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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17292B7421999-07-20020 July 1999 LER 99-001-00:on 990628,ESF Signal Closed All Eight MSIVs While Plant Was Shutdown.Caused by Failure of Relay RPS-RLY-K10D.Subject Relay Was Replaced & Tested on 990630. with 990720 Ltr ML17292B4451998-10-27027 October 1998 LER 98-012-01:on 980715,failure to Comply with Requirements of TS SR 3.8.4.7 Was Noted.Caused by Inadequate Work Practices.Training Session Was Held with Personnel.With 981027 Ltr ML17284A7561998-09-0303 September 1998 LER 98-013-00:on 980805,ESF Actuations Were Noted Due to Deenergization of Vital Electrical Bus SM-8.Caused by Inadequate Direction in Troubleshooting Plan.Will Conduct Training for Engineering Personnel.With 980903 Ltr ML17284A7571998-09-0202 September 1998 LER 98-014-00:on 980807,completion of TS 3.8.1.F Required Shutdown Due to Inoperability of EDG-2 Was Noted.Caused by Degraded Voltage Regulator for DG-2.Replaced Voltage Regulator & Associated Scrs.With 980902 Ltr ML17284A7551998-09-0202 September 1998 LER 98-015-00:on 980808,discovered Reactor Coolant Pressure Boundary Leak During Shutdown Conditions.Caused by Leakage from Socket Weld (Fwb 63) on Elbow Connection.Failed Piping Connection Was Replaced.With 980902 Ltr ML17284A7311998-08-17017 August 1998 LER 98-012-00:on 980716,determined That 24-month SR 3.8.4.7 Had Not Been Fulfilled within Specified Frequency.Caused by Inadequate Work Practices.License Requested & Received Enforcement Discretion Re Battery Svc test.W/980817 Ltr ML17284A7121998-07-23023 July 1998 LER 98-006-01:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of 10CFR50,App R Calculations for High Impedance Faults.Caused by Inadequate Work Practices.Implemented Procedural Changes ML17284A6951998-07-17017 July 1998 LER 98-011-00:on 980617,ECCS Pump Room Flooding Was Noted Due to FP Sys Pipe Break.Caused by Inadequate Design of FP Sys.Detailed Review of FP Sys Design Was Conducted. W/980717 Ltr ML17284A6961998-07-15015 July 1998 LER 98-010-00:on 980615,TS Required Shutdown Due to Inoperability of TIP Sys Isolation Valve Was Noted.Caused by Improper Installation of TIP Tubing.Reattached Affected Tubing & Inspected Other TIP tubing.W/980715 Ltr ML17284A6731998-07-0101 July 1998 LER 98-009-00:on 980606,nuclear Steam Supply Shutoff Sys Group 3 & 4 Isolations During Testing Was Noted.Caused by Procedural Deficiency.Counseled Individuals Involved in preparation.W/980701 Ltr ML17284A6651998-06-24024 June 1998 LER 98-007-00:on 980530,inadvertent Full Scram & Division 1 ECCS Injection Was Noted.Caused by Failure to Meet Mgt Work Practice Expectation When Encountering Deficient Procedure. Incident Review Board Convened to Review event.W/980624 Ltr ML17284A6641998-06-24024 June 1998 LER 98-008-00:on 980531,inadvertent Full Scram During RPV Leak Testing in Mode 4 Was Noted.Caused by Change in Mgt Techniques.Revised Procedures to Take Into Account Addl Water Head in Pressure Sensing lines.W/980624 Ltr ML17284A6631998-06-19019 June 1998 LER 98-006-00:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of App R Calculations for High Impedance Fault Analysis.Caused Indeterminate. Implemented Procedural Changes Involving Operator Action ML17284A6551998-06-0404 June 1998 LER 98-005-00:on 980506,potential for Failure of RHR Sys Valve to Close on Isolation Signal Was Noted.Caused by Design Deficiency.Caution Tag Was Placed on RHR-V-40 Control Switch to Inform Plant Operators of limitation.W/980604 Ltr ML17284A6421998-06-0101 June 1998 LER 98-004-00:on 980502,determined That Primary Containment Penetration Overcurrent Protection Does Not Meet Reg Guide 1.63 Requirements.Caused by Inadequate Design Changes. Installed Addl Fuse in RHR-MO-9 circuit.W/980601 Ltr ML17292B3281998-04-0909 April 1998 LER 98-002-00:on 980311,reactor Scram & Plant Transient Occurred,Due to Failed Closed Main Steam Isolation Valve. Caused by Loss of Pneumatic Actuating Supply Pressure. Problem Evaluation Request Written for Failure of MS-V-22D ML17292B3291998-04-0909 April 1998 LER 98-003-00:on 980311,WNP-2 Experienced SCRAM Signal as Result of Low Rpv.Caused by Less than post-SCRAM Operational Strategy for Resetting SCRAM Signal in Conditions.Changes in post-SCRAM Operational Strategy implemented.W/980409 Ltr ML17292B2661998-03-0404 March 1998 LER 98-001-00:on 980203,automatic Start of HPCS EDG Was Noted.Caused by Operator Error.Operations Crew Stabilized Plant at Approximately 75% Reactor Power & Investigation of Event Was initiated.W/980304 Ltr ML17292B1111997-11-10010 November 1997 LER 97-011-00:on 971010,HPCS Battery Charger Failed.Caused by Failure of a Phase Firing Control Circuit Board Due to Aging During 7 Yrs of Use.Hpcs Sys Was Immediately Declared inoperable.W/971110 Ltr ML17292B1151997-11-0707 November 1997 LER 97-010-00:on 970906,discovered That TS SR 3.4.5.1 for Identified Portion of RCS Total Leakage Would Not Be Able to Perform within Time Limits of SR 3.0.2.Caused by Inadequate Methods.Method of Meeting SR 3.4.5.1 Established ML17292B0641997-09-24024 September 1997 LER 97-004-01:on 970327,plant Operators Manually Scrammed Reactor as Required by TS Due to Indication of Entry Into Region a of power-to-flow Map.Caused by Inadequate Attention to Detail.Established Event Evaluation teams.W/970924 Ltr ML17292B0241997-08-18018 August 1997 LER 97-009-00:on 970717,discovered Error in Recently Performed Inservice Testing procedure,OSP-TIP/IST-R701. Caused by Procedure Inadequacy.Plant Procedure OSP/TIP/IST-R701 Will Be changed.W/970818 Ltr ML17292B0291997-08-15015 August 1997 LER 97-008-00:on 970716,wire Seal Used to Lock Containment Instrument Air Pressure Control valve,CIA-PCV-2B,found Not Intact.Cause of Misadjustment of CIA-PCV-2B Unknown.Event Will Be Communicated to Plant employees.W/970815 Ltr ML17292B0201997-08-15015 August 1997 LER 97-S01-00:on 970718,failure to Take Compensatory Measure for Inoperative Microwave Security Zone Occurred. Caused by Personnel Error.Training Will Be Conducted W/ Appropriate Members of Security force.W/970815 Ltr ML17292A9481997-07-23023 July 1997 LER 97-007-00:on 970611,voluntary Rept of Automatic Start of DG-1 & DG-2 Was Experienced.Caused by Undervoltage Condition on Electrical Busses SM-7 & SM-8.Circulating Water Pump CW-P-1C Control Switch Placed in pull-to-lock.W/970723 Ltr ML17292A9201997-06-26026 June 1997 LER 97-006-00:on 970527,non-performance of Surveillance Requirement 3.6.1.3.2 for Blind Fanges,Was Noted.Caused Because Misunderstanding of Intent of Specs.Added Five Structural Assemblies for SP.W/970626 Ltr ML17292A8331997-04-28028 April 1997 LER 97-004-00:on 970327,plant Operators Manually Scrammed Reactor as Required by TS Due to Entry Into Region a of power-to-flow Map Following Planned Trip of Single Mfp. Event Evaluation teams,established.W/970428 Ltr ML17292A8311997-04-28028 April 1997 LER 97-005-00:on 970327,valid Reactor Scram Signal Received Due to Low Water Level Condition During Preparations for SRV Testing.Caused by Risks & Consequences of Decisions Not Completely Identified.Restored Water level.W/970428 Ltr ML17292A8251997-04-21021 April 1997 LER 97-003-00:on 970320,notification of Noncompliance W/Ts as TS SRs for Response Time Testing Were Not Being Met for Specified Instrumentation in Rps,Pcis & Eccs.Requested Enforcement Discretion for One Time exemption.W/970421 Ltr ML17292A7431997-03-20020 March 1997 LER 97-002-00:on 970218,determined That Rod Block Monitor (RBM) Calibr Values Were Not Set IAW Tech Specs.Caused by Calibr Procedures Inadequacies.Revised & re-performed RBM Channel Calibr procedures.W/970330 Ltr ML17292A7401997-03-13013 March 1997 LER 97-001-00:on 970211,reactor Water Cleanup Sys Blowdown Flow Isolation Setpoint Was Slightly Above TS Allowable Valve Occurred Due to Calculation Error.Lds Fss LD-FS-15 LD-FS-16 Were Declared inoperable.W/970313 Ltr ML17292A6641997-01-22022 January 1997 LER 96-009-00:on 961220,miscalculation of Instantaneous Overcurrent Relay Settings Resulted in Inoperability of safety-related Equipment.Caused by Utilization of Inappropriate Design.Testing Was completed.W/970122 Ltr ML17292A6461997-01-0606 January 1997 LER 96-008-00:on 961205,failure to Comply with TS Action Requirement for Emergency Core Cooling Sys Actuation Instrumentation Occurred Due to Unidentified Inoperability Condition.Pmr initiated.W/970106 Ltr ML17292A6371996-12-19019 December 1996 LER 96-007-00:on 961122,electrical Breakers Were Not Seismically Qualified in Test/Disconnect Position.Circuit Breaker Mfg Did Not Consider Raced Out Breaker Position During Testing.Relocated Circuit breakers.W/961217 Ltr ML17292A4121996-08-0808 August 1996 LER 96-006-00:on 960709,average Power Range Monitor Rod Block Downscale Surveillance Not Performed Prior to Entry Into Mode 1.Caused by long-standing Misinterpretation of Requirements of Tss.Procedures revised.W/960808 Ltr ML17292A3801996-07-24024 July 1996 LER 96-004-00:on 960624,plant Was Manually Scrammed by Control Room Personnel Due to Reactor Water Level Transient Experienced During Testing of Digital Feedwater Sys.Caused by Programming Error.Sys Was corrected.W/960724 Ltr ML17292A3771996-07-24024 July 1996 LER 96-005-00:on 960624,determined Missed Surveillance Test Re Channel Check of Average Power Range Monitor.Caused by Inadequate Procedures.Revised Surveillance Procedure Re When APRM Checks Must Be performed.W/960724 Ltr ML17292A3641996-07-12012 July 1996 LER 96-003-00:on 960615,required Surveillance Test Not Performed When Required by TS 3.4.1.3.Caused by Inadequate Procedures.Implementing Surveillance Procedure & Reactor Plant Startup Procedures revised.W/960712 Ltr ML17292A3361996-06-20020 June 1996 LER 96-002-00:on 960504,critical Bus SM-8 Lost Power When Supply Breaker 3-8 Tripped.Caused by Personnel Error. Operators Counselled & Procedures revised.W/960620 Ltr ML17292A2861996-05-24024 May 1996 LER 96-001-00:on 960425,inadvertent ESF Actuations Occurred Due to Tripping of Temporary Power Supply to IN-3.Caused by Personnel Error.Operations Restored to IN-3 Loads & Reset ESF actuations.W/960524 Ltr ML17291B0891995-10-19019 October 1995 LER 95-011-00:on 950919,failed to Comply W/Ts SR for RCIC Sys Due to Analysis Deficiency That Resulted in Inadequate Surveillance Test Procedure.Surveillance Procedure Revised to Correct deficiency.W/951019 Ltr ML17291A9021995-07-0707 July 1995 LER 95-010-00:on 950609,HPCS DG Declared Inoperable Due to Discovery That TS Test Method Incomplete.Caused by Inadequate Testing Procedure.Test Procedure for HPCS DG Reviewed & Special Test Procedures written.W/950707 Ltr ML17291A9031995-07-0707 July 1995 LER 95-009-00:on 950607,inadvertent MSIV Closure Occurred During Surveillance Test Due to Poor Communication Between Test Team.Determined That MSIV Closure Not Valid Because Closure Not Triggered by Plant conditions.W/950707 Ltr ML17291A8501995-06-0808 June 1995 LER 95-006-01:on 950405,reactor Scram Occurred During Surveillance Testing Due to Protective Sys Relay Failure. Replaced Failed Relay Before Plant Startup ML17291A8101995-05-12012 May 1995 LER 95-008-00:on 940125,TS Wording Lead to Potential TS Violation.Caused by Lack of Clarity in Ts.Submitted Improved TS for Plant to Provide Addl clarity.W/950512 Ltr ML17291A7841995-05-0505 May 1995 LER 95-007-00:on 950222,emergency Diesel Start Occurred Due to Voltage Transient on BPA Grid.Confirmation Was Received at 17:51 H That Disturbance Had Originated in BPA Grid ML17291A7801995-05-0404 May 1995 LER 95-006-00:on 950405,main Turbine Trip Occurred During Performance of Surveillance Test Due to Protective Sys Relay Failed.Replaced Failed Relay Before Plant startup.W/950504 Ltr ML17291A7851995-05-0303 May 1995 LER 95-005-00:on 950222,inoperable IRM Had Been Relied Upon to Meet TS Requirements During Reactor Startup.Caused by Lack of Neutron Source to Test Instrumentation. Sys Knowledge Gained Will Be incorporated.W/950503 Ltr ML17291A7071995-03-25025 March 1995 LER 95-004-00:on 950226,malfunction in Main Turbine DEH Control Sys Caused All Four High Pressure Turbine Governor Valves to Rapidly Close.Caused by Blown Fuse.Suspected Faulty Circuit Card replaced.W/950325 Ltr ML17291A7011995-03-20020 March 1995 LER 95-002-00:on 950218,automatic Reactor Scram Occurred. Caused by Erroneous Positioning of Control During Performance of Scheduled Periodic Functional Test.Control repositioned.W/950320 Ltr 1999-07-20
[Table view] Category:RO)
MONTHYEARML17292B7421999-07-20020 July 1999 LER 99-001-00:on 990628,ESF Signal Closed All Eight MSIVs While Plant Was Shutdown.Caused by Failure of Relay RPS-RLY-K10D.Subject Relay Was Replaced & Tested on 990630. with 990720 Ltr ML17292B4451998-10-27027 October 1998 LER 98-012-01:on 980715,failure to Comply with Requirements of TS SR 3.8.4.7 Was Noted.Caused by Inadequate Work Practices.Training Session Was Held with Personnel.With 981027 Ltr ML17284A7561998-09-0303 September 1998 LER 98-013-00:on 980805,ESF Actuations Were Noted Due to Deenergization of Vital Electrical Bus SM-8.Caused by Inadequate Direction in Troubleshooting Plan.Will Conduct Training for Engineering Personnel.With 980903 Ltr ML17284A7571998-09-0202 September 1998 LER 98-014-00:on 980807,completion of TS 3.8.1.F Required Shutdown Due to Inoperability of EDG-2 Was Noted.Caused by Degraded Voltage Regulator for DG-2.Replaced Voltage Regulator & Associated Scrs.With 980902 Ltr ML17284A7551998-09-0202 September 1998 LER 98-015-00:on 980808,discovered Reactor Coolant Pressure Boundary Leak During Shutdown Conditions.Caused by Leakage from Socket Weld (Fwb 63) on Elbow Connection.Failed Piping Connection Was Replaced.With 980902 Ltr ML17284A7311998-08-17017 August 1998 LER 98-012-00:on 980716,determined That 24-month SR 3.8.4.7 Had Not Been Fulfilled within Specified Frequency.Caused by Inadequate Work Practices.License Requested & Received Enforcement Discretion Re Battery Svc test.W/980817 Ltr ML17284A7121998-07-23023 July 1998 LER 98-006-01:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of 10CFR50,App R Calculations for High Impedance Faults.Caused by Inadequate Work Practices.Implemented Procedural Changes ML17284A6951998-07-17017 July 1998 LER 98-011-00:on 980617,ECCS Pump Room Flooding Was Noted Due to FP Sys Pipe Break.Caused by Inadequate Design of FP Sys.Detailed Review of FP Sys Design Was Conducted. W/980717 Ltr ML17284A6961998-07-15015 July 1998 LER 98-010-00:on 980615,TS Required Shutdown Due to Inoperability of TIP Sys Isolation Valve Was Noted.Caused by Improper Installation of TIP Tubing.Reattached Affected Tubing & Inspected Other TIP tubing.W/980715 Ltr ML17284A6731998-07-0101 July 1998 LER 98-009-00:on 980606,nuclear Steam Supply Shutoff Sys Group 3 & 4 Isolations During Testing Was Noted.Caused by Procedural Deficiency.Counseled Individuals Involved in preparation.W/980701 Ltr ML17284A6651998-06-24024 June 1998 LER 98-007-00:on 980530,inadvertent Full Scram & Division 1 ECCS Injection Was Noted.Caused by Failure to Meet Mgt Work Practice Expectation When Encountering Deficient Procedure. Incident Review Board Convened to Review event.W/980624 Ltr ML17284A6641998-06-24024 June 1998 LER 98-008-00:on 980531,inadvertent Full Scram During RPV Leak Testing in Mode 4 Was Noted.Caused by Change in Mgt Techniques.Revised Procedures to Take Into Account Addl Water Head in Pressure Sensing lines.W/980624 Ltr ML17284A6631998-06-19019 June 1998 LER 98-006-00:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of App R Calculations for High Impedance Fault Analysis.Caused Indeterminate. Implemented Procedural Changes Involving Operator Action ML17284A6551998-06-0404 June 1998 LER 98-005-00:on 980506,potential for Failure of RHR Sys Valve to Close on Isolation Signal Was Noted.Caused by Design Deficiency.Caution Tag Was Placed on RHR-V-40 Control Switch to Inform Plant Operators of limitation.W/980604 Ltr ML17284A6421998-06-0101 June 1998 LER 98-004-00:on 980502,determined That Primary Containment Penetration Overcurrent Protection Does Not Meet Reg Guide 1.63 Requirements.Caused by Inadequate Design Changes. Installed Addl Fuse in RHR-MO-9 circuit.W/980601 Ltr ML17292B3281998-04-0909 April 1998 LER 98-002-00:on 980311,reactor Scram & Plant Transient Occurred,Due to Failed Closed Main Steam Isolation Valve. Caused by Loss of Pneumatic Actuating Supply Pressure. Problem Evaluation Request Written for Failure of MS-V-22D ML17292B3291998-04-0909 April 1998 LER 98-003-00:on 980311,WNP-2 Experienced SCRAM Signal as Result of Low Rpv.Caused by Less than post-SCRAM Operational Strategy for Resetting SCRAM Signal in Conditions.Changes in post-SCRAM Operational Strategy implemented.W/980409 Ltr ML17292B2661998-03-0404 March 1998 LER 98-001-00:on 980203,automatic Start of HPCS EDG Was Noted.Caused by Operator Error.Operations Crew Stabilized Plant at Approximately 75% Reactor Power & Investigation of Event Was initiated.W/980304 Ltr ML17292B1111997-11-10010 November 1997 LER 97-011-00:on 971010,HPCS Battery Charger Failed.Caused by Failure of a Phase Firing Control Circuit Board Due to Aging During 7 Yrs of Use.Hpcs Sys Was Immediately Declared inoperable.W/971110 Ltr ML17292B1151997-11-0707 November 1997 LER 97-010-00:on 970906,discovered That TS SR 3.4.5.1 for Identified Portion of RCS Total Leakage Would Not Be Able to Perform within Time Limits of SR 3.0.2.Caused by Inadequate Methods.Method of Meeting SR 3.4.5.1 Established ML17292B0641997-09-24024 September 1997 LER 97-004-01:on 970327,plant Operators Manually Scrammed Reactor as Required by TS Due to Indication of Entry Into Region a of power-to-flow Map.Caused by Inadequate Attention to Detail.Established Event Evaluation teams.W/970924 Ltr ML17292B0241997-08-18018 August 1997 LER 97-009-00:on 970717,discovered Error in Recently Performed Inservice Testing procedure,OSP-TIP/IST-R701. Caused by Procedure Inadequacy.Plant Procedure OSP/TIP/IST-R701 Will Be changed.W/970818 Ltr ML17292B0291997-08-15015 August 1997 LER 97-008-00:on 970716,wire Seal Used to Lock Containment Instrument Air Pressure Control valve,CIA-PCV-2B,found Not Intact.Cause of Misadjustment of CIA-PCV-2B Unknown.Event Will Be Communicated to Plant employees.W/970815 Ltr ML17292B0201997-08-15015 August 1997 LER 97-S01-00:on 970718,failure to Take Compensatory Measure for Inoperative Microwave Security Zone Occurred. Caused by Personnel Error.Training Will Be Conducted W/ Appropriate Members of Security force.W/970815 Ltr ML17292A9481997-07-23023 July 1997 LER 97-007-00:on 970611,voluntary Rept of Automatic Start of DG-1 & DG-2 Was Experienced.Caused by Undervoltage Condition on Electrical Busses SM-7 & SM-8.Circulating Water Pump CW-P-1C Control Switch Placed in pull-to-lock.W/970723 Ltr ML17292A9201997-06-26026 June 1997 LER 97-006-00:on 970527,non-performance of Surveillance Requirement 3.6.1.3.2 for Blind Fanges,Was Noted.Caused Because Misunderstanding of Intent of Specs.Added Five Structural Assemblies for SP.W/970626 Ltr ML17292A8331997-04-28028 April 1997 LER 97-004-00:on 970327,plant Operators Manually Scrammed Reactor as Required by TS Due to Entry Into Region a of power-to-flow Map Following Planned Trip of Single Mfp. Event Evaluation teams,established.W/970428 Ltr ML17292A8311997-04-28028 April 1997 LER 97-005-00:on 970327,valid Reactor Scram Signal Received Due to Low Water Level Condition During Preparations for SRV Testing.Caused by Risks & Consequences of Decisions Not Completely Identified.Restored Water level.W/970428 Ltr ML17292A8251997-04-21021 April 1997 LER 97-003-00:on 970320,notification of Noncompliance W/Ts as TS SRs for Response Time Testing Were Not Being Met for Specified Instrumentation in Rps,Pcis & Eccs.Requested Enforcement Discretion for One Time exemption.W/970421 Ltr ML17292A7431997-03-20020 March 1997 LER 97-002-00:on 970218,determined That Rod Block Monitor (RBM) Calibr Values Were Not Set IAW Tech Specs.Caused by Calibr Procedures Inadequacies.Revised & re-performed RBM Channel Calibr procedures.W/970330 Ltr ML17292A7401997-03-13013 March 1997 LER 97-001-00:on 970211,reactor Water Cleanup Sys Blowdown Flow Isolation Setpoint Was Slightly Above TS Allowable Valve Occurred Due to Calculation Error.Lds Fss LD-FS-15 LD-FS-16 Were Declared inoperable.W/970313 Ltr ML17292A6641997-01-22022 January 1997 LER 96-009-00:on 961220,miscalculation of Instantaneous Overcurrent Relay Settings Resulted in Inoperability of safety-related Equipment.Caused by Utilization of Inappropriate Design.Testing Was completed.W/970122 Ltr ML17292A6461997-01-0606 January 1997 LER 96-008-00:on 961205,failure to Comply with TS Action Requirement for Emergency Core Cooling Sys Actuation Instrumentation Occurred Due to Unidentified Inoperability Condition.Pmr initiated.W/970106 Ltr ML17292A6371996-12-19019 December 1996 LER 96-007-00:on 961122,electrical Breakers Were Not Seismically Qualified in Test/Disconnect Position.Circuit Breaker Mfg Did Not Consider Raced Out Breaker Position During Testing.Relocated Circuit breakers.W/961217 Ltr ML17292A4121996-08-0808 August 1996 LER 96-006-00:on 960709,average Power Range Monitor Rod Block Downscale Surveillance Not Performed Prior to Entry Into Mode 1.Caused by long-standing Misinterpretation of Requirements of Tss.Procedures revised.W/960808 Ltr ML17292A3801996-07-24024 July 1996 LER 96-004-00:on 960624,plant Was Manually Scrammed by Control Room Personnel Due to Reactor Water Level Transient Experienced During Testing of Digital Feedwater Sys.Caused by Programming Error.Sys Was corrected.W/960724 Ltr ML17292A3771996-07-24024 July 1996 LER 96-005-00:on 960624,determined Missed Surveillance Test Re Channel Check of Average Power Range Monitor.Caused by Inadequate Procedures.Revised Surveillance Procedure Re When APRM Checks Must Be performed.W/960724 Ltr ML17292A3641996-07-12012 July 1996 LER 96-003-00:on 960615,required Surveillance Test Not Performed When Required by TS 3.4.1.3.Caused by Inadequate Procedures.Implementing Surveillance Procedure & Reactor Plant Startup Procedures revised.W/960712 Ltr ML17292A3361996-06-20020 June 1996 LER 96-002-00:on 960504,critical Bus SM-8 Lost Power When Supply Breaker 3-8 Tripped.Caused by Personnel Error. Operators Counselled & Procedures revised.W/960620 Ltr ML17292A2861996-05-24024 May 1996 LER 96-001-00:on 960425,inadvertent ESF Actuations Occurred Due to Tripping of Temporary Power Supply to IN-3.Caused by Personnel Error.Operations Restored to IN-3 Loads & Reset ESF actuations.W/960524 Ltr ML17291B0891995-10-19019 October 1995 LER 95-011-00:on 950919,failed to Comply W/Ts SR for RCIC Sys Due to Analysis Deficiency That Resulted in Inadequate Surveillance Test Procedure.Surveillance Procedure Revised to Correct deficiency.W/951019 Ltr ML17291A9021995-07-0707 July 1995 LER 95-010-00:on 950609,HPCS DG Declared Inoperable Due to Discovery That TS Test Method Incomplete.Caused by Inadequate Testing Procedure.Test Procedure for HPCS DG Reviewed & Special Test Procedures written.W/950707 Ltr ML17291A9031995-07-0707 July 1995 LER 95-009-00:on 950607,inadvertent MSIV Closure Occurred During Surveillance Test Due to Poor Communication Between Test Team.Determined That MSIV Closure Not Valid Because Closure Not Triggered by Plant conditions.W/950707 Ltr ML17291A8501995-06-0808 June 1995 LER 95-006-01:on 950405,reactor Scram Occurred During Surveillance Testing Due to Protective Sys Relay Failure. Replaced Failed Relay Before Plant Startup ML17291A8101995-05-12012 May 1995 LER 95-008-00:on 940125,TS Wording Lead to Potential TS Violation.Caused by Lack of Clarity in Ts.Submitted Improved TS for Plant to Provide Addl clarity.W/950512 Ltr ML17291A7841995-05-0505 May 1995 LER 95-007-00:on 950222,emergency Diesel Start Occurred Due to Voltage Transient on BPA Grid.Confirmation Was Received at 17:51 H That Disturbance Had Originated in BPA Grid ML17291A7801995-05-0404 May 1995 LER 95-006-00:on 950405,main Turbine Trip Occurred During Performance of Surveillance Test Due to Protective Sys Relay Failed.Replaced Failed Relay Before Plant startup.W/950504 Ltr ML17291A7851995-05-0303 May 1995 LER 95-005-00:on 950222,inoperable IRM Had Been Relied Upon to Meet TS Requirements During Reactor Startup.Caused by Lack of Neutron Source to Test Instrumentation. Sys Knowledge Gained Will Be incorporated.W/950503 Ltr ML17291A7071995-03-25025 March 1995 LER 95-004-00:on 950226,malfunction in Main Turbine DEH Control Sys Caused All Four High Pressure Turbine Governor Valves to Rapidly Close.Caused by Blown Fuse.Suspected Faulty Circuit Card replaced.W/950325 Ltr ML17291A7011995-03-20020 March 1995 LER 95-002-00:on 950218,automatic Reactor Scram Occurred. Caused by Erroneous Positioning of Control During Performance of Scheduled Periodic Functional Test.Control repositioned.W/950320 Ltr 1999-07-20
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17284A9001999-10-31031 October 1999 Rev 0 to COLR 99-15, WNP-2 Cycle 15,COLR GO2-99-177, LER 99-S01-00:on 990903,failure to Take Compensatory Measure within Required Time Upon Failure of Isolation Zone Microwave Unit,Was Noted.Caused by Personnel Error.Provided Refresher Training on Compensatory Measures.With1999-10-0101 October 1999 LER 99-S01-00:on 990903,failure to Take Compensatory Measure within Required Time Upon Failure of Isolation Zone Microwave Unit,Was Noted.Caused by Personnel Error.Provided Refresher Training on Compensatory Measures.With ML17284A8941999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for WNP-2.With 991012 Ltr ML17284A8801999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for WNP-2.With 990910 Ltr ML17284A8691999-07-31031 July 1999 Monthly Operating Rept for July 1999 for WNP-2.With 990813 Ltr ML17292B7421999-07-20020 July 1999 LER 99-001-00:on 990628,ESF Signal Closed All Eight MSIVs While Plant Was Shutdown.Caused by Failure of Relay RPS-RLY-K10D.Subject Relay Was Replaced & Tested on 990630. with 990720 Ltr ML17292B7271999-06-30030 June 1999 Monthly Operating Rept for June 1999 for WNP-2.With 990707 Ltr ML17292B6961999-05-31031 May 1999 Monthly Operating Repts for May 1999 for WNP-2.With 990608 Ltr ML17292B6641999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for WNP-2.With 990507 Ltr ML17292B6391999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for WNP-2.With 990413 Ltr ML17292B5871999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for WNP-2.With 990311 Ltr ML17292B5571999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for WNP-2.With 990210 Ltr ML17292B5621999-01-31031 January 1999 Rev 1 to COLR 98-14, WNP-2 Cycle 14 Colr. ML17292B5341999-01-15015 January 1999 Part 21 Rept Re Incorrect Modeling of BWR Lower Plenum Vol in Bison.Defect Applies Only to Reload Fuel Assemblies Currently in Operation at WNP-2.BISON Code Model for WNP-2 Has Been Revised to Correct Error ML17292B5331999-01-15015 January 1999 Part 21 Rept Re XL-S96 CPR Correlation for SVEA-96 Fuel. Defect Applies Only to WNP-2,during Cycles 12,13 & 14 Operation.Evaluations of Defect Performed by ABB-CE ML17292B4791998-12-31031 December 1998 Washington Public Power Supply Sys 1998 Annual Rept. with 981215 Ltr ML17292B5351998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for WNP-2.With 990112 Ltr ML17292B5741998-12-31031 December 1998 WNP-2 1998 Annual Operating Rept. with 990225 Ltr ML17284A8231998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for WNP-2.With 981207 Ltr ML17284A8081998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for WNP-2.With 981110 Ltr ML17292B4451998-10-27027 October 1998 LER 98-012-01:on 980715,failure to Comply with Requirements of TS SR 3.8.4.7 Was Noted.Caused by Inadequate Work Practices.Training Session Was Held with Personnel.With 981027 Ltr ML17284A7831998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for WNP-2.With 981007 Ltr ML17284A7491998-09-10010 September 1998 WNP-2 Inservice Insp Summary Rept for Refueling Outage RF13 Spring,1998. ML17284A7561998-09-0303 September 1998 LER 98-013-00:on 980805,ESF Actuations Were Noted Due to Deenergization of Vital Electrical Bus SM-8.Caused by Inadequate Direction in Troubleshooting Plan.Will Conduct Training for Engineering Personnel.With 980903 Ltr ML17284A7571998-09-0202 September 1998 LER 98-014-00:on 980807,completion of TS 3.8.1.F Required Shutdown Due to Inoperability of EDG-2 Was Noted.Caused by Degraded Voltage Regulator for DG-2.Replaced Voltage Regulator & Associated Scrs.With 980902 Ltr ML17284A7551998-09-0202 September 1998 LER 98-015-00:on 980808,discovered Reactor Coolant Pressure Boundary Leak During Shutdown Conditions.Caused by Leakage from Socket Weld (Fwb 63) on Elbow Connection.Failed Piping Connection Was Replaced.With 980902 Ltr ML17284A7681998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for WNP-2.With 980915 Ltr ML17284A7311998-08-17017 August 1998 LER 98-012-00:on 980716,determined That 24-month SR 3.8.4.7 Had Not Been Fulfilled within Specified Frequency.Caused by Inadequate Work Practices.License Requested & Received Enforcement Discretion Re Battery Svc test.W/980817 Ltr ML17284A7261998-07-31031 July 1998 Monthly Operating Rept for July 1998 for WNP-2.W/980810 Ltr ML17284A7121998-07-23023 July 1998 LER 98-006-01:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of 10CFR50,App R Calculations for High Impedance Faults.Caused by Inadequate Work Practices.Implemented Procedural Changes ML17284A6951998-07-17017 July 1998 LER 98-011-00:on 980617,ECCS Pump Room Flooding Was Noted Due to FP Sys Pipe Break.Caused by Inadequate Design of FP Sys.Detailed Review of FP Sys Design Was Conducted. W/980717 Ltr ML17284A6961998-07-15015 July 1998 LER 98-010-00:on 980615,TS Required Shutdown Due to Inoperability of TIP Sys Isolation Valve Was Noted.Caused by Improper Installation of TIP Tubing.Reattached Affected Tubing & Inspected Other TIP tubing.W/980715 Ltr ML17284A6731998-07-0101 July 1998 LER 98-009-00:on 980606,nuclear Steam Supply Shutoff Sys Group 3 & 4 Isolations During Testing Was Noted.Caused by Procedural Deficiency.Counseled Individuals Involved in preparation.W/980701 Ltr ML17284A6751998-06-30030 June 1998 Ro:On 980617,flooding of RB Northeast Stairwell with Consequential Flooding of Two ECCS Pump Rooms.Caused by Inadequate Fire Protection Sys Design.Pumped Out Water from Affected Areas to Point Below Berm Areas of Pump Rooms ML17284A6641998-06-24024 June 1998 LER 98-008-00:on 980531,inadvertent Full Scram During RPV Leak Testing in Mode 4 Was Noted.Caused by Change in Mgt Techniques.Revised Procedures to Take Into Account Addl Water Head in Pressure Sensing lines.W/980624 Ltr ML17284A6651998-06-24024 June 1998 LER 98-007-00:on 980530,inadvertent Full Scram & Division 1 ECCS Injection Was Noted.Caused by Failure to Meet Mgt Work Practice Expectation When Encountering Deficient Procedure. Incident Review Board Convened to Review event.W/980624 Ltr ML17284A6631998-06-19019 June 1998 LER 98-006-00:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of App R Calculations for High Impedance Fault Analysis.Caused Indeterminate. Implemented Procedural Changes Involving Operator Action ML17284A6551998-06-0404 June 1998 LER 98-005-00:on 980506,potential for Failure of RHR Sys Valve to Close on Isolation Signal Was Noted.Caused by Design Deficiency.Caution Tag Was Placed on RHR-V-40 Control Switch to Inform Plant Operators of limitation.W/980604 Ltr ML17284A6421998-06-0101 June 1998 LER 98-004-00:on 980502,determined That Primary Containment Penetration Overcurrent Protection Does Not Meet Reg Guide 1.63 Requirements.Caused by Inadequate Design Changes. Installed Addl Fuse in RHR-MO-9 circuit.W/980601 Ltr ML17284A6491998-05-31031 May 1998 Rev 0 to COLR 98-14, WNP-2,Cycle 14 Colr. ML17292B4031998-05-31031 May 1998 Monthly Operating Rept for May 1998 for WNP-2.W/980608 Ltr ML17292B3921998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for WNP-2.W/980513 Ltr ML17292B3291998-04-0909 April 1998 LER 98-003-00:on 980311,WNP-2 Experienced SCRAM Signal as Result of Low Rpv.Caused by Less than post-SCRAM Operational Strategy for Resetting SCRAM Signal in Conditions.Changes in post-SCRAM Operational Strategy implemented.W/980409 Ltr ML17292B3281998-04-0909 April 1998 LER 98-002-00:on 980311,reactor Scram & Plant Transient Occurred,Due to Failed Closed Main Steam Isolation Valve. Caused by Loss of Pneumatic Actuating Supply Pressure. Problem Evaluation Request Written for Failure of MS-V-22D ML17292B3371998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for WNP-2.W/980409 Ltr ML17292B2641998-03-0404 March 1998 Performance Self Assessment,WNP-2. ML17292B2661998-03-0404 March 1998 LER 98-001-00:on 980203,automatic Start of HPCS EDG Was Noted.Caused by Operator Error.Operations Crew Stabilized Plant at Approximately 75% Reactor Power & Investigation of Event Was initiated.W/980304 Ltr ML17292B2911998-02-28028 February 1998 Monthly Operating Rept for Feb 1998 for WNP-2.W/980313 Ltr ML17284A7971998-02-17017 February 1998 Rev 28 to Operational QA Program Description, WPPSS-QA-004.With Proposed Rev 29 ML17292B3591998-02-12012 February 1998 WNP-2 Cycle 14 Reload Design Rept. 1999-09-30
[Table view] |
Text
LICENSEE EVEhOIEPORT (LER)
FACILITY NAME (1) DOCKET NUHB R ( ) PAGE (3)
Washin ton Nuclear Plant - Unit 2 O 5 O 0 0 3 9 7 1 OF 13 ITLE (4)
LOSS OF CONTAINMENTINTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES EVENT DATE (5) LER NUMBER REPORT DATE (7) OTHER FACILITIES INVOLVED (8)
MONTH DAY YEAR YEAR SEQUENTIAL EV I 5 ION HONTM DAY YEAR FACILITY NAMES 00 CKET UHB RS(S)
NUMBER HUHBER 0 3 1 8 9 3 9 3 0 1 3 0 I 0 5 1 2 P ERAT ING MIS REPORT IS SUBHITTED PURSUANT TO THE REQUIREHENTS OF 10 CFR E: (Check one or more of the following) (11)
ODE (9) I OWER LEVEL 0.402(b) 20.405(C) 50.73(a)(2)(iv) 77.71(b)
(iO) 20.405(a)(1)(i) 50.36(c)(1) 50.73(a)(2)(v) 73.73(c) 20.405(a)(1)(ii) 50.36(c)(2) 50.73(a)(2)(vii) THER (Specify in Abstract 20.405(a)(1)(iii) 50.73(a)(2)(i) 50.73(a)(2)(viii)(A) clew and in Text, NRC 20.405(a)(1)(iv) 50.73(a)(2)(ii) 50.73(a)(2)(viii)(B) orm 366A) 20.405(a)(1)(v) 50.73(a)(2)(iii) 50.73(a)(2)(x)
LICENSEE CONTACT FOR THIS LER (12)
TELEPNOHE NUMBER C. D. Mackaman, Licensing Engineer REA CODE 5 0 9 7 7 - 4 4 5 1 COMPLETE OHE LINE FOR EACH COMPOHENT FAILURE DESCRIBED IN THIS REPORT (13)
CAUSE SYSTEH COHPOHEH'I HANUFACTURER EPORTABLE CAUSE SYSTEM COMPONENT MAHUFACTURER REPORTABLE 0 HPRDS TO NPRDS SUPPLEHEHTAL REPORT EXPECTED (14) EXPECTED SUBHISSION MONTH DA'Y 'YEAR ATE (15)
YES (If yes, complete EXPECTED SUBHISSIOH DATE) NO TRACT II IO On March 18, 1993, and April 12, 1993, design errors were identified by Supply System engineers working in the Component Safety Classification (CSC) and Design Requirement Document (DRD)
Programs. These are ongoing design basis reconstitution programs that provide a detailed review of WNP-2 design. The CSC Program uses an Electric Power Research Institute (EPRI) Guideline based methodology to establish and document the technical basis for the safety classification of each safety-related component. The DRD Program provides a documented reference to system level design requirements and functions.
The root cause for these events was deficiencies in original plant design.
Immediate and further corrective actions include, but are not limited to, entering Technical Specification Action Statements and taking compensatory action, additional testing and maintenance, Plant Procedure
'hanges, Technical Specification changes, design reviews, and design changes.
'TI305i40245 05000397 TI30507 PDR ADOCK PDR
LICENSEE EVENT REPORT 4)
TEXT CONTINUATION AGILITY NAHE (1) NUHBER (2) LER NUMBER (B) PAGE (3)
-'n'itOCKET Year Number ev. No.
Washington Nuclear Plant 0 5 0 0 0 3 S 7 013 0 1 2 OF 13 ITLE (4)
LOSS OF CONTAINMENT INTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES Plan C ndi i n Power Level - 100%
Plant Mode - 1 (Power Operation) ven De cri i n On March 18, 1993, and April 12, 1993, design errors were identified by Supply System engineers working in the Component Safety Classification (CSC) and Design Requirement Document (DRD)
Programs. These are ongoing design basis reconstitution programs that provide a detailed review of WNP-2 design. The CSC Program uses an Electric Power Research Institute (EPRI) Guideline based methodology to establish and document the technical basis for the safety classification of each safety-related component. The DRD Program provides a documented reference to system level design requirements and functions.
This LER is written with each item discussed as a separately numbered paragraph under the major headings of Specific Event Description, Immediate Corrective Action, Further Evaluation, Specific Further Corrective Action, and Specific Safety Significance. A general discussion of all items is found under General Event Description, above, and General Further Corrective Actions, General Safety Significance and Similar Events, below.
ific Even De cri i n
- 1. Reac r re I ol ion lin I Prim n inmen Rel se Path On March 18, 1993, a routine review of the safety-related containment portions of the RCIC system by CSC engineers found that the containment isolation design for the RCIC pump (RCIC-P-1) suction line from the suppression pool did not meet single failure design criteria. A failure of Division 1 DC power to the RCIC system'would cause the motor operators for the Pump Suction Isolation Valve (RCIC-V-31) and the Auxiliary Cooling Water Supply Valve (RCIC-V-46) to fail in an as-is open position. This single failure, combined with a Loss Of Coolant Accident (LOCA),
results in an unisolable suppression pool water flow path from Primary Containment to the Reactor Building (see Figure 1). This potential release path violates commitments made to General Design Criterion (GDC) 56 for isolation of the RCIC-P-1 suction line containment penetration. The failure to comply with GDC 56 resulted in Primary Containment being inoperable.
LICENSEE EVENT REPORT k}
TEXT CONTINUATION ACILITY NAHE (1) DOCKET NUHBER (2) LER NUHBER (8) AGE (3)
Year Number ev. No.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 013 0 1 3 OF 13 ITLE (4)
LOSS OF CONTAINMENT INTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES
- 2. Mi c ll n W e Radio iv MWR D in econ n inmen Release P On April 12, 1993, during the preparation of the Equipment and Floor Drain DRD, a potential degradation of the Secondary Containment reactor Building) boundary was identified. There were two MVR drains that penetrate Secondary Containment without adequate isolation controls established. This condition could cause a release of radioactive material to the Radwaste Building or a degradation of Secondary Containment integrity. Each MWR drain line is provided with an air operated solenoid isolation valve located inside Secondary Containment. However, the valves are not safety-related and they do not automatically close during accident conditions. Furthermore, they are not administratively controlled to secure them'closed in plant operating modes 1,2,3 and during core alterations. This condition is contrary to the Secondary Containment integrity requirements defined for Technical Specification 3,6.5.1.
Imm i rr iv A i n Immediate corrective actions were initiated for each item discovered during the CSC and DRD Program reviews, They are enumerated below in paragraphs corresponding to the event description above:
I Pri inmnRI P h ao On March 19, 1993, RCIC-V-31 was closed, and its motor operator was de-energized by tagging open the circuit breaker, to restore Primary Containment operability. This action removed the capability of RCIC to transfer RCIC-P-1 suction automatically to the suppression pool, although pump suction was still available from the Condensate Storage Tanks (CSTs). Since automatic transfer capability is a condition of operability as defined in Technical Specification 3.7.3, the RCIC system was declared inoperable at 1530 hours0.0177 days <br />0.425 hours <br />0.00253 weeks <br />5.82165e-4 months <br /> on March 19, 1993, and the associated Limiting Condition for Operation (LCO) was entered.
- b. On March 26, 1993, the Supply System formally requested emergency relief from Technical Specification 3.7.3 to allow continued power operation until the 1993 Refueling Outage (R-8).
C. On April 1, 1993, the Supply System formally requested an emergency amendment to Technical Specification 3.7.3 to temporarily restore RCIC operability until the beginning of R-8.
- d. At 1500 hours0.0174 days <br />0.417 hours <br />0.00248 weeks <br />5.7075e-4 months <br /> on April 2, 1993, WNP-2 received a Notice of Enforcement Discretion allowing continued power operation beyond the 14 day LCO of Technical Specification 3.7.3.
LICENSEE EVENT REPORT Q4)
TEXT CONTINUATION FACiLiTY NAHE (i) DOCKET NUHBER (2) LER NUHBER (8) AGE (3)
Year (umber ev. No.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 013 0 i 4 OF ITLE (4)
LOSS OF CONTAINMENT INTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES
- e. The RCIC system was declared operable at 2232 hours0.0258 days <br />0.62 hours <br />0.00369 weeks <br />8.49276e-4 months <br /> on April 9, 1993, based upon approval of the Technical Specification amendment request.
- 2. D in n n inmnRel eP h At 1827 hours0.0211 days <br />0.508 hours <br />0.00302 weeks <br />6.951735e-4 months <br /> on April 12, 1993, the MWR drain line air operated isolation valves (MWR-V-120 and MWR-V-121) were disabled and closed by isolating supplied air, then tagged closed to assure Secondary Containment integrity.
- b. At 0908 hours0.0105 days <br />0.252 hours <br />0.0015 weeks <br />3.45494e-4 months <br /> on April 13, 1993, the loop seals upstream of MWR-V-120 and MWR-V-121 were filled with water to provide additional assurance of Secondary Containment integrity.
Fu her Ev 1 i n nd rrec iv Action A. ~FF These events are reportable under 10CFR50.73(a)(2)(i)(B) as "Any operation or condition prohibited by Technical Specifications," and 10CFR50.73(a)(2)(ii)(B) as "Any event or condition... that in the nuclear power plant being... In a condition that was outside the design basis of the 'esulted plant ...."
There were no structures, components or systems that were inoperable prior to the start of. these events that contributed to the events.
Further evaluations were performed on each item discovered during the CSC and DRD Program reviews. They are enumerated below in paragraphs corresponding to the event description above:
- 1. RCIC Prima Containment Release Path
- a. In accordance with 10CFR50.72(b)(1)(ii)(B), this event was reported to the NRC Operations Center via the Emergency Notification System (ENS) at 1413 hours0.0164 days <br />0.393 hours <br />0.00234 weeks <br />5.376465e-4 months <br /> on March 19, 1993, as "Any event or condition during operation that... results in the nuclear power plant being... In a condition that is outside the design basis of the plant...."
- b. A Loss Of Coolant Accident (LOCA) event scenario that could lead to the release of suppression pool water to the Reactor Building is as follows (see Figure 1):
(1) The plant is at power with RCIC-P-1 suction in its normal alignment to the Condensate Storage Tank (CST).
LICENSEE EVENT REPORT TEXT CONTINUATION
+I)
AGILITY KAME (1) 00CKET NUMBER (2) LER NUMBER (8) PAGE (3)
Year '(umber ev. No.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 013 0 1 5 OF 13 ITLE (4)
LOSS OF CONTAINMENT INTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES (2) A Small Break Loss Of Coolant Accident (SBLOCA) event occurs causing RCIC to initiate, or a Large Break Loss Of Coolant Accident (LBLOCA) event occurs causing RCIC-V-46 to open on low Reactor Pressure Vessel (RPV) water level.
(3) During the event, RCIC-P-1 suction transfers from the CST to the suppression pool on low CST water level. This automatic suction transfer opens RCIC-V-31. For the LBLOCA event, the transfer could occur as a result of a seismically induced failure of the nonsafety-related CST.
(4) After the pump suction transfer, a loss of Division 1 DC power to the RCIC system occurs.
(5) The DC power failure causes a loss of RCIC control and power to the RCIC-V-31 and RCIC-V-46 motor operators resulting in both valves remaining open.
(6) The Lube Oil Cooler Pressure Control Valve (RCIC-PCV-15) will go full open attempting to maintain the downstream cooler pressure at approximately 50 psig.
(7) Suppression pool water will then drain through RCIC-V-31, RCIC-P-1, RCIC-V-46, RCIC-PCV-15, the lube oil cooler and the barometric condenser to the vacuum tank (see Figure 1). The elevation difference between the suppression pool water level and the vacuum tank will produce a static head sufficient to lift the vacuum tank relief valve at its setpoint of 6 psig.
The suppression pool water will flow through the vacuum tank relief valve at approximately 6.5 gpm to the Equipment Drain (Radioactive) (EDR) system.
The EDR system will then transfer the water to the Reactor Building equipment drain sump, where it will be collected. Since the sump is automatically isolated during a LOCA, it will filland eventually overflow, flooding connecting rooms.
C. GDC 56 (10CFR50, Appendix A) requires each line that connects directly to the containment atmosphere and penetrates primary reactor containment to be provided with containment isolation valves. There must be one locked closed or automatic isolation valve inside containment and one locked closed or automatic isolation valve outside containment, or be demonstrated acceptable on some other defined basis.
WNP-2 met containment isolation provisions for the RCIC-P-1 suction line
LICENSEE EVENT REPORT III)
TEXT CONTINUATION AGILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (8) AGE (3)
Year Number ev. No.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 013 0 1 F 13 ITLE (4)
LOSS OF CONTAINMENT INTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES containment penetration in accordance with prerequisites defined in Standard Review Plan (SRP) 6.2.4,Section II, Paragraph 6.e. Specifically, the provisions are:
(1) System reliability must be greater with one isolation valve (instead of two) in the line; (2) The system must be closed outside containment and a single active failure can be accommodated with only one isolation valve; (3) This closed system must be protected from missiles; (4) The closed system must be designed to Seismic Category I, Safety Class 2 requirements, and a minimum temperature and pressure rating at least equal to that for the containment; and (5) The piping between the isolation valve and containment must be enclosed in the leak-tight housing or conservative design of the piping and valve, conforming to SRP 3.6.2, to preclude a breach of piping integrity.
The WNP-2 Final Safety Analysis Report (FSAR), Section 6.2.4.3.2.2.2,1, "HPCS, LPCS, RCIC, and RHR Suction Lines," provides justification for this exception to GDC 56 on the basis that RCIC system reliability is greater with only one isolation valve. Furthermore, the RCIC-P-1 suction piping is considered an extension of containment, and is designed to the same quality standards as containment. Although, SRP 6.2.4 and the FSAR provide acceptable basis for having only one isolation valve, a postulated single failure event causing RCIC-V-31 and RCIC-V-46 to simultaneously fail in an as-is open position was not addressed in the WNP-2 FSAR, Consequently, Primary Containment was outside the plant design basis, and technically inoperable during Operational Conditions 1, 2 and 3. Technical Specification 3.6.1.1 was violated when Primary Containment integrity was not maintained and became inoperable.
- 2. D in ec n n in nRel P h
- a. In accordance with 10CFR50.72(b)(1)(ii)(B), this event was reported to the NRC Operations Center via the Emergency Notification System (ENS) at 1750 hours0.0203 days <br />0.486 hours <br />0.00289 weeks <br />6.65875e-4 months <br /> on April 12, 1993, as "Any event or condition during operation that... results in the nuclear power plant being... In a condition that is outside the design basis of the plant..." This notification was based upon a concern that the two MWR drain line penetrations identified were outside the Secondary Containment design basis as defined in ANSI/ANS-52.1-1983, Section 4.10.5.2, "System Design Criteria."
However, further investigation found that WNP-2 is not committed to this criteria.
The MWR drain line penetrations were found to meet WNP-2 FSAR, NUREG-0737,Section III.D.1.1, "Primary Coolant Sources Outside Containment," and post TMI-2 commitments. Consequently, this event did not cause WNP-2 to be outside the design basis of the plant, and the NRC notification pursuant to 10CFR50.72(b)(1)(ii)(B) was unnecessary.
LICENSEE EVENT REPORT Ial}
TEXT CONTINUATION FACILITY KAME (I) DOCKET KUHBER (2) LER KUMBER (8) PAGE (3)
Year KUIllber ev. Ko.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 013 0 I 7 DF 13 ITLE (4)
LOSS OF CONTAINMENT INTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES
- b. The safety function of Secondary Containment prevents and controls the release of radiation to the public. Any penetration through Secondary Containment should automatically isolate during accident conditions, or be secured (deactivated) in the closed position as defined in Technical Specification Definition 1.3.9.a, "Secondary Containment Integrity."
The hAVR drain line penetrations identified are provided with nonsafety-related air operated solenoid isolation valves inside Secondary Containment (MWR-V-120 and MWR-V-121). These valves fail closed on loss of supplied air or electrical control power, but have no automatic design safety or control functions. Each valve is manually controlled by a panel control switch located in the Radwaste Control Room.
Operating Procedure PPM 2.11.5, "Floor Drain System," identifies MWR-V-120 as normally open and MWR-V-121 as normally closed. The procedure does not specify when MWR-V-120 should be closed. Surveillance Procedure PPM 7.4.6.5.1.1, "Secondary Containment Integrity Verification," does not include MWR-V-120 or MWR-V-121. The MWR drain lines serve Reactor Building drains for an emergency shower located on the 548'levation; the Control Rod Drive (CRD) repair room, a decontamination station and one miscellaneous drain on the 501'levation, and the fuel cask wash down area and service box on the 606'levation. Each drain line is provided with a loop seal upstream of the isolation valves; however, these drains were not frequently used and the loop seals may have become dry at various times.
The Standby Gas Treatment System (SGTS) is periodically tested to meet the Secondary Containment (Reactor Building) drawdown time and leakage limit requirements of Justification for Continued Operation (JCO) 288-357, Revision 2. As of the last test, the configuration of MWR-V-120 and MWR-V-121, and the associated drains, did not impact the ability to meet the JCO requirements.
B. n IR The general root cause for these events was deficiencies in original plant design.
ifi R o aue Root causes were determined for each item discovered during the CSC and DRD Program reviews.
They are enumerated below in paragraphs corresponding to the event description above:
'ICENSEE EVENT REPORT 4)
TEXT CONTINUATION FACILITY HARE (I) DOCKET NUMBER (2) LER HUHBER (8) AGE (3)
Year Number ev. Ho.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 013 0 I OF 13 ITLE (4)
LOSS OF CONTAINMENT INTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES
- 1. R I Prima Containment Release Path The root cause for this event was a deficiency in the original design of the Containment Isolation system. The single failure criterion for the postulated event scenario described above was not considered in the safety analysis. A contributing cause was the failure to establish a corrective action for a similar event in February 1988, to look generically for similar concerns.
- 2. MWR D in econda Containment Release Path The root cause for this event was a deficiency in the original component safety classification of the MWR system. MWR-V-120 and MWR-V-121 were not identified as having a passive safety-related function for Secondary Containment integrity and classified as nonsafety-related. A contributing cause was the failure to identify this deficiency during a similar event in December 1990.
C. eneral Fu her Corrective Action No further corrective action is being considered for the original design errors and deficiencies discovered. Due to the detailed nature of the CSC Program and DRD Program engineering reviews, design errors and omissions of the type reported in this LER could be reasonably expected to be found. Because these programs are ongoing, there is the likelihood that additional reportable events will result. These events may be reported as revisions to this LER.
ecifi F her rreciv A i n
- 1. R I Prima ontainment Release Pa h ao Perform an Engineering evaluation for a permanent resolution to ensure the RCIC-P-1 suction line meets single failure design criteria. This action to be completed by May 24, 1993.
- b. Implement the RCIC-P-1 suction line single failure Engineering evaluation recommendation(s) before startup from the R-8 refueling outage, or obtain Technical Specification 3.7.3 relief to allow startup.
- c. Perform an Engineering review of containment penetrations that rely on single valve isolation to determine if single failure related unisolable flow paths from containment exist. This action will be completed by September 30, 1993.
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~ FACILITY NAHE (1) DOCKET NUHBER (2) LER NUHBER (8) AGE (3)
Year Number ev. No.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 013 0 I OF 13 ITLE (4)
LOSS OF CONTAINMENT INTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES
- 2. MWR Dr in Secon C n inmen Release P h MWR-V-120 and MWR-V-121 will remain under administrative control in accordance with Administrative Procedure PPM 1.3.8, "Danger Tag Clearance Order," until the following corrective actions are completed:
- a. Revise PPM 2,11.5 by June 15, 1993, to:
(1) Identify MWR-V-120 and MWR-V-121 as normally closed.
(2) Add direction and administrative controls as to when MWR-V-120 and MWR-V-121 may be opened.
- b. Revise PPM 7.4.6.5.1.1 by June 15, 1993, to include MWR-V-120 and MWR-V-121.
C. Revise the Master Equipment List (MEL) for MWR-V-120 and MWR-V-121 with a Component Classification Evaluation Record (CCER) to reflect the passive safety-related function, and initiate a MEL/Work In Progress (WIP) Error Documentation Report (MEDR). These actions to be completed by June 15, 1993.
- d. Disposition the MEDR by June 25, 1993.
ene l fet i nificance The Supply System regards the programmatic aspects of these items as an important issue that had potential safety significance. The CSC and DRD Program reviews are chartered to address these concerns, and in so doing, will improve plant design and minimize design related Technical Specifications noncompliance problems in the future.
ifi fe i nific nce The Safety Significance was determined for each item discovered during the CSC and DRD Program reviews. They are enumerated below in paragraphs corresponding to the event description above:
- 1. R I Prima C ntainmen Relea e Path The FSAR, Section 6.3.3, "Emergency Core Cooling System (ECCS) Performance Evaluation,"
shows that a SBLOCA event does not lead to fuel damage. Consequently, the postulated DC power failure event scenario described above would only release reactor coolant activation and corrosion
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TEXT CONTINUATION FACILITY NAME (I) OOCKET NUMBER (2) LER NUMBER (B) PAGE (3)
Year Number ev. No.
Washington Nuclear'lant - Unit 2 0 5 0 0 0 3 9 7 1 3 10 OF 13 ITLE (4)
LOSS OF CONTAINMENT INTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES products to the suppression pool water and Reactor Building equipment drain sump. This limited release of radionuclides would be treated by the SGTS before release to the environment.
According to FSAR, Section 15.6.5.5.1.1, "Fission Product Release from Fuel," a postulated LBLOCA and Division 1 DC power failure event scenario would result in significant fission product release from the fuel. According to FSAR, Section 15.6.5.5.1.2, "Fission Product Transport to the Environment," some of the release would be to the suppression pool. While the potential release to Secondary Containment would be treated by the SGTS, the fission product transport to the environment could have safety significance.
A Division 1 DC power failure event scenario involving fuel damage would result in a release of radionuclides to Secondary Containment. The postulated flow path to the Reactor Building equipment drain sump would be addressed by Annunciator Response Procedure PPM 4.601.A4, "601.A4 Annunciator Panel Alarms," and Emergency Operating Procedure (EOP) PPM 5.3.1, "Secondary Containment Control." This would result in action to close RCIC-V-31 when the RCIC Pump Room water level reached six inches (the maximum safe operating value). However, during this event scenario, the valve could not be closed due to the loss of DC power and local area high radiation levels. The airborne release would be minimal and would be treated by the SGTS before release to the environment.
- 2. MWR Drain Seconda ontainment Release P h The only significant source of radioactive material in the MWR drain lines is from the CRD repair room flush tank. This material is crud removed during the rebuilding of CRD assemblies. A limited quantity of material could possibly escape Secondary Containment through the drain system.
Surveillance procedure PPM 7.4.6.5.1.2, "Standby Gas Treatment Functional Test," verifies that the SGTS can drawdown the Secondary Containment to greater than or equal to -0.25 inch of water gauge in less than or equal to 120 seconds. This test is performed at least every 18 months, and there has never been a failure due to excessive Secondary Containment leakage. In accordance with Technical Specification 3/4,6.5 Bases, "Secondary Containment," this ensures there were no violations of Secondary Containment integrity. Consequently, this event posed no threat to the health and safety of either the public or plant personnel.
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Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 013 0 I OF 13 ITLE (4)
LOSS OF CONTAINMENT INTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES imil r Ev n On February 19, 1988, LER 88-002 reported an original plant design error that caused the RCIC-P-1 suction line not to meet containment isolation and single failure criteria. In February 1988, the Supply System had not implemented a formal Root Cause Analysis Program, as it was still in the formative stages.
Consequently, no corrective action was identified in the LER or the associated Nonconformance Report (288-0022) that would have prevented a similar occurrence. The Supply System implemented a Root Cause Analysis Program in December 1988, in accordance with Plant Administrative Procedure PPM 1.3.48, "Root Cause Analysis," that addresses similar generic concerns to prevent recurrence.
On December 11, 1990, LER 90-032 and associated NCR 290-0972 reported an original design error that cross-connected the Reactor Building Exhaust Air (REA) system and the Plant Sanitary Drain (PSD) system resulting in a Secondary Containment leakage path. System walkdowns conducted for similar conditions under Problem Evaluation Request (PER) 290-972 were not scoped to identify the MWR drain deficiency.
The ongoing DRD and CSC Program reviews are expected to find any further design errors of this nature.
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%FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (8) PAGE (3)
Year Number ev. No.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 013 01 12 OF 13 ITLE (4)
LOSS OF CONTAINMENT INTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES EII Inf rmai n T x Referen e f
~Setem ~Com o'nent Reactor Core Isolation System (RCIC) BN RCIC System Suction Line BN PSP Condensate Storage Tank (CST) KA TK RCIC Pump 1 (RCIC-P-1) BN P Suppression Pool Suction Valve (RCIC-V-31) BN ISV Auxiliary Cooling Water Supply Valve BN ISV (RCIC-V-46)
RCIC Motor Operated Valves BN 20 Primary Containment NH Secondary Containment NH Reactor Building NG Pressure Control Valve (RCIC-PCV-15) BN PCV RCIC Lube Oil Cooler BN CLR RCIC Barometric Condenser BN CDU Equipment Drain (Radioactive) (EDR) System WK Equipment Drain Sump WK TK DC Power EJ JX Standby Gas Treatment System (SGTS) BH Miscellaneous Waste Radioactive (MWR) WK System MWR Isolation Valves (MWR-V-120 and ISV MWR-V-121)
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TEXT CONTINUATION AGILITY NAHE (I) OOCKET NUHBER (2) LER NUHBER (8) PAGE (3)
Washington Nuclear Plant -'nit 2 0 5 0 0 0 3 9 7 Year Number ev. No.
013 0 1 13 OF 13 ITLE (4)
LOSS OF CONTAINMENT INTEGRITY DUE TO ORIGINAL DESIGN ERRORS AND PROCEDURE DEFICIENCIES 0'
125 vdo to 2ot II SS 31 SO IS s5 1 LO Cooler RC1C Ttrblno hl Seals/Orslns ltupt ECR Voo Exhaust to Tats upppssston Pool al IO IE p-s OC OC 125/250 vdo P-2 RCIC-Vr31 Ond -Sa
~ closed drug nonaal plant operst lan 125/258 vdo Figure i