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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17241A4891999-10-0707 October 1999 LER 99-004-00:on 990912,noted That MSSV Surveillance Was Outside of TS Requirements.Caused by Setpoint Drift.Subject MSSVs Are Being Refurbished & Retested Prior to Unit Startup from SL1-16 Refueling Outage.With 991007 Ltr ML17241A4111999-07-16016 July 1999 LER 99-007-00:on 990610,unplanned Cooldown Transient Occurred Due to Personnel Error.Trained & Briefed Personnel & Revised Procedures.With 990716 Ltr ML17241A4031999-07-0606 July 1999 LER 99-006-00:on 990605,sub-critical Reactor Trip Occurred Due to Inadvertent MSIV Opening.Caused by Personnel Error. Provided Operation Supervision Instruction to Operating Crews,Stand Down Meetings & Operator Aids.With 990706 Ltr ML17241A4041999-07-0606 July 1999 LER 99-005-00:on 990604,CEA Drop Resulted in Manual Reactor Trip.Caused by Procedural Inadequacies.Procedure Changes Are Planned to Correct Lack of Procedural Guidance for CEA Subgroup Power Switch Replacement.With 990706 Ltr ML17241A3941999-06-30030 June 1999 LER 99-004-01:on 990415,as Found Cycle 10 Psv Setpoints Were Outside TS Limits.Caused by Manufacturing Process Defect. All Three Psvs Were Replaced with pre-tested Valves During Cycle 11 Refueling Outage.With 990630 Ltr ML17241A3551999-06-0404 June 1999 LER 99-002-00:on 990505,both Trains of Safety Injection Actuation Were Blocked During Surveillance.Caused by Procedure Error.Procedure Revised.With 990604 Ltr ML17241A3321999-05-17017 May 1999 LER 99-004-00:on 990415,determined That as Found Cycle 10 Psv Setpoints Outside TS Limits.Root Cause Under Investigation.Psvs Replaced with pe-tested Valves During Cycle 11 ML17241A3271999-05-0606 May 1999 LER 99-003-00:on 990406,ECCS Suction Header Leak Resulted in Both ECCS Trains Being Inoperable & Entry Into TS 3.0.3. Caused by Chloride Induced OD Stress Corrosion Cracking of Piping.Made Code Repairs & Coated Piping.With 990506 Ltr ML17229B0791999-04-0707 April 1999 LER 99-001-00:on 990309,discovered Inadequate Design & IST SRs for Iodine Removal Sys (Irs).Caused by Original Design Inadequacies & Personnel Error.Naoh Tank Vent Valve V07233 Was Tagged Open.With 990407 Ltr ML17229B0801999-04-0707 April 1999 LER 99-002-00:on 990311,SG ECT Error Caused Operation with Condition Prohibited by Ts.Caused by Deficiencies in Data Analysis Guideline Instructions.Licensee Will Change Data Analysis Guidelines for Lead Analysts.With 990407 Ltr ML17229B0541999-03-10010 March 1999 LER 99-001-00:on 990211,inadequate TS SRs for SIT & SDC Isolation Valves Were Noted.Caused by Failure to Correctly Implement TS Srs.Submitted LAR to Align Required TS SR with Design Bases Requirements Being Verified.With 990310 Ltr ML17229A9901999-01-20020 January 1999 LER 98-009-00:on 981223,noted That Facility Operated Outside of Design Basis.Caused by non-conservative MSLB Analysis Inputs.Will Review SR Component Differences Between Units & Will re-baseline LTOP Analysis.With 990120 Ltr ML17229A9821999-01-0404 January 1999 LER 98-010-00:on 981207,RCS Boron Sample Frequency Required by Ts,Was Exceeded by Twelve Minutes.Caused by Personnel Error.Equipment Clearance Order Was Lifted to Draw Required Sample & Operations Procedure Was Changed.With 990104 Ltr ML17229A9611998-12-22022 December 1998 LER 97-002-01:on 981204,containment Sump Debris Screen Was Not IAW Design.Caused by Inadequate C/As for Sump Screen Anamolies.All Identified Sump Screen Deficiencies Were Dispositioned &/Or Repaired.With 981222 Ltr ML17229A9561998-12-15015 December 1998 LER 98-008-00:on 981118,missed TS SG U Tube Insp.Caused by Encoding Errors While Using Remote Positioning Fixtures.All SG Tube Surveyed.With 981215 Ltr ML17229A9301998-11-25025 November 1998 LER 98-005-01:on 980807,discovered That New MOV Methodology Caused Past PORV Block Valve Operability Problem.Caused by Inadequacies in Original Vendor MOV Methodology.Planned Valve Mods Will Be Implemented During Cycle 11 1998 Outage ML17229A9021998-11-0404 November 1998 LER 98-008-00:on 981008,inadequate Reactor Protection Sys Trip Bypass TS Was Noted.Caused by Poorly Worded Ts. Submitted LAR to Clarify Power Requirements for High Rate of Power Trips.With 981104 Ltr ML17229A8771998-10-14014 October 1998 LER 98-006-00:on 980918,inadvertent Afas Actuation Was Noted.Caused by Degradation of Multiple Afas Power Supplies. Replaced Afas Power Supplies & Revised Procedures.With 981014 Ltr ML17229A8761998-10-14014 October 1998 LER 98-007-00:on 980918,identified Discrepancies Between Fire Protection Design Requirements & Field Conditions. Caused by Inadequate Translation & Implementation of Fire Protection Requirements.Procedures Revised.With 981014 Ltr ML17229A8511998-09-0202 September 1998 LER 98-005-00:on 980807,discovered That PORV Margins Were Insufficient to Accommodate Addl Conservatism.Caused by Inadequacies in Original Vendor MOV Methodology.Will Implement Planned Valve Actuator mods.W/980902 Ltr ML17229A8201998-07-29029 July 1998 LER 98-007-00:on 980630,inadequate Procedure May Have Resulted in SBO Recovery Complications.Caused by Inadequate Procedures.Attached Caution Tags to Appropriate Control switches.W/980729 Ltr ML17229A7411998-05-28028 May 1998 LER 98-004-00:on 980430,discovered Waste Gas Decay Tank Operation W/O Available Oxygen Analyzers,Which Is Prohibited by Ts.Caused by Inadequate Licensee Review of License Amend. Oxygen Analyzer recalibrated.W/980528 Ltr ML17229A7381998-05-21021 May 1998 LER 98-006-00:on 980421,missed EDG Fuel Oil Sample Surveillance Was Noted.Caused by Personnel Error.Revised Fuel Oil Sampling Service Purchase Order & Revised Site procedure.W/980521 Ltr ML17229A7011998-04-27027 April 1998 LER 98-003-00:on 980326,discovered Containment Pressure Instrumentation Design Single Failure Vulnerability.Caused by Inadequate Design by Personnel Error.Removed RPS & ESFAS Containment Pressure Bypass Keys immediately.W/980427 Ltr ML17229A6761998-04-0202 April 1998 LER 98-005-00:on 980305,identified Two Conditions That Were Outside App R Design Bases.Caused by Design Oversight During Development of Original App R Safe SD Design.Established 30 Minute Roving Fire Watches & Provided training.W/980402 Ltr ML17229A6731998-03-26026 March 1998 LER 98-002-00:on 980224,radiation Monitor Surveillance Inadequacies Led to Operating of Facility Prohibited by Tss. Caused by Congnitive Personnel Error.Permanent Procedure Changes Were implemented.W/980326 Ltr ML17229A6551998-03-0505 March 1998 LER 98-001-00:on 980206,high/low Pressure Shutdown Cooling Interface Was Noted Outside App R Design Bases.Caused by Personnel Error.Addl Guidance Was Provided to Engineering Dept personnel.W/980305 Ltr ML17229A6281998-02-19019 February 1998 LER 98-004-00:on 980121,emergency Lighting Outside App R Design Bases Occurred.Caused by Congnitive Personnel Error During Translation of App R Section Iii.Procedures Onop 1 & 2 ONP-100.01 Were Issued for Use on 980206.W/980219 Ltr ML17229A6211998-02-0909 February 1998 LER 98-003-00:on 980110,manual Rt Due to DEH Leak at Turbine Test Block Was Noted.Caused by o-ring Extrusion.Shortened Bolts by About 0.125 & Reinstalled at Correct Torque values.W/980209 Ltr ML17229A6191998-02-0404 February 1998 LER 98-002-00:on 980105,CIS Bistable in Bypass Resulted in Condition Prohibited by Tss.Caused by Personnel Error. Radiation Monitor Was Restored to service.W/980204 Ltr ML17229A6161998-02-0303 February 1998 LER 98-001-00:on 980104,inadvertent RPS Actuation Occurred Due to Personnel Error.Caused by Procedural Inadequacies & Inadequate self-checking by Licensed Utility Personnel. Placards Have Been Placed in CRs.W/980203 Ltr ML17229A6051998-01-27027 January 1998 LER 97-010-01:on 971027,inadvertent Core Alteration Prohibited by TSs Were Noted Due to Stuck Cea.Caused by Personnel Error.Cea #24 Was Dislodged & Transferred to Spent Pool for insp.W/980127 Ltr ML17229A5501997-12-0505 December 1997 LER 97-008-00:on 971107,inadequate CR Ventilation Surveillance Resulted in Condition Prohibited by Ts.Caused by non-cognitive Personnel Error.Operating Procedure 2-1900050 Was revised.W/971205 Ltr ML17309A9091997-12-0202 December 1997 LER 97-011-00:on 971102,non-conservative RAS Set Point Resulted in Operation Prohibited by Ts.Caused by Inadequate Set Point & Instrument Loop Scaling Process.Revised ESFAS Functional Tp W/Proper Set point.W/971202 Ltr ML17229A5391997-11-26026 November 1997 LER 97-010-00:on 971027,inadvertant Core Alteration Prohibited by TS Occurred.Caused by CEA Failure to Detach from Ugs.Safety Evaluation Was Performed & Procedural Rev Made to Continue Upper Guide Structure move.W/971126 Ltr ML17229A5151997-11-0707 November 1997 LER 97-007-00:on 971008,inoperable Containment Cooling Fan Resulted in Operation of Facility Outside Design Basis. Caused by non-cognitive Personnel Error.Ccs Operation Was Revised & Issued on 971013.W/971107 Ltr ML17229A4991997-10-17017 October 1997 LER 97-009-00:on 970917,inoperable PORV Block Valve Resulted in Operation Prohibited by Tech Specs Occurred.Caused by Plant GL 89-10 Program Plan to Review Plant Manager Action Item Sys.Porv Block Valve V-1403 restored.W/971017 Ltr ML17309A9011997-08-27027 August 1997 LER 97-008-00:on 970728,mechanical Fire Penetrations Were Inoperable & Outside App R Design Bases.Caused by Seal Mfg Not Providing Formal Documentation for Installed Seals. Modified Inoperable Fire penetrations.W/970827 Ltr ML17229A4311997-07-29029 July 1997 LER 97-006-00:on 970630,discovered Inadequate Testing of Engineered Safety Features Subgroup Relays.Caused by Inadequacy in Implementing TS Requirements in Surveillance Procedures.Revised Surveillance procedures.W/970729 Ltr ML17229A4241997-07-25025 July 1997 LER 97-005-00:on 970625,discovered That Hot Shutdown Control Panel Shutdown Cooling Flow indicator,FI-3306 Inoperable. Caused by Weakness in Work Order & Procedure Used to Repair FI-3306.Section Meeting W/I&C Planners held.W/970725 Ltr ML17229A3971997-07-11011 July 1997 LER 97-004-00:on 970611,discovered Incorrect Original Cable Tray Fire Stop Assembly Installation Was Outside App R Design Basis.Caused by Personnel Error.Hourly Fire Watch Patrols Will Be posted.W/970711 Ltr ML17229A3871997-06-19019 June 1997 LER 97-003-00:on 970521,determined Required Post Maint Open Stroke Test for Valve V3245,2B2 SIT Discharge Check Valve, Had Not Been Performed.Caused by Personnel Error.Procedure revised.W/970619 Ltr ML17229A3841997-06-17017 June 1997 LER 97-002-00:on 970518,containment Sump Debris Screen Was Not IAW Design Due to Gaps in Screen Encl.Performed SER to Document Containment Sump Design requirements.W/970617 Ltr ML17229A3751997-06-0202 June 1997 LER 97-006-00:on 970501,operation Was Prohibited by TS Due to Inadequately Tested Degraded Voltage Sys.Revised Unit 1 ESFAS Surveillance Test procedure.W/970602 Ltr ML17229A3611997-05-29029 May 1997 LER 97-007-00:on 970502,reactor Coolant Pump Oil Collection Sys Was Outside App R Design Bases.Identified Leak Sites Were Repaired & Mods to RCP Oil Collection Sys to Capture Any Future Leakage from areas.W/970529 Ltr ML17229A3491997-05-21021 May 1997 LER 97-001-00:on 970423,containment Isolation Actuation Occurred.Caused by Increased Radiation Levels During Removal of Upper Guide Structure.Proper Actuation of Containment Isolation Components Was verified.W/970521 Ltr ML17229A3441997-05-13013 May 1997 LER 97-005-00:on 970419,reactor Was Shutdown Due to Reactor Coolant Pressure Boundary Leakage.Hot Cracking Was Caused by Weld Contamination.Repairs to RCPB Were Completed & 1A SDC Train Was Restored to Svc ML17229A3141997-04-30030 April 1997 LER 97-004-00:on 970402,refueling Machine Was Operating in Manner Prohibited by TS Due to Original Design of Refueling Machine Bypass Feature Conflicting W/Ts Requirements. Eliminated Overload Cut Off Limit bypass.W/970430 Ltr ML17229A2951997-03-31031 March 1997 LER 97-003-00:on 970304,automatic Rt Resulted from Loss of Electrical Power to 1A2 Rc Pump.Rcp Breaker Was Replaced & Pump Was Returned to svc.W/970331 Ltr ML17229A2721997-03-21021 March 1997 LER 97-002-00:on 970221,operation in Excess of Max Rated Thermal Power Occurred Due to Digital Data Processing Sys (Ddps) Calorimetric Error.Verified Acceptable Performance of Ddps Functions & Reviewed Software mods.W/970321 Ltr 1999-07-06
[Table view] Category:RO)
MONTHYEARML17241A4891999-10-0707 October 1999 LER 99-004-00:on 990912,noted That MSSV Surveillance Was Outside of TS Requirements.Caused by Setpoint Drift.Subject MSSVs Are Being Refurbished & Retested Prior to Unit Startup from SL1-16 Refueling Outage.With 991007 Ltr ML17241A4111999-07-16016 July 1999 LER 99-007-00:on 990610,unplanned Cooldown Transient Occurred Due to Personnel Error.Trained & Briefed Personnel & Revised Procedures.With 990716 Ltr ML17241A4031999-07-0606 July 1999 LER 99-006-00:on 990605,sub-critical Reactor Trip Occurred Due to Inadvertent MSIV Opening.Caused by Personnel Error. Provided Operation Supervision Instruction to Operating Crews,Stand Down Meetings & Operator Aids.With 990706 Ltr ML17241A4041999-07-0606 July 1999 LER 99-005-00:on 990604,CEA Drop Resulted in Manual Reactor Trip.Caused by Procedural Inadequacies.Procedure Changes Are Planned to Correct Lack of Procedural Guidance for CEA Subgroup Power Switch Replacement.With 990706 Ltr ML17241A3941999-06-30030 June 1999 LER 99-004-01:on 990415,as Found Cycle 10 Psv Setpoints Were Outside TS Limits.Caused by Manufacturing Process Defect. All Three Psvs Were Replaced with pre-tested Valves During Cycle 11 Refueling Outage.With 990630 Ltr ML17241A3551999-06-0404 June 1999 LER 99-002-00:on 990505,both Trains of Safety Injection Actuation Were Blocked During Surveillance.Caused by Procedure Error.Procedure Revised.With 990604 Ltr ML17241A3321999-05-17017 May 1999 LER 99-004-00:on 990415,determined That as Found Cycle 10 Psv Setpoints Outside TS Limits.Root Cause Under Investigation.Psvs Replaced with pe-tested Valves During Cycle 11 ML17241A3271999-05-0606 May 1999 LER 99-003-00:on 990406,ECCS Suction Header Leak Resulted in Both ECCS Trains Being Inoperable & Entry Into TS 3.0.3. Caused by Chloride Induced OD Stress Corrosion Cracking of Piping.Made Code Repairs & Coated Piping.With 990506 Ltr ML17229B0791999-04-0707 April 1999 LER 99-001-00:on 990309,discovered Inadequate Design & IST SRs for Iodine Removal Sys (Irs).Caused by Original Design Inadequacies & Personnel Error.Naoh Tank Vent Valve V07233 Was Tagged Open.With 990407 Ltr ML17229B0801999-04-0707 April 1999 LER 99-002-00:on 990311,SG ECT Error Caused Operation with Condition Prohibited by Ts.Caused by Deficiencies in Data Analysis Guideline Instructions.Licensee Will Change Data Analysis Guidelines for Lead Analysts.With 990407 Ltr ML17229B0541999-03-10010 March 1999 LER 99-001-00:on 990211,inadequate TS SRs for SIT & SDC Isolation Valves Were Noted.Caused by Failure to Correctly Implement TS Srs.Submitted LAR to Align Required TS SR with Design Bases Requirements Being Verified.With 990310 Ltr ML17229A9901999-01-20020 January 1999 LER 98-009-00:on 981223,noted That Facility Operated Outside of Design Basis.Caused by non-conservative MSLB Analysis Inputs.Will Review SR Component Differences Between Units & Will re-baseline LTOP Analysis.With 990120 Ltr ML17229A9821999-01-0404 January 1999 LER 98-010-00:on 981207,RCS Boron Sample Frequency Required by Ts,Was Exceeded by Twelve Minutes.Caused by Personnel Error.Equipment Clearance Order Was Lifted to Draw Required Sample & Operations Procedure Was Changed.With 990104 Ltr ML17229A9611998-12-22022 December 1998 LER 97-002-01:on 981204,containment Sump Debris Screen Was Not IAW Design.Caused by Inadequate C/As for Sump Screen Anamolies.All Identified Sump Screen Deficiencies Were Dispositioned &/Or Repaired.With 981222 Ltr ML17229A9561998-12-15015 December 1998 LER 98-008-00:on 981118,missed TS SG U Tube Insp.Caused by Encoding Errors While Using Remote Positioning Fixtures.All SG Tube Surveyed.With 981215 Ltr ML17229A9301998-11-25025 November 1998 LER 98-005-01:on 980807,discovered That New MOV Methodology Caused Past PORV Block Valve Operability Problem.Caused by Inadequacies in Original Vendor MOV Methodology.Planned Valve Mods Will Be Implemented During Cycle 11 1998 Outage ML17229A9021998-11-0404 November 1998 LER 98-008-00:on 981008,inadequate Reactor Protection Sys Trip Bypass TS Was Noted.Caused by Poorly Worded Ts. Submitted LAR to Clarify Power Requirements for High Rate of Power Trips.With 981104 Ltr ML17229A8771998-10-14014 October 1998 LER 98-006-00:on 980918,inadvertent Afas Actuation Was Noted.Caused by Degradation of Multiple Afas Power Supplies. Replaced Afas Power Supplies & Revised Procedures.With 981014 Ltr ML17229A8761998-10-14014 October 1998 LER 98-007-00:on 980918,identified Discrepancies Between Fire Protection Design Requirements & Field Conditions. Caused by Inadequate Translation & Implementation of Fire Protection Requirements.Procedures Revised.With 981014 Ltr ML17229A8511998-09-0202 September 1998 LER 98-005-00:on 980807,discovered That PORV Margins Were Insufficient to Accommodate Addl Conservatism.Caused by Inadequacies in Original Vendor MOV Methodology.Will Implement Planned Valve Actuator mods.W/980902 Ltr ML17229A8201998-07-29029 July 1998 LER 98-007-00:on 980630,inadequate Procedure May Have Resulted in SBO Recovery Complications.Caused by Inadequate Procedures.Attached Caution Tags to Appropriate Control switches.W/980729 Ltr ML17229A7411998-05-28028 May 1998 LER 98-004-00:on 980430,discovered Waste Gas Decay Tank Operation W/O Available Oxygen Analyzers,Which Is Prohibited by Ts.Caused by Inadequate Licensee Review of License Amend. Oxygen Analyzer recalibrated.W/980528 Ltr ML17229A7381998-05-21021 May 1998 LER 98-006-00:on 980421,missed EDG Fuel Oil Sample Surveillance Was Noted.Caused by Personnel Error.Revised Fuel Oil Sampling Service Purchase Order & Revised Site procedure.W/980521 Ltr ML17229A7011998-04-27027 April 1998 LER 98-003-00:on 980326,discovered Containment Pressure Instrumentation Design Single Failure Vulnerability.Caused by Inadequate Design by Personnel Error.Removed RPS & ESFAS Containment Pressure Bypass Keys immediately.W/980427 Ltr ML17229A6761998-04-0202 April 1998 LER 98-005-00:on 980305,identified Two Conditions That Were Outside App R Design Bases.Caused by Design Oversight During Development of Original App R Safe SD Design.Established 30 Minute Roving Fire Watches & Provided training.W/980402 Ltr ML17229A6731998-03-26026 March 1998 LER 98-002-00:on 980224,radiation Monitor Surveillance Inadequacies Led to Operating of Facility Prohibited by Tss. Caused by Congnitive Personnel Error.Permanent Procedure Changes Were implemented.W/980326 Ltr ML17229A6551998-03-0505 March 1998 LER 98-001-00:on 980206,high/low Pressure Shutdown Cooling Interface Was Noted Outside App R Design Bases.Caused by Personnel Error.Addl Guidance Was Provided to Engineering Dept personnel.W/980305 Ltr ML17229A6281998-02-19019 February 1998 LER 98-004-00:on 980121,emergency Lighting Outside App R Design Bases Occurred.Caused by Congnitive Personnel Error During Translation of App R Section Iii.Procedures Onop 1 & 2 ONP-100.01 Were Issued for Use on 980206.W/980219 Ltr ML17229A6211998-02-0909 February 1998 LER 98-003-00:on 980110,manual Rt Due to DEH Leak at Turbine Test Block Was Noted.Caused by o-ring Extrusion.Shortened Bolts by About 0.125 & Reinstalled at Correct Torque values.W/980209 Ltr ML17229A6191998-02-0404 February 1998 LER 98-002-00:on 980105,CIS Bistable in Bypass Resulted in Condition Prohibited by Tss.Caused by Personnel Error. Radiation Monitor Was Restored to service.W/980204 Ltr ML17229A6161998-02-0303 February 1998 LER 98-001-00:on 980104,inadvertent RPS Actuation Occurred Due to Personnel Error.Caused by Procedural Inadequacies & Inadequate self-checking by Licensed Utility Personnel. Placards Have Been Placed in CRs.W/980203 Ltr ML17229A6051998-01-27027 January 1998 LER 97-010-01:on 971027,inadvertent Core Alteration Prohibited by TSs Were Noted Due to Stuck Cea.Caused by Personnel Error.Cea #24 Was Dislodged & Transferred to Spent Pool for insp.W/980127 Ltr ML17229A5501997-12-0505 December 1997 LER 97-008-00:on 971107,inadequate CR Ventilation Surveillance Resulted in Condition Prohibited by Ts.Caused by non-cognitive Personnel Error.Operating Procedure 2-1900050 Was revised.W/971205 Ltr ML17309A9091997-12-0202 December 1997 LER 97-011-00:on 971102,non-conservative RAS Set Point Resulted in Operation Prohibited by Ts.Caused by Inadequate Set Point & Instrument Loop Scaling Process.Revised ESFAS Functional Tp W/Proper Set point.W/971202 Ltr ML17229A5391997-11-26026 November 1997 LER 97-010-00:on 971027,inadvertant Core Alteration Prohibited by TS Occurred.Caused by CEA Failure to Detach from Ugs.Safety Evaluation Was Performed & Procedural Rev Made to Continue Upper Guide Structure move.W/971126 Ltr ML17229A5151997-11-0707 November 1997 LER 97-007-00:on 971008,inoperable Containment Cooling Fan Resulted in Operation of Facility Outside Design Basis. Caused by non-cognitive Personnel Error.Ccs Operation Was Revised & Issued on 971013.W/971107 Ltr ML17229A4991997-10-17017 October 1997 LER 97-009-00:on 970917,inoperable PORV Block Valve Resulted in Operation Prohibited by Tech Specs Occurred.Caused by Plant GL 89-10 Program Plan to Review Plant Manager Action Item Sys.Porv Block Valve V-1403 restored.W/971017 Ltr ML17309A9011997-08-27027 August 1997 LER 97-008-00:on 970728,mechanical Fire Penetrations Were Inoperable & Outside App R Design Bases.Caused by Seal Mfg Not Providing Formal Documentation for Installed Seals. Modified Inoperable Fire penetrations.W/970827 Ltr ML17229A4311997-07-29029 July 1997 LER 97-006-00:on 970630,discovered Inadequate Testing of Engineered Safety Features Subgroup Relays.Caused by Inadequacy in Implementing TS Requirements in Surveillance Procedures.Revised Surveillance procedures.W/970729 Ltr ML17229A4241997-07-25025 July 1997 LER 97-005-00:on 970625,discovered That Hot Shutdown Control Panel Shutdown Cooling Flow indicator,FI-3306 Inoperable. Caused by Weakness in Work Order & Procedure Used to Repair FI-3306.Section Meeting W/I&C Planners held.W/970725 Ltr ML17229A3971997-07-11011 July 1997 LER 97-004-00:on 970611,discovered Incorrect Original Cable Tray Fire Stop Assembly Installation Was Outside App R Design Basis.Caused by Personnel Error.Hourly Fire Watch Patrols Will Be posted.W/970711 Ltr ML17229A3871997-06-19019 June 1997 LER 97-003-00:on 970521,determined Required Post Maint Open Stroke Test for Valve V3245,2B2 SIT Discharge Check Valve, Had Not Been Performed.Caused by Personnel Error.Procedure revised.W/970619 Ltr ML17229A3841997-06-17017 June 1997 LER 97-002-00:on 970518,containment Sump Debris Screen Was Not IAW Design Due to Gaps in Screen Encl.Performed SER to Document Containment Sump Design requirements.W/970617 Ltr ML17229A3751997-06-0202 June 1997 LER 97-006-00:on 970501,operation Was Prohibited by TS Due to Inadequately Tested Degraded Voltage Sys.Revised Unit 1 ESFAS Surveillance Test procedure.W/970602 Ltr ML17229A3611997-05-29029 May 1997 LER 97-007-00:on 970502,reactor Coolant Pump Oil Collection Sys Was Outside App R Design Bases.Identified Leak Sites Were Repaired & Mods to RCP Oil Collection Sys to Capture Any Future Leakage from areas.W/970529 Ltr ML17229A3491997-05-21021 May 1997 LER 97-001-00:on 970423,containment Isolation Actuation Occurred.Caused by Increased Radiation Levels During Removal of Upper Guide Structure.Proper Actuation of Containment Isolation Components Was verified.W/970521 Ltr ML17229A3441997-05-13013 May 1997 LER 97-005-00:on 970419,reactor Was Shutdown Due to Reactor Coolant Pressure Boundary Leakage.Hot Cracking Was Caused by Weld Contamination.Repairs to RCPB Were Completed & 1A SDC Train Was Restored to Svc ML17229A3141997-04-30030 April 1997 LER 97-004-00:on 970402,refueling Machine Was Operating in Manner Prohibited by TS Due to Original Design of Refueling Machine Bypass Feature Conflicting W/Ts Requirements. Eliminated Overload Cut Off Limit bypass.W/970430 Ltr ML17229A2951997-03-31031 March 1997 LER 97-003-00:on 970304,automatic Rt Resulted from Loss of Electrical Power to 1A2 Rc Pump.Rcp Breaker Was Replaced & Pump Was Returned to svc.W/970331 Ltr ML17229A2721997-03-21021 March 1997 LER 97-002-00:on 970221,operation in Excess of Max Rated Thermal Power Occurred Due to Digital Data Processing Sys (Ddps) Calorimetric Error.Verified Acceptable Performance of Ddps Functions & Reviewed Software mods.W/970321 Ltr 1999-07-06
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17241A4891999-10-0707 October 1999 LER 99-004-00:on 990912,noted That MSSV Surveillance Was Outside of TS Requirements.Caused by Setpoint Drift.Subject MSSVs Are Being Refurbished & Retested Prior to Unit Startup from SL1-16 Refueling Outage.With 991007 Ltr ML17241A4951999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for St Lucie,Units 1 & 2.With 991014 Ltr ML17241A4741999-08-31031 August 1999 Rev 1 to PCM 99016, St Lucie Unit 1,Cycle 16 Colr. ML17241A4591999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for St Lucie,Units 1 & 2.With 990913 Ltr ML17241A4301999-07-31031 July 1999 Monthly Operating Repts for Jul 1999 for St Lucie Units 1 & 2.With 990805 Ltr ML17241A4111999-07-16016 July 1999 LER 99-007-00:on 990610,unplanned Cooldown Transient Occurred Due to Personnel Error.Trained & Briefed Personnel & Revised Procedures.With 990716 Ltr ML17241A4031999-07-0606 July 1999 LER 99-006-00:on 990605,sub-critical Reactor Trip Occurred Due to Inadvertent MSIV Opening.Caused by Personnel Error. Provided Operation Supervision Instruction to Operating Crews,Stand Down Meetings & Operator Aids.With 990706 Ltr ML17241A4041999-07-0606 July 1999 LER 99-005-00:on 990604,CEA Drop Resulted in Manual Reactor Trip.Caused by Procedural Inadequacies.Procedure Changes Are Planned to Correct Lack of Procedural Guidance for CEA Subgroup Power Switch Replacement.With 990706 Ltr ML17241A4091999-06-30030 June 1999 Monthly Operating Repts for June 1999 for St Lucie,Units 1 & 2.With 990712 Ltr ML17241A3941999-06-30030 June 1999 LER 99-004-01:on 990415,as Found Cycle 10 Psv Setpoints Were Outside TS Limits.Caused by Manufacturing Process Defect. All Three Psvs Were Replaced with pre-tested Valves During Cycle 11 Refueling Outage.With 990630 Ltr ML17355A3681999-06-30030 June 1999 Revised Update to Topical QA Rept, Dtd June 1999 ML17241A3551999-06-0404 June 1999 LER 99-002-00:on 990505,both Trains of Safety Injection Actuation Were Blocked During Surveillance.Caused by Procedure Error.Procedure Revised.With 990604 Ltr ML17241A3631999-05-31031 May 1999 Monthly Operating Repts for May 1999 for St Lucie Units 1 & 2.With 990610 Ltr ML17241A3321999-05-17017 May 1999 LER 99-004-00:on 990415,determined That as Found Cycle 10 Psv Setpoints Outside TS Limits.Root Cause Under Investigation.Psvs Replaced with pe-tested Valves During Cycle 11 ML17241A3271999-05-0606 May 1999 LER 99-003-00:on 990406,ECCS Suction Header Leak Resulted in Both ECCS Trains Being Inoperable & Entry Into TS 3.0.3. Caused by Chloride Induced OD Stress Corrosion Cracking of Piping.Made Code Repairs & Coated Piping.With 990506 Ltr ML17241A3331999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for St Lucie,Units 1 & 2.With 990517 Ltr ML17229B0801999-04-0707 April 1999 LER 99-002-00:on 990311,SG ECT Error Caused Operation with Condition Prohibited by Ts.Caused by Deficiencies in Data Analysis Guideline Instructions.Licensee Will Change Data Analysis Guidelines for Lead Analysts.With 990407 Ltr ML17229B0841999-04-0707 April 1999 Rev 2 to PSL-ENG-SEMS-98-102, Engineering Evaluation of ECCS Suction Lines. ML17229B0791999-04-0707 April 1999 LER 99-001-00:on 990309,discovered Inadequate Design & IST SRs for Iodine Removal Sys (Irs).Caused by Original Design Inadequacies & Personnel Error.Naoh Tank Vent Valve V07233 Was Tagged Open.With 990407 Ltr ML17229B0961999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for St Lucie,Units 1 & 2.With 990408 Ltr ML17229B0541999-03-10010 March 1999 LER 99-001-00:on 990211,inadequate TS SRs for SIT & SDC Isolation Valves Were Noted.Caused by Failure to Correctly Implement TS Srs.Submitted LAR to Align Required TS SR with Design Bases Requirements Being Verified.With 990310 Ltr ML17229B0461999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for St Lucie,Units 1 & 2.With 990310 Ltr ML17229B0051999-01-31031 January 1999 Monthly Operating Repts for Jan 1999 for St Lucie,Units 1 & 2.With 990211 Ltr ML17229A9901999-01-20020 January 1999 LER 98-009-00:on 981223,noted That Facility Operated Outside of Design Basis.Caused by non-conservative MSLB Analysis Inputs.Will Review SR Component Differences Between Units & Will re-baseline LTOP Analysis.With 990120 Ltr ML17229A9961999-01-14014 January 1999 SG Tube Inservice Insp Special Rept. ML17229A9821999-01-0404 January 1999 LER 98-010-00:on 981207,RCS Boron Sample Frequency Required by Ts,Was Exceeded by Twelve Minutes.Caused by Personnel Error.Equipment Clearance Order Was Lifted to Draw Required Sample & Operations Procedure Was Changed.With 990104 Ltr ML17229A9831998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for St Lucie,Units 1 & 2.With 990111 Ltr ML17229A9611998-12-22022 December 1998 LER 97-002-01:on 981204,containment Sump Debris Screen Was Not IAW Design.Caused by Inadequate C/As for Sump Screen Anamolies.All Identified Sump Screen Deficiencies Were Dispositioned &/Or Repaired.With 981222 Ltr ML17229A9561998-12-15015 December 1998 LER 98-008-00:on 981118,missed TS SG U Tube Insp.Caused by Encoding Errors While Using Remote Positioning Fixtures.All SG Tube Surveyed.With 981215 Ltr ML17241A3581998-12-0909 December 1998 Changes,Tests & Experiments Made as Allowed by 10CFR50.59 for Period of 970526-981209. ML17229A9421998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for St Lucie,Units 1 & 2.With 981215 Ltr ML17229A9301998-11-25025 November 1998 LER 98-005-01:on 980807,discovered That New MOV Methodology Caused Past PORV Block Valve Operability Problem.Caused by Inadequacies in Original Vendor MOV Methodology.Planned Valve Mods Will Be Implemented During Cycle 11 1998 Outage ML17229A9021998-11-0404 November 1998 LER 98-008-00:on 981008,inadequate Reactor Protection Sys Trip Bypass TS Was Noted.Caused by Poorly Worded Ts. Submitted LAR to Clarify Power Requirements for High Rate of Power Trips.With 981104 Ltr ML17241A4931998-11-0101 November 1998 Statement of Account for Period of 981101-990930 for Suntrust Bank,As Trustee for Florida Municipal Power Agency Nuclear Decommissioning Trust (St Lucie Project). ML17229A9051998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for St Lucie,Units 1 & 2.With 981110 Ltr ML17229A8871998-10-19019 October 1998 Part 21 Rept Re Potential Defect in Swagelok Stainless Steel Front Ferrule,Part Number SS-503-1 Which Was Machined with Improper Length.C/A Includes Insp Equipment That Will 100% Identify Short Length ML17229A8781998-10-19019 October 1998 Part 21 Rept Re Potential Defect in Swagelok Stainless Steel Front Ferrule,Part Number SS-503-1,which Was Machined with Improper Length.Insp Equipment That Will 100% Identify Short Length ML17229A8771998-10-14014 October 1998 LER 98-006-00:on 980918,inadvertent Afas Actuation Was Noted.Caused by Degradation of Multiple Afas Power Supplies. Replaced Afas Power Supplies & Revised Procedures.With 981014 Ltr ML17229A8761998-10-14014 October 1998 LER 98-007-00:on 980918,identified Discrepancies Between Fire Protection Design Requirements & Field Conditions. Caused by Inadequate Translation & Implementation of Fire Protection Requirements.Procedures Revised.With 981014 Ltr ML17229A8721998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for St Lucie Units 1 & 2.With 981009 Ltr ML17229A8511998-09-0202 September 1998 LER 98-005-00:on 980807,discovered That PORV Margins Were Insufficient to Accommodate Addl Conservatism.Caused by Inadequacies in Original Vendor MOV Methodology.Will Implement Planned Valve Actuator mods.W/980902 Ltr ML17229A8611998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for St Lucie,Units 1 & 2.With 980911 Ltr ML18066A2771998-08-13013 August 1998 Part 21 Rept Re Deficiency in CE Current Screening Methodology for Determining Limiting Fuel Assembly for Detailed PWR thermal-hydraulic Sa.Evaluations Were Performed for Affected Plants to Determine Effect of Deficiency ML17229A8481998-08-0707 August 1998 Rev 1 to PSL-ENG-SEFJ-98-013, St Lucie Unit 2,Cycle 10 Colr. ML17229A9461998-08-0707 August 1998 Rev 0 to PCM 98016, St Lucie Unit 2,Cycle 11 Colr. ML17229A8301998-07-31031 July 1998 Monthly Operating Repts for July 1998 for St Lucie,Units 1 & 2.W/980814 Ltr ML17229A8201998-07-29029 July 1998 LER 98-007-00:on 980630,inadequate Procedure May Have Resulted in SBO Recovery Complications.Caused by Inadequate Procedures.Attached Caution Tags to Appropriate Control switches.W/980729 Ltr ML17229A7981998-06-30030 June 1998 Monthly Operating Repts for June 1998 for St Lucie,Units 1 & 2.W/980713 Ltr ML17229A7701998-05-31031 May 1998 Monthly Operating Repts for May 1998 for St Lucie,Units 1 & 2.W/980612 Ltr ML17229A7411998-05-28028 May 1998 LER 98-004-00:on 980430,discovered Waste Gas Decay Tank Operation W/O Available Oxygen Analyzers,Which Is Prohibited by Ts.Caused by Inadequate Licensee Review of License Amend. Oxygen Analyzer recalibrated.W/980528 Ltr 1999-09-30
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Text
ACCELERA D DOCU1VIENT DISTRIBUTION SYSTEM REGUD RY INFORMATION DISTRIBUT . SYSTEM (RIDE)
ACCESSION NBR:9306290152 DOC.DATE: 93/06/21 NOTARIZED: NO DOCKET FACIL:50-389 St. Lucie Plant, Unit 2, Florida Power & Light Co. 05000389 AUTH. NAME AUTHOR AFFILIATION SMITH,G.D. Florida Power & Light Co.
SAGER,D.A. Florida Power & Light Co.
RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 93-007-00:on 930521,observed indication of multiple dropped CEA on core mimic display resulting to manual reactor trip. Caused by equipment failure.LLRT conducted to verify containment vessel integrity.W/930621 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
NOTES:
RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD2-2 LA 1 1 PD2-2 PD 1 1 NORRIS F J 1 1 INTERNAL: ACNW 2 2 ACRS 2' 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~ SA/SPLB 1 1 NRR/DSSA/SRXB 1 1 EG FIL 02 1 1 RES/DSIR/EIB 1 1 RGN2 FILE 01 1 1 EXTERNAL 'G&G BRYCE F J ~ H 2 2 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHY,G.A 1 1 NSIC POOREFW. 1 1 NUDOCS FULL TXT 1 1 NOTE TO ALL'RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTEl CONTACI'HE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT. 504-2065) TO EUMINATBYOUR NAME FROM DISTIUBUTION LISTS FOR DOCUMENTS YOU DON'T NEEDl FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 32 ENCL 32
P.O. Box 128, Ft. Pierce, FL 34954.0128 I
June 21, 1993 L-93-160 FPL 10 CFR 50.73 U. S. Nuclear Regulatory Commission Attn: Document Control Desk Washington, D. C. 20555 Re: St. Lucie Unit 2 Docket No. 50-389 Reportable Event: 93-07 Date of Event: May 21, 1993 Manual Reactor Trip After the Simultaneous Dropping of Control Element Assemblies due to E ui ment Failure The attached Licensee Event Report is being submitted pursuant to the requirements of 10 CFR 50.73 to provide notification of the subject event.
Very truly yours, D. A. ger Vice r sident St. L e Plant DAS/JJB/kw Attachment cc: Stewart D. Ebneter, Regional Administrator, USNRC Region Senior Resident Inspector, USNRC, St. Lucie Plant II DAS/PSL 8938-93 9306290152 930621
~ 5giO y(pP PDR ADOCK 05000389 S PDR an FPL Group company
F PL Fscsirrils of U.S. NUCLEAR REGULATORY COMMISSION APPITOYEOOIAT NO STICSIIA trrprpts.AO00 0 NRC Form SSS t ST IAATE0 duret N Pt N IESPONSE TO CCAAPTY YIITH 0 ISS 00 OISAATON CCUE CION LICENSE%VENT REPORT (LER) INCAN ST: $ 0 0 TITS IaTIIAIS0COAANNTS IE ONEANO TAAIEN ESTINATE TO TIE IE CaeS AIO INParr 0 IAANACENENT IPIAHCHIPSSCA IAS, IWQE NT IE OSATOTY OOANASOat YIAONIOIOI.OC $ 0ISE AtD TO THE PAPEITN0$ TA IEOVCTTTN PIYAECT Oi tc oioI0 ar a ax NANACEAENTN0$ Ttoctt, TNASNIOT0$0 oc PINCE FACILITYNAME (1) DOCKET NUMBER (2) PAGE 3 4 St. Lucie Unit 2 050003891 0 5 E( ) Manual Reactor Trip After the Simultaneous Dropping of Control Element Assemblies due to Equipment Failure EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED(8)
MONTH DAY YEAR YEAR S IAL DAY YEAR FACILITYNAMES DOCKET NUMBER(S)
N/A 05 000 0 5 2 1 9 3 9 3 0 0 7 0 0 0 6 2 1 9 3 N/A 05000 THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR OPERATING Check one or more of the followin (11)
MODE (9) 20.402(b) 20.405(c) X 50.73(a)(2)(iv) 73.71(b)
POWER 20.405(a)(1)(i) 50.36(c)(1) 50.73(a)(2)(v) 73.71(c)
LEVEL (10) 0 7 2 20.405(a)(1)(ii) 50.36(c)(2) 50.73(a)(2)(vii) 0'iHER (Specify in Abstract 20.405(a)(1)(iii) 50.73(a)(2)(i) 50.73(a)(2)(viii)(A) below and in Text 20.405(a)(1)(iv) 50.73(a)(2)(viii)(B) NRC Form 366A) 50.73(a)(2)(ii) 20.405(a)(1)(v) 50.73(a)(2)(iii) 50.73(a)(2)(x)
LICENSEE CONTACT FOR THIS LER 12 NAME TELEP ONE NUMBER AREACODE Galen D. Smith, Shift Technical Advisor 4 0 7 4 6 5 - 3 5 5 0 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT 13 MANUFAC- REPORTABLE MANUFAC- REPORTABLE CAUSE SYSTEM COMPONENT TURER TO NPRDS CAUSE SYSTEM COMPONFNT TO NPRDS A A C 0 N C 5 1 5 I I I SUPPLEMENTAL REPORT EXPECTED 14 EXPECTED MONTH DAY YEAR X YES (Ifyes, complete EXPECTED SUBMISSION DATE)
SUBMISSION DATE (15) 053094 ABSTRACT (Limit to 1400 spaces.i.e. approximately fifteen single-space typewritten lines) (16)
On May 21, 1993, St. Lucie Unit 2 was manually tripped from 72% power by utility-licensed operators approximately ten seconds after seven Control Element Assemblies (CEA's) fully inserted into the core. The dropped CEAs were confirmed by the presence of rod bottom lights, CEA reed switch position transmitter indication, and decreasing reactor coolant system average coolant temperature. Standard Post Trip Actions were carried out and the unit was placed in a stable condition in Mode 3.
Initial investigation revealed that several CEA power supply breakers were open and/or fuses blown which was indicative of an electrical fault. Subsequently, two grounded CEA cables associated with CEA's 54 and 61 were discovered in electrical penetration D-1 to the containment shield building. The root cause of the electrical grounds will be investigated during the next Unit 2 refueling outage.
Corrective Actions for this event: 1) Isolated grounded conductors in electrical penetration D-1 and relanded affected CEA cables to available spare penetration modules in penetration D-1, 2) Replaced the subgroup breaker associated with subgroup sixteen and individual disconnect breakers for CEA's 8, 54, 60, and 61, 3)
Performed an Engineering Evaluation on multiple CEA drops and effects on Departure from Nucleate Boiling Ratio and Local Power Density which concluded that no Specified Acceptable Fuel Design Limits (SAFDL) were exceeded, 4) During the next Unit 2 refueling outage, penetration D-1 will be inspected, 5) A local leak rate test on penetration D-1 was performed with satisfactory results, and 6) The addition of a ground detection circuit to the Control Element Drive Mechanism Control System as a system enhancement is being evaluated.
FPL Facsimile of NRC Form 366 (6-89)
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FPL Fscsimfo oI U.S. NUCLEAR REGUlATORY COMMISSION CA@I NIL O'IT0010I PPTSPfroAPPLES:
NRC Form 366 f VNRT
~ t6 fsf LICENSEE EVEN PORT (LER) 0 ST 0 TAPNRN PT flfNSPONSS TO CTSNTT PATN TITS SPOfSAAllON CCATTCTCN INOIRSl; 00 0 IPTS tORNAICICCANRIR0 INCANONS TAPSNN 0 STIR ATE TO TIN INSORTS INST INACR I0 VANACTIR Nl SRANCH lP TATA V S IAICLSARINCASATORT TEXT CONTINUATION TI ATINICT CN . OC PTS NA AfffTO TIN PAPT PNITPN PS OVCTICPI PROITCT I PI To 0I PIT of fICE Of NANACTASNl AN) TAOCTT,TPATPNICTTPA OC PORTA FACILITYNAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
YEAR EOUENTIAL :j REVISION NUMBER '",.; NUMBER St. Lucie Unit 2 0500038993 0 0 7 0 0 0 2 0 5 TEXT (Ifmore spaceis required, use additional NRC Form 366A's) (>7)
F EVE On May 21, 1993, while Llnit 2 was at 72'/o power steady state operation, control room operators observed the indication of multiple dropped Control Element Assemblies (CEA's) (EIIS: AA) on the Core Mimic Display and the CEA Display Panel accompanied by the simultaneous annunciation of alarm K-23 "CEDMCS (Control Element Drive Mechanism Control System) (EIIS: AA) Trouble".
Subsequently, a decease in Tave was observed. The Digital Data Processing System indicated that the seven dropped CEAs were numbers 8, 54, 60, 61, 53, 65 and 67. Approximately 10 seconds after the CEA's dropped, operators manually tripped the reactor and the turbine in accordance with the immediate operator actions of the CEA Off-Normal procedure, ONOP 2-0110030. Emergency Operating Procedure (EOP) One, "Standard Post Trip Actions",was implemented immediately post-trip. The Steam Bypass Control System (EIIS: Jl) operated properly to reduce Tave to 532 degrees Fahrenheit. The Steam Generators (SG's) (EIIS: AB) were supplied post trip via the Steam Generator Feed Pumps (SGFP) (EIIS: SJ) and the 15/o feedwater bypass valve. After the successful implementation of standard post trip actions by two Reactor Control Operators, an uncomplicated reactor trip was diagnosed and the Senior Reactor Operator directed the crew to exit EOP-1 and enter EOP-2, "Reactor Trip Recovery". After the completion of EOP-2, the unit was maintained in Mode 3 for the post trip review and event investigation. Subsequent examination of the CEDMCS revealed the following conditions for the seven dropped CEA's: (See Figure One for an abbreviated schematic of the CEA power system)
- CEA 8, Regulating Group 5 - disconnect breaker was not tripped, no Subgroup fuses blown.
- CEA 54, Shutdown Group A - disconnect breaker was tripped.
- CEA 60, Regulating Group 3 (Subgroup 15) - disconnect breaker not tripped, no Supgroup fuses blown.
- CEA 61, Regulating Group 3 (Subgroup 16) - A8 B phases of disconnect breaker tripped, 2 Subgroup fuses blown.
- CEA 63, Regulating Group 3 (Subgroup 16) - disconnect breaker closed, 2 Subgroup fuses blown.
- CEA 65, Regulating Group 3 (Subgroup 16) - disconnect breaker closed, 2 Subgroup fuses blown.
- CEA 67, Regulating Group 3 (Subgroup 16) - disconnect breaker closed, 2 Subgroup fuses blown.
VEN The CEA power distribution system utilizes a 240 VAC three phase system with an ungrounded neutral line. This three phase AC is then rectified and conditioned by the CEDMCS to a nominal 50 VDC which is then supplied to each Control Element Drive Mechanism (CEDM) (EIIS: AA) coil stack inside of containment. During steady state conditions, the control room CEDMCS operating panel is switched to "Off", as its was during this event. This results in only the Upper Gripper Coil of each CEA being energized. If the Automatic CEDM Timer Module (ACTM) for a CEA reads an abnormal current condition for the Upper Gripper coil, the CEA will be maintained withdrawn by the ACTM energizing the Lower Gripper Coil. Under normal conditions, this DC power arrangement with an ungrounded neutral line is tolerant of at least one conductor short to ground. Furthermore, as long as the conductor grounds are of the same polarity, multiple conductor grounds on different coil stacks may not affect the system's operability and may go undetected. When a second conductor ground develops on a conductor of different polarity a short circuit develops which may cause CEDM coils to deenergize.
FPL Facsimile of NRC Form 366 (6-89)
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FPL FacslrTT$ 4 Dr U.S. NUCLEAR REGULATORY COMMrSSION AATRDITDCASTNCk$ 1$ 04ISI NRC Forrrr 6M SSh%$ : ID44t (6 69I LICENSEE EVENT REPORT (LER) I T4 THATTD DIIHTTN AT R KSAOHTS 0 CTHHkT THTH THS NSOTRIATTON CTSISCTlON I%CANST: $ 0 ~ I44$ fORWAKICCARNNTS fHCARDHC rRTITN TSTTHATT TO TIN TH CCITTS HO RT ACRT 4 HAHAIHIC NT SRAHCH rA ITCI IIS IlfrklAR RT OIAATOIW TEXT CONTINUATION WASINICTON, DC TOIHk AAATTO TIN TAATRWCTW INDUCTION TRCIS CT r SI $ 44 I ffkCf fHS Cf HANACTHT NT ANT SIDOT T, WAIHHOTON OC TIHTk FACILITYNAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
YEAR kgb EQUENTIAL REVISION St. Lucie Unit 2 NUMBER NUMBER 0 500 0389 9 3 0 0 7 0 0 0 3 0 5 TEXT (Ifmore spaceis required, use additional NRC Form 366A's) (17)
EVEN The most probable cause of the drop of seven CEAs is attributable to grounds in the 50 VDC CEDM power system located in an electrical penetration. Testing by the l&C Department revealed that five grounds were present in the Shield Building side of electrical penetration D-1. These conductor to ground shorts resulted in an overcurrent condition that opened the disconnect breaker for CEA 54, several contacts in the disconnect breaker for CEA 61, and/he 2 fuses blown on subgroup 16.
The two CEAs which did not observe a condition that would permanently interrupt power to the Upper Gripper and Lower Gripper Coils were CEAs 8 and 60. (CEDM 60 was found to have a ground on the neutral phase of its load transfer coil; this condition alone would not cause the CEA to drop.
CEDM 8 had no faults identified). The most likely cause for CEA's 8 and 60 to drop during this event was due to a transient induced on the CEDMCS 240 VAC power system when the conductor to ground faults developed. Output monitoring of the 2A Motor Generator (MG) set with a temporary power line monitor during testing of CEA 61 prior to the repairs showed that the grounds were reflected back throughout the CEDMC power system. This disturbance probably resulted in the dropping of CEA's 8 and 60.
The root cause of the conductor grounds in electrical penetration D-1 could not be determined immediately after the event since inspection of the penetration would require electrical penetration disassembly. Comprehensive testing of the CEDMCS, CEDM conductors, and the containment penetration provided a high degree of confidence in the operability of the systems required to support unit restart. A detailed analysis of the conductor grounding will be performed at the next refueling outage.
NAL VEN This event is reportable pursuant to 10CFR50.73(a)(2)(iv) as a manual actuation of the Reactor Protection System (RPS) (EIIS: JE). Having seven CEA's fully insert into the core during power operation is not specifically analyzed in the St. Lucie Unit 2 Final Updated Safety Analysis Report (FUSAR). Section 15.4.2.3.8 of the FUSAR analyzes a single dropped CEA as well as a dropped CEA subgroup. For a CEA subgroup insertion from 100/o power, a calculated minimum Departure from Nucleate Boiling Ratio (DNBR) of 1.28 is reached in approximately 4 minutes with no operator action.
The Nuclear Engineering Department analyzed the seven dropped CEA's scenario and concluded that no DNBR or Fuel Design Limits were exceeded during this event. This evaluation was conservative in that it did not credit the immediate manual trip inserted by the operators. Additionally, no incore neutron detector alarms were received prior to the manual reactor trip; providing further assurance of remaining within core design limitations. The reactor trip was observed to be a routine manual trip. The resulting plant transient was well enveloped by the St. Lucie Unit 2 FUSAR.
Visual inspection and testing of electrical penetration D-1 did not reveal any indication of containment integrity being affected by the conductor grounds. Testing indicated that the faults were in a cable splice in the shield building penetration, several feet removed from the containment penetration. A precautionary local leak rate test was performed on penetration D-1 with satisfactory results, thus assuring that containment vessel integrity was not affected during this event.
FPL Facsimile of NRC Form 366 (6-89)
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FPL Focslrtito OI U.S. NUCLEAR REGULATORY COMMISSION ~PtAOVT0 (RDI NO. SI 5005 OI NRC Form 868 IS.IOI fSPUN X AO005 LICENSEE EVENT REPORT(LER) f0 TAIAT5 0 CURST N Pf R INSPORTS 5 0 CIRPT T IR IN TITS PPTDNAARCN Cot tfCIION INOUfSTIIODIPIS toRWNOCONNTNTSINCARTANOOJRXN fSTINATS Toll@ INCCSRS TEXT CONTINUAT1ON If NO IN PORTS NANAIX Nl SRANCH TP 500A U 0 NUCtfNt IXOIAATCRT TIATtANCION,OCT055S NAI TOTIC PAPTIINOIPIIROUCTONPROJTCTTSIIO\NNTOIIICf OI NANACfNfNT NAT TAAICf5, WAN DNC TCPA OC TIROS FACILITYNAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3) 5IEAR
"'N EQUENTIAL 4 RFVISION St. Lucie Unit 2 NUMBER $ NUMBER 0 500 0389 9 3 0 0 7 0 0 0 4 0 5 TEXT (Ifmore spaceis required, use additional NRC Form 366A's) (17)
- 1) All CEDM cables were meggered through their respective penetrations which identified the five (three on CEA 54, one on CEA 61, and one on CEA 60) ground faults in penetration D-1 and to confirm that no other CEDM penetrations were affected.
- 2) Spare conductors in modules 20 and 24 of penetration D-1 were meggered to ensure that no faults existed prior to placing those spares in service. The grounded conductors in modules 11 and 17 of penetration D-1 were isolated and the affected CEA cables were reterminated to leads on the five available spares in modules 20 and 24.
- 3) Pin to pin meggering was performed on the conductors in modules 11 and 17 of penetration D-1.
This was to confirm that there were no conductor to conductor shorts within those modules for the conductors which were kept in service.
- 4) CEA Subgroup 16 breaker and the individual CEA disconnect breakers associated with CEAs 8, 54, 60, and 61 were replaced.
- 5) Using a power line condition monitor with the trip circuit breakers closed, satisfactory CEDM motor generator bus phase to phase and phase to voltage traces were recorded and reviewed to ensure that no faults existed on that power supply.
- 6) Nuclear Engineering has performed an analysis of multiple rod drops as experienced by this event to confirm that DNBR or Local Power Density safety limits were not violated.
- 7) To confirm the integrity of the fuel, iodine levels in the RCS were monitored by Reactor Engineering and compared with previous values. No abnormal levels were noted.
- 8) During the next Unit 2 refueling outage, electrical penetration D-1 will be inspected by Electrical Maintenance to determine the root cause of the electrical grounds.
- 9) A satisfactory Local Leak Rate test on penetration D-1 verified containment vessel integrity.
- 10) The addition of a ground detection circuit to the Control Element Drive Mechanism Control System as a system enhancement is being evaluated.
D L IN Component: Low Voltage Electrical Penetration Manufacturer: CONAX Corporation Part Number: 7310-10004-07 rvi imilr v n See LER ¹389-89-007 and LER ¹335-80-050 (manual reactor trips due to multiple dropped CEA's)
FPL Facsimile of NRC Form 366 (6-89)
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FPL FacsNTTIC ot U.S. NUCLEAR REGULATORY COMMISSION ~ ftfttftCESO Nrt SI ICCI OI NRC Form 366 tftNNaIC44t I6.69)
LICENSEE EVENT REPORT (LER) t4TIAATtCIASICINttNINSTONTE TOCOANATTNTNTITS44ISNAATIONCCAIECTQN SEISEST: SO 4 Ifra IONNAKICONNE NI4 INCANONAT TASTXN 4 SNNATE TO TIN INCOENI NO IEIESTT 4 NANACE IE NT CNANCN IS ISa ua NNE SAN INIAAATTSW TEXT CONTINUATION WAN SIC TON, CC t00ta NO TO TIE 0AIENWQTN ICCCCTON ICONCT ISI f04 >INIOf IICE Cf NANACENt NI NO OSTCET. WANANCTISAOC TTSITA FACILITYNAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
YEAR EQUENTIAL REVISION N NUMBER NUMBER St. Lucie Unit 2 0 500 0389 9 3 0 0 7 0 0 0 5 0 5 TEXT (Ifmore spaceis required, use additional NRC Form 366A's) (17) 0 QM3 QMS O. I 3 MG output I I disconnect breakers 240 ( 3 Trip Circuit VAC I I Breakers 3 phase CEDMCS Bus CEA subgroup fuses Sub Grp 2
( Sub Grp 12
( Sub Grp 15
( Sub Grp 16 CEA subgroup breakers CEA 0 O ~ O disconnect breakers 38 38 38 38 SCR power power power power switches switches switches assemblies switches Containment B1 D1 D1 D1 9 D6 Electrical Penetrations CEA CEA CEA CEA CEA CEA CEA 8 54 60 61 63 65 67 coils coils coils coils coils coils coils FIGURE ONE - CEA POWER DISTRIBUTION FPL Facsimile of NRC Form 366 (6-69)