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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20046C0661993-07-30030 July 1993 LER 92-009-01:on 920910,deficiencies Discovered During Dynamic Testing of Motor Operated Valves in Response to Generic Ltr 89-10.MOVs W/Deficiencies Modified or Repaired. W/930730 Ltr ML20046B6011993-07-26026 July 1993 LER 93-004-00:on 930428,plant Entered Mode 2 W/Afw Pump Turbine Main Steam Line Crossover Check Valve MS735 in Open Position.Caused by Inappropriate Use of Engineering Judgement.Valve MS735 closed.W/930726 Ltr ML20045D2451993-06-17017 June 1993 LER 93-003-00:on 930520,plant Experienced Trip from Approx & Continuity Between Fuse & Fuseholder Lost,Resulting in Loss of Selected RCS Average Temp Input to Ics.Faulty Fuse Cap & Fuse replaced.W/930617 Ltr ML20044B1681990-07-10010 July 1990 LER 90-002-01:on 900126,reactor Coolant Pump Current Monitor Inputs to Sfrcs ACH1 & Reactor Pressure Sys Channel 1 Experienced Reactor Trip.Probably Caused by Inadequate Test Switches & Isolation plug.W/900710 Ltr ML20043H3201990-06-18018 June 1990 LER 90-010-00:on 900518,station Experienced Inadvertent Safety Features Actuation Signal Level 1-4 Actuation W/Injection of 1,000 Gallons of Borated Water.Caused by Loss of 120-volt Ac Bus Y3.W/900618 Ltr ML20043B5711990-05-25025 May 1990 LER 90-008-00:on 900425,safety Features Actuation Sys Level 1 Actuation Occurred,Resulting in Trip of Containment Radiation Monitors.Caused by High Radiation Fields While Lifting Core Support Assembly.Mod initiated.W/900525 Ltr ML20043B8051990-05-25025 May 1990 LER 90-009-00:on 900426,source-check of Station Vent Radiation Monitors Not Performed Per Tech Spec 3.3.3.10. Caused by Use of Outmoded Light Emitting Dioide as Check Source.Source Check Procedures revised.W/900525 Ltr ML20042F2811990-05-0303 May 1990 LER 90-007-00:on 900403,inadvertent,inconsequential Safety Features Actuation Signal Occured While Defueled.Caused by Incidental Contact W/Monitor in Containment.Temporary Barriers Built Around monitors.W/900503 Ltr ML20042F2791990-05-0303 May 1990 LER 90-006-00:on 900403,station Experienced Safety Features Actuation Sys Levels 1 Through 5 Actuation.Caused by Contact W/Breaker Switch HAAE2 in High Voltage Switchgear Room 2. Meetings Held W/Craft personnel.W/900503 Ltr ML20042E4891990-04-16016 April 1990 LER 90-005-00:on 900314,determined That Some Class 1E Circuits That Pass Through Containment Electrical Penetrations Do Not Have Adequate Backup Fault Protection. Caused by Inadequate Design control.W/900416 Ltr ML20012D0341990-03-19019 March 1990 LER 90-004-00:on 900217,fuel Assembly Moved in Spent Fuel Pool While Emergency Ventilation Inoperable.Caused by Personnel Error.Personnel Involved Counseled & Subj LER Part of Required reading.W/900319 Ltr ML20012C7151990-03-14014 March 1990 LER 90-003-00:on 900212,station Entered Mode 6,refueling,w/o Operable Audible Source Range Indication.Caused by Personnel Error.Individual counseled.W/900314 Ltr ML20012B4851990-03-0606 March 1990 LER 83-039/03X-2:on 830726,discovered That Handwheel for Inner Door of Personnel Airlock in Shut Position & Partially Opened.Caused by Excessive Use of Door During Outages.Door Repaired & Returned to Operable status.W/900306 Ltr ML20011F3831990-02-26026 February 1990 LER 90-002-00:on 900126,reactor Tripped from 73% Power. Caused by Spurious Reactor Coolant Pump Monitor Signal Indicating Only One Pump Running in Each Loop.Pump Seal to Be Replaced During Sixth Refueling outage.W/900226 Ltr ML20006E6861990-02-20020 February 1990 LER 90-001-00:on 900118,reactor Protection Sys Channel 2 Bypassed Temporarily During Performance of DB-MI-03207. Caused by Inadequate Procedure Re Inoperable Channel Removal.Procedure SP1105.02 revised.W/900220 Ltr ML20011E2251990-01-30030 January 1990 LER 86-032-01:on 860802,inadvertent Start of High Pressure Injection Pump 1-2 Occurred.Caused by Open Relay Coil. Failed Relay Replaced & Procedure Change Initiated. W/900130 Ltr ML20005G1091990-01-0909 January 1990 LER 89-015-01:on 891026,concluded That Transmitter Was Out of Tolerance When Reactor Protection Sys Channel 2 Returned to Operable Status on 890924.Caused by leak-by in Instrument Manifold.Transmitter Recalibr successfully.W/900109 Ltr ML20042D4011990-01-0202 January 1990 LER 89-010-01:on 890612,control Room Ventilation Sys Declared Inoperable Due to Compressor High Pressure Trips. Caused by Tripping of Refrigerant Pressure Switch on High Pressure.Switch Reset & Sys retested.W/900102 Ltr ML19354D7361989-12-22022 December 1989 LER 89-018-00:on 891123,hydrogen Dilution Blower 1-1 Casing Drain Line Broke Off at Casing,Declaring Blower Inoperable. Caused by Drain Line Being Accidentally Stepped On.Drain Removed & Pipe Plug installed.W/891222 Ltr ML19332F8951989-12-13013 December 1989 LER 89-017-00:on 891113,containment Spray Pump 1-1 Inadvertently Started During Monthly Functional Test in Safety Features Actuation Sys (Sfas) Channel 1.Caused by Failed Relay in Sfas Channel 3.Relay replaced.W/891213 Ltr ML19332E7521989-12-0404 December 1989 LER 89-016-00:on 890917,unplanned Release of Radioactive Resin to Onsite Settling Basin Occurred.Caused by Personnel Error.Standing Order 89-051 Generated on 890920 to Direct Use of Working Copy of procedures.W/891204 Ltr ML19332D3111989-11-27027 November 1989 LER 89-015-00:on 890924,RCS Flow Transmitter Out of Tolerance When Reactor Protection Sys Channel 2 Returned to Operable Status.Caused by leak-by in Instrument Manifold Seen as Zero Shift.Transmitter recalibr.W/891127 Ltr ML19324C2081989-11-10010 November 1989 LER 89-014-00:on 891011,plastic Sheeting Blocked Off Fire Detectors in Auxiliary Feedwater Pump 1-1 Room & High Voltage Switchgear Room B,Making Fire Detectors Inoperable. Caused by Personnel Oversight.Event reviewed.W/891110 Ltr ML19325D4671989-10-16016 October 1989 LER 89-004-01:on 890411,determined That Circulating Water Line Break Would Result in Loss of Svc Water as Result of Concerns Raised on 890206.Cause Unknown.Standing Order 89-026 in Place to Plug Floor drains.W/891016 Ltr ML19325C8531989-10-13013 October 1989 LER 89-013-00:on 890913,hourly Fire Watch Patrol Exceeded Allowed Interval,Violating Tech Spec 3.7.10,Action a.2. Caused by Personnel Error.Individual Counseled & Event Info Distributed to Fire Watch personnel.W/891013 Ltr ML20024E2591983-08-0101 August 1983 LER 83-033/03L-0:on 830620,fire Detection Zone Reactor Coolant Pump 1-2,containment Level 603 Ft Alarmed & Could Not Be Reset.Caused by Faulty Detector String.Zone Will Be Restored During Next Refueling outage.W/830801 Ltr ML20024B8351983-07-0101 July 1983 LER 83-028/03L-0:on 830603 & 17,fuel Handling Area Radiation Monitors RE8446 & 7 Found Deenergized.Caused by Blown Radiation Monitoring Cabinet Fuse.Fuse replaced.W/830701 Ltr ML20024B0471983-06-21021 June 1983 LER 83-026/03L-0:on 830524,one Half Channel Trip in Steam & Feedwater Rupture Control Sys (Sfrcs) Channel 2 Received. Caused by Component Failure.Input Buffer replaced.W/830621 Ltr ML20024A3621983-06-0909 June 1983 LER 83-024/03L-0:on 830511,while Starting Up from 830510 Reactor Trip,Quadrant Power Tilt in Quadrant Yz Exceeded Tech Spec steady-state Limit.Caused by Inherent Design of B&W NSSS & Negative Moderator Temp coefficient.W/830609 Ltr ML20024A5341983-06-0808 June 1983 LER 83-023/03L-0:on 830510,120-volt Ac Essential Bus Y4 Lost,Resulting in Deenergizing Reactor Protection & Safety Features Actuation Sys Channel 4.Caused by Blown Fuse in Inverter YV4.Power Restored to bus.W/830608 Ltr ML20024A5481983-06-0707 June 1983 Revised LER 83-002/03X-2:on 830115,18,0409,10 & 0510,RCS Dose Equivalent I-131 Exceeded Tech Spec Limit.Caused by Slight Fission Product Leakage Through Fuel Cladding.Level of I-131 monitored.W/830607 Ltr ML20023D9051983-05-26026 May 1983 LER 83-027/03L-0:on 830428,valve RC240B Would Not Close W/O Repeated Signals from Control Room.Caused by Valve Operator Torquing Out Due to Dirty & Improperly Lubricated Stem.Stem Cleaned & Torque Switch reset.W/830526 Ltr ML20023C3241983-05-0505 May 1983 LER 83-016/03L-0:on 830407,determined That Amplifier of Startup Level Transmitter LT-SP9A3 for Steam Generator 1-2 Failed.Caused by Component Failure within Amplifier. Amplifier Replaced ML20023C3021983-05-0505 May 1983 Revised LER 83-002/03X-1:on 830115,RCS Dose Equivalent I-131 Exceeded Tech Spec Limit of 1.0 Uci/Gm.Caused by Leakage of Fission Products Through Fuel cladding.I-131 Monitored Until Level Dropped ML20028E9581983-01-19019 January 1983 LER 82-068/03L-0:on 821220,core Imbalance Vs Core Power Limit Computer Alarm C963 Inoperable.Caused by Mistake in Alarm Subroutine.Alarm Statement Corrected So Limits & Value for Imbalance Scaled Same ML20028D2291983-01-0707 January 1983 Revised LER 81-045/03X-1:on 810730,after Unit Trip,Three Action Statements Entered.Auxiliary Feedwater Pump 1-2 Did Not Operate Properly.Shield Bldg Integrity Lost When Panel Blown Out.Main Steam Safety Valve Lifted at Low Setpoint ML20028C1231983-01-0303 January 1983 LER 82-064/03L-0:on 821129,decay Heat Cooler Component Cooling Water Outlet Valve on CCW Train 1 Would Not Open. Caused by Mfg Error.Flanged Bearing Missing from Actuator Mounting Plate.Flanged Bearing Installed on 821215 ML20028C3111982-12-30030 December 1982 Revised LER 81-031/03X-6:on 810512,following Reactor Trip, RCS Sample Level Peaked Above Microcurie Limit.Other Iodine Spikes Occurred 810730,0902,1016 & 23 & 1228.Caused by Slight Leakage of Fission Products Through Fuel Cladding ML20028C1971982-12-30030 December 1982 Revised LER 82-045/03X-1:on 820904 & 1203,auxiliary Feedwater Pump 1-1 Suction Valve FW786 Closed for No Apparent Reason W/O Operator Touching Close Button.Cause Unknown.Valve FW786 Reopened Upon Discovery ML20028C2591982-12-30030 December 1982 LER 82-065/03L-0:on 821201,discovered That Control Room Not Placed in Recirculation Mode within 1 H of Ventilation Sys Chlorine Detector Being Taken Out of Svc.On 821203,chlorine Detector Failed.Caused by Personnel Error ML20028B0291982-11-19019 November 1982 LER 82-054/03L-0:on 821021,Door 107 to Radiation Equipment Found Partially Open & Blocked by Hose When Personnel Attempted to Perform Routine Flush on RE-1878.Caused by Personnel Error.Personnel Counseled ML20028B2281982-11-16016 November 1982 LER 82-053/03L-0:on 821018,half Trip Alarm on Steam & Feedwater Rupture Control Sys Channel 2 Received Due to Failure of Steam Generator Level Instrument Cabinet Channel 2,24-volt Dc Power Supply.Caused by Component Failure ML20027E7891982-11-0404 November 1982 Revised LER 82-052/03X-1:on 820928,reactor Quadrant Power Tilt in Wx Quadrant Exceeded Tech Specs.Caused by Xenon Oscillation Producing Large Negative Imbalance.Control Rod Group 7 Borated Out to Reduce Negative Imbalance ML20027C9551982-10-19019 October 1982 LER 82-049/03L-0:on 820920 & 22,Channels 2 & 3 on Containment post-accident Radiation Monitor Re 4597BA Were Reading High.Caused by Problem in Microprocessor Software. New Set of Software Installed & Faulty Actuator Replaced ML20027C5381982-10-0404 October 1982 LER 82-045/03L-0:on 820904,auxiliary Feedwater Pump 1-1, Suction Valve FW786 Observed Closed for No Apparent Reason W/O Operator Touching Close Button.Cause Unknown. Valve Reopened ML20027A9471982-09-0707 September 1982 LER 82-036/03L-0:on 820808,hole Discovered in Fire Barrier Wall Above Door 309.Caused by Snubber EBD125R43 Penetrating Wall Through Pipe Shell.Hole Left by Workers After Work on Snubbers.Fire Watch Established & Hole Filled ML20052G6651982-05-0707 May 1982 LER 82-020/03L-0:on 820409,while in Mode 6,station Experienced Loss of 120-volt Ac Distribution Panel Y2.Caused by Blown YV2 Inverter Fuse When Short to Ground Occurred During Maint on Control Room Emergency Ventilation Sys ML20052E6231982-04-30030 April 1982 LER 82-019/01T-0:on 820426,some Steam Generator Tubes Adjacent to Auxiliary Feedwater Header Showed Potential Interaction W/Header Support Sys.Header Found Insecurely Fastened & Damaged.Cause & Corrections Being Investigated ML20052E8761982-04-29029 April 1982 LER 82-016/03X-1:on 820312,door 108 Found W/Both Door Closure Mechanisms Broken.Caused by Improper Operation of Door Closure Mechanisms by Personnel.Mechanisms Temporarily Repaired & New Parts Ordered ML20052C4151982-04-23023 April 1982 LER 82-018/03L-0:on 820326,electrician Cut High Voltage Cable on Source Range Detector NI-2,while Working in Containment Penetration Box P1L1L1.Caused by Problem in Coordination of Work Performed.Cut Cable Reconnected 1993-07-30
[Table view] Category:RO)
MONTHYEARML20046C0661993-07-30030 July 1993 LER 92-009-01:on 920910,deficiencies Discovered During Dynamic Testing of Motor Operated Valves in Response to Generic Ltr 89-10.MOVs W/Deficiencies Modified or Repaired. W/930730 Ltr ML20046B6011993-07-26026 July 1993 LER 93-004-00:on 930428,plant Entered Mode 2 W/Afw Pump Turbine Main Steam Line Crossover Check Valve MS735 in Open Position.Caused by Inappropriate Use of Engineering Judgement.Valve MS735 closed.W/930726 Ltr ML20045D2451993-06-17017 June 1993 LER 93-003-00:on 930520,plant Experienced Trip from Approx & Continuity Between Fuse & Fuseholder Lost,Resulting in Loss of Selected RCS Average Temp Input to Ics.Faulty Fuse Cap & Fuse replaced.W/930617 Ltr ML20044B1681990-07-10010 July 1990 LER 90-002-01:on 900126,reactor Coolant Pump Current Monitor Inputs to Sfrcs ACH1 & Reactor Pressure Sys Channel 1 Experienced Reactor Trip.Probably Caused by Inadequate Test Switches & Isolation plug.W/900710 Ltr ML20043H3201990-06-18018 June 1990 LER 90-010-00:on 900518,station Experienced Inadvertent Safety Features Actuation Signal Level 1-4 Actuation W/Injection of 1,000 Gallons of Borated Water.Caused by Loss of 120-volt Ac Bus Y3.W/900618 Ltr ML20043B5711990-05-25025 May 1990 LER 90-008-00:on 900425,safety Features Actuation Sys Level 1 Actuation Occurred,Resulting in Trip of Containment Radiation Monitors.Caused by High Radiation Fields While Lifting Core Support Assembly.Mod initiated.W/900525 Ltr ML20043B8051990-05-25025 May 1990 LER 90-009-00:on 900426,source-check of Station Vent Radiation Monitors Not Performed Per Tech Spec 3.3.3.10. Caused by Use of Outmoded Light Emitting Dioide as Check Source.Source Check Procedures revised.W/900525 Ltr ML20042F2811990-05-0303 May 1990 LER 90-007-00:on 900403,inadvertent,inconsequential Safety Features Actuation Signal Occured While Defueled.Caused by Incidental Contact W/Monitor in Containment.Temporary Barriers Built Around monitors.W/900503 Ltr ML20042F2791990-05-0303 May 1990 LER 90-006-00:on 900403,station Experienced Safety Features Actuation Sys Levels 1 Through 5 Actuation.Caused by Contact W/Breaker Switch HAAE2 in High Voltage Switchgear Room 2. Meetings Held W/Craft personnel.W/900503 Ltr ML20042E4891990-04-16016 April 1990 LER 90-005-00:on 900314,determined That Some Class 1E Circuits That Pass Through Containment Electrical Penetrations Do Not Have Adequate Backup Fault Protection. Caused by Inadequate Design control.W/900416 Ltr ML20012D0341990-03-19019 March 1990 LER 90-004-00:on 900217,fuel Assembly Moved in Spent Fuel Pool While Emergency Ventilation Inoperable.Caused by Personnel Error.Personnel Involved Counseled & Subj LER Part of Required reading.W/900319 Ltr ML20012C7151990-03-14014 March 1990 LER 90-003-00:on 900212,station Entered Mode 6,refueling,w/o Operable Audible Source Range Indication.Caused by Personnel Error.Individual counseled.W/900314 Ltr ML20012B4851990-03-0606 March 1990 LER 83-039/03X-2:on 830726,discovered That Handwheel for Inner Door of Personnel Airlock in Shut Position & Partially Opened.Caused by Excessive Use of Door During Outages.Door Repaired & Returned to Operable status.W/900306 Ltr ML20011F3831990-02-26026 February 1990 LER 90-002-00:on 900126,reactor Tripped from 73% Power. Caused by Spurious Reactor Coolant Pump Monitor Signal Indicating Only One Pump Running in Each Loop.Pump Seal to Be Replaced During Sixth Refueling outage.W/900226 Ltr ML20006E6861990-02-20020 February 1990 LER 90-001-00:on 900118,reactor Protection Sys Channel 2 Bypassed Temporarily During Performance of DB-MI-03207. Caused by Inadequate Procedure Re Inoperable Channel Removal.Procedure SP1105.02 revised.W/900220 Ltr ML20011E2251990-01-30030 January 1990 LER 86-032-01:on 860802,inadvertent Start of High Pressure Injection Pump 1-2 Occurred.Caused by Open Relay Coil. Failed Relay Replaced & Procedure Change Initiated. W/900130 Ltr ML20005G1091990-01-0909 January 1990 LER 89-015-01:on 891026,concluded That Transmitter Was Out of Tolerance When Reactor Protection Sys Channel 2 Returned to Operable Status on 890924.Caused by leak-by in Instrument Manifold.Transmitter Recalibr successfully.W/900109 Ltr ML20042D4011990-01-0202 January 1990 LER 89-010-01:on 890612,control Room Ventilation Sys Declared Inoperable Due to Compressor High Pressure Trips. Caused by Tripping of Refrigerant Pressure Switch on High Pressure.Switch Reset & Sys retested.W/900102 Ltr ML19354D7361989-12-22022 December 1989 LER 89-018-00:on 891123,hydrogen Dilution Blower 1-1 Casing Drain Line Broke Off at Casing,Declaring Blower Inoperable. Caused by Drain Line Being Accidentally Stepped On.Drain Removed & Pipe Plug installed.W/891222 Ltr ML19332F8951989-12-13013 December 1989 LER 89-017-00:on 891113,containment Spray Pump 1-1 Inadvertently Started During Monthly Functional Test in Safety Features Actuation Sys (Sfas) Channel 1.Caused by Failed Relay in Sfas Channel 3.Relay replaced.W/891213 Ltr ML19332E7521989-12-0404 December 1989 LER 89-016-00:on 890917,unplanned Release of Radioactive Resin to Onsite Settling Basin Occurred.Caused by Personnel Error.Standing Order 89-051 Generated on 890920 to Direct Use of Working Copy of procedures.W/891204 Ltr ML19332D3111989-11-27027 November 1989 LER 89-015-00:on 890924,RCS Flow Transmitter Out of Tolerance When Reactor Protection Sys Channel 2 Returned to Operable Status.Caused by leak-by in Instrument Manifold Seen as Zero Shift.Transmitter recalibr.W/891127 Ltr ML19324C2081989-11-10010 November 1989 LER 89-014-00:on 891011,plastic Sheeting Blocked Off Fire Detectors in Auxiliary Feedwater Pump 1-1 Room & High Voltage Switchgear Room B,Making Fire Detectors Inoperable. Caused by Personnel Oversight.Event reviewed.W/891110 Ltr ML19325D4671989-10-16016 October 1989 LER 89-004-01:on 890411,determined That Circulating Water Line Break Would Result in Loss of Svc Water as Result of Concerns Raised on 890206.Cause Unknown.Standing Order 89-026 in Place to Plug Floor drains.W/891016 Ltr ML19325C8531989-10-13013 October 1989 LER 89-013-00:on 890913,hourly Fire Watch Patrol Exceeded Allowed Interval,Violating Tech Spec 3.7.10,Action a.2. Caused by Personnel Error.Individual Counseled & Event Info Distributed to Fire Watch personnel.W/891013 Ltr ML20024E2591983-08-0101 August 1983 LER 83-033/03L-0:on 830620,fire Detection Zone Reactor Coolant Pump 1-2,containment Level 603 Ft Alarmed & Could Not Be Reset.Caused by Faulty Detector String.Zone Will Be Restored During Next Refueling outage.W/830801 Ltr ML20024B8351983-07-0101 July 1983 LER 83-028/03L-0:on 830603 & 17,fuel Handling Area Radiation Monitors RE8446 & 7 Found Deenergized.Caused by Blown Radiation Monitoring Cabinet Fuse.Fuse replaced.W/830701 Ltr ML20024B0471983-06-21021 June 1983 LER 83-026/03L-0:on 830524,one Half Channel Trip in Steam & Feedwater Rupture Control Sys (Sfrcs) Channel 2 Received. Caused by Component Failure.Input Buffer replaced.W/830621 Ltr ML20024A3621983-06-0909 June 1983 LER 83-024/03L-0:on 830511,while Starting Up from 830510 Reactor Trip,Quadrant Power Tilt in Quadrant Yz Exceeded Tech Spec steady-state Limit.Caused by Inherent Design of B&W NSSS & Negative Moderator Temp coefficient.W/830609 Ltr ML20024A5341983-06-0808 June 1983 LER 83-023/03L-0:on 830510,120-volt Ac Essential Bus Y4 Lost,Resulting in Deenergizing Reactor Protection & Safety Features Actuation Sys Channel 4.Caused by Blown Fuse in Inverter YV4.Power Restored to bus.W/830608 Ltr ML20024A5481983-06-0707 June 1983 Revised LER 83-002/03X-2:on 830115,18,0409,10 & 0510,RCS Dose Equivalent I-131 Exceeded Tech Spec Limit.Caused by Slight Fission Product Leakage Through Fuel Cladding.Level of I-131 monitored.W/830607 Ltr ML20023D9051983-05-26026 May 1983 LER 83-027/03L-0:on 830428,valve RC240B Would Not Close W/O Repeated Signals from Control Room.Caused by Valve Operator Torquing Out Due to Dirty & Improperly Lubricated Stem.Stem Cleaned & Torque Switch reset.W/830526 Ltr ML20023C3241983-05-0505 May 1983 LER 83-016/03L-0:on 830407,determined That Amplifier of Startup Level Transmitter LT-SP9A3 for Steam Generator 1-2 Failed.Caused by Component Failure within Amplifier. Amplifier Replaced ML20023C3021983-05-0505 May 1983 Revised LER 83-002/03X-1:on 830115,RCS Dose Equivalent I-131 Exceeded Tech Spec Limit of 1.0 Uci/Gm.Caused by Leakage of Fission Products Through Fuel cladding.I-131 Monitored Until Level Dropped ML20028E9581983-01-19019 January 1983 LER 82-068/03L-0:on 821220,core Imbalance Vs Core Power Limit Computer Alarm C963 Inoperable.Caused by Mistake in Alarm Subroutine.Alarm Statement Corrected So Limits & Value for Imbalance Scaled Same ML20028D2291983-01-0707 January 1983 Revised LER 81-045/03X-1:on 810730,after Unit Trip,Three Action Statements Entered.Auxiliary Feedwater Pump 1-2 Did Not Operate Properly.Shield Bldg Integrity Lost When Panel Blown Out.Main Steam Safety Valve Lifted at Low Setpoint ML20028C1231983-01-0303 January 1983 LER 82-064/03L-0:on 821129,decay Heat Cooler Component Cooling Water Outlet Valve on CCW Train 1 Would Not Open. Caused by Mfg Error.Flanged Bearing Missing from Actuator Mounting Plate.Flanged Bearing Installed on 821215 ML20028C3111982-12-30030 December 1982 Revised LER 81-031/03X-6:on 810512,following Reactor Trip, RCS Sample Level Peaked Above Microcurie Limit.Other Iodine Spikes Occurred 810730,0902,1016 & 23 & 1228.Caused by Slight Leakage of Fission Products Through Fuel Cladding ML20028C1971982-12-30030 December 1982 Revised LER 82-045/03X-1:on 820904 & 1203,auxiliary Feedwater Pump 1-1 Suction Valve FW786 Closed for No Apparent Reason W/O Operator Touching Close Button.Cause Unknown.Valve FW786 Reopened Upon Discovery ML20028C2591982-12-30030 December 1982 LER 82-065/03L-0:on 821201,discovered That Control Room Not Placed in Recirculation Mode within 1 H of Ventilation Sys Chlorine Detector Being Taken Out of Svc.On 821203,chlorine Detector Failed.Caused by Personnel Error ML20028B0291982-11-19019 November 1982 LER 82-054/03L-0:on 821021,Door 107 to Radiation Equipment Found Partially Open & Blocked by Hose When Personnel Attempted to Perform Routine Flush on RE-1878.Caused by Personnel Error.Personnel Counseled ML20028B2281982-11-16016 November 1982 LER 82-053/03L-0:on 821018,half Trip Alarm on Steam & Feedwater Rupture Control Sys Channel 2 Received Due to Failure of Steam Generator Level Instrument Cabinet Channel 2,24-volt Dc Power Supply.Caused by Component Failure ML20027E7891982-11-0404 November 1982 Revised LER 82-052/03X-1:on 820928,reactor Quadrant Power Tilt in Wx Quadrant Exceeded Tech Specs.Caused by Xenon Oscillation Producing Large Negative Imbalance.Control Rod Group 7 Borated Out to Reduce Negative Imbalance ML20027C9551982-10-19019 October 1982 LER 82-049/03L-0:on 820920 & 22,Channels 2 & 3 on Containment post-accident Radiation Monitor Re 4597BA Were Reading High.Caused by Problem in Microprocessor Software. New Set of Software Installed & Faulty Actuator Replaced ML20027C5381982-10-0404 October 1982 LER 82-045/03L-0:on 820904,auxiliary Feedwater Pump 1-1, Suction Valve FW786 Observed Closed for No Apparent Reason W/O Operator Touching Close Button.Cause Unknown. Valve Reopened ML20027A9471982-09-0707 September 1982 LER 82-036/03L-0:on 820808,hole Discovered in Fire Barrier Wall Above Door 309.Caused by Snubber EBD125R43 Penetrating Wall Through Pipe Shell.Hole Left by Workers After Work on Snubbers.Fire Watch Established & Hole Filled ML20052G6651982-05-0707 May 1982 LER 82-020/03L-0:on 820409,while in Mode 6,station Experienced Loss of 120-volt Ac Distribution Panel Y2.Caused by Blown YV2 Inverter Fuse When Short to Ground Occurred During Maint on Control Room Emergency Ventilation Sys ML20052E6231982-04-30030 April 1982 LER 82-019/01T-0:on 820426,some Steam Generator Tubes Adjacent to Auxiliary Feedwater Header Showed Potential Interaction W/Header Support Sys.Header Found Insecurely Fastened & Damaged.Cause & Corrections Being Investigated ML20052E8761982-04-29029 April 1982 LER 82-016/03X-1:on 820312,door 108 Found W/Both Door Closure Mechanisms Broken.Caused by Improper Operation of Door Closure Mechanisms by Personnel.Mechanisms Temporarily Repaired & New Parts Ordered ML20052C4151982-04-23023 April 1982 LER 82-018/03L-0:on 820326,electrician Cut High Voltage Cable on Source Range Detector NI-2,while Working in Containment Penetration Box P1L1L1.Caused by Problem in Coordination of Work Performed.Cut Cable Reconnected 1993-07-30
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217K1231999-10-14014 October 1999 Revised Positions for DBNPS & Pnpp QA Program ML20217D5441999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Davis-Besse Nuclear Power Station.With ML20211R0811999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20211B0271999-08-13013 August 1999 SER Accepting Second 10-year Interval Inservice Insp Requests for Relief RR-A16,RR-A17 & RR-B9 for Plant, Unit 1 ML20210Q8541999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20209E6231999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20195K2871999-06-16016 June 1999 Safety Evaluation Accepting Licensee Response to GL 95-07, Pressure Locking & Thermal Binding of Safety-Related Power-Operated Gate Valves ML20195F4871999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20207E8011999-05-19019 May 1999 Non-proprietary Rev 2 to HI-981933, Design & Licensing Rept DBNPS Unit 1 Cask Pit Rack Installation Project ML20207F4351999-05-0404 May 1999 Rev 1 to DBNPS Emergency Preparedness Evaluated Exercise Manual 990504 ML20206M6341999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Davis-Besse Nuclear Station,Unit 1.With ML20205M2931999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Davis-Besse Nuclear Power Station.With ML20207J1461999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20199H5931999-01-20020 January 1999 Safety Evaluation Accepting Thermo-Lag Re Ampacity Derating Issues for Plant ML20204J6751998-12-31031 December 1998 1998 Annual Rept for Dbnps,Unit 1,PNPP,Unit 1 & BVPS Units 1 & 2 ML20199E2501998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20206B0101998-12-31031 December 1998 1998 Annual Rept for Firstenergy Corp, for Perry Nuclear Power Plant & Davis-Besse Nuclear Power Station.Form 10-K Annual Rept to Us Securities & Exchange Commission for Fiscal Yr Ending 981231,encl ML20205K5781998-12-31031 December 1998 Waterhammer Phenomena in Containment Air Cooler Swss ML20197J3441998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20195D0001998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20155B6781998-10-28028 October 1998 Safety Evaluation Accepting Proposed Reduction in Commitment Changes in QA Program Matl Receipt Insp Process ML20154H5801998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20151W1611998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Dbnps.With ML20237E3171998-08-21021 August 1998 ISI Summary Rept of Eleventh Refueling Outage Activities for Davis-Besse Nuclear Power Station ML20237B1681998-07-31031 July 1998 Monthly Operating Rept for July 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20236U5011998-07-23023 July 1998 Special Rept:On 980624,Unit 1 Site Damaged by Tornado & High Winds.Alert Declared by DBNPS Staff,Dbnps Emergency Response Facilities Activiated & Special Insp Team Deployed to Site by Nrc,As Result of Event ML20236R1441998-07-15015 July 1998 SER Related to Quality Assurance Program Description Changes for Davis-Besse Nuclear Power Station,Unit 1 ML20236N7451998-06-30030 June 1998 Monthly Operating Rept for June 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20236K3981998-06-30030 June 1998 SER Accepting in Part & Denying in Part Relief Requests from Some of ASME Section XI Requirements as Endorsed by 10CFR50.55a for Containment Insp for Davis-Besse Nuclear Power Station,Unit 1 ML20236K5131998-06-29029 June 1998 Safety Evaluation Accepting Proposed Alternate Emergency Operations Facility Location for Davis-Besse Nuclear Power Station,Unit 1 ML20248F7441998-05-31031 May 1998 Reactor Vessel Working Group,Response to RAI Regarding Reactor Pressure Vessel Integrity ML20249A4121998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20196B5221998-05-23023 May 1998 10CFR50.59 Summary Rept of Facility Changes,Tests & Experiments Dbnps,Unit 1 for 960602-980523 ML20236E7581998-05-19019 May 1998 Rev 0 to Davis-Besse Unit 1 Cycle 12 Colr ML20236N7501998-04-30030 April 1998 Rev 2 to Monthly Operating Rept for Apr 1998 for Davis-Besse Nuclear Power Station,Unit ML20247F6721998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for Davis-Bess Nuclear Power Station,Unit 1 ML20249A4141998-04-30030 April 1998 Revised Monthly Operating Rept for Apr 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20217P8041998-04-0707 April 1998 11RFO OTSG ECT Insp Scope ML20216B4041998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20216C5131998-02-28028 February 1998 Monthly Operating Rept for Feb 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20202D3721998-01-31031 January 1998 Monthly Operating Rept for Jan 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20199G6321998-01-26026 January 1998 Rev 1 to Davis-Besse Unit 1,Cycle 11,COLR ML20198R4771998-01-13013 January 1998 SER Approving Second 10-year Interval Inservice Inspection Program Plan Requests for Relief for Davis-Besse Nuclear Power Station,Unit 1 ML20198K7931997-12-31031 December 1997 Monthly Operating Rept for Dec 1997 for Davis-Besse Nuclear Power Station,Unit 1 ML20217K6401997-12-31031 December 1997 1997 Annual Rept First Energy ML20203A3931997-11-30030 November 1997 Monthly Operating Rept for Nov 1997 for Davis-Besse Nuclear Power Plant,Unit 1 ML20198S5371997-10-31031 October 1997 Monthly Operating Rept for Oct 1997 for Davis-Besse Nuclear Power Station ML20217H7701997-09-30030 September 1997 Monthly Operating Rept for Sept 1997 for Davis-Besse Nuclear Power Station,Unit 1 ML20216H3261997-08-31031 August 1997 Monthly Operating Rept for August 1997 for DBNPS ML20217K0241997-07-31031 July 1997 Monthly Operating Rept for Jul 1997 for Davis Besse Nuclear Power Station,Unit 1 1999-09-30
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EDISON PLAZA
300 MADISON AVENUE TOLEDO, OHIO 43652@01 i
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November 10, 1989 Log No.s. BB89-01180 NP33-89-016 Docket No. 50-346 License No. NPF-3 United States Nuclear Regulatory Commission i Document Control Desk ,
Washington, D. C. 20555 I Gentlemen:
LER 89-014 Davis-Besse Nuclear Power Station, Unit No. 1 '
Date of Occurrence - September 25, 1989 Enclosed Licensee Event Report 89-014 which is being provided in accordance 'li with 10CFR50.73(a)(2)(1) to provide written notification of the subject occurrence.
!. Yours truly,
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Louis F. Storz i
l (ft Plant Manager l Davis-Besse Nuclear Power Station i
LFS/plf Enclosure 1
cc Mr. A. Bert Davis Regional Administrator USNRC Region III ,
l Mr. Paul Byron l
DB-1 NRC Sr. Resident Inspector l
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PACIL87V 84AM8 nl DOCKET Nutee8R(2) PAtet m Davis-Besse Unit No. I o 15 l o lo l 013 l4 l 6 1 lOFl0 l3 flTLE del Inoperable Fire Detection Zone 237 and 323 Due to Installation of Plastic Shecting
,- EVENT DATE lel LBR NuhesSR (el RSPORT OATS (7) OTHER PACILITite INVOLVED (el MONTH DAY YEAR YEA 9 :iG seg AL 5 MONTH DAY YEAR ' AcsksTV NAMts DOCKET NUMetRts) ol5l0lo10l l l
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- Jan C. Stotz, Engineer - Maintenance Planning 4 ,1,9 3,2 , 1, ,7.,5,4 g 4 COMPLETE ONE Lifts POR SACM COMPONENT PAILuRE DESCRie8D IN TMl8 RSPORT (13) 0 CAvst sistau COMPONENT "$"Xa$" "kIESI' ('[ CAuse sv:Tsu COMP 0NaNT "#fXl$* "$'o $ jj' h5f hg('
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evPPL8 MENTAL REPORT EXPterEO 114) MONTH DAY YEAR YES (If yes, eernnween tX99CTEQ SveMIS$t0N DAN) NO l l l AseTAACT ILeert a,1400 nasees. La. apprasmises'y fifessa raffrapose typewerree sneet Hel
, On October 11,1989, at 1545 hours0.0179 days <br />0.429 hours <br />0.00255 weeks <br />5.878725e-4 months <br />, a Modification Supervisor reported to the
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Shift Supervisor that plastic sheeting was blocking off some fire detectors in Room 237 (Auxiliary Feedvater Pump 1-1 Room) and Room 323 (B High Voltage Switchgear Room). Further investigation determined that this plastic sheeting had been installed since September 25, 1989, to protect surrounding equipment durfng the removal of old and installation of new structural steel fire proofing material. However, the plastic sheeting had in effect made the detectors inoperable by separating them from the rest of the room atmosphere.
The plastic sheeting was subsequently removed by 1615 hours0.0187 days <br />0.449 hours <br />0.00267 weeks <br />6.145075e-4 months <br />. Some of these room fire barriers had previously been declared inoperable, and with no detection on the opposite side of some of these barriers, a continuous fire vatt.h was required. Since these rooms were only being checked by an hourly
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fire watch patrol, the appropriate action statement was not being met.
The cause was personnel oversight. The supervisor of the insulating contractor personnel who installed the plastic sheeting failed to recognize L that he was sealing off the detectors which rer.dered them inoperable. The l Hodification Coordinators and Supervisors were counseled on this incident.
l The need to be sensitive to and question the ef fects of their ongoing vork on I plant equipment and systems was stressed.
This is reportable per 10CFR50.73(a)(2)(1)(B) as a condition prohibited by l
Technical Specification. Since these detection zones had been inoperable for more than 14 days, this is also being submitted as a Special Report per
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Technical Specification 3.3.3.8 action "b".
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, Description of Occurrence:
1 On October 11, 1989, at 1545 hours0.0179 days <br />0.429 hours <br />0.00255 weeks <br />5.878725e-4 months <br />, a Hodification Supervisor reported to the Shift Supervisor that fire detectors in Room 237 (Auxiliary Fe ! vater Pump 1-1 Room) and 323 (B High Voltage Switchgear Room) were being blocked by plastic sheeting used to vall off part of the room. The plastic sheeting barriers had ,
made the detectors inoperable by separating them from the rest of the room atmosphere. This resulted in fever than the minimum required number of fire detectors in these zones being operable. This requires compliance with the actica statement of Technical Specification 3.3.3.8, which requires that with a fire detection zone inoperable, 1) an hourly fire watch patrol be established and 2) that the detectors be restored to an operable status within 14 days. These rooms were already on an existing hourly fire watch patrol route due to previously identified fire barrier deficiencies. Therefore, action "a" of Technical Specification 3.3.3.8 was satisfied. For the. impaired fire barriers, an hourly fire watch requires that detectors be verifieds) operable on at least one side of the barrier. Having the detectors inoperable in conjunction with the fire barrier deficiencies requires compliance with '
action "a.1" of Technical Specification 3.7.10. With the fire detection zones in these rooms inoperable and no detection on the opposite side of some of the barriers, a continuous fire vatch is required. Since a continuous fire watch was not established, the Station was not in compliance with Technical Specification 3.7.10, fire barriers.
This is reportable as an LER per 100FR50.73(a)(2)(1)(B) as a condition prohibited by the Technical Specifications. In addition, since the plastic sheeting had-been in place for more than 14 days, this is also being submitted as a Special Report per Technical Specification 3.3.3.8, Action "b" and 6.9.2.
Cause of Occurrence:
The cause of this condition is personnel oversight. The supervisor of the insulating contractor personnel who installed the plastic sheeting failed to recognize that the fire detectors were being sealed off from the rest of the room.- This affected their operability and the conditions listed on the Technical Specification Operability Checkoff List, Attachment 13, of the Maintenance Vork Order packages. The requirement to have these room detection zones operable in order for the hourly fire watch to satisfy the action statements was listed on Attachment 13.
Analysis of occurrence:
Operability of the fire detection instrumentation ensures that adequate varning capability is available for the prompt detection of fires. This capability is required in order to detect and locate fires in their early stages. Plastic sheeting would not have prevented the eventual detection of a fire, but since these detectors are designed to respond to smoke, the plastic sheeting would have significantly delayed its response.
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, The hourly fire vatch patrol that was in place still provides detection of l fires as well as the detection of developing problems such as unusual odors and noise that may precede a fire. Therefore, there is little safety significance to this event. ,
Corrective Action to Prevent Recurrences ;
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The plastic sheeting was removed.by 1615 houre on October 11, 1989, allowing i the hourly fire vatch to satisfy the remaining applicable action statement. l l
This event has been revieved with the Modification Coordina* ors and Supervisors. The need to recognize and question situations for their potential impact on equipment and system operability was stressed.
Failure Data
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This is the first report of fire detectors being disabled due to personnel oversiEht when installing temporary barriers.
REPORT NO.: NP33-89-016 PCAO No.: 89-0506
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