAR REGULATORY COHHISSION, WASHINGTOH, DC 20555-0001 AHD TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF HANAGEHENT AND BUDGET WASHINGTON DC 20503.
FACILITY NAME (1) DOCKET NUHBER (2) LER NUHBER (6) PAGE (3)
YEAR'EQUENTIAL REVISION R.E. Ginna Nuclear Power 'Plant 05000244 7 OF 10 94 010 00 TEXT (If more space is required, use additional copies of HRC Form 366A) (17)
An assessment was performed considering both the safety consequences and implications of this event with the following results and conclusions:
o All reactor control and protection systems performed as designed.
o Circuit breaker 12BX operated as designed and tripped when it received a valid trip signal.
o The "B" Emergency D/G operated as designed by starting and supplying emergency power to safeguards buses 16 and 17.
o Circuit 767 was still in operation supplying power to the "A" train safeguards buses; subsequently Circuit 751 was lined up to supply power to the "B" train safeguards buses as permitted by plant technical specifications.
o Radiation monitors R-12A and R-14A are redundant to monitors R-12 and R-14. R-12 and R-14 remained operable during this event.
o Loss of radiation monitors R-31 and R-32 is compensated for by local monitoring of steam line radiation, which would be performed by plant personnel, as specified in emergency operating procedures.
Based on the above, safety wa's assured at all times.
it can be concluded that the public's health and V. CORRECTIVE ACTION A. ACTION TAKEN TO RETURN AFFECTED SYSTEMS TO PRE-EVENT NORMAL STATUS:
o Safeguards buses 16 and 17 normal power supplies were restored via Circuit 751, and the "B" Emergency D/G was stopped and aligned for auto standby.
o Circuit breaker 12BX was cycled to confirm that the breaker responded as designed.
o The RCT-1 radiation monitor terminal and associated channels R-12A, R-14A, R-31, and R-32 were reprogrammed and declared operable.
HRC FORH 366A (5-92)
NRC FORH 366A U.S. NUCLEAR REGULATORY COHHISSION APPROVED BY OHB NO. 3150-0104 (5-92) EXP I RES 5/31/95 ESTIHATED BURDEN PER RESPOHSE TO COHPLY MITH THIS INFORHATION COLLECTIOH REQUEST: 50.0 HRS.
FORHARD COHHENTS REGARDING BURDEN ESTIHATE TO LICENSEE EVENT REPORT (LER) THE INFORHATIOH AND RECORDS HANAGEHEHT BRANCH TEXT CONTINUATION (HNBB 7714), U.S. NUCLEAR REGULATORY COHHISSION, HASHINGTOH, DC 20555-0001 AND TO THE PAPERHORK REDUCTION PROJECT (3180-0104), OFFICE OF HANAGEHENT AND BUDGET MASHINGTON DC 20503.
FACILITY NAHE (1) DOCKET NUHBER (2) LER NUHBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 8 OF 10 94 -- 010-- 00 TEXT (If more space is required, use additional copies of HRC Form 366A) (17)
B. ACTION TAKEN OR PLANNED TO PREVENT RECURRENCE:
o All Corrective Maintenance Electrical (CME), Preventive Maintenance Electrical (PME), and Protective Relay (PRI) procedures associated with Powell circuit breakers were quarantined. This included PME-50-04-52/12AX and the seven other procedures for circuit breakers 12AX, 12AY, 12BX, and 12BY.
o The quarantined procedures will be reviewed against the EWDs and drawing conventions to determine interpretation of switch contact status were made during if any other errors in procedure development. Quarantined procedures that are found to be in error will be revised.
o A Training Work Request (TWR) has been submitted to incorporate details of this event during Industry Events training, emphasize event details during maintenance training on Preferred Power Sources, and reinforce the requirement to use switch development information during training on EWDs.
o Electrical Engineering has evaluated the design of the offsite power configuration, and has recommended a method to avoid 4160 Volt circuit breaker trips during breaker testing.
o The causes and effects of loss of power to the RCT-1 radiation monitor terminal will be reviewed, to determine the need for changes in design or maintenance of the system.
HRC FORH 366A (5-92)
NRC FORH 366A U.S. NUCLEAR REGULATORY COHHISSION APPROVED BY OHB NO. 3150.0104 (5-92) EXP I RES 5/31/95 l
ESTIHATED BURDEN PER RESPONSE TO COHPLY WITH THIS IHFORHATION COLLECTIOH REQUEST: 50.0 HRS ~
FORWARD COHHENTS REGARDING BURDEN ESTIHATE TO LICENSEE EVENT REPORT (LER) THE INFORHATION AND RECORDS HANAGEHENT BRANCH TEXT CONTINUATION (HNBB 7714), U.S. NUCLEAR REGULATORY COHHISSION, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140 0104), OFFICE OF HANAGEHENT AND BUDGET WASHINGTON DC 20503.
FACILITY NAHE (1) DOCKET NUHBER (2) LER NUHBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 9 OF 10 010-- 00 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
VI. ADDITIONAL INFORMATION A. FAILED COMPONENTS:
None B. PREVIOUS LERs ON SIMILAR EVENTS:
A similar LER event historical search was conducted with the following results: No documentation of similar LER events with the'same root cause at Ginna Nuclear Power Plant could be iden-tified. However, LERs91-002 and 92-007 were similar events (start of a D/G due to loss of 4160 Volt bus or offsite power) with different root causes.
C. SPECIAL COMMENTS:
None NRC FORM 366A (5-92)
NRC FORN 366A U.S. NUCLEAR REGULATORY CONNISSION APPROVEO BY ONB NO. 3150.0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY MITH THIS INFORHATION COLLECTION REQUEST: 50.0 HRS.
FORMARD COHHENTS REGARDING BURDEN ESTINATE TO L1CENSEE EVENT REPORT (LER) THE INFORNATIOH AHD RECORDS IIANAGEHENT BRANCH TEXT CONTINUATION (NHBB 7714)1 U.S. NUCLEAR REGULATORY CONHISSIONI MASHINGTON, DC 20555-0001 AND .TO THE PAPERMORK REDUCTIOH PROJECT (3140.0104)1 OFFICE OF HANAGENENT AND BUDGET MASHINGTON DC 20503.
FACILITY NAHE (1) DOCKET NUHBER (2) NUHBER (6 PAGE (3)
YEAR SEQUENT IAL REVISION R.E. Ginna Nuclear Power Plant 10'ER 05000244 94 pp 10 OF 010 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
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