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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A3671998-07-14014 July 1998 LER 98-002-00:on 971019,CR Emergency Air Treatment Sys Actuating Function Was Not Operable.Caused by Mispositioned Switch.Revised Procedure CPI-MON-R37.W/980714 Ltr ML17265A1921998-03-11011 March 1998 LER 98-001-00:on 980209,discovered That Boraflex Degradation in SPF Was Greater than Was Assumed.Caused by Dissolution of Boron on Boraflex Matrix,Per 10CFR50.21.Removed Spent Fuel Assemblies from Selected Degraded Storage Rack Cells ML17265A1641998-02-0606 February 1998 LER 97-007-01:on 971117,reactor Engineer Recognized That Neutron Flux Low Range Trip Circuitry for Channel Was Not in Tripped Condition as Required.Caused by Technical Inadequacies.Channel Defeat Will Be Identified ML17265A1601998-02-0606 February 1998 LER 97-006-01:on 971103,verification of B Concentration Was Not Performed Due to Misinterpretation of Event Sequence. Audible Count Rate Function Was Restored to Operable Status ML17264B1441997-12-17017 December 1997 LER 97-007-00:on 971117,NF Low Range Trip Circuitry for Channel N-44 Was Not Placed in Tripped Condition.Caused by Technical Inadequacies in Procedures.Implemented EWR 4862 to Resolve Design deficiency.W/971217 Ltr ML17264B1291997-12-0303 December 1997 LER 97-006-00:on 971103,NIS Audible Count Rate Function Was Inoperable.Caused by Misinterpretation of Event Sequence Due to Not Verifying Boron Concentration.B Verification Occurred Every 12 H Per ITS LCO Action 3.9.2.C.3.W/971203 Ltr ML17264B1271997-12-0101 December 1997 LER 97-005-00:on 971031,undetected Unblocking of SI Actuation Signal Occurred at Low Pressure Condition,Due to Faulty Bistable Which Resulted in Inadvertent SI Actuation Signal.Sias,Ci & CVI Signals Were Reset ML17264B1211997-11-24024 November 1997 LER 97-004-00:on 971024,radiation Monitor Alarm Were Noted Due to Higher than Normal Radioactive Gas Concentration Resulted in Cvi.New R-12 Alarm Setpoint Was Maintained for Duration of Refueling Outage ML17264B0461997-09-29029 September 1997 LER 97-003-01:on 970730,bistable Instrument Trip Setpoint Could Have Exceeded Allowable Value.Caused by Insufficient Existing Margin Between Trip Setpoint & Allowable Value. Held Switches in Tripped configuration.W/970929 Ltr ML17264B0111997-08-27027 August 1997 LER 97-003-00:on 970730,high Steam Flow Bistable Instrument Setpoint Plus Instrument Uncertainty Could Exceed Allowable Value in ITS Was Identified.Caused by Entry Into ITS LCO 3.0.3.Switches Placed in Tripped configuration.W/970827 Ltr ML17264A9941997-08-19019 August 1997 LER 97-002-00:on 970720,34.5 Kv Offsite Power Circuit 751 Was Lost.Caused by Automatic Actuation of B Emergency DG Due to Undervoltage on Safeguards Buses 16 & 17.Offsite Power Restored to Safeguards Buses 16 & 17.W/970819 Ltr ML17264A9911997-08-11011 August 1997 LER 96-009-02:on 960723,determined That Leak Rate Outside Containment Was Greater than Program Limit.Caused by Weld Defect.Isolated Leak & Cut Out & Replaced Leaking Pipe ML17264A8271997-03-0303 March 1997 LER 97-001-00:on 970131,discovered Service Water Temp Was Less than Specified Value.Caused by non-representative Method of Monitoring.Increased Water Temp in Screenhouse Bay to Greater than 35 Degrees F.W/970303 Ltr ML17264A8071997-01-22022 January 1997 LER 96-015-00:on 961223,discovered Thermally Induced Overpressure Transient Could Occur.Caused by Thermal Expansion of Fluid During Design Basis Accident Condition. Installed Relief Valve on Affected line.W/970122 Ltr ML17264A7471996-11-27027 November 1996 LER 96-013-00:on 961029,circuit Breakers Closed While in Mode 3 & Resulted in Condition Prohibited by TS Due to Personnel Error.Circuit Breakers for MOV-878B & MOV-878D Were re-opened.W/961127 Ltr ML17264A6051996-09-19019 September 1996 LER 96-012-00:on 960820,feedwater Transient Occurred,Due to Closure of Feedwater Regulating Valve,Causing Lo Lo Steam Generator Level Reactor Trip.Sgs Were Restored & Missing Screw in 1/P-476 Was replaced.W/960919 Ltr ML17264A6061996-09-19019 September 1996 LER 96-009-01:on 960723,leakage Outside Containment Occurred,Due to Weld Defect,Resulting in Leak Rate Greater than Program Limits.Source of Leakage Isolated from RWST by Freeze Seal,Allowing Exit from ITS LCO 3.0.3.W/960919 Ltr ML17264A5911996-09-0505 September 1996 LER 96-011-00:on 960807,improper Configuration of Circuit Breaker Occurred,Due to Undetected Internal Interference, Resulting in Automatic Start of Both Auxiliary Feedwater Pumps.Running AFW Pumps Were secured.W/960905 Ltr ML17264A5921996-09-0505 September 1996 LER 96-010-00:on 960806,latching of Main Turbine While in Mode 4 Occurred,Due to Defective Procedure,Resulting in Automatic Start of Auxiliary Feedwater Pump.Caused by Defective Maint Procedure.Procedure revised.W/960905 Ltr ML17264A5891996-08-22022 August 1996 LER 96-009-00:on 960723,determined Leak on Piping Sys Outside Containment Greater than Program Limit.Caused by Weld Defect.Pipe & Socket Welds Were Cut Out & Replaced. W/960822 Ltr ML17264A5781996-08-0606 August 1996 LER 96-008-00:on 960707,main Feedwater Pump Breakers Opened. Caused by Change in Seal Water Differential Pressure Occurred During Sys Realignment.Afw Flow Controlled as Desired to Maintain S/G level.W/960806 Ltr ML17264A5561996-07-12012 July 1996 LER 96-007-00:on 960612,CR Operators Identified Control Rods Misaligned & Not Moving in Proper Sequence.Caused by Faulty Firing Circuit Card in Rod Control Sys.Faulty Firing Circuit Card in 1BD Power Cabinet replaced.W/960712 Ltr ML17264A5421996-06-20020 June 1996 LER 96-006-00:on 960521,discovered Containment Penetration Not in Required Status.Caused by Personnel Error.Installed Flange Inside Containment Penetration 2.W/960620 Ltr ML17264A5411996-06-17017 June 1996 LER 96-005-00:on 960516,PORC Determined Deficient Procedures Do Not Meet SRs for Testing safety-related Logic Circuits. Caused by Inadequancies in Individual Testing Procedures. Procedures Re Improved TSs revised.W/960617 Ltr ML17264A5051996-05-17017 May 1996 LER 96-003-01:on 960308,identified That Both Pressurizer PORVs Inoperable Concurrently Due to Disconnection of Flex Hose to Both PORV Actuators to Install air-sets for Benchset & Limit Switch Activities.Hpes Completed ML17264A4481996-04-0808 April 1996 LER 96-003-00:on 960308,both Pressurizer Relief Valves Inoperable.Hpes Evaluation Is Being Conducted to Determined Cause of Event.C/As:Both PORVs restored.W/960408 Ltr ML17264A4471996-04-0808 April 1996 LER 96-002-00:on 960307,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump.C/As: Thermography performed.W/960408 Ltr ML17264A4101996-03-18018 March 1996 LER 96-001-00:on 950504,inservice Test Not Performed During Refueling Outage.Caused by Inadequate Tracking of Surveillance Frequency.Valve Test Performed & Disassembled. W/960318 Ltr ML17264A2971995-12-14014 December 1995 LER 95-009-00:on 950817,surveillance Was Not Performed Due to Improper Application of TS Requirements Resulting in TS Violation.Testing of MOV-515 Was Performed on 951115.W/ 951214 Ltr ML17264A1711995-09-25025 September 1995 LER 95-008-00:on 950825,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump That Resulted in Manual Rt.Returned S/G Levels to Normal Operating levels.W/950925 Ltr 1999-09-22
[Table view] Category:RO)
MONTHYEARML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A3671998-07-14014 July 1998 LER 98-002-00:on 971019,CR Emergency Air Treatment Sys Actuating Function Was Not Operable.Caused by Mispositioned Switch.Revised Procedure CPI-MON-R37.W/980714 Ltr ML17265A1921998-03-11011 March 1998 LER 98-001-00:on 980209,discovered That Boraflex Degradation in SPF Was Greater than Was Assumed.Caused by Dissolution of Boron on Boraflex Matrix,Per 10CFR50.21.Removed Spent Fuel Assemblies from Selected Degraded Storage Rack Cells ML17265A1641998-02-0606 February 1998 LER 97-007-01:on 971117,reactor Engineer Recognized That Neutron Flux Low Range Trip Circuitry for Channel Was Not in Tripped Condition as Required.Caused by Technical Inadequacies.Channel Defeat Will Be Identified ML17265A1601998-02-0606 February 1998 LER 97-006-01:on 971103,verification of B Concentration Was Not Performed Due to Misinterpretation of Event Sequence. Audible Count Rate Function Was Restored to Operable Status ML17264B1441997-12-17017 December 1997 LER 97-007-00:on 971117,NF Low Range Trip Circuitry for Channel N-44 Was Not Placed in Tripped Condition.Caused by Technical Inadequacies in Procedures.Implemented EWR 4862 to Resolve Design deficiency.W/971217 Ltr ML17264B1291997-12-0303 December 1997 LER 97-006-00:on 971103,NIS Audible Count Rate Function Was Inoperable.Caused by Misinterpretation of Event Sequence Due to Not Verifying Boron Concentration.B Verification Occurred Every 12 H Per ITS LCO Action 3.9.2.C.3.W/971203 Ltr ML17264B1271997-12-0101 December 1997 LER 97-005-00:on 971031,undetected Unblocking of SI Actuation Signal Occurred at Low Pressure Condition,Due to Faulty Bistable Which Resulted in Inadvertent SI Actuation Signal.Sias,Ci & CVI Signals Were Reset ML17264B1211997-11-24024 November 1997 LER 97-004-00:on 971024,radiation Monitor Alarm Were Noted Due to Higher than Normal Radioactive Gas Concentration Resulted in Cvi.New R-12 Alarm Setpoint Was Maintained for Duration of Refueling Outage ML17264B0461997-09-29029 September 1997 LER 97-003-01:on 970730,bistable Instrument Trip Setpoint Could Have Exceeded Allowable Value.Caused by Insufficient Existing Margin Between Trip Setpoint & Allowable Value. Held Switches in Tripped configuration.W/970929 Ltr ML17264B0111997-08-27027 August 1997 LER 97-003-00:on 970730,high Steam Flow Bistable Instrument Setpoint Plus Instrument Uncertainty Could Exceed Allowable Value in ITS Was Identified.Caused by Entry Into ITS LCO 3.0.3.Switches Placed in Tripped configuration.W/970827 Ltr ML17264A9941997-08-19019 August 1997 LER 97-002-00:on 970720,34.5 Kv Offsite Power Circuit 751 Was Lost.Caused by Automatic Actuation of B Emergency DG Due to Undervoltage on Safeguards Buses 16 & 17.Offsite Power Restored to Safeguards Buses 16 & 17.W/970819 Ltr ML17264A9911997-08-11011 August 1997 LER 96-009-02:on 960723,determined That Leak Rate Outside Containment Was Greater than Program Limit.Caused by Weld Defect.Isolated Leak & Cut Out & Replaced Leaking Pipe ML17264A8271997-03-0303 March 1997 LER 97-001-00:on 970131,discovered Service Water Temp Was Less than Specified Value.Caused by non-representative Method of Monitoring.Increased Water Temp in Screenhouse Bay to Greater than 35 Degrees F.W/970303 Ltr ML17264A8071997-01-22022 January 1997 LER 96-015-00:on 961223,discovered Thermally Induced Overpressure Transient Could Occur.Caused by Thermal Expansion of Fluid During Design Basis Accident Condition. Installed Relief Valve on Affected line.W/970122 Ltr ML17264A7471996-11-27027 November 1996 LER 96-013-00:on 961029,circuit Breakers Closed While in Mode 3 & Resulted in Condition Prohibited by TS Due to Personnel Error.Circuit Breakers for MOV-878B & MOV-878D Were re-opened.W/961127 Ltr ML17264A6051996-09-19019 September 1996 LER 96-012-00:on 960820,feedwater Transient Occurred,Due to Closure of Feedwater Regulating Valve,Causing Lo Lo Steam Generator Level Reactor Trip.Sgs Were Restored & Missing Screw in 1/P-476 Was replaced.W/960919 Ltr ML17264A6061996-09-19019 September 1996 LER 96-009-01:on 960723,leakage Outside Containment Occurred,Due to Weld Defect,Resulting in Leak Rate Greater than Program Limits.Source of Leakage Isolated from RWST by Freeze Seal,Allowing Exit from ITS LCO 3.0.3.W/960919 Ltr ML17264A5911996-09-0505 September 1996 LER 96-011-00:on 960807,improper Configuration of Circuit Breaker Occurred,Due to Undetected Internal Interference, Resulting in Automatic Start of Both Auxiliary Feedwater Pumps.Running AFW Pumps Were secured.W/960905 Ltr ML17264A5921996-09-0505 September 1996 LER 96-010-00:on 960806,latching of Main Turbine While in Mode 4 Occurred,Due to Defective Procedure,Resulting in Automatic Start of Auxiliary Feedwater Pump.Caused by Defective Maint Procedure.Procedure revised.W/960905 Ltr ML17264A5891996-08-22022 August 1996 LER 96-009-00:on 960723,determined Leak on Piping Sys Outside Containment Greater than Program Limit.Caused by Weld Defect.Pipe & Socket Welds Were Cut Out & Replaced. W/960822 Ltr ML17264A5781996-08-0606 August 1996 LER 96-008-00:on 960707,main Feedwater Pump Breakers Opened. Caused by Change in Seal Water Differential Pressure Occurred During Sys Realignment.Afw Flow Controlled as Desired to Maintain S/G level.W/960806 Ltr ML17264A5561996-07-12012 July 1996 LER 96-007-00:on 960612,CR Operators Identified Control Rods Misaligned & Not Moving in Proper Sequence.Caused by Faulty Firing Circuit Card in Rod Control Sys.Faulty Firing Circuit Card in 1BD Power Cabinet replaced.W/960712 Ltr ML17264A5421996-06-20020 June 1996 LER 96-006-00:on 960521,discovered Containment Penetration Not in Required Status.Caused by Personnel Error.Installed Flange Inside Containment Penetration 2.W/960620 Ltr ML17264A5411996-06-17017 June 1996 LER 96-005-00:on 960516,PORC Determined Deficient Procedures Do Not Meet SRs for Testing safety-related Logic Circuits. Caused by Inadequancies in Individual Testing Procedures. Procedures Re Improved TSs revised.W/960617 Ltr ML17264A5051996-05-17017 May 1996 LER 96-003-01:on 960308,identified That Both Pressurizer PORVs Inoperable Concurrently Due to Disconnection of Flex Hose to Both PORV Actuators to Install air-sets for Benchset & Limit Switch Activities.Hpes Completed ML17264A4481996-04-0808 April 1996 LER 96-003-00:on 960308,both Pressurizer Relief Valves Inoperable.Hpes Evaluation Is Being Conducted to Determined Cause of Event.C/As:Both PORVs restored.W/960408 Ltr ML17264A4471996-04-0808 April 1996 LER 96-002-00:on 960307,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump.C/As: Thermography performed.W/960408 Ltr ML17264A4101996-03-18018 March 1996 LER 96-001-00:on 950504,inservice Test Not Performed During Refueling Outage.Caused by Inadequate Tracking of Surveillance Frequency.Valve Test Performed & Disassembled. W/960318 Ltr ML17264A2971995-12-14014 December 1995 LER 95-009-00:on 950817,surveillance Was Not Performed Due to Improper Application of TS Requirements Resulting in TS Violation.Testing of MOV-515 Was Performed on 951115.W/ 951214 Ltr ML17264A1711995-09-25025 September 1995 LER 95-008-00:on 950825,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump That Resulted in Manual Rt.Returned S/G Levels to Normal Operating levels.W/950925 Ltr 1999-09-22
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17265A7601999-10-0505 October 1999 Part 21 Rept Re W2 Switch Supplied by W Drawn from Stock, Did Not Operate Properly After Being Installed on 990409. Switch Returned to W on 990514 for Evaluation & Root Cause Analysis ML17265A7621999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Re Ginna Npp.With 991008 Ltr ML17265A7531999-09-23023 September 1999 Part 21 Rept Re Corrective Action & Closeout of 10CFR21 Rept of Noncompliance Re Unacceptable Part for 30-4 Connector. Unacceptable Parts Removed from Stock & Scrapped ML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7471999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Re Ginna Npp.With 990909 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7341999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Re Ginna Npp.With 990806 Ltr ML17265A7291999-07-29029 July 1999 Interim Part 21 Rept Re safety-related DB-25 Breaker Mechanism Procured from W Did Not Pas Degradatin Checks When Drawn from Stock to Be Installed Into BUS15/03A.Holes Did Not line-up & Tripper Pan Bent ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7131999-07-22022 July 1999 Special Rept:On 990407,radiation Monitor RM-14A Was Declared Inoperable.Caused by Failed Communication Link from TSC to Plant Process Computer Sys.Communication Link Was re-established & RM-14A Was Declaed Operable on 990521 ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7211999-07-19019 July 1999 ISI Rept for Third Interval (1990-1999) Third Period, Second Outage (1999) at Re Ginna Npp. ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A7661999-06-30030 June 1999 1999 Rept of Facility Changes,Tests & Experiments Conducted Without Prior NRC Approval for Jan 1998 Through June 1999, Per 10CFR50.59.With 991020 Ltr ML17265A7011999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Re Ginna Npp.With 990712 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6761999-06-16016 June 1999 Part 21 Rept Re Defects & noncompliances,10CFR21(d)(3)(ii), Which Requires Written Notification to NRC on Identification of Defect or Failure to Comply. Relays Were Returned to Eaton for Evaluation & Root Cause Analysis ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17265A6681999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Re Ginna Nuclear Power Plant.With 990608 Ltr ML17265A6651999-05-27027 May 1999 Interim Rept Re W2 Control Switch,Procured from W,Did Not Operate Satisfactorily When Drawn from Stock to Be Installed in Main Control Board for 1C2 Safety Injection Pump. Estimated That Evaluation Will Be Completed by 991001 ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6591999-05-17017 May 1999 Part 21 Rept Re Relay Deficiency Detected During pre-installation Testing.Caused by Incorrectly Wired Relay Coil.Relays Were Returned to Eaton Corp for Investigation. Relays Were Repaired & Retested ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6381999-05-0707 May 1999 Part 21 Rept Re Replacement Turbocharger Exhaust Turbine Side Drain Port Not Functioning as Design Intended.Caused by Manufacturing Deficiency.Turbocharger Was Reaasembled & Reinstalled on B EDG ML17265A6391999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Re Ginna Nuclear Power Plant.With 990510 Ltr ML17265A6361999-04-23023 April 1999 Part 21 Rept Re Power Supply That Did Not Work Properly When Drawn from Stock & Installed in -25 Vdc Slot.Power Supply Will Be Sent to Vendor to Perform Failure Mode Assessment.Evaluation Will Be Completed by 991001 ML17265A6301999-04-18018 April 1999 Rev 1 to Cycle 28 COLR for Re Ginna Npp. ML17265A6251999-04-15015 April 1999 Special Rept:On 990309,halon Systems Were Removed from Svc & Fire Door F502 Was Blocked Open.Caused by Mods Being Made to CR Emergency Air Treatment Sys.Continuous Fire Watch Was Established with Backup Fire Suppression Equipment ML17265A6551999-04-0909 April 1999 Initial Part 21 Rept Re Mfg Deficiency in Replacement Turbocharger for B EDG Supplied by Coltec Industries. Deficiency Consisted of Missing Drain Port in Intermediate Casing.Required Oil Drain Port Machined Open ML17265A6291999-03-31031 March 1999 Rev 0 to Cycle 28 COLR for Re Ginna Npp. ML17265A6241999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Ginna Station.With 990409 Ltr ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A5661999-03-0101 March 1999 Rev 26 to QA Program for Station Operation. ML17265A5961999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Ginna Nuclear Power Plant.With 990310 Ltr ML17265A5371999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Re Ginna Nuclear Power Plant.With 990205 Ltr ML17265A5951998-12-31031 December 1998 Rg&E 1998 Annual Rept. ML17265A5001998-12-21021 December 1998 Rev 26 to QA Program for Station Operation. ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4761998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Re Ginna Nuclear Power Plant.With 981210 Ltr ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4531998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Re Ginna Nuclear Power Plant.With 981110 Ltr ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A4291998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Re Ginna Nuclear Power Plant.With 981009 Ltr 1999-09-30
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ACCELERATED DEMONS~TION SYSTEM DISTRIBUTION REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9312270027 DOC.DATE: 93/12/10 NOTARIZED: NO DOCKET FACIL:50-244 Robert Emmet Ginna Nuclear Plant, Unit 1, Rochester G 05000244 AUTH. NAME AUTHOR AFFILIATION ST.MARTIN,J.T. Rochester Gas & Electric Corp.
MECREDY,R.C. Rochester Gas & Electric Corp.
RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 93-006-00:on 931110,feedwater transient occured,due to ability controll feedwater regulating valve. Caused by LO LO steam genorator level reactor trip. New screw & nut installed D in leakage arm.w/931210 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR i ENCL T1TLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
/ SIZE:
NOTES:License Exp date in accordance with 10CFR2,2.109(9/19/72). 05000244 A RECIPIENT COPIES RECIPIENT D COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PDl-3 LA 1 1 PD1-3 PD 1 1 D JOHNSON,A 1 1 INTERNAL: AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DSP 2 2 NRR/DE/EELB 1 1 NRR/DE/EMEB 1 1 NRR/DORS/OEAB 1 1 NRR/DRCH/HHFB 1 1 NRR/DRCH/HICB 1 1 NRR/DRCH/HOLB 1 1 NRR/DRIL/RPEB 1 1 NRR/DRSS/PRPB 2 2 NRR--DSSA PLB
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1 1 NRR/DSSA/SRXB 1 1 EG IEE 02 1 1 RES/DSIR/EIB 1 1 RGN-1~ PIE 01 1 1 EXTERNAL EG&G BRYCE I J ~ H 2 2 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHYIG A ~ 1 1 NSIC POORE,W. 1 1 NUDOCS FULL TXT 1 1 D
D D
NOTE TO ALL "RIDS" RECIPIENTS:
S PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOM P 1-37 (EXT. 20079) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 28 ENCL 28
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89 EAST AVENUE, ROCHESTER N. Y. 14649.0001 ROBERT C. MECREDY TELEPHONE Vice Piesfdent AREA CODE 7 1B 546 2700 Olnnn Nuclear Psoducsion December 10, 1993 U.S. Nuclear Regulatory Commission Attn: Allen R. Johnson Project Directorate I-3 Document Control Desk Washington, DC 20555
Subject:
LER 93-006, Feedwater Transient, Due to Loss of Ability to Control Feedwater Regulating Valve, Causes a Lo Lo Steam Generator Level Reactor Trip R.E. Ginna Nuclear Power Plant Docket No. 50-244 In accordance with 10 CFR 50.73, Licensee Event Report System, item (a) (2) (iv), which requires a report of, "any event or condition that resulted in a manual or automatic actuation of any engineered safety feature (ESF), including the reactor protection system (RPS)", the attached Licensee Event Report LER 93-006 is hereby submitted.
This 'event has in no way affected the public',s health and safety.
Very truly yours, Robert C. Me edy xc: U.S. Nuclear Regulatory Commission Region I 475 Allendale Road King of Prussia, PA 19406 Ginna USNRC Senior Resident Inspector 4j.OOa9 9312270027 931210 PDR ADOCK 05000244 S PDR y~
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MRC FORH 366 U s. IH)cLEAR REGULATDRY ccsallssioN APPROVED BY (NB NO 3150-0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY MITH THIS INFORHATIOH COLLECTION REQUEST: 50.0 HRS.
LXCENSEE EVENT REPORT (LER) FORMARD COHHEHTS REGARDIHG BURDEN ESTINATE TO THE INFORNATION AND RECORDS HANAGEHENT BRAHCH (HHBB 7714), U.S. NUCLEAR REGULATORY COHHISSIDM, (See reverse for required number of digits/characters for each block) WASHINGTON, DC 20555-0001 AND TO THE PAPERUORK REDUCTION PROJECT (3140.0104), OFFICE OF HAMAGEHENT AMD BUDGET llASHINGTOM DC 20503.
FAclLITY Nba (1) R. E ~ Ginna Nuclear Power Plant DOCKET IRNBER (2) PAGE (3) 05000244 1 OF 11 TITLE (4) Feeckater Transient, Due to Loss of Ability to Control Fee>hater Regulating Valve, Causes a Lo Lo Steam Generator Level Reactor Trip EVENT DATE 5 LER NMBER 6 REPORT DATE 7 OTHER FACILITIES INVOLVED 8 SEQUENTIAL REVISIOH FACILITY NAHE DOCKET NUNBER HOHTH DAY YEAR YEAR HOHTH DAY YEAR NUHBER NUMBER 10 93 93 006 00 12 10 93 FACILITY HAHE DOCKET HUHBER OPERATING THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREHENTS OF 10 CFR: Check one or mor e 11 H(X)E (9)
N 20.402(b) 20.405(c) 50.73(a)(2)(iv) 73.71(b)
PQKR 20.405(a )(1)(i) 50.36(c)(1) 50.73(a)(2)(v) 73.71(c) 097 LEVEL (10) 20.405(a)(1)(ii) 50.36(c)(2) 50.73(a)(2)(vii) OTHER 20.405(a)(1)(iii) 50.73(a)(2)(i) 50.73(a)(2)(viii)(A) (Specify in 20.405(a)(1)(iv) 50.73(a)(2)(ii) 50.73(a)(2)(viii)(B) Abstract and in Text, below 20.405(a)(1)(v) 50.73(a)(2)(iii) 50.73(a)(2)(x) MRC Form 366A LICENSEE CONTACT FOR THIS LER 12 NAHE John T. St. Hartin - Director, Operating Experience TELEPHONE HUNGER (Include Area Code)
(315) 524-4446 GNPLETE ONE LINE FOR EACH GNRNEMT FAILURE DESCRIBED IN THIS REPORT 13 REPORTABLE REPORTABLE CAUSE SYSTEH COMPONENT HAMUFACTURER CAUSE SYSTEH COMPONENT HAHUFACTURER TO HPRDS TO MPRDS B JB LCV B042 SUPPLEMENTAL REPORT EXPECTED 14 EXPECTED HOMTH OAY YEAR
'YES SUBHISSION (If yes, complete EXPECTED SUBHISSIOM DATE) ~ DATE (15)
ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typemritten lines) (16)
On November 10, 1993, at approximately 0848 EST, with the reactor at approximately 974 reactor power, the ability to control the >>A<< main feedwater regulating valve was lost. This resulted in steam generator level transients. At 0850 EST, the reactor tripped on Lo Lo level (</=
174) in the <<A>> steam generator. The Control Room operators performed the actions of procedures E-0 and ES-0.1.
The underlying cause was determined to be disconnection of the <<A<< main feedwater regulating valve positioner feedback linkage arm from the valve actuator linkage rod, due to disengagement of the connecting screw and nut. (This event is NUREG-1220 (B) cause code.)
Corrective action was to install a new screw and nut. Corrective action to preclude repetition is outlined in Section V (B).
HRC FORH 366 (5-92)
RC FORH 366A U.S IN)CLEAR REGULATORY (XIII SSI ON APPROVED BY (NRI NO. 3150-0104 5-92) EXPIRES 5/31/95 EST IHATED BURDEH PER RESPOHSE TO COHPLY WITH THIS IHFORHATIOH COLLECTIOH REGUEST: 50.0 NRS.
FORWARD COHHENTS REGARD IHG BURDEN EST IHATE TO LICENSEE EVENT REPORT (LER) THE INFORHATION AND RECORDS HANAGEHENT BRANCN TEXT CONTINUATION (HNBB 7714), U.S. NUCLEAR REGULATORY COHHISSIOH, WASHINGTON, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140-0104) ~ OFFICE OF HANAGEHENT AND BUDGET WASHINGTON DC 20503.
FACILITY IWK 1 DOCKET HINBER 2 LER HWBER 6 PAGE 3 YEAR SEQUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 93 -- 006 pp 2 OF 11 EXT (If more space is required, use additional copies of NRC Form 366A) (17)
I. PRE-EVENT PLANT CONDITIONS The plant was at approximately 97% steady state reactor power.
The monthly surveillance test of the "A" auxiliary feedwater (AFW) pump was in progress, using procedure PT-16M-A (Auxiliary Feedwater Pump "A" Monthly).
II. DESCRIPTION OF EVENT A. DATES AND APPROXIMATE TIMES OF MAJOR OCCURRENCES:
o November 10, 1993, 0850 EST: Event date and time.
o November 10, 1993, 0850 EST: Discovery date and time.
o November 10, 1993, 0850 EST: Control Room operators verify both reactor trip breakers open, and all control and shutdown rods inserted.
o November 10, 1993, 0851 EST: Control Room operators manually stop both main feedwater pumps to limit a reactor coolant system cooldown.
o November 10, 1993, 0852 EST: Control Room operators manually close both main steam isolation valves to limit a reactor coolant system cooldown.
o November 10, 1993, 1045 EST: Plant stabilized at hot shutdown condition.
NRC FORH 366A (5-92)
1 NRC FORN 366A U.S NUCLEAR REGULATORY CQWISS ION APPROVED BY (NB NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO CDHPLY WITH THIS INFORHATIOH COLLECTIOH REQUEST: 50.0 HRS.
FORWARD CONNENTS REGARDING BURDEN ESTINATE TO LICENSEE EVENT REPORT (LER) THE IHFORHATIOH AHD RECORDS HAHAGEHEHT BRANCH TEXT CONTINUATION (HNBB 7714), U.S. NUCLEAR REGULATORY COHHISSIOH, WASHIHGTOH, DC 20555-0001 AND TO THE PAPERWORK REDUCTION PROJECT (3140-0104), OFFICE OF NANAGEHENT AND BUDGET WASHINGTON DC 20503.
FACILITY NANE 1 DOCKET NINBER 2 LER NINBER 6 PAGE 3 YEAR SEQUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 93 006 00 3 OF 11 TEXT (If more spece is required, use additional copies of NRC Form 366A) (17)
B. EVENT:
On November 10, 1993, surveillance test procedure PT-16M-A was initiated, at approximately 0835 EST. As part of this test, the >>A>> AFW pump was started.
Control of the main feedwater regulating valve (MFRV) and bypass feedwater regulating valve for the >>A steam generator (S/G) was shifted to the "Manual" mode, and the Control Room operator slightly closed the >>A>> MFRV.
The >>A>> MFRV initially started closing, and then appeared to drift open, based on indications of increased feedwater flow to the >>A>> S/G.
Despite the efforts of the Control Room operators to close the >>A>> MFRV, the >>A>> MFRV continued to drift open. The Advanced Digital Feedwater Control System (ADFCS) responded as designed, and shifted all feedwater regulating valves (for both S/Gs) to "Manual". The Control Room operators terminated PT-16M-A and turned off the >>A>> AFW pump. >>A>> S/G level continued to increase, until it reached the high level override setpoint of 674. The >>A>> MFRV closed as designed at 674 level. All feedwater flow was now directed to the >>B>> S/G. The >>B>> S/G level also reached the 674 high level override setpoint, and the
>>B>> MFRV closed.
The MFRVs reopened as designed when S/G levels decreased to less than 674. Due to the positioner feedback linkage failure, the Control Room operators had lost the ability to control >>A>> S/G level. The >>A>>
S/G level decreased to < 174, resulting in a reactor trip on S/G Lo Lo level, at 0850 EST.
HRC FORN 366A (5.92)
NRC FORH 366A U.S. NICLEAR REGULATORY C(SIIISSION APPROVED BY (SII NO- 3150-0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY MITH THIS IHFORHATIOH COLLECTION REQUEST: 50.0 HRS ~
FORNARD COHHENTS REGARDING BURDEN ESTIHATE TO LICENSEE EVENT REPORT (LER) THE IHFORHATIOH AND RECORDS HANAGEHEHT BRAHCH TEXT CONTINUATION (HHBB 7714), U.S. NUCLEAR REGULATORY COHHISSIOH, MASHINGTON, DC 20555-0001 AND TO THE PAPERlJORK REDUCTION PROJECT (3150.0104), OFFICE OF HANAGEHENT AND BUDGET NASHINGTON DC 20503.
FACILITY HAHE 1 DOCKET NWBER 2 LER NEER 6 PAGE 3 YEAR SEQUENT IAL REVISION R.E. Ginna Nuclear Power Plant 05000244 4 OF 11 93 -- 006 00 TEXT (lf more space is required, use additional copies of HRC Form 366A) (17)
The Control Room operators performed the immediate actions of Emergency Operating Procedure E-0 (Reactor Trip or Safety Injection), and transitioned .to Emergency Operating Procedure ES-0.1 (Reactor Trip Response) when it was verified that both reactor trip breakers were open, all control and shutdown rods were inserted, and safety injection was not actuated or required. During performance of E-O, the Control Room operators noted the continuing RCS cooldown and increasing S/G levels, and referred to Functional Restoration procedure FR-H.3 (Response to Steam Generator High Level). The operators verified that the AFW pumps had started, as designed, on the Lo Lo S/G level. Using the guidance of FR-H.3, they manually stopped both main feedwater pumps. In addition, both main steam isolation valves (MSIVs) were manually closed by the Control Room operators. These actions mitigated the RCS cooldown.
The plant was subsequently stabilized in hot shutdown, using procedure 0-2.2 (Plant Shutdown From Hot Shutdown to Cold Shutdown) at approximately 1045 EST.
C. INOPERABLE STRUCTURES, COMPONENTS, OR SYSTEMS THAT CONTRIBUTED TO THE EVENT:
None D. OTHER SYSTEMS OR SECONDARY FUNCTIONS AFFECTED:
None NRC FORH 366A (5-92)
NRC FORN 366A U.S. WCLEAR REGUUlTORY CQHISS ION APPROVED BY W NO. 3150-0104 (5-92) EXPIRES 5/31/95 EST INATED BURDEH PER RESPOHSE TO COHPLY NITH THIS IHFORHATIOH COLLECT ION REQUEST: 50.0 HRS.
FORllARD CONHENTS REGARDING BURDEN EST INATE TO LICENSEE EVENT REPORT (LER) THE INFORHATION AHD RECORDS HANAGEKENT BRANCH TEXT CONTINUATION (HHBB 7714), U.S ~ NUCLEAR REGULATORY CONNISSIOH, llASHINGTON, DC 20555-0001 AND TO THE PAPERIKNK REDUCTION PROJECT (3110-0104), OFFICE OF HANAGENENT AND BUDGET IIASNINGTOH DC 20503.
FACILITY HANE 1 DOCKET NINBER 2 LER HWSER 6 PAGE 3 YEAR SEQUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 93 006-- 00 5 OF 11 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
E. METHOD OF DISCOVERY:
This event was immediately apparent due to the loss of ability to control feedwater flow to the "A" S/G. The reactor trip was immediately apparent due to alarms and indications in the Control Room.
F. OPERATOR ACTION:
After the reactor trip, the Control Room operators performed the actions of Emergency Operating Procedures E-0 (Reactor Trip or Safety Injection) and ES-0.1 (Reactor Trip Response). The main feedwater pumps were manually stopped and the MSIVs were manually closed to limit further RCS cooldown. The plant was stabilized at hot shutdown. Subsequently, the Control Room operators notified higher supervision and the Nuclear Regulatory Commission per 10CFR50.72, Non-Emergency, 4 Hour Notification at approximately 1030 EST.
G. SAFETY SYSTEM RESPONSES:
None III. CAUSE OF EVENT A. IMMEDIATE CAUSE:
The reactor trip was due to "A" S/G Lo Lo level
(</= 174) .
B. INTERMEDIATE CAUSE:
The "A" S/G Lo Lo level (</= 174) was due to decreased feedwater flow to the "A" S/G, caused by loss of ability to control the "A" MFRV.
NRC FORN 366A (5-92)
0 NRC FORH 366A U.S IRKLEAR REGULATORY C(IIIISSI(HI APPROVED BY (SRI HO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COHPLY lllTH THIS INFORHATION COLLECTIOH REQUEST: 50.0 NRS.
FORIIARD COHHENTS REGARDING BURDEN ESTIHATE TO LICENSEE EVENT REPORT (LER) THE INFORHATIOH AND RECORDS HANAGEHENT BRANCH TEXT CONTINUATION (HNBB 7714), U.S. NUCLEAR REGULATORY COHHISSIOH, llASHIHGTOH, DC 20555-0001 AND TO THE PAPERNORK REDUCTION PROJECT (3140-0104), OFFICE OF HANAGEHENT AND BUDGET HASHINGTON OC 20503.
FACILITY IWK 1 DOCKET MMBER 2 LER ABER 6 PAGE 3 YEAR SEQUENTIAL REVISIOH R.E. Ginna Nuclear Power Plant 05000244 6 OF 11 93 -- 006 00 TEXT (If more space is required, use additional copies of NRC Form 366A) (17)
C. ROOT CAUSE:
The underlying cause of the loss of ability .to control the "A" MFRV was the disconnection of the positioner feedback linkage arm from the valve actuator linkage rod on the "A" MFRV, due to disengagement of the connecting screw and nut. (This event is NUREG-1220 (B) cause code, Design, Manufacturing, Construction/
Installation).
IV. ANALYSIS OF EVENT This event is reportable in accordance with 10 CFR 50.73, Licensee Event Report System, item (a) (2) (iv), which requires a report of, "any event or condition that resulted in manual or automatic actuation of any engineered safety feature (ESF) including the reactor protection system (RPS)". The "A" S/G Lo Lo level reactor trip was an automatic actuation of the RPS. The closures of the MFRVs at 674 S/G levels were also automatic actuations of an ESF component.
An assessment was performed considering both the safety consequences and implications of this event with the following results and conclusions:
There were no safety consequences or implications attributed to the reactor trip because:
o The two reactor trip breakers opened as required.
o All control and shutdown rods inserted as designed.
o The plant was stabilized at hot shutdown.
HRC FORH 366A (5-92)
I NRC FORH 366A U S WCLEAR REGULATORY CQIIISSI OH APPROVED BY Q%l HO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPOHSE TO COHPLY llITH THIS INFORHATION COLLECTIOH REQUEST: 50.0 HRS.
FORllARD COHHEHTS REGARDIHG BURDEN ESTIHATE TO LICENSEE EVENT REPORT (LER) THE IHFORHATION AND RECORDS HANAGEHENT BRANCH TEXT CONTINUATION (HNBB 7714), U.S. NUCLEAR REGULATORY CDHHISSIOHi llASHINGTOH, DC 20555-0001 AHD TO THE PAPERlJORK REDUCTION PROJECT (3150.0104), OFFICE OF HAHAGEHENT AND BUDGET llASHINGTON DC 20503.
FACILITY HAHE DOCKET NWBER 2 LER NNBER 6 PAGE 3 SEQUENT IAL REVISION YEAR R.E. Ginna Nuclear Power Plant 05000244 7 OF 11 93 -- 006 00 TEXT (If more space is required, use additional copies of HRC Form 366A) (17)
The Ginna Updated Final Safety Analysis Report (UFSAR) transient, as described in Chapter 15.2.6, "Loss of Normal Feedwater", describes a condition where the reactor trips on Lo Lo S/G level. This UFSAR transient was reviewed and compared to the plant response for this event. The UFSAR transient is a complete loss of Main Feedwater (MFW) at full power, with only one AFW pump available one (1) minute after the loss of MFW, and secondary steam relief (i.e. decay heat removal) through the safety valves only. The protection against a loss of MFW includes the reactor trip on Lo Lo S/G level and the start of the AFW pumps. These protection features operated as designed.
Based on the above evaluation, the plant transient of November 10, 1993 is bounded by the UFSAR Safety Analysis assumptions.
There were no operational or safety consequences or implications attributed to the closure of the MFRVs at 674 S/G level because:
0 The valve closure signals occurred at. the required S/G level.
o The plant was quickly stabilized to mitigate any consequences of the event.
o As the valves closed as designed, the assumptions of the UFSAR for steam line break were met.
Technical Specifications (TS) were reviewed in respect to the post trip review data. The following are- the results of that review:
HRC FORH 366A (5-92)
NRC FORN 366A U.S. IRICLEAR REGUIATORY CQNIISSION APPROVED BY INHI NO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEH PER RESPONSE To COHPLY MITH THIs IHFORHATIDH coLLEcTIoN REQUEBT: 50.0 HRS.
FORllARD COHHEHTS REGARDIHG BURDEN ESTIHATE To LICENSEE EVENT REPORT (LER) THE INFORHATIOH AHD RECORDS HANAGEHEHT BRANCH TEXT CONTINUATION (HNBB 7714), U.S. NUCLEAR REGULATORY CONHISSION, NASHINGTOH, Dc 20555-0001 AHD To THE PAPERlJORK REDUCTION PROJECT (3140-0104), OFFICE OF NAHAGENENT AHD BUDGET llASHIHGTOH Dc 20503.
FACILITY NANE 1 DOCKET NNBER 2 LER NWER 6 PAGE 3
'YEAR SEQUENTIAL REVISIOH R.E. Ginna Nuclear Power Plant 05000244 93 006-- 00 8 OF 11 TEXT (If more space is required, use additionat copies of NRC Form 366A) (17) o Following the reactor trip, PRZR water level decreased to below 04, due to a moderate RCS cooldown. This cooldown occurred during the post trip recovery period. This cooldown was bounded by the plant accident analysis, and did not exceed the TS limit of 100 degrees F per hour. Additional mitigation was provided by closing the MSIVs and stopping the main feedwater pumps. TS 3.1.1.5 states, in part, that when the RCS temperature is at or above 350 degrees F, the pressurizer water level will be maintained between 124 and 874 of level span to be considered operable. TS 3.1.1.5 also states, in part, that if the pressurizer is inoperable due to water level, restore the pressurizer to operable status within six (6) hours or have the reactor below an RCS temperature of 350 degrees F and the RHR system in operation within an additional six (6) hours. Pressurizer water level recovered to greater than 124 level within ten (10) minutes, well before the six (6) hour action statement.
o Both S/G levels decreased to less than 04 following the reactor trip. This is an expected observed transient. TS 4.3.5.5 states that in order to demonstrate that a reactor coolant loop is operable, the S/G water level shall be >/=
164. Thus, both coolant loops were inoperable, even though both loops were still in operation and performing their intended function of decay heat removal. Both S/Gs were available as a heat sink, and sufficient AFH flow was maintained for adequate steam release from both S/Gs. TS 3.1.1.1(c) states, in part, that except for special tests, when the RCS temperature is at or above 350 degrees F with the reactor power less than or equal to 130 MWT (8.54), at least one reactor coolant loop and its associated S/G and reactor coolant pump shall be in operation. Both reactor coolant loops were in operation, but the S/Gs were inoperable due to level indication. Both loops were returned to operable status. "A" S/G level was restored to > 164 within one (1) minute, and "B" S/G level was restored to > 164 in approximately ten (10) seconds.
HRC FORH 366A (5 92)
HRC FORH 366A U.S IN)CLEAR REGULATORY CQBIISSIQI APPROVED BY MB HO. 3150-0104 5-92) EXPIRES 5/31/95 EST INATED BURDEN PER RESPONSE TO CONPLY MITH THIS INFORNATI OH COLLECTION REQUEST 50 ~ 0 HRS.
FORNARD COHHEHl'S REGARD IHG BURDEH EST I HATE TO LICENSEE EVENT REPORT (LER) THE IHFORHATI OH AHD RECORDS NANAGENEHT BRANCH TEXT CONTINUATION (HHBB 7714), U.S. NUCLEAR REGULATORY COHHISSIOH, HASHIHGTOH, DC 20555-0001 AND TO THE PAPERNORK REDUCTION PROJECT (3140 0104), OFFICE OF NANAGENEHT AHD BUDGET llASNIHGTON DC 20503.
FACI LITY RANE 1 DOCKET HlMBER 2 LER HINBER 6 PAGE 3 YEAR SEQUENTIAL REVISION R.E. Ginna Nuclear Power Plant 05000244 93 -- 006 pp 9 OF 11 TEXT (If more space is required, use additional copies oi NRC Form 366A) (17) o Condensate Storage Tank (CST),level decreased to less than 22,500 gallons of water, due to a malfunction of the condensate makeup and reject valves. The malfunction caused the CSTs to fill the main condenser hotwell. TS 3.4.3 states, in part, that with the RCS temperature at or above 350 degrees F, one or more CSTs with a minimum of 22,500 gallons of water, shall be operable as a source of auxiliary feedwater. With the CSTs inoperable, within four (4) hours either restore the CSTs to operable status, or be in at least hot shutdown within the following six (6) hours and at an RCS temperature less than 350 degrees F within the following six (6) hours. The reactor was already at hot shutdown, and the CSTs were restored to operable status within approximately fifty statement.
(50) minutes, well before the twelve (12) hour action Based on the above and a review of post trip data and past plant transients, it can be concluded that the plant operated as designed and that there were no unreviewed safety questions and that the public's health and safety was assured at all times. f V. CORRECTIVE ACTION A. ACTION TAKEN TO RETURN AFFECTED SYSTEMS TO PRE-EVENT NORMAL STATUS:
o The "A" MFRV Bailey positioner was replaced. (Refer to LER 92-006, Rev. 1, Docket No. 50-244.) The newly installed positioner was reattached to the valve actuator linkage rod using a vendor-recommended screw with an elastic stop nut.
HRC FORH 366A (5-92)
0 HRC FORH 366A U.S INCLEAR REGULATORY CRIBS ION APPROVED BY (HN HO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPOHSE TO COHPLY WITH THIS INFORHATIOH COLLECTIOH REQUEST: 50.0 HRS.
FORWARD COHHEHTS REGARDIHG BURDEN ESTIHATE TO LICENSEE EVENT REPORT (LER) THE INFORHATIOH AND RECORDS HANAGEHEHT BRANCH TEXT CONTINUATION (HHBB 7714), U.S. NUCLEAR REGULATORY COHHISSION, WASHINGTON, DC 20555-0001 AHD TO THE PAPERWORK REDUCT10H PROJECT (31/0-0104), OFFICE OF HANAGEHEHT AHD BUDGET WASHINGTON OC 20503.
FACILITY HAHE 1 DOCKET HNBER 2 LER HWBER 6 PAGE 3 SEQUENTIAL REVISION YEAR R.E. Ginna Nuclear Power Plant 05000244 93 -- 006 00 10 OF 11 TEXT (lf more space is required, use additional copies of NRC Form 366A) (1)')
o The >>B>> MFRV positioner was inspected, and rework of the positioner was performed. This included installation of a vendor-recommended screw with an elastic stop nut.
o The >>A>> and >>B>> MFRVs were repacked. (Refer to LER 92-006, Rev. 1, Docket No. 50-244.)
o Linkage connections for other accessible valves with Bailey positioners were inspected to ensure satisfactory integrity of the connections.
o The malfunction of the condensate makeup and reject valves was caused by a fitting leak which was associated with the common demand signal shared by both valves. The fitting was tightened, and both valves were verified to respond correctly to control main condenser hotwell level.
B. ACTION TAKEN OR PLANNED TO PREVENT RECURRENCE:
o Applicable procedures will be upgraded to ensure Bailey vendor manual information concerning feedback linkage arm:
connections is addressed.
0 Training will be conducted to enhance the knowledge of appropriate personnel on the general topic of fasteners, and stressing linkage arm connections, specifically.
0 Rework of positioner feedback linkage arm connections, for all other valves with Bailey positioners, will be accomplished. This will include installation of vendor-recommended screws and elastic stop nuts.
NRC FORH 366A (5 92)
HRC FORH 366A U.S WCLEAR REGULATORY CQBIISSIOH APPROVED BY QBI HO. 3150-0104 (5-92) EXPIRES 5/31/95 ESTIHATED BURDEN PER RESPONSE TO COMPLY UITH THIS INFORHATIOH COLLECTION REQUEST: 50.0 HRS.
FORNARD COHMEHTS REGARDING BURDEN ESTIMATE TO LICENSEE EVENT REPORT (LER) THE IHFORHATION AND RECORDS HANAGEMENT BRANCH (HNBB 7714), U.S. NUCLEAR REGULATORY COHHISSION, TEXT CONTINUATION llASHINGTON, DC 20555-0001 AHD TO THE PAPERNORK REDUCTIOH PROJECT (3140-0104), OFFICE OF HANAGEHENT AND BUDGET UASHINGTON DC 20503.
FACILITY NAIK 1 DOCKET HQSER 2 LER HINBER 6 PAGE 3 SEOUENT IAL REVISION YEAR R.E. Ginna Nuclear Power Plant 05000244 93 006 00 11 OF 11 TEXT (If more space is required, use additional copies of HRC Form 366A) (17)
VI. ADDITIONAL INFORMATION A. FAILED COMPONENTS:
The failed component was the "A" MFRV positioner feedback linkage arm connection. This assembly is a Bailey pneumatic positioner, model AV 112100, manufac-tured by Bailey Controls Inc.
B. PREVIOUS LERs ON SIMILAR EVENTS:
A similar LER event historical search was conducted with the following results: No documentation of similar LER events with the same root cause at Ginna Nuclear Power Plant could be identified. However, LERs88-005, 90-'007, and 90-010 were similar events with different root causes.
C. SPECIAL COMMENTS:
LER 92-006, Rev. 1, identified three corrective actions related to MFRVs: replace the "A" MFRV actuator with a rebuilt actuator, replace the "A" MFRV positioner, and repack both MFRVs. Two of these corrective actions were accomplished in response to this event (LER 93-006). Post-maintenance testing of MFRVs, and subsequent satisfactory operation of both MFRVs, have demonstrated that replacement of the "A" MFRV actuator is no longer required.
HRC FORM 366A (5-92)