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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML18039A9041999-10-15015 October 1999 LER 99-010-00:on 990917,automatic Reactor Scram on Turbine Stop Valve Closure Occurred.Caused by High Water Level in Main Steam Moisture Separator 2C2.Unit 2C2 Reservoir Level Transmitter & Relays Were Replaced & Tested Satisfactorily ML18039A8981999-10-14014 October 1999 LER 99-009-00:on 990915,manual Reactor Scram Was Noted Due to EHC Leak.Caused by Failure of Stainles Steel Tubing Connection.Removed Damaged Tubing & Connection Plug ML18039A8951999-10-0808 October 1999 LER 99-008-00:on 990905,HPCI Was Inoperable Due to Failed Flow Controller.Caused by Premature Failure of Capacitor 2C3.Replaced Controller & HPCI Sys Was Run IAW Sys Operating Instructions ML18039A8751999-09-30030 September 1999 LER 99-005-00:on 990901,SR for Standby Liquid Control Sampling Was Not Met.Caused by Deficient Procedure for Chemical Addition to Standby Liquid Control.Revised Procedure.With 990930 Ltr ML18039A8201999-07-26026 July 1999 LER 99-004-00:on 990625,facility Core Spray Divisions I & II Inoperable at Same Time Due to Personnel Error.Electrical Supply Breaker to Core Spray Division II Pump 3B Returned to Normal Racked in Position ML18039A8171999-07-20020 July 1999 LER 99-007-00:on 990623,discovered That SR for Monitoring of Primary Containment Oxygen Concentration Had Not Been Met. Caused by Failure of Operators to Adequately Communicate. Required Surveillances Were Performed.With 990720 Ltr ML18039A8161999-07-19019 July 1999 LER 99-006-00:on 990618,noted That Main Steam SRV Exceeded TS Setpoint Tolerance.Caused by Pilot Vlve disc-seat Bonding.Util Replaced All 13 SRV Pilot Cartridges with Cartridges Certified to Be Witin +/-1%.With 990719 Ltr ML18039A8121999-07-12012 July 1999 LER 99-005-00:on 990617,ESF Actuation & HPCI Declared Inoperable.Caused by Personnel Error.Reset HPCI & Returned Sys to Operable Status with 25 Minutes.With 990712 Ltr ML18039A8101999-06-28028 June 1999 LER 99-004-00:on 990530,safety Features Sys Actuations Occurred Due to RPS Trip.Caused by Failure of MG Set AC Drive Motor Starter Contractor Coil.Licensee Placed 2B RPS Bus on Alternate Feed & Half Scram Was Reset ML18039A8011999-06-14014 June 1999 LER 99-001-00:on 990515,automatic Reactor Scram Occurred Due to Tt.Caused by Failure of Mechanical Trip Cylinder to Latch When Hydraulically Reset.Operations Crew Stabilized Reactor Following Scram.With 990614 Ltr ML18039A8021999-06-14014 June 1999 LER 99-002-00:on 990501,SRs for Single CR Withdrawal During Cold SD Were Not Adequately Implemented.Caused by Procedural Inadequacy.Revised Applicable Plant Surveillances.With 990614 Ltr ML18039A8071999-06-14014 June 1999 LER 99-003-00:on 990515,automatic Reactor Scram Due to Turbine Trip Was Noted.Caused by Failure of Mechanical Trip Cylinder to Latch When Hydraulically Reset.Operations Crew Stabilized Reactor Following Scram ML18039A7791999-05-0606 May 1999 LER 99-003-00:on 990408,declared Plant HPCI Sys Inoperable Due to Loose Wire.Caused by Failure to Properly Tighten Screw at Some Time in Past.Loose Wire Was Tightened ML18039A7461999-04-0707 April 1999 LER 99-001-00:on 990308,determined That Two Trains of Standby Gas Treatment (SGT) Were Inoperable.Caused by Trip C SGT Blower Motor Breaker.Initiated Shutdown of Plant,Reset C SGT Blower Motor Breaker & Declared Train Operable ML18039A6951999-02-19019 February 1999 LER 99-002-00:on 990122,LCO Was Not Entered During Calibration Testing of 3D 480 Volt Rmov Board.Caused by Personnel Error.Tva Has Briefed Operations Personnel to Preclude Recurrence of Event.With 990219 Ltr ML18039A6871999-02-12012 February 1999 LER 99-001-00:on 990114,Unit 3 HPCI Was Noted Inoperable. Caused by Oil Leak on Stop Valve.Corrective Maint Was Performed to Repair Oil Leak.With 990212 Ltr ML18039A6671998-12-31031 December 1998 LER 98-004-00:on 981202,SR Intent Was Not Adequately Implemented.Caused by Procedural Inadequacy.Revised Procedures to Provide Proper SR Implementation.With 981231 Ltr ML18039A6471998-12-15015 December 1998 LER 98-007-00:on 981116,unplanned ESF Following Loss of 4kV Unit Board 3B Occurred.Caused by Temporary Energization of Lockout Relay on 4kV Unit Board 3B When Resistor on Relay Monitoring Lamp Circuit Shorted.Replaced Resistor ML18039A6371998-12-0707 December 1998 LER 98-006-00:on 981116,MSSR Valves Exceeded TS Setpoint Tolerance.Caused by Pilot Valve Disc/Seat Bonding. Installed SRV Pressure Switches During Unit 3,cycle 8 Outage.With 981207 Ltr ML18039A6071998-11-12012 November 1998 LER 98-005-00:on 981014,mode Changes Not Allowed by TS 3.0.4 Were Made During Reactor Startup.Caused by TS LCO 3.0.4 Not Being Properly Applied.Training Info Memo Re Proper Application for TS LCO 3.0.4 Was Prepared.With 981112 Ltr ML18039A6031998-11-0404 November 1998 LER 98-004-00:on 981007,primary Containment Allowable Leak Rate Was Exceeded.Caused by Failure of Check Valve to Fully Seat Following Shutdown of Rbbccw Sys for Llrt.Valve Was Retested During Next Refueling Outage.With 981104 Ltr ML18039A5971998-10-28028 October 1998 LER 98-003-00:on 981001,Unit 2 Received Full Automatic Scram from 100% Reactor Power.Caused by Failure of Normally Open Isolation Valve Which Blocked Flow of Stator Cooling Water Through Associated Heat Exchangers.Replaced Failed Valve ML18039A5171998-09-15015 September 1998 LER 98-002-00:on 980816,personnel Observed Both Channels of Rod Block Monitor Sys Bypassed for Cr.Caused by Failure of Gene to Properly Document & Specify Adjustments.Will Implement Necessary Procedure Controls ML18039A3311998-05-0404 May 1998 LER 98-003-00:on 980407,reactor Manually Scrammed to Prevent thermal-hydraulic Instability After Recirculation Pump Runback.Caused by Human Error.Strengthened Controls Associated W/Walkdowns in NEDP-11 ML18039A3141998-04-0909 April 1998 LER 98-002-00:on 980310,ESF Actuation Occurred Due to Failure of Alternate Feeder Breaker Position Switch.Will Continue Testing & Visual Insps on Addl Breaker Position Switches & Will Revise Applicable Maint Instructions ML18039A3101998-04-0707 April 1998 LER 98-001-00:on 980308,ESF Actuations Occurred When 2B RPS Bus Was Transferred to de-energized Source.Caused by Failure of Preparing Clearance to Exercise Proper Attention. 2B RPS Bus Restored to Transformer Source ML18039A3051998-04-0101 April 1998 LER 96-001-00:on 980121,determined That Temp Sensors for Certain HELB May Not Detect All Possible Break Locations. Caused by Differences in Computer Codes Rather than Actual Response.Computer Code Correctly Utilized ML18039A2041997-12-0303 December 1997 LER 97-008-00:on 971104,main Steam Safety/Relief Valves Exceeded TS Setpoint Limit.Caused by Pilot Valve Disc/Seat Bonding.Replaced All 13 Unit 2 Main Steam SRV Pilot Cartridges ML18038B9961997-11-25025 November 1997 LER 97-007-00:on 971028,Unit 2 Automatically Scrammed.Caused by Momentary Pressure Drop in electro-hydraulic Control Sys at Turbine Control Valves.Scram Contactor Replaced ML18038B9931997-11-18018 November 1997 LER 97-006-00:on 971019,declared Unit 2 Hpcis Inoperable. Caused by High Condensate Level in HPCI Turbine Inlet Steam Line Drain Pot.Work Request Initiated ML18038B9861997-11-10010 November 1997 LER 97-005-00:on 971012,ESF Components Were Actuated.Caused by Inadequate Procedure.Cs Pumps Were Secured & Injection Valves Were Closed & Refueling Floor Activities Were Stopped ML18038B9701997-10-0909 October 1997 LER 97-004-00:on 970909,TS Surveillances Were Not Performed During Refueling Outage Timeframe.Caused by Personnel Error. Incorporated Missed Snubber & Vacuum Breaker Surveillances Into Refueling Outage Schedule ML18038B9661997-10-0303 October 1997 LER 97-005-00:on 970824,LCO Was Not Entered When Valve Was Malfunctioning.Caused by Lack of Questioning Attitude by Operations Crew.Involved SROs Were Counseled & Problem Evaluation Rept Will Be Discussed ML18038B9321997-08-0707 August 1997 LER 97-003-00:on 970711,determined That HPCI Turbine Speed Lower than Indicated.Caused by Improper Evaluation of Valve Leak.Work Orders to Troubleshoot HPCI Initiated ML18038B9231997-07-25025 July 1997 LER 97-002-00:on 970626,discovered That Four Surveillance Instructions (Sis) Did Not Fully Test All Relay Logic Combinations.Caused by Personnel Error.Verified Relay Contacts Operable & Revised Applicable SIs.W/970725 Ltr ML18038B8811997-05-14014 May 1997 LER 97-004-00:on 970414,unplanned Manual Start of EDG During Scheduled Redundant Start Test Occurred.Caused by Personnel Error.Edg 3D Shutdown & Returned to pre-event Configuration. W/970514 Ltr ML18038B8801997-05-0808 May 1997 LER 97-002-00:on 970410,HPCI Declared Inoperable.Caused by Personnel Error.Operations Personnel Stopped Instrument Mechanics Testing & Returned HPCI to Standby Readiness. W/970508 Ltr ML18038B8701997-04-29029 April 1997 LER 96-004-02:on 960717,loss of ECCS Division I & Division II Instrumentation Renders ECCS Equipment Inoperable.Caused by Loss of Inverter Output.Failed Components Replaced in Atu Inverter Circuitry & Instrumentation Logic Restored ML18038B8521997-04-0909 April 1997 LER 97-003-00:on 970314,Unit 3 Main Steam SRVs Pilot Cartridges Failed Setpoint Tolerance Bench Tests.Caused by Corrosion Bonding of SRV Pilot Disc/Seat Interface Resulting in Drifting.Main Steam SRV Pilot replaced.W/970409 Ltr ML18038B8511997-04-0909 April 1997 LER 95-003-02:on 950301,Unit 2 Main Steam SRVs Failed Setpoint Acceptance Tests.Caused by Corrosion Bonding of SRV Pilot Disc/Seat Interface Resulting in Upward Setpoint Drift.Valves Currently Being Retested & Recertified ML18038B8481997-04-0909 April 1997 LER 96-004-01:on 960425,Unit 2 SRV Pilot Cartridges Failed Setpoint Acceptance Tests.Caused by SRV Pilot Disc/Seat Bonding Resulting in SRV Setpoints Deviating.Valves Currently Being Retested & Recertified ML18038B8451997-04-0909 April 1997 LER 96-008-01:on 961101,Unit 2 Main Steam SRV Pilot Cartridges Failed Setpoint Tolerence Bench Tests.Caused by SRV Pilot Disc/Seat Bonding Resulting in SRV Setpoints.Srv Pilot Cartridges replaced.W/970409 Ltr ML18038B8551997-04-0404 April 1997 LER 97-001-00:on 970305,loss of Offsite Power on Unit 3 During Refueling Outage Resulted from Shorted Component. Replaced Relays Involved in Event W/Less Sensitive Relays ML18038B8441997-03-26026 March 1997 LER 95-001-02:on 950123,DG Turbocharger Failure Resulted in Noncompliance W/Ts Lco.Instituted Vibration Monitoring Program for EDG Turbochargers ML18038B8071997-01-15015 January 1997 LER 96-008-00:on 961217,loss of ECCS Division II Instrumentation Caused ECCS Equipment to Be Inoperable. Replaced Cleared Fuse & Shorted SCR ML18038B8041997-01-13013 January 1997 LER 96-007-00 on 961213,engineered Safety Feature Actuations Resulting from Inadequate Planning of step-text Work Order Occurred.Tripped Breaker Reset & LCO Condition Exited ML18038B7931996-12-0404 December 1996 LER 96-006-00:on 961106,loss of ECCS Div 1 Instrumentation Rendered ECCS Equipment Inoperable.Caused by Cleared Fuse in ECCS Div.Fuse Replaced & Addl Testing to Challenge Replacement Fuse performed.W/961204 Ltr ML18038B7921996-11-27027 November 1996 LER 96-008-00:on 961101,MS SR Valves Exceeded TS Required Setpoint Limit as Result of Disc/Seat Bonding.Caused by Corrosion Bonding of SRV Pilot Interface.Replaced All Thirteen Ms SR Valve Pilot cartridges.W/961127 Ltr ML18038B7911996-11-27027 November 1996 LER 96-007-00:on 961029,Unit 2 Scram on Turbine Control Valve Fast Closure Occurred Due to Loss of Excitation to Main Generator.Exciter Brushes Inspected & Replaced & Procedures Revised ML18038B7741996-10-15015 October 1996 LER 96-005-03:on 960915,reactor Scrammed as Required by TSs Due to Trip of Reactor Recirculation Motor Generator Set 3A. Caused by Bus Bar in Generator Armature Circuit Failing. Collector Rings Were replaced.W/961015 Ltr 1999-09-30
[Table view] Category:RO)
MONTHYEARML18039A9041999-10-15015 October 1999 LER 99-010-00:on 990917,automatic Reactor Scram on Turbine Stop Valve Closure Occurred.Caused by High Water Level in Main Steam Moisture Separator 2C2.Unit 2C2 Reservoir Level Transmitter & Relays Were Replaced & Tested Satisfactorily ML18039A8981999-10-14014 October 1999 LER 99-009-00:on 990915,manual Reactor Scram Was Noted Due to EHC Leak.Caused by Failure of Stainles Steel Tubing Connection.Removed Damaged Tubing & Connection Plug ML18039A8951999-10-0808 October 1999 LER 99-008-00:on 990905,HPCI Was Inoperable Due to Failed Flow Controller.Caused by Premature Failure of Capacitor 2C3.Replaced Controller & HPCI Sys Was Run IAW Sys Operating Instructions ML18039A8751999-09-30030 September 1999 LER 99-005-00:on 990901,SR for Standby Liquid Control Sampling Was Not Met.Caused by Deficient Procedure for Chemical Addition to Standby Liquid Control.Revised Procedure.With 990930 Ltr ML18039A8201999-07-26026 July 1999 LER 99-004-00:on 990625,facility Core Spray Divisions I & II Inoperable at Same Time Due to Personnel Error.Electrical Supply Breaker to Core Spray Division II Pump 3B Returned to Normal Racked in Position ML18039A8171999-07-20020 July 1999 LER 99-007-00:on 990623,discovered That SR for Monitoring of Primary Containment Oxygen Concentration Had Not Been Met. Caused by Failure of Operators to Adequately Communicate. Required Surveillances Were Performed.With 990720 Ltr ML18039A8161999-07-19019 July 1999 LER 99-006-00:on 990618,noted That Main Steam SRV Exceeded TS Setpoint Tolerance.Caused by Pilot Vlve disc-seat Bonding.Util Replaced All 13 SRV Pilot Cartridges with Cartridges Certified to Be Witin +/-1%.With 990719 Ltr ML18039A8121999-07-12012 July 1999 LER 99-005-00:on 990617,ESF Actuation & HPCI Declared Inoperable.Caused by Personnel Error.Reset HPCI & Returned Sys to Operable Status with 25 Minutes.With 990712 Ltr ML18039A8101999-06-28028 June 1999 LER 99-004-00:on 990530,safety Features Sys Actuations Occurred Due to RPS Trip.Caused by Failure of MG Set AC Drive Motor Starter Contractor Coil.Licensee Placed 2B RPS Bus on Alternate Feed & Half Scram Was Reset ML18039A8011999-06-14014 June 1999 LER 99-001-00:on 990515,automatic Reactor Scram Occurred Due to Tt.Caused by Failure of Mechanical Trip Cylinder to Latch When Hydraulically Reset.Operations Crew Stabilized Reactor Following Scram.With 990614 Ltr ML18039A8021999-06-14014 June 1999 LER 99-002-00:on 990501,SRs for Single CR Withdrawal During Cold SD Were Not Adequately Implemented.Caused by Procedural Inadequacy.Revised Applicable Plant Surveillances.With 990614 Ltr ML18039A8071999-06-14014 June 1999 LER 99-003-00:on 990515,automatic Reactor Scram Due to Turbine Trip Was Noted.Caused by Failure of Mechanical Trip Cylinder to Latch When Hydraulically Reset.Operations Crew Stabilized Reactor Following Scram ML18039A7791999-05-0606 May 1999 LER 99-003-00:on 990408,declared Plant HPCI Sys Inoperable Due to Loose Wire.Caused by Failure to Properly Tighten Screw at Some Time in Past.Loose Wire Was Tightened ML18039A7461999-04-0707 April 1999 LER 99-001-00:on 990308,determined That Two Trains of Standby Gas Treatment (SGT) Were Inoperable.Caused by Trip C SGT Blower Motor Breaker.Initiated Shutdown of Plant,Reset C SGT Blower Motor Breaker & Declared Train Operable ML18039A6951999-02-19019 February 1999 LER 99-002-00:on 990122,LCO Was Not Entered During Calibration Testing of 3D 480 Volt Rmov Board.Caused by Personnel Error.Tva Has Briefed Operations Personnel to Preclude Recurrence of Event.With 990219 Ltr ML18039A6871999-02-12012 February 1999 LER 99-001-00:on 990114,Unit 3 HPCI Was Noted Inoperable. Caused by Oil Leak on Stop Valve.Corrective Maint Was Performed to Repair Oil Leak.With 990212 Ltr ML18039A6671998-12-31031 December 1998 LER 98-004-00:on 981202,SR Intent Was Not Adequately Implemented.Caused by Procedural Inadequacy.Revised Procedures to Provide Proper SR Implementation.With 981231 Ltr ML18039A6471998-12-15015 December 1998 LER 98-007-00:on 981116,unplanned ESF Following Loss of 4kV Unit Board 3B Occurred.Caused by Temporary Energization of Lockout Relay on 4kV Unit Board 3B When Resistor on Relay Monitoring Lamp Circuit Shorted.Replaced Resistor ML18039A6371998-12-0707 December 1998 LER 98-006-00:on 981116,MSSR Valves Exceeded TS Setpoint Tolerance.Caused by Pilot Valve Disc/Seat Bonding. Installed SRV Pressure Switches During Unit 3,cycle 8 Outage.With 981207 Ltr ML18039A6071998-11-12012 November 1998 LER 98-005-00:on 981014,mode Changes Not Allowed by TS 3.0.4 Were Made During Reactor Startup.Caused by TS LCO 3.0.4 Not Being Properly Applied.Training Info Memo Re Proper Application for TS LCO 3.0.4 Was Prepared.With 981112 Ltr ML18039A6031998-11-0404 November 1998 LER 98-004-00:on 981007,primary Containment Allowable Leak Rate Was Exceeded.Caused by Failure of Check Valve to Fully Seat Following Shutdown of Rbbccw Sys for Llrt.Valve Was Retested During Next Refueling Outage.With 981104 Ltr ML18039A5971998-10-28028 October 1998 LER 98-003-00:on 981001,Unit 2 Received Full Automatic Scram from 100% Reactor Power.Caused by Failure of Normally Open Isolation Valve Which Blocked Flow of Stator Cooling Water Through Associated Heat Exchangers.Replaced Failed Valve ML18039A5171998-09-15015 September 1998 LER 98-002-00:on 980816,personnel Observed Both Channels of Rod Block Monitor Sys Bypassed for Cr.Caused by Failure of Gene to Properly Document & Specify Adjustments.Will Implement Necessary Procedure Controls ML18039A3311998-05-0404 May 1998 LER 98-003-00:on 980407,reactor Manually Scrammed to Prevent thermal-hydraulic Instability After Recirculation Pump Runback.Caused by Human Error.Strengthened Controls Associated W/Walkdowns in NEDP-11 ML18039A3141998-04-0909 April 1998 LER 98-002-00:on 980310,ESF Actuation Occurred Due to Failure of Alternate Feeder Breaker Position Switch.Will Continue Testing & Visual Insps on Addl Breaker Position Switches & Will Revise Applicable Maint Instructions ML18039A3101998-04-0707 April 1998 LER 98-001-00:on 980308,ESF Actuations Occurred When 2B RPS Bus Was Transferred to de-energized Source.Caused by Failure of Preparing Clearance to Exercise Proper Attention. 2B RPS Bus Restored to Transformer Source ML18039A3051998-04-0101 April 1998 LER 96-001-00:on 980121,determined That Temp Sensors for Certain HELB May Not Detect All Possible Break Locations. Caused by Differences in Computer Codes Rather than Actual Response.Computer Code Correctly Utilized ML18039A2041997-12-0303 December 1997 LER 97-008-00:on 971104,main Steam Safety/Relief Valves Exceeded TS Setpoint Limit.Caused by Pilot Valve Disc/Seat Bonding.Replaced All 13 Unit 2 Main Steam SRV Pilot Cartridges ML18038B9961997-11-25025 November 1997 LER 97-007-00:on 971028,Unit 2 Automatically Scrammed.Caused by Momentary Pressure Drop in electro-hydraulic Control Sys at Turbine Control Valves.Scram Contactor Replaced ML18038B9931997-11-18018 November 1997 LER 97-006-00:on 971019,declared Unit 2 Hpcis Inoperable. Caused by High Condensate Level in HPCI Turbine Inlet Steam Line Drain Pot.Work Request Initiated ML18038B9861997-11-10010 November 1997 LER 97-005-00:on 971012,ESF Components Were Actuated.Caused by Inadequate Procedure.Cs Pumps Were Secured & Injection Valves Were Closed & Refueling Floor Activities Were Stopped ML18038B9701997-10-0909 October 1997 LER 97-004-00:on 970909,TS Surveillances Were Not Performed During Refueling Outage Timeframe.Caused by Personnel Error. Incorporated Missed Snubber & Vacuum Breaker Surveillances Into Refueling Outage Schedule ML18038B9661997-10-0303 October 1997 LER 97-005-00:on 970824,LCO Was Not Entered When Valve Was Malfunctioning.Caused by Lack of Questioning Attitude by Operations Crew.Involved SROs Were Counseled & Problem Evaluation Rept Will Be Discussed ML18038B9321997-08-0707 August 1997 LER 97-003-00:on 970711,determined That HPCI Turbine Speed Lower than Indicated.Caused by Improper Evaluation of Valve Leak.Work Orders to Troubleshoot HPCI Initiated ML18038B9231997-07-25025 July 1997 LER 97-002-00:on 970626,discovered That Four Surveillance Instructions (Sis) Did Not Fully Test All Relay Logic Combinations.Caused by Personnel Error.Verified Relay Contacts Operable & Revised Applicable SIs.W/970725 Ltr ML18038B8811997-05-14014 May 1997 LER 97-004-00:on 970414,unplanned Manual Start of EDG During Scheduled Redundant Start Test Occurred.Caused by Personnel Error.Edg 3D Shutdown & Returned to pre-event Configuration. W/970514 Ltr ML18038B8801997-05-0808 May 1997 LER 97-002-00:on 970410,HPCI Declared Inoperable.Caused by Personnel Error.Operations Personnel Stopped Instrument Mechanics Testing & Returned HPCI to Standby Readiness. W/970508 Ltr ML18038B8701997-04-29029 April 1997 LER 96-004-02:on 960717,loss of ECCS Division I & Division II Instrumentation Renders ECCS Equipment Inoperable.Caused by Loss of Inverter Output.Failed Components Replaced in Atu Inverter Circuitry & Instrumentation Logic Restored ML18038B8521997-04-0909 April 1997 LER 97-003-00:on 970314,Unit 3 Main Steam SRVs Pilot Cartridges Failed Setpoint Tolerance Bench Tests.Caused by Corrosion Bonding of SRV Pilot Disc/Seat Interface Resulting in Drifting.Main Steam SRV Pilot replaced.W/970409 Ltr ML18038B8511997-04-0909 April 1997 LER 95-003-02:on 950301,Unit 2 Main Steam SRVs Failed Setpoint Acceptance Tests.Caused by Corrosion Bonding of SRV Pilot Disc/Seat Interface Resulting in Upward Setpoint Drift.Valves Currently Being Retested & Recertified ML18038B8481997-04-0909 April 1997 LER 96-004-01:on 960425,Unit 2 SRV Pilot Cartridges Failed Setpoint Acceptance Tests.Caused by SRV Pilot Disc/Seat Bonding Resulting in SRV Setpoints Deviating.Valves Currently Being Retested & Recertified ML18038B8451997-04-0909 April 1997 LER 96-008-01:on 961101,Unit 2 Main Steam SRV Pilot Cartridges Failed Setpoint Tolerence Bench Tests.Caused by SRV Pilot Disc/Seat Bonding Resulting in SRV Setpoints.Srv Pilot Cartridges replaced.W/970409 Ltr ML18038B8551997-04-0404 April 1997 LER 97-001-00:on 970305,loss of Offsite Power on Unit 3 During Refueling Outage Resulted from Shorted Component. Replaced Relays Involved in Event W/Less Sensitive Relays ML18038B8441997-03-26026 March 1997 LER 95-001-02:on 950123,DG Turbocharger Failure Resulted in Noncompliance W/Ts Lco.Instituted Vibration Monitoring Program for EDG Turbochargers ML18038B8071997-01-15015 January 1997 LER 96-008-00:on 961217,loss of ECCS Division II Instrumentation Caused ECCS Equipment to Be Inoperable. Replaced Cleared Fuse & Shorted SCR ML18038B8041997-01-13013 January 1997 LER 96-007-00 on 961213,engineered Safety Feature Actuations Resulting from Inadequate Planning of step-text Work Order Occurred.Tripped Breaker Reset & LCO Condition Exited ML18038B7931996-12-0404 December 1996 LER 96-006-00:on 961106,loss of ECCS Div 1 Instrumentation Rendered ECCS Equipment Inoperable.Caused by Cleared Fuse in ECCS Div.Fuse Replaced & Addl Testing to Challenge Replacement Fuse performed.W/961204 Ltr ML18038B7921996-11-27027 November 1996 LER 96-008-00:on 961101,MS SR Valves Exceeded TS Required Setpoint Limit as Result of Disc/Seat Bonding.Caused by Corrosion Bonding of SRV Pilot Interface.Replaced All Thirteen Ms SR Valve Pilot cartridges.W/961127 Ltr ML18038B7911996-11-27027 November 1996 LER 96-007-00:on 961029,Unit 2 Scram on Turbine Control Valve Fast Closure Occurred Due to Loss of Excitation to Main Generator.Exciter Brushes Inspected & Replaced & Procedures Revised ML18038B7741996-10-15015 October 1996 LER 96-005-03:on 960915,reactor Scrammed as Required by TSs Due to Trip of Reactor Recirculation Motor Generator Set 3A. Caused by Bus Bar in Generator Armature Circuit Failing. Collector Rings Were replaced.W/961015 Ltr 1999-09-30
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML18039A9041999-10-15015 October 1999 LER 99-010-00:on 990917,automatic Reactor Scram on Turbine Stop Valve Closure Occurred.Caused by High Water Level in Main Steam Moisture Separator 2C2.Unit 2C2 Reservoir Level Transmitter & Relays Were Replaced & Tested Satisfactorily ML18039A8981999-10-14014 October 1999 LER 99-009-00:on 990915,manual Reactor Scram Was Noted Due to EHC Leak.Caused by Failure of Stainles Steel Tubing Connection.Removed Damaged Tubing & Connection Plug ML18039A8951999-10-0808 October 1999 LER 99-008-00:on 990905,HPCI Was Inoperable Due to Failed Flow Controller.Caused by Premature Failure of Capacitor 2C3.Replaced Controller & HPCI Sys Was Run IAW Sys Operating Instructions ML18039A8751999-09-30030 September 1999 LER 99-005-00:on 990901,SR for Standby Liquid Control Sampling Was Not Met.Caused by Deficient Procedure for Chemical Addition to Standby Liquid Control.Revised Procedure.With 990930 Ltr ML20217F9671999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Browns Ferry Nuclear Plant,Units 1,2 & 3.With ML20212E6341999-09-23023 September 1999 Suppl to SE Resolving Error in Original 990802 Se,Clarifying Fact That Licensee Has Not Committed to Retain Those Specific Compensatory Measures That Were Applied to one-time Extension ML20212D3831999-09-20020 September 1999 Safety Evaluation Supporting Proposed Rev to Withdrawal Schedule for First & Third Surveillance Capsules for BFN-3 RPV ML20212B8561999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Browns Ferry Nuclear Plant.With ML18039A8821999-08-31031 August 1999 Increased MSIV Leakage Tech Spec Change Submittal - Seismic Evaluation Rept. ML18039A8391999-08-0606 August 1999 BFN Unit 2 Cycle 10 ASME Section XI NIS-1 & NIS-2 Data Repts. ML20210N1221999-08-0202 August 1999 Safety Evaluation Accepting Licensee Request for Relief from ASME B&PV Code,Section XI Requirements.Request 3-ISI-7, Pertains to Second 10-year Interval ISI for Plant,Unit 3 ML20210R0931999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Browns Ferry Nuclear Plant,Units 1,2 & 3.With ML18039A8201999-07-26026 July 1999 LER 99-004-00:on 990625,facility Core Spray Divisions I & II Inoperable at Same Time Due to Personnel Error.Electrical Supply Breaker to Core Spray Division II Pump 3B Returned to Normal Racked in Position ML18039A8171999-07-20020 July 1999 LER 99-007-00:on 990623,discovered That SR for Monitoring of Primary Containment Oxygen Concentration Had Not Been Met. Caused by Failure of Operators to Adequately Communicate. Required Surveillances Were Performed.With 990720 Ltr ML18039A8161999-07-19019 July 1999 LER 99-006-00:on 990618,noted That Main Steam SRV Exceeded TS Setpoint Tolerance.Caused by Pilot Vlve disc-seat Bonding.Util Replaced All 13 SRV Pilot Cartridges with Cartridges Certified to Be Witin +/-1%.With 990719 Ltr ML20209J0771999-07-16016 July 1999 Safety Evaluation Concluding That Licensee Provided Adequate Information to Resolve ampacity-related Points of Concern Raised in GL 92-08 for BFN & That No Outstanding Issues Re GL 92-08 Ampacity Issues for Browns Ferry NPP Exist ML18039A8121999-07-12012 July 1999 LER 99-005-00:on 990617,ESF Actuation & HPCI Declared Inoperable.Caused by Personnel Error.Reset HPCI & Returned Sys to Operable Status with 25 Minutes.With 990712 Ltr ML20209H4381999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Browns Ferry Nuclear Plant,Units 1,2 & 3.With ML18039A8101999-06-28028 June 1999 LER 99-004-00:on 990530,safety Features Sys Actuations Occurred Due to RPS Trip.Caused by Failure of MG Set AC Drive Motor Starter Contractor Coil.Licensee Placed 2B RPS Bus on Alternate Feed & Half Scram Was Reset ML20196F8811999-06-23023 June 1999 Safety Evaluation Accepting GL 95-07, Pressure Locking & Thermal Binding of Safety-Related Power Operated Gate Valves ML18039A8071999-06-14014 June 1999 LER 99-003-00:on 990515,automatic Reactor Scram Due to Turbine Trip Was Noted.Caused by Failure of Mechanical Trip Cylinder to Latch When Hydraulically Reset.Operations Crew Stabilized Reactor Following Scram ML18039A8021999-06-14014 June 1999 LER 99-002-00:on 990501,SRs for Single CR Withdrawal During Cold SD Were Not Adequately Implemented.Caused by Procedural Inadequacy.Revised Applicable Plant Surveillances.With 990614 Ltr ML18039A8011999-06-14014 June 1999 LER 99-001-00:on 990515,automatic Reactor Scram Occurred Due to Tt.Caused by Failure of Mechanical Trip Cylinder to Latch When Hydraulically Reset.Operations Crew Stabilized Reactor Following Scram.With 990614 Ltr ML20196B8051999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Browns Ferry Nuclear Plant,Units 1,2 & 3.With ML18039A7791999-05-0606 May 1999 LER 99-003-00:on 990408,declared Plant HPCI Sys Inoperable Due to Loose Wire.Caused by Failure to Properly Tighten Screw at Some Time in Past.Loose Wire Was Tightened ML18039A7761999-04-30030 April 1999 Revised Surveillance Specimen Program Evaluation for TVA Browns Ferry Unit 3. ML20206R0731999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Bfnp.With ML18039A7561999-04-23023 April 1999 Bfnp Risk-Informed Inservice Insp (RI-ISI) Program Submittal. ML18039A7671999-04-0808 April 1999 Rev 0 to TVA-COLR-BF2C11, Browns Ferry Nuclear Plant Unit 2 Cycle 11 Colr. ML18039A7461999-04-0707 April 1999 LER 99-001-00:on 990308,determined That Two Trains of Standby Gas Treatment (SGT) Were Inoperable.Caused by Trip C SGT Blower Motor Breaker.Initiated Shutdown of Plant,Reset C SGT Blower Motor Breaker & Declared Train Operable ML20205N8341999-04-0101 April 1999 Part 21 Rept Re Automatic Switch Co Nuclear Grade Series X206380 & X206832 Solenoid Valves Ordered Without Lubricants That Were Shipped with Std Lubrication to PECO & Tva.Affected Plants Were Notified ML20205F9341999-04-0101 April 1999 Safety Evaluation Authorizing Licensee 990108 Relief Request PV-38,from Requirements of ASME BPV Code Section XI IST Testing,Valve Program for Plant,Units 1,2 & 3 ML20205T5441999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Bfnp.With ML20205S0601999-03-31031 March 1999 Rept on Status of Public Petitions Under 10CFR2.206 with Status Change from Previous Update,990331 ML20205S0661999-03-31031 March 1999 Rept on Status of Public Petitions Under 10CFR2.206 with No Status Change from Previous Update,990331, Atlas Corp ML18039A7361999-03-11011 March 1999 Rev 4 to TVA-COLR-BF2C10, Bfnp,Unit 2,Cycle 10 Colr. ML20204C7891999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Browns Ferry Nuclear Plant,Units 1,2 & 3.With ML18039A6951999-02-19019 February 1999 LER 99-002-00:on 990122,LCO Was Not Entered During Calibration Testing of 3D 480 Volt Rmov Board.Caused by Personnel Error.Tva Has Briefed Operations Personnel to Preclude Recurrence of Event.With 990219 Ltr ML18039A6871999-02-12012 February 1999 LER 99-001-00:on 990114,Unit 3 HPCI Was Noted Inoperable. Caused by Oil Leak on Stop Valve.Corrective Maint Was Performed to Repair Oil Leak.With 990212 Ltr ML18039A6931999-02-0303 February 1999 Rev 3 to TVA-COLR-BF2C10, Bfnp Unit 2 Cycle 10 Colr. ML18039A6941999-02-0303 February 1999 Rev 1 to TVA-COLR-BF3C9, Bfnp Unit 3 Cycle 9 Colr. ML18039A6671998-12-31031 December 1998 LER 98-004-00:on 981202,SR Intent Was Not Adequately Implemented.Caused by Procedural Inadequacy.Revised Procedures to Provide Proper SR Implementation.With 981231 Ltr ML18039A6661998-12-31031 December 1998 Ro:On 981215,HRPCRM 2-RM-90-273C Was Declared Inoperable. Caused by Downscale Indication.Containment RM Will Be Utilized as Planned Alternate Method of Monitoring Until Hrpcrm 2-RM-90-273C Can Be Returned to Operable Status ML20199K8951998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Browns Ferry Nuclear Plant.With ML20199F2721998-12-31031 December 1998 ISI Summary Rept (NIS-1), for BFN Unit 3,Cycle 8 Operation ML18039A6471998-12-15015 December 1998 LER 98-007-00:on 981116,unplanned ESF Following Loss of 4kV Unit Board 3B Occurred.Caused by Temporary Energization of Lockout Relay on 4kV Unit Board 3B When Resistor on Relay Monitoring Lamp Circuit Shorted.Replaced Resistor ML18039A6371998-12-0707 December 1998 LER 98-006-00:on 981116,MSSR Valves Exceeded TS Setpoint Tolerance.Caused by Pilot Valve Disc/Seat Bonding. Installed SRV Pressure Switches During Unit 3,cycle 8 Outage.With 981207 Ltr ML20199F2791998-12-0303 December 1998 Bfnp Unit 3 Cycle 8 ASME Section XI NIS-2 Data Rept ML20198D9621998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Bfn,Units 1,2 & 3. with ML18039A6071998-11-12012 November 1998 LER 98-005-00:on 981014,mode Changes Not Allowed by TS 3.0.4 Were Made During Reactor Startup.Caused by TS LCO 3.0.4 Not Being Properly Applied.Training Info Memo Re Proper Application for TS LCO 3.0.4 Was Prepared.With 981112 Ltr 1999-09-30
[Table view] |
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ACCELERATED DISTRIBUTION DEMONSTRATION SYSTEM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9405240094 DOC.DATE: 94/05/13 NOTARIZED: NO DOCKET FACIL:50-260 Browns Ferry Nuclear Power Station, Unit 2, Tennessee 05000260 AUTH. NAME AUTHOR AFFILIATION AUSTIN,S. Tennessee Valley Authority MACHON,R.D. Tennessee Valley Authority RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 94-004-00:on 940415,Unit 2 received a full scram from full pilotpower due to RPS trip signal generated by low scram air header pressure signal. Failed module in temp D detection loop.W/940513 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
NOTES RECIPIENT COPIES RECIPIENT COPIES D ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD2-4-PD 1 1 TRIMBLE,D 1 1 D INTERNAL: ACRS 1 1 AEOD/DOA 1 1 AEOD/DS P/TPAB 1 1 AEOD/ROAB/DSP 2 2 NRR/ DE/EE LB 1 1 N RR/ DE/EME B 1 1 NRR/DORS/OEAB 1 1 NRR/DRCH/HHFB 1 1 NRR/ DRCH/HICB 1 1 NRR/DRCH/HOLB 1 1 NRR/DRI L/RPEB 1 1 NRR/DRSS/PRPB 2 2 NRR/DSSA/S PLB 1 1 NRR/DSSA/SRXB 1 1 1 1 RES/DSIR/EIB 1 1 1 1 EXTERNAL: EG&G BRYCE,J.H 2 2 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHY,G.A 1 1 NSIC POOREiW 1 1 NUDOCS FULL TXT 1 1 D
D D
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1 r
Tertrtessee Vatey Authority, post Offic Box 2000. Decatur. Aaoama 35609 2000 R. D..(Rick) Machon Vce Prestdertt, Browrts Ferry Huctear Ptartt NY 13 199<
U.S. Nuclear Regulatory Commission 10 CFR 50.73 ATTN: Document Control Desk Washington, D.C 20555
Dear Sir:
BROWNS FERRY NUCLEAR PLANT (BFN) UNITS 1 p 2 g AND 3 DOCKET NOS ~ , 50-259I 50-260~ AND 296 - FACILITY OPERATING LICENSE DPR-33~ 52~ AND 68 LICENSEE EVENT REPORT 50-260/94004 The enclosed report provides details concerning a Unit 2 scram from 100 percent power during a planned maintenance activity on one of the Scram Pilot Air Header pressure regulators. The cause of the event was attributed to inappropriate personnel action when those involved deviated from the work instruction during isolation of the pressure regulator.
As part of the Scram Frequency Reduction Program, TVA has proposed that the Scram Pilot Air Header low pressure scram function be eliminated. To date, a proposed technical specification (TS) change that will remove the scram discharge volume air header scram function has been submitted to NRC. Accordingly, implementation of this TS change will eliminate the risk .of a unit scram*during this maintenance activity.
Additionally, the report provides details on a manual isolation of the High Pressure Coolant. Injection (HPCI) during the unit scram.
This report is submitted in accordance with 10 CFR 50.73(a)(2)(iv), as any event or condition that resulted in manual or automatic actuation of any engineered safety feature including the reactor, protection system.
Additionally, due to the isolation of HPCI, which is a single train safety system, this event is reportable in accordance with 10 CFR 50.73(a)(2)(v)(A). As any event or condition lob
'tt405240094 9405l3 PDR ADOCK 05000260 S PDR
II U. S.- Nuclear Regulatory Commission 14AV 13 1994 that alone could have prevented the fulfillment of the safety function of structures of systems that are needed to shutdown the reactor and maintain it in a safe shutdown condition.
If you have any question Salas at (205) 729-2636.
or comments please telephone Pedro Sincerely, R. D. M hon Site Vice President cc (Enclosure):
INPO Records Center Suite 1500 1100 Circle 75 Parkway Atlanta, Georgia 30339 Paul Krippner American Nuclear Insurers Town Center, Suite 300S 29 South Main Street West Hartford, Connecticut 06107 NRC Resident Inspector Browns Ferry Nuclear Plant Route 12., Box 637 Athens, Alabama 35611 Regional Administrator U.S. Nuclear Regulatory Commission Region II Marietta Street, NW, .Suite 2900 101 Atlanta, Georgia 30323 Mr. J. F. Williams, Project Manager U.S. Nuclear Regulatory Commission One White Flint, North 11555 Rockville Pike Rockville, Maryland 20852 Mr. D. C. Trimble, Project Manager U.S. Nuclear Regulatory Commission One White Flint, North 11555 Rockville Pike Rockville, Maryland 20852
NRC FORM 366 U.S. NUCLEAR REGULATORY COHHISSION APPROVED BY (NB NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORHATION COLLECTION REOUEST: 50 ' HRS ~
LICENSEE EVENT REPORT (LER) FORWARD COHMENTS REGARDING BURDEN ESTIHATE TO THE INFORMATION AND RECORDS MANAGEHEHT BRANCH (HNBB 7714), U.S. NUCLEAR REGULATORY COMMISSION/
for required of digits/characters for each block) WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK (See reverse number REDUCTION PROJECT (3140-0104), OFFICE OF MANAGEMENT AND BUDGET WASHINGTON DC 20503.
FACILITY NAHE (1) DOCKET NINBER (2) PAGE (3)
Browns Ferry Nuclear Plant (BFN) Unit 2 05000260 1 OF 8 TITI.E (4)Unit 2 Scram From Full Power During Planned Maintenance Activity Due to Inappropriate Personnel Action EVENT DATE 5 LER NNIBER 6 REPORT DATE 7 OTHER FACILITIES INVOLVED 8 SEOUENTIAL REVISION FACILITY NAHE DOCKET NUHBER MONTH DAY YEAR YEAR HONTH DAY YEAR NA NUHBER NUHBER FACILITY NAHE DOCKET NUHBER 04 15 94 94 004 00 05 13 94 NA OPERATING THIS REPORT IS SUBMITTED PURSUANT TO THE REOUIREHENTS OF 10 CFR : 'heck one or more 11 MODE (9) N 20.402(b) 20.405(c) X'0.73(a)(2)(iv) 73.71(b) 20.405(a)(1)(i) 50.36(c)(1) X 50.73(a)(2)(v) 73.71(c)
POWER LEVEL (10) 100 20.405(s)(1)(ii) 50.36(c)(2) 50.73(a)(2)(vii) OTHER 20.405(a)('l)(iii) 50.73(a)(2)(i) 50.73(s)(2)(viii)(A) (Specify in 20.405(a)(1)(iv) 50.73(a)(2)(ii) 50.73(s)(2)(viii)(B) 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 NAHE TELEPHONE NUHBER (Include Ares Code)
Steve Austin, Compliance Licensing Engineer- (205)729-2070 COHPLETE ONE LINE FOR EACH C(NPONENT FAILURE DESCRIBED IN THIS REPORT 13 REPORTABLE REPORTABLE CAUSE SYSTEH COHPONEHT HANUFACTURER CAUSE SYSTEH COHPONEHI'ANUFACTURER TO NPRDS TO NPRDS BJ TM N SUPPLEHENTAL REPORT EXPECTED 14 MONTH DAY YEAR EXPECTED YES SUBMISSION X NO DATE (15)
(If yes, complete EXPECTED SUBMISSION DATE).
(Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) (16) from full power due to a ABSTRACT On April 15, 1994, at 0219 hours0.00253 days <br />0.0608 hours <br />3.621032e-4 weeks <br />8.33295e-5 months <br /> , Unit 2 received a full scram RPS trip signal generated by a low Scram Pilot Air Header pressure signal. This resulted in a low reactor water level which caused isolation of various ESF that and RPS system actuation. Plant systems responded as expected with the exception high temperature alarms were received for the High Pressure Coolant Injection (HPCI) system. Affected ESF and RPS systems were returned to operable status by 0300 hours0.00347 days <br />0.0833 hours <br />4.960317e-4 weeks <br />1.1415e-4 months <br /> on April 15, 1994.
Operators returned HPCI to service at 0535 hours0.00619 days <br />0.149 hours <br />8.845899e-4 weeks <br />2.035675e-4 months <br /> after no abnormal conditions could be found.
The root cause of this event was inappropriate personnel action during maintenance activity on the Scram Pilot Air Header. The personnel involved deviated from the work order, but did not take the proper actions to ensure that their actions would not adversely affect plant operation. If the work order had been performed as written the scram would not,have occurred.
During the unit scram a false high temperature alarm in the HPCI led to isolation of HPCI.
This was attributed to a failed module in the temperature detection loop.
This event is reportable per 10 CFR 50.73(a)(2)(iv') due to the ESF and RPS train actuation, and 50.73(a)(2)(v) due to the isolation of the HPCI system, which this is a single system.
Corrective actions to prevent recurrence include a review of event by appropriate personnel and tighter controls for those activities which have the potential for ESF actuation.
NRC FORM 366 (5-92)
0 NRC FORM 366A U.S. NUCLEAR REGULATORY CQOIISSIOH APPROVED BY (H(B NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY NITH THIS INFORMATION COLLECTION REQUEST: 50.0 MRS'ORllARD COMMENTS REGARDING BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MANAGEMENT LICENSEE EVENT REPORT BRANCH (MNBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, TEXT CONTINUATION NASHINGTON, DC 20555-0001, AND TO THE PAPERNORK REDUCTION PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET, NASHINGTON, DC 20503 FACILITY NAME (1) DOCKET NlMBER (2) LER NIHIBER (6) PAGE (3)
'YEAR SEQUENTIAL REVISION NUMBER NUMBER Browns Ferry Unit 2 05000260 94 04 00 2 of 8 TEXT If more s ce s r vired use edd t onsl co les of HRC Form 366A (17)
I ~ PLANT CONDZTZONS Unit 2 was at 3288 megawatts thermal or 100 percent power. Units 1 and 3 were defueled.
DESCRIPTION OF EVENT Ao Event On April 15, 1994, at .0219 hours0.00253 days <br />0.0608 hours <br />3.621032e-4 weeks <br />8.33295e-5 months <br />, Unit 2 received a full scram from 100 percent power. At the time of this event, valve [ZSV) manipulations were being performed on the Scram Pilot Air Header
[LE]. The scram was generated by a Reactor Protection System (RPS) [JC] actuation due to a RPS trip signal generated by a low Scram Pilot Air Header pressure signal. The full power scram resulted in a low reactor water level which caused isolation or actuation signals to the following Primary Containment Isolation System [JE](PCIS) systems/components:
~ PCIS group 2, Shutdown cooling mode of Residual Heat Removal
[BO] system; Drywell floor drain isolation valve, Drywell equipment drain sump isolat'ion valve [WP]
~ PCIS group 3, Reactor Water Cleanup [CE)
~ PCIS group 6, Primary Containment Purge and Ventilation [JM];
Unit 2 Reactor Zone Ventilation [VB]; Refuel Zone Ventilation
[VA]; Standby Gas Treatment [BH)I Control Room Emergency Ventilation [VI)
~ PCIS group 8, Transverse Incore Probe [IG) withdrawal On April 15, at approximately 0200 hours0.00231 days <br />0.0556 hours <br />3.306878e-4 weeks <br />7.61e-5 months <br />, maintenance activities were in progress for the Standby Pressure Regulator (2-PIC-085-0067) on the Scram Pilot Air Header (See Figure). The work order for this activity specified that only the header isolation valve (2-085-261) on the inlet side of the pressure regulator needed to be closed to perform this activity. However, as an additional precaution, the operations and maintenance personnel involved in this activity also decided to close the outlet valve (2-085-243). However, the assigned ASOS did not realize that the cross-tie valve (2-085-244) was closed. While closing the outlet valve the ASOS observed a pressure spike on the lead pressure regulator pressure indication (2-PIC-85-0066). The closing of the outlet side valve isolated both the lead primary and standby pressure regulators.
Ol NRC FORM 366A U.S. NJCLEAR REGULATORY CQOIISSIOH APPROVED BY OMB NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 MRS ~ FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MANAGEMENT LICENSEE EVENT REPORT BRANCH (MHBB 7714), U.S. NUCLEAR REGULATORY COMMISSIONS TEXT CONTINUATION WASHINGTON, DC 20555-0001, AND TO THE PAPERWORK REDUCTION PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503 FACILITY NAME (1) DOCKET NIIBER (2) LER NUMBER (6) PAGE (3)
YEAR SEQUEH'IIAL REVISIOH NUMBER NUMBER Browns Ferry Unit 2 05000260 94 04 00 3 of 8 TEXT If more s ce is r Wired use additional co ies of NRC Form 366A (17)
O 331 PI%7A PI-67B 261 243 246 BAJ~RAM.ARJ 0 PI-7 0 0 262 P!46A PI-66B 263 260 O 244 0 PIC-66 SCRAM DISC AR PRESS LOW As a result, at 0218 hours0.00252 days <br />0.0606 hours <br />3.604497e-4 weeks <br />8.2949e-5 months <br />, the Unit 2 Reactor Operator received a low scram air header pressure alarm and a half scram on Reactor Protection System "A". The reactor operator then attempted to reset the alarm and contact the ASOS at the pressure regulator. At 0219 hours0.00253 days <br />0.0608 hours <br />3.621032e-4 weeks <br />8.33295e-5 months <br />, the Unit 2 Reactor received a full scram from a Scram Pilot Air Header Low Pressure set point trip. This was followed by a insertion of the control rods, and PCIS group 2, 3, 6, and 8 isolations. At 0220 hours0.00255 days <br />0.0611 hours <br />3.637566e-4 weeks <br />8.371e-5 months <br />, the main turbine generator [TA] tripped.
All systems responded as expected with the exception that operators received a Unit 2 High Pressure Coolant Injection (HPCI) System (BJ]
area temperature alarm indicating a possible steam leak. Affected systems were returned*to operable status by 0300 hours0.00347 days <br />0.0833 hours <br />4.960317e-4 weeks <br />1.1415e-4 months <br />. HPCI was returned to service at 0535 hours0.00619 days <br />0.149 hours <br />8.845899e-4 weeks <br />2.035675e-4 months <br /> after no abnormal conditions or alarms could be found.
f NRC FORH 366A U.S. NUCLEAR REGULATORY CAB(ISSI ON. APPROVED BY (WB NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COKPLY IJITH THIS INFORMATION COLLECT ION REOUEST: 50.0 HRS. FORIIARD COKKEHTS REGARDING BURDEH EST IHATE 'TO THE INFORMATION AMD RECORDS KAMAGEKENT LICENSEE EVENT REPORT BRANCH (HNBB 7714), UPS. NUCLEAR REGULATORY COKKISSION, TEXT CONTINUATION NASHINGTOM, DC 20555-0001, AND TO THE PAPERNORK REDUCTION PROJECT (3150-0104), OFFICE OF KAMAGEHENT AND BUDGET, NASHINGTOM, DC 20503 FACILITY NAKE (1) DOCKET NUKBER (2) LER NQ(BER (6) PAGE (3)
YEAR SEOUEM'IIAL REVISION NUMBER NUMBER Browns Ferry Unit 2 05000260 94 04 00 4 of 8 TEXT tf more s sce is r ired use additional co ies of NRC Form 366A (1/)
This event is reportable in accordance with 10 CFR 50.73(a)(2)(iv), as
'any event of condition that resulted in manual or automatic actuation of any engineered safety feature including the reactor protection system. Additionally, due to the isolation of HPCI which is a single train safety system, this event is reportable in accordance with 10 CFR 50.73(a)(2)(v)(A), as any event or condition that alone could have prevented the fulfillment of the safety function of structures of systems that are needed to shutdown the reactor and maintain it in a safe shutdown condition.
B. Ino erable Structures Cpm onents or S stems that Contributed to the Eventt None.
C~ Dates and A roximate Times of Ma'or Occurrences:
April 15, 1994 at 0205 CST ASOS began isolation of the Standby Pressure Regulator.
April 15, 1994 at 0219 CST The Unit 2 reactor received a full scram from a Scram Pilot Air Header Low Pressure set point trip.
April 15, 1994 at 0227 CST The Unit 2 Reactor Operator received the Unit 2 HPCI area temperature alarm indicating a possible steam leak. HPCI was manually isolated due to suspected steam leak.
April 15, 1994 at 0300 CST The PCIS actuation are reset, SBGT trains are returned to standby readiness.
April 15, 1994 at 0510 CST TVA'akes a 4 hour4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br /> nonemergency notification to NRC in accordance with 10 CFR 50.72(b)(2)(ii) and 10 CFR 50.72 (b)(2)(iii) ~
April 15, 1994 at 0535 CST HPCI was realigned to standby readiness.
~I NRC FORM 366A U.S. NUCLEAR REGULATORY CQIIISS ION APPROVED BY QNI NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION 'REQUEST: 50.0 HRS. FORIIARD COMMENTS REGARDING BURDEN EST IHATE TO THE INFORMATION AND RECORDS MANAGEMENT LICENSEE EVENT REPORT BRANCH (MNBB 7714), U.S. NUCLEAR REGULATORY COMMISSION, TEXT CONTINUATION WASHINGTON, DC 20555 0001, AND TO THE PAPERWORK REDUCTION PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON< DC 20503 FACILITY NAME (1) DOCKET NQIBER (2) LER NUMBER (6) PAGE (3)
'YEAR SEQUENTIAL REVI SION NUMBER NUMBER Browne Ferry Unit 2 05000260 04 00 5 of 8 TEXT If more s ce is r uired use additional co ies of NRC Form 366A (17)
D. Other S stems or Secondar Function Affected)
None.
E. Method of Discover The Unit 2 Operator received a Scram Pilot Air Header Low Pressure Alarm and a Half Scram In the Unit 2 Main Control Room.
These alarms were followed by alarms indicating a full reactor scram had occurred.
F< 0 erator Actions:
At the onset of the event the Unit 2 Reactor Operator attempted to reset the half scram that occurred when both pressure regulators were isolated. Upon receiving the full reactor scram on low scram pilot header pxessure the reactor operator performed the actions described by Abnormal Operating Znstruction "Reactor Scram," bringing the reactor to hot standby condition. The plant responded as expected with the exception of the HPCZ high temperature alarm wh'ich required HPCI to be manually isolated.
G. Safet S stem Res onsesf The safety systems listed in Section IIA of this report responded to the reactor scram as designed.
CAUSE OF THE EVENT A. Immediate Cause:
The immediate cause of the reactor scram was the isolation of both the primary and secondary Scram Pilot Header Air Pressure regulators. This isolation resulted in a low pressure condition which actuated the Scram Pilot Header Low Pressure Switches, completing the logic for a full scram of the reactor.
B~ Root Cause:
The root cause of this event is inappropriate personnel action.
The personnel involved in this event deviated from an approved work order without taking appropriate action to ensure that the resultant valve lineup would not adversely affect plant operation. The work order required only closure of the inlet valve to the pressure xegulator. However, as a further precautionary measure, the ASOS decided to isolate the downstream side of the regulator, but failed to communicate this action to the on-shift SOS.
HRC FORM 366A U.S. NUCLEAR REGULATORY CQHIISSION APPROVED BY (H(B HO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPL'Y llITH THIS INFORMATION COLLECTIOH REQUEST: 50 ' HRS FORHARD COMMENTS REGARDING BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MAHAGEHENT LICENSEE EVENT REPORT BRANCH (MNBB 7714), U.S. HUCLEAR REGULATORY COMMISSION, TEXT CONTZNUATZON llASHINGTON, DC 20555 0001, AND TO THE PAPERlIORK REDUCTION PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON DC 20503 FACILITY NAME (1) DOCKET NIHIBER (2) LER NIBBLER (6) PAGE (3)
'YEAR SEQUENI'IAL REVISIOH NUMBER NUMBER Browns Ferry Unit 2 05000260 94 04 00 6 of 8 TEXT If more s ce is r uired use additional co ies of NRC Form 366A (17)
The personnel involved recognized that the cross tie valve (2-085-244) must be open to provide flow to the lead pressure regulator (2-PZC-085-0066), but did not physically verify that the cross tie valve was open prior to closing the outlet isolation valve on the discharge side of the secondary pressure regulator. This action isolated both the primary and secondary pressure regulators on the Scram Pilot Air Header. This action also reduced the pressure to the Scram Pilot Header Low Pressure Switches to below the set point, causing the subsequent reactor scram.
Regarding the high temperature alarm for HPCI, TVA's investigation into this event determined that the actual temperature in the area was lower than that indicated by the alarm. Further investigation has revealed that an unexpected failure of a module in the temperature detection loop was the cause of the false high reading.
C. Contributin Factors:
Contributing to this event was a discrepancy between the plant Mechanical Control Diagram and the Flow Diagram utilized by the affected personnel during this event. The Mechanical Control Diagram indicated the normal position of the cross tie valve (2-085-244) to be open. The Flow Diagram depicts the normal position of the cross tie valve as closed. Contrary to Standard Operations Methods, the ASOS, performing the valve manipulations utilized the Mechanical Control Diagram when establishing isolation boundaries.
IV. ANALYSIS OF THE EVENT The design of the scram pilot air header piping requires that the Control Rod Dr'ive [AA) (CRD) system fail safe on loss of control air pressure. A low air pressure condition is a condition in which the control rods may randomly drift and the scram discharge volume may fill with water. This random drift could occur when the air pressure on the scram valve actuators is not sufficient to keep the valves seated. When the valves unseat, hydraulic pressure is applied to the hydraulic-control unit's piston and the control rod will drift in.
The set point of the air header pressure is selected to be low enough to prevent spurious trips, but high enough to prevent unseating of the scram valves. In the event, the RPS'ctuation occurred as designed and all systems functioned as expected. Therefore, this event had no safety significance.
0 NRC FORH 366A U.S. NUCLEAR REGULATORY CCHHI SSION APPROVED BZ MB NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS ~ FORWARD COMMENTS REGARDING BURDEN ESTIHATE TO THE INFORHATION AND RECORDS MANAGEMEHT LICENSEE EVENT REPORT BRANCH (MNBB 7714), 'U.ST NUCLEAR REGULATORY COMMISSION, TEXT CONTINUATION WASHINGTON, DC 20555-0001, AND TO THE PAPERWORK REDUCTIOH PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503 FACILITY NAME (1) DOCKET NINBER (2) LER HWBER (6) PAGE (3)
YEAR SEQUENTIAL REVI SI OH NUHBER NUMBER Browns Ferry Unit 2 05000260 94 04 00 7 of 8 TEXT If more s ee is r uired use additional co ies of NRC Form 366A (17)
V CORRECTIVE ACTIONS A. Immediate Corrective Actions:
The affected systems were restored to operable status.
Concerning the root cause of the event, appropriate personnel corrective actions were taken regarding the individuals involved in this event.
Concerning the contributing factors in the event, TVA issued Night Orders stating that the Flow Diagrams not the Mechanical Control Diagrams are be utilized for valve alignments.
Additionally, the drawing discrepancy that contributed to this event was revised.
The failed HPCI area temperature detection loop module was replaced prior to returning Unit 2 to power operation.
Bo Corrective Actions to Prevent Recurrence:
TVA will develop controls which provide additional reviews for maintenance activities which have the potential to cause a reactor scram on the operating unit.
This event will be reviewed by the appropriate Operations, Maintenance, and Technical Support Personnel.
TVA will evaluate the methods and controls for approval and documentation of the manipulation of components outside the prescribed steps of a Work Order.
Though not essential to prevent recurrence of this event, TVA reviewed the Mechanical Control Prints for the CRD and Control Air systems. Other minor discrepancies identified by the review were also corrected. Additionally, TVA selected four other systems and reviewed them for valve position, component sequence/process configuration. The review provided a high degree of confidence that other major discrepancies that could cause a reactor scram are unlikely.
0 0 NRC FORH 366A U.S. NUCLEAR REGULATORY COHIISSION APPROVED BY (NIB NO. 3150-0104 (5-92) EXPIRES 5/3'I/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY WITH THIS INFORHATION COLLECTION REQUEST: 50.0 HRS. FORWARD COHHENTS REGARDING BURDEN ESTIHATE TO THE INFORHATION AND RECORDS HANAGEHENT LICENSEE EVENT REPORT BRANCH (HNBB 7714), U.S. NUCLEAR REGULATORY COHHISSION, TEXT CONTINUATION WASHINGTON, DC 20555-0001, AND TO THE PAPERWORK REDUCTION PROJECT (3150-0'l04), OFFICE OF 'HANAGEHENT AND BUDGET, WASHINGTON, DC 20503 FACILITY NAHE (1) DOCKET NIRIBER (2) LER NLNBER (6) PAGE (3)
YEAR SEQUEHTIAL REVISION NUHBER NUHBER Browns Ferry Unit 2 05000260 94 04 00 8 of 8 TEXT If more s ce is r uired use edditionsi co ies of NRC Form 3 66A (17)
VZ ~ ADDITIONAL INFORMATION A. Failed Cpm onentsi An unexpected failure -of a module, Model PllG-1 manufactured by Panagard, in the. temperature detection loop for the HPCI area high temperature alarm. This resulted in a higher than actual area temperature indication, requiring that HPCI be isolated during the unit scram.
B. Previous LERs on Similar Events:
LER 260/89028 was issued for an event involving the Scram Pilot Air Header. In this event personnel were installing 2-PI-085-0067A when a solder joint in the same section of the Scram Pilot Air Header failed. This reduced the header pressure to the RPS actuation set point.
TVA reviewed the circumstances surrounding the declaring HPCI inoperable during the unit scram, and found no record of having to declare HPCI inoperable because of a false high area temperature.
VII+ Commitments This event will be reviewed by the appropriate Operations, Maintenance and Technical Support Personnel. This review will be completed by July 15, 1994.
- 2. TVA will develop controls which provide additional reviews for activities which have the potential to cause a reactor scram on the operating unit. This will be completed by July 15, 1994.
3 ~ TVA will evaluate the methods and controls for approval documentation of the manipulation of components outside the prescribed steps of a Work Order. This evaluation will be completed by July 15, 1994.
Energy Industry Identification System (EIZS) system and component codes are identified in the text with brackets (e.g., [XX)).
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