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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20024J3301994-10-0707 October 1994 LER 94-011-00:on 940908,manual Reactor Trip Initiated Due to MSIV Failure During part-stroke Test.Solenoid Valve & Number of Pins Replaced & MSIVs Tested satisfactorily.W/941007 Ltr ML20024J3291994-10-0303 October 1994 LER 94-027-00:on 940903,determined That Channel B Linear Range Nuclear Instrument Inoperable as Result of Connector J6 Being Disconnected from Jack.Connector J6 Reinstalled.W/ 941003 Ltr ML20029E5291994-05-13013 May 1994 LER 94-007-00:on 940414,determined That Valve Stroke Time Acceptance Criterion Exceeded System Response Time.Caused by Programmatic Error During Initial Startup.Corrective Action: Stroke Time Acceptance Has Been reduced.W/940513 Ltr ML20029E1361994-05-11011 May 1994 LER 94-007-00:on 940412,CRAC & Ebfs Were Inoperable Due to Previous Charcoal Testing Performed to Industry Std Different than Ts.Corrective Actions:Ts Changed to Reflect Newest Charcoal Testing procedure.W/940511 Ltr ML20029D8491994-05-0202 May 1994 LER 94-006-00:on 940407,plant Did Not Meet Requirements of LCO 3.7.6.1 Re Two Independent Control Room Emergency Ventilation Sys.Caused by Inadequate Work Organization. Corrective Action:Revised OP 2315A.W/940502 Ltr ML20029D6221994-04-29029 April 1994 LER 94-005-00:on 940401,determined That Both Facilities of Ebfs Had Never Been Tested in Accordance W/Ts.Caused by Program Failure/Personnel Error.Corrective Action: Surveillance Was Completed satisfactorily.W/940429 Ltr ML20029D2531994-04-28028 April 1994 LER 94-008-00:on 940329,discovered That Data in OPS Form 2604P-2,was Recorded Incorrectly.Caused by Program Failure, Procedure Deficiencies & Technical Error.Corrective Action: Recalculated ESF Equipment Circuit response.W/940428 Ltr ML20046C7771993-08-0606 August 1993 LER 93-010-00:on 930707,reactor Trip Input to Turbine Trip Portion of ESFAS Declared Inoperable Due to Inadequate Surveillance Testing.Test to Verify Operability Written & performed.W/930806 Ltr ML20046C2161993-08-0303 August 1993 LER 93-017-00:on 930701,possible Inoperability of Power Operated Relief Valve Blocking Valves Caused by Original Design Basis.Changed Designs & Performed tests.W/930803 Ltr ML20046B0311993-07-23023 July 1993 LER 93-012-01:on 930524,turbine & Reactor Tripped During Mussel Cook (Thermal Backwash) Due to Lack of Heat Removal Capabilities from Main Generator Stator Water Cooling Sys. Installed Thermoconductivity filler.W/930723 Ltr ML20045H8991993-07-15015 July 1993 LER 93-009-00:on 930617,determined That Suppl Leak Collection & Release Sys May Have Been Inoperable During Certain Weather Periods in Past.Caused by Failure to Account for Chimney Effect.Suppl Will Be sent.W/930715 Ltr ML20045H4021993-07-0909 July 1993 LER 93-007-00:on 930611,plant Mgt Discovered Reduction in EDG Fuel Oil Storage Capacity Per SER & Fsar,Constituting Event Outside Design Basis of Plant.Caused by Inadequate Design Interface.Temporary Tanker utilized.W/930709 Ltr ML20045H8921993-07-0909 July 1993 LER 93-005-01:on 930311,discovered That Automatic RPS Actuation Occurred on 930222 & Not Immediately Reported to Nrc.Caused by Personnel Error.Memo Sent to All Licensed Operators/Personnel Re Reporting requirements.W/930709 Ltr ML20045H8571993-07-0909 July 1993 LER 93-008-00:on 930614,one Channel of Electrical Environmentally Qualified Temp Monitor for Main Steam Valve Bldg Found Indicating Improperly.Caused by Personnel Error. Manual Logging of Temp initiated.W/930709 Ltr ML20045F5891993-07-0202 July 1993 LER 93-013-00:on 930603,noted That Main Turbine Generator EHC Sys Caused an Increase in Pressurizer Pressure,Resulting in Reactor Trip,Due to Closing of Intercept & Cv.Operators Performed EOP & Sys Performed as expected.W/930702 Ltr ML20045F6881993-07-0202 July 1993 LER 93-004-02:on 930222,reactor Trips on SG Low Water Level Occurred.Caused by Automatic Trip of MFW Pump B on Low Suction Pressure Due to High FW Flow Rates.Classroom Training on Main & Afwc Received by Licensed Operators ML20045D9041993-06-23023 June 1993 LER 93-012-00:on 930524,reactor Trip Occurred Due to Turbine Trip & Malfunction Caused Feedwater Regulating Valve a to Stay Approx 56% Open.Caused by Lack of Heat Removal Capabilities.Hand Wheels secured.W/930623 Ltr ML20045D8601993-06-21021 June 1993 LER 93-006-00:on 930525,two HPSI Discharge Check Valves Declared Inoperable Due to Inadequate Surveillance Testing. Caused by Personnel Error.Test Written & Performed to Demonstrate Valve operability.W/930621 Ltr ML20045D9031993-06-21021 June 1993 LER 92-003-01:on 920207,discovered Potential Barrier Breach Via Direct Openings Around Main Feedwater Bypass Line Penetrations.On 920130,plant Entered Mode 4 W/O Encl Bldg Integrity.Erosion/Corrosion Exam Procedure Modified ML20045D3091993-06-18018 June 1993 LER 93-005-00:on 930520,cold Over Pressure Protection Sys Declared Inoperable Due to Inadequate Surveillance Testing. Caused by Mgt Deficiency.Overlap Task Force Will Continue to Review Procedures Associated W/Reactor trip.W/930618 Ltr ML20045A4491993-06-0404 June 1993 LER 93-009-00:on 930506,inlet & Outlet skid-mounted Isolation Valves to Radiation Monitor Found Shut.Caused by Procedure Noncompliance by I&C Personnel.Personnel Will Review & Edit Radiation procedures.W/930604 Ltr ML20045A2321993-06-0101 June 1993 LER 93-008-00:on 930505,determined That Electrical Starter for Both Charging Pumps Inoperable.Caused by Program Failure.Administrative Controls Have Been Established to Ensure Minimum TS requirements.W/930601 Ltr ML20044C9191993-05-0707 May 1993 LER 93-002-01:on 930206 & 07,Train a & Train B CR Pressurization Sys Failed 18-month Surveillance Test, Respectively.Caused by Moisture in Air Banks & Pressure Oscillations.Air Banks purged.W/930507 Ltr ML20044C9331993-04-30030 April 1993 LER 91-002-01:on 910118,engineering Evaluation Determined That Operation of Four Vital 120-volt Ac Buses,On Alternate Sources,Unsatisfactory.Caused by Failure to Update TS to Reflect Configuration.Inverter Sys replaced.W/930430 Ltr ML19346B2411992-08-20020 August 1992 LER 92-018-00:on 920722,both RHR Trains Rendered Inoperable Due to Procedure Deficiency.Both Trains of RHR Restored to Operable Condition & Surveillance Procedures for Both Trains revised.W/920820 Ltr ML20024H3241991-05-24024 May 1991 LER 91-001-01:on 910110,electro-hydraulic Control Sys Failure Occurred,Causing Reactor Trip.Caused by Turbine Trip.Both EHC Pump Discharge Filters Changed Out & Pump B Replaced W/Spare pump.W/910524 Ltr ML20029C1281991-03-18018 March 1991 LER 91-004-00:on 910216,unexpected Trip of 'B' Steam Generator Feed Pump & Subsequent Manual Reactor Trip Occurred.Cause Unknown.Monitoring Capability Added to Sgfp Circuitry & Design Change made.W/910318 Ltr ML20029B6001991-03-0707 March 1991 LER 91-004-00:on 910205,leakage Found During Local Leak Rate Testing for Four Containment Isolation Valves.Caused by Improper Valve Seating.Valve Removed from Svc & Sent to Mfg for overhaul.W/910307 Ltr ML20029B6031991-03-0404 March 1991 LER 91-002-00:on 910202,setpoint Drift Identified During Testing of Main Steam Safety Valves.Caused by Inadequate Design.Nine out-of-tolerance Valves Reset within Specified +1% Tolerance ML20029B5981991-03-0404 March 1991 LER 91-003-00:on 910203 & 16,spurious Control Bldg Isolation Signals Received from Train a Control Bldg Ventilation Inlet Radiation Monitor.Caused by Equipment Malfunction.Detector replaced.W/910304 Ltr ML20029A6501991-02-19019 February 1991 LER 91-001-00:on 910117,discovered That Source Check Surveillance Procedure to Verify Operability of Beta Scintillation Radiation Detectors Did Not Meet TS Requirements.Surveillance Procedure revised.W/910219 Ltr ML20028H4261990-12-27027 December 1990 LER 89-005-01:on 890330,intermittent Connection While Sliding Module Into Position Caused Automatic Test Insertion Circuit to Send Signals Greater than Normal Pulse Thus Allowing Three SIAS Modules to actuate.W/901227 Ltr ML20028H4391990-12-27027 December 1990 LER 90-015-01:on 900919,inadvertent Isolation of Containment Isolation Valves Occurred.On 900920,inadvertent Actuation of Sias,Containment Isolation Actuation Sys & Encl Bldg Filtration Sys occurred.W/901227 Ltr ML20028H4271990-12-27027 December 1990 LER 90-021-00:on 901127,LCO Paragraph 3.0.3 Entered.Caused by Poor Communications.Mgt Reviewed Event & Events Leading Up to Incident & Concluded That Increased Awareness W/ Respect to Sys Status Must Be pursued.W/901227 Ltr ML20028H4401990-12-24024 December 1990 LER 90-019-00:on 900606,automatic Reactor Trip from Negative Flux Rate Signal Occurred Due to Dropped Control Rod.Caused by Broken Connection in Gripper Coil Power Cable.Connector Replaced & Power Loop checked.W/901224 Ltr ML20028G9421990-09-26026 September 1990 LER 90-012-00:on 900827,automatic Reactor Trip Occurred During Bypass Switch Operations.Caused by Operator Error. Procedure Sp 2601D Revised to Incorporate Separate Section on Performing calibrs.W/900926 Ltr ML20028G9111990-09-18018 September 1990 LER 89-008-01:on 891002,determined That Plant Failed to Perform Functional Check of Control Board Annunciators During Channel Functional Tests.Caused by Personnel Error. Procedures Revised Re Annuciator testing.W/900918 Ltr ML20044B0441990-07-10010 July 1990 LER 90-007-00:on 900611,discovered That Surveillance Procedure 2609E Re Encl Bldg Filtration Sys Testing - Refueling Not Performed Prior to Entering Mode 4.Caused by Personnel Error.Missed Surveillance performed.W/900710 Ltr ML20044A1581990-06-18018 June 1990 LER 90-017-00:on 900518,loss of Both Trains of HPSI Occurred.Caused by Cognitive Failure by Licensed Operator. Personnel Counseled on Causes of Event & Importance of Recognizing When Event reportable.W/900618 Ltr ML20043H2021990-06-15015 June 1990 LER 90-005-00:on 900503,identified Potential for High Energy Line Break in Auxiliary Steam Sys That Could Degrade Plant Areas Determined as Mild Environs.Probably Caused by Incorrect Conclusions from Analysis in 1973.W/900615 Ltr ML20043G1031990-06-12012 June 1990 LER 90-016-00:on 900513,steam Generator B lo-lo Signal Generated Reactor Trip Signal,Causing Automatic Start of motor-driven Auxiliary Feedwater Pumps a & B.Caused by Inadequate Guidance.Procedure revised.W/900612 Ltr ML20043G3921990-06-11011 June 1990 LER 90-014-00:on 900519,manual Reactor Trip Initiated as Result of Anticipated Turbine Trip Due to Condenser Vacuum. Caused by Design Deficiency in That Traveling Screen Capacity Inadequate.Traveling Screen modified.W/900611 Ltr ML20043F7021990-06-11011 June 1990 LER 90-015-00:on 900512,feedwater Isolation Occurred While Opening Msivs.Caused by MSIV 2 Opening Faster than Other Msivs,Resulting in Swell in Steam Generator 2.Steam Generator Level Restored to normal.W/900611 Ltr ML20043F8261990-06-0707 June 1990 LER 90-006-00:on 900508,reactor Manually Tripped When Decreasing Levels Noted in Steam Generator 1 & Feedwater Regulating Valve Indicated Full Open.Caused by Valve Stem Separating from Plug.Feedwater Flow restored.W/900607 Ltr ML20043D4711990-05-30030 May 1990 LER 85-002-01:on 850302 & 25,unplanned Actuation of Containment Purge Valve Isolation Occurred.Caused by Personnel Error.Caution Signs Placed on Radiation Monitors & Reset Button on Monitor Made inaccessible.W/900530 Ltr ML20043A7841990-05-16016 May 1990 LER 90-013-00:on 900416,manual Reactor Trip Initiated Due to Imminent Loss of Condenser Vaccum.Caused by Inadequate Administrative Guidance When Debris Collected on Trash Rack. Severe Weather Procedure revised.W/900516 Ltr ML20042G7201990-05-0707 May 1990 LER 90-012-00:on 900406,review of Steam Generator Blowdown Monitor High Radiation Alarm Setpoint Revealed That Setpoint Was Nonconservative.Caused by Administrative Deficiency. Correct Setpoint installed.W/900507 Ltr ML20042E6751990-04-20020 April 1990 LER 90-002-00:on 900322,Tech Spec Action Statement 3.3.3.10 Not Entered for Out of Svc Stack Gas & Particulate Radiation Monitor.No Particulate Radiation Increases Detected.Caused by Personnel error.W/900420 Ltr ML20042E1621990-04-0909 April 1990 LER 90-009-00:on 900309,automatic Turbine Trip W/Subsequent Reactor Trip Occurred Due to High Stator Cooling Water Temp. Caused by Failure of Mechanical Linkage on Fisher & Portor Controller.Controller Replaced w/spare.W/900409 Ltr ML17223A7901990-04-0202 April 1990 LER 89-009-01:on 891025,radiation Monitor RM 8262 Inlet Valve (2-AC-82) Found Closed.Caused by Personnel Error. Isolation Valve Opened,Sample Flow Restored & Radiation Monitor Restored to Operable status.W/900402 Ltr 1994-05-02
[Table view] Category:RO)
MONTHYEARML20024J3301994-10-0707 October 1994 LER 94-011-00:on 940908,manual Reactor Trip Initiated Due to MSIV Failure During part-stroke Test.Solenoid Valve & Number of Pins Replaced & MSIVs Tested satisfactorily.W/941007 Ltr ML20024J3291994-10-0303 October 1994 LER 94-027-00:on 940903,determined That Channel B Linear Range Nuclear Instrument Inoperable as Result of Connector J6 Being Disconnected from Jack.Connector J6 Reinstalled.W/ 941003 Ltr ML20029E5291994-05-13013 May 1994 LER 94-007-00:on 940414,determined That Valve Stroke Time Acceptance Criterion Exceeded System Response Time.Caused by Programmatic Error During Initial Startup.Corrective Action: Stroke Time Acceptance Has Been reduced.W/940513 Ltr ML20029E1361994-05-11011 May 1994 LER 94-007-00:on 940412,CRAC & Ebfs Were Inoperable Due to Previous Charcoal Testing Performed to Industry Std Different than Ts.Corrective Actions:Ts Changed to Reflect Newest Charcoal Testing procedure.W/940511 Ltr ML20029D8491994-05-0202 May 1994 LER 94-006-00:on 940407,plant Did Not Meet Requirements of LCO 3.7.6.1 Re Two Independent Control Room Emergency Ventilation Sys.Caused by Inadequate Work Organization. Corrective Action:Revised OP 2315A.W/940502 Ltr ML20029D6221994-04-29029 April 1994 LER 94-005-00:on 940401,determined That Both Facilities of Ebfs Had Never Been Tested in Accordance W/Ts.Caused by Program Failure/Personnel Error.Corrective Action: Surveillance Was Completed satisfactorily.W/940429 Ltr ML20029D2531994-04-28028 April 1994 LER 94-008-00:on 940329,discovered That Data in OPS Form 2604P-2,was Recorded Incorrectly.Caused by Program Failure, Procedure Deficiencies & Technical Error.Corrective Action: Recalculated ESF Equipment Circuit response.W/940428 Ltr ML20046C7771993-08-0606 August 1993 LER 93-010-00:on 930707,reactor Trip Input to Turbine Trip Portion of ESFAS Declared Inoperable Due to Inadequate Surveillance Testing.Test to Verify Operability Written & performed.W/930806 Ltr ML20046C2161993-08-0303 August 1993 LER 93-017-00:on 930701,possible Inoperability of Power Operated Relief Valve Blocking Valves Caused by Original Design Basis.Changed Designs & Performed tests.W/930803 Ltr ML20046B0311993-07-23023 July 1993 LER 93-012-01:on 930524,turbine & Reactor Tripped During Mussel Cook (Thermal Backwash) Due to Lack of Heat Removal Capabilities from Main Generator Stator Water Cooling Sys. Installed Thermoconductivity filler.W/930723 Ltr ML20045H8991993-07-15015 July 1993 LER 93-009-00:on 930617,determined That Suppl Leak Collection & Release Sys May Have Been Inoperable During Certain Weather Periods in Past.Caused by Failure to Account for Chimney Effect.Suppl Will Be sent.W/930715 Ltr ML20045H4021993-07-0909 July 1993 LER 93-007-00:on 930611,plant Mgt Discovered Reduction in EDG Fuel Oil Storage Capacity Per SER & Fsar,Constituting Event Outside Design Basis of Plant.Caused by Inadequate Design Interface.Temporary Tanker utilized.W/930709 Ltr ML20045H8921993-07-0909 July 1993 LER 93-005-01:on 930311,discovered That Automatic RPS Actuation Occurred on 930222 & Not Immediately Reported to Nrc.Caused by Personnel Error.Memo Sent to All Licensed Operators/Personnel Re Reporting requirements.W/930709 Ltr ML20045H8571993-07-0909 July 1993 LER 93-008-00:on 930614,one Channel of Electrical Environmentally Qualified Temp Monitor for Main Steam Valve Bldg Found Indicating Improperly.Caused by Personnel Error. Manual Logging of Temp initiated.W/930709 Ltr ML20045F5891993-07-0202 July 1993 LER 93-013-00:on 930603,noted That Main Turbine Generator EHC Sys Caused an Increase in Pressurizer Pressure,Resulting in Reactor Trip,Due to Closing of Intercept & Cv.Operators Performed EOP & Sys Performed as expected.W/930702 Ltr ML20045F6881993-07-0202 July 1993 LER 93-004-02:on 930222,reactor Trips on SG Low Water Level Occurred.Caused by Automatic Trip of MFW Pump B on Low Suction Pressure Due to High FW Flow Rates.Classroom Training on Main & Afwc Received by Licensed Operators ML20045D9041993-06-23023 June 1993 LER 93-012-00:on 930524,reactor Trip Occurred Due to Turbine Trip & Malfunction Caused Feedwater Regulating Valve a to Stay Approx 56% Open.Caused by Lack of Heat Removal Capabilities.Hand Wheels secured.W/930623 Ltr ML20045D8601993-06-21021 June 1993 LER 93-006-00:on 930525,two HPSI Discharge Check Valves Declared Inoperable Due to Inadequate Surveillance Testing. Caused by Personnel Error.Test Written & Performed to Demonstrate Valve operability.W/930621 Ltr ML20045D9031993-06-21021 June 1993 LER 92-003-01:on 920207,discovered Potential Barrier Breach Via Direct Openings Around Main Feedwater Bypass Line Penetrations.On 920130,plant Entered Mode 4 W/O Encl Bldg Integrity.Erosion/Corrosion Exam Procedure Modified ML20045D3091993-06-18018 June 1993 LER 93-005-00:on 930520,cold Over Pressure Protection Sys Declared Inoperable Due to Inadequate Surveillance Testing. Caused by Mgt Deficiency.Overlap Task Force Will Continue to Review Procedures Associated W/Reactor trip.W/930618 Ltr ML20045A4491993-06-0404 June 1993 LER 93-009-00:on 930506,inlet & Outlet skid-mounted Isolation Valves to Radiation Monitor Found Shut.Caused by Procedure Noncompliance by I&C Personnel.Personnel Will Review & Edit Radiation procedures.W/930604 Ltr ML20045A2321993-06-0101 June 1993 LER 93-008-00:on 930505,determined That Electrical Starter for Both Charging Pumps Inoperable.Caused by Program Failure.Administrative Controls Have Been Established to Ensure Minimum TS requirements.W/930601 Ltr ML20044C9191993-05-0707 May 1993 LER 93-002-01:on 930206 & 07,Train a & Train B CR Pressurization Sys Failed 18-month Surveillance Test, Respectively.Caused by Moisture in Air Banks & Pressure Oscillations.Air Banks purged.W/930507 Ltr ML20044C9331993-04-30030 April 1993 LER 91-002-01:on 910118,engineering Evaluation Determined That Operation of Four Vital 120-volt Ac Buses,On Alternate Sources,Unsatisfactory.Caused by Failure to Update TS to Reflect Configuration.Inverter Sys replaced.W/930430 Ltr ML19346B2411992-08-20020 August 1992 LER 92-018-00:on 920722,both RHR Trains Rendered Inoperable Due to Procedure Deficiency.Both Trains of RHR Restored to Operable Condition & Surveillance Procedures for Both Trains revised.W/920820 Ltr ML20024H3241991-05-24024 May 1991 LER 91-001-01:on 910110,electro-hydraulic Control Sys Failure Occurred,Causing Reactor Trip.Caused by Turbine Trip.Both EHC Pump Discharge Filters Changed Out & Pump B Replaced W/Spare pump.W/910524 Ltr ML20029C1281991-03-18018 March 1991 LER 91-004-00:on 910216,unexpected Trip of 'B' Steam Generator Feed Pump & Subsequent Manual Reactor Trip Occurred.Cause Unknown.Monitoring Capability Added to Sgfp Circuitry & Design Change made.W/910318 Ltr ML20029B6001991-03-0707 March 1991 LER 91-004-00:on 910205,leakage Found During Local Leak Rate Testing for Four Containment Isolation Valves.Caused by Improper Valve Seating.Valve Removed from Svc & Sent to Mfg for overhaul.W/910307 Ltr ML20029B6031991-03-0404 March 1991 LER 91-002-00:on 910202,setpoint Drift Identified During Testing of Main Steam Safety Valves.Caused by Inadequate Design.Nine out-of-tolerance Valves Reset within Specified +1% Tolerance ML20029B5981991-03-0404 March 1991 LER 91-003-00:on 910203 & 16,spurious Control Bldg Isolation Signals Received from Train a Control Bldg Ventilation Inlet Radiation Monitor.Caused by Equipment Malfunction.Detector replaced.W/910304 Ltr ML20029A6501991-02-19019 February 1991 LER 91-001-00:on 910117,discovered That Source Check Surveillance Procedure to Verify Operability of Beta Scintillation Radiation Detectors Did Not Meet TS Requirements.Surveillance Procedure revised.W/910219 Ltr ML20028H4261990-12-27027 December 1990 LER 89-005-01:on 890330,intermittent Connection While Sliding Module Into Position Caused Automatic Test Insertion Circuit to Send Signals Greater than Normal Pulse Thus Allowing Three SIAS Modules to actuate.W/901227 Ltr ML20028H4391990-12-27027 December 1990 LER 90-015-01:on 900919,inadvertent Isolation of Containment Isolation Valves Occurred.On 900920,inadvertent Actuation of Sias,Containment Isolation Actuation Sys & Encl Bldg Filtration Sys occurred.W/901227 Ltr ML20028H4271990-12-27027 December 1990 LER 90-021-00:on 901127,LCO Paragraph 3.0.3 Entered.Caused by Poor Communications.Mgt Reviewed Event & Events Leading Up to Incident & Concluded That Increased Awareness W/ Respect to Sys Status Must Be pursued.W/901227 Ltr ML20028H4401990-12-24024 December 1990 LER 90-019-00:on 900606,automatic Reactor Trip from Negative Flux Rate Signal Occurred Due to Dropped Control Rod.Caused by Broken Connection in Gripper Coil Power Cable.Connector Replaced & Power Loop checked.W/901224 Ltr ML20028G9421990-09-26026 September 1990 LER 90-012-00:on 900827,automatic Reactor Trip Occurred During Bypass Switch Operations.Caused by Operator Error. Procedure Sp 2601D Revised to Incorporate Separate Section on Performing calibrs.W/900926 Ltr ML20028G9111990-09-18018 September 1990 LER 89-008-01:on 891002,determined That Plant Failed to Perform Functional Check of Control Board Annunciators During Channel Functional Tests.Caused by Personnel Error. Procedures Revised Re Annuciator testing.W/900918 Ltr ML20044B0441990-07-10010 July 1990 LER 90-007-00:on 900611,discovered That Surveillance Procedure 2609E Re Encl Bldg Filtration Sys Testing - Refueling Not Performed Prior to Entering Mode 4.Caused by Personnel Error.Missed Surveillance performed.W/900710 Ltr ML20044A1581990-06-18018 June 1990 LER 90-017-00:on 900518,loss of Both Trains of HPSI Occurred.Caused by Cognitive Failure by Licensed Operator. Personnel Counseled on Causes of Event & Importance of Recognizing When Event reportable.W/900618 Ltr ML20043H2021990-06-15015 June 1990 LER 90-005-00:on 900503,identified Potential for High Energy Line Break in Auxiliary Steam Sys That Could Degrade Plant Areas Determined as Mild Environs.Probably Caused by Incorrect Conclusions from Analysis in 1973.W/900615 Ltr ML20043G1031990-06-12012 June 1990 LER 90-016-00:on 900513,steam Generator B lo-lo Signal Generated Reactor Trip Signal,Causing Automatic Start of motor-driven Auxiliary Feedwater Pumps a & B.Caused by Inadequate Guidance.Procedure revised.W/900612 Ltr ML20043G3921990-06-11011 June 1990 LER 90-014-00:on 900519,manual Reactor Trip Initiated as Result of Anticipated Turbine Trip Due to Condenser Vacuum. Caused by Design Deficiency in That Traveling Screen Capacity Inadequate.Traveling Screen modified.W/900611 Ltr ML20043F7021990-06-11011 June 1990 LER 90-015-00:on 900512,feedwater Isolation Occurred While Opening Msivs.Caused by MSIV 2 Opening Faster than Other Msivs,Resulting in Swell in Steam Generator 2.Steam Generator Level Restored to normal.W/900611 Ltr ML20043F8261990-06-0707 June 1990 LER 90-006-00:on 900508,reactor Manually Tripped When Decreasing Levels Noted in Steam Generator 1 & Feedwater Regulating Valve Indicated Full Open.Caused by Valve Stem Separating from Plug.Feedwater Flow restored.W/900607 Ltr ML20043D4711990-05-30030 May 1990 LER 85-002-01:on 850302 & 25,unplanned Actuation of Containment Purge Valve Isolation Occurred.Caused by Personnel Error.Caution Signs Placed on Radiation Monitors & Reset Button on Monitor Made inaccessible.W/900530 Ltr ML20043A7841990-05-16016 May 1990 LER 90-013-00:on 900416,manual Reactor Trip Initiated Due to Imminent Loss of Condenser Vaccum.Caused by Inadequate Administrative Guidance When Debris Collected on Trash Rack. Severe Weather Procedure revised.W/900516 Ltr ML20042G7201990-05-0707 May 1990 LER 90-012-00:on 900406,review of Steam Generator Blowdown Monitor High Radiation Alarm Setpoint Revealed That Setpoint Was Nonconservative.Caused by Administrative Deficiency. Correct Setpoint installed.W/900507 Ltr ML20042E6751990-04-20020 April 1990 LER 90-002-00:on 900322,Tech Spec Action Statement 3.3.3.10 Not Entered for Out of Svc Stack Gas & Particulate Radiation Monitor.No Particulate Radiation Increases Detected.Caused by Personnel error.W/900420 Ltr ML20042E1621990-04-0909 April 1990 LER 90-009-00:on 900309,automatic Turbine Trip W/Subsequent Reactor Trip Occurred Due to High Stator Cooling Water Temp. Caused by Failure of Mechanical Linkage on Fisher & Portor Controller.Controller Replaced w/spare.W/900409 Ltr ML17223A7901990-04-0202 April 1990 LER 89-009-01:on 891025,radiation Monitor RM 8262 Inlet Valve (2-AC-82) Found Closed.Caused by Personnel Error. Isolation Valve Opened,Sample Flow Restored & Radiation Monitor Restored to Operable status.W/900402 Ltr 1994-05-02
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217P5391999-10-25025 October 1999 Rev 0,Change 1 to Millstone Unit 1 Northeast Utils QA Program ML20217C8721999-10-0606 October 1999 Rev 21,change 3 to MP-02-OST-BAP01, Nuqap Topical Rept, App F & G Only B17896, Monthly Operating Rept for Sept 1999 for Millstone Nuclear Power Station,Unit 1.With1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Millstone Nuclear Power Station,Unit 1.With B17894, Monthly Operating Rept for Sept 1999 for Millstone Nuclear Power Station,Unit 2.With1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Millstone Nuclear Power Station,Unit 2.With B17898, Monthly Operating Rept for Sept 1999 for Millstone Nuclear Power Station,Unit 3.With1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Millstone Nuclear Power Station,Unit 3.With ML20216J4341999-09-24024 September 1999 Mnps Unit 3 ISI Summary Rept,Cycle 6 ML20211N8401999-09-0202 September 1999 Rev 21,change 1 to Northeast Utils QA TR, Including Changes Incorporated Into Rev 20,changes 9 & 10 B17878, Monthly Operating Rept for Aug 1999 for Mnps,Unit 1.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Mnps,Unit 1.With B17874, Monthly Operating Rept for Aug 1999 for Millstone Nuclear Power Station,Unit 3.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Millstone Nuclear Power Station,Unit 3.With ML20216F5141999-08-31031 August 1999 Rept on Status of Public Petitions Under 10CFR2.206 B17879, Monthly Operating Rept for Aug 1999 for Millstone Nuclear Power Station,Unit 2.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Millstone Nuclear Power Station,Unit 2.With ML20211G9631999-08-30030 August 1999 SER Accepting Licensee Response to GL 96-05, Periodic Verification of Design-Basis Capability of Safety-Related Motor-Operated Valves ML20211A6561999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Millstone Nuclear Power Station,Unit 2 B17858, Monthly Operating Rept for July 1999 for Millstone Nuclear Power Station,Unit 3.With1999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Millstone Nuclear Power Station,Unit 3.With B17856, Monthly Operating Rept for July 1999 for Millstone Nuclear Power Station,Unit 1.With1999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Millstone Nuclear Power Station,Unit 1.With ML20210J0311999-07-21021 July 1999 Rev 20,Change 10 to QAP 1.0, Organization ML20210E5931999-07-19019 July 1999 Revised Page 16 of 21,to App F of Northeast Util QA Program Plan ML20210C5911999-07-15015 July 1999 Revised Rev 20,change 10 to Northeast Util QA Program TR, Replacing Summary of Changes ML20210A0411999-07-15015 July 1999 Rev 20,change 10 to Northeast Util QA Program Tr B17814, Special Rept:On 990612 B Train EDG Failed to Restart within 5 Minutes Following Completion of 18 Month 24 H Endurance Run Required by TS 4.8.1.1.2.g.7.Caused by Procedural inadequacy.Re-performed Hot Restart Via Manual Start1999-07-12012 July 1999 Special Rept:On 990612 B Train EDG Failed to Restart within 5 Minutes Following Completion of 18 Month 24 H Endurance Run Required by TS 4.8.1.1.2.g.7.Caused by Procedural inadequacy.Re-performed Hot Restart Via Manual Start ML20209D1881999-07-0101 July 1999 Rev 20,change 9 to Northeast Util QA Program Tr ML20196J2191999-06-30030 June 1999 SER Concluding That Licensee USI A-46 Implementation Program,In General,Met Purpose & Intent of Criteria in GIP-2 & Staff Sser 2 for Resolution of USI A-46 ML20211A6751999-06-30030 June 1999 Revised Monthly Operating Rept for June 1999 for Millstone Nuclear Power Station,Unit 2,providing Revised Average Daily Unit Power Level & Operating Data Rept ML20196A8451999-06-30030 June 1999 Post Shutdown Decommissioning Activities Rept ML20209J0541999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Millstone Unit 2 B17830, Monthly Operating Rept for June 1999 for Millstone Nuclear Power Station,Unit 3.With1999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Millstone Nuclear Power Station,Unit 3.With ML20196K1791999-06-30030 June 1999 Addendum 6 to Millstone Unit 2 Annual Rept, ML20196J1821999-06-30030 June 1999 Rev 21,Change 0 to Northeast Utilities QAP (Nuqap) Tr B17833, Monthly Operating Rept for June 1999 for Millstone Power Station,Unit 1.With1999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Millstone Power Station,Unit 1.With ML20195H1011999-06-11011 June 1999 Rev 20,change 8 to Northeast Utilities QAP (Nuqap) TR ML20207G6411999-06-0303 June 1999 Safety Evaluation Supporting Amends 105,235 & 171 to Licenses DPR-21,DPR-65 & NPF-49,respectively ML20211A6631999-05-31031 May 1999 Revised Monthly Operating Rept for May 1999 for Millstone Nuclear Power Station,Unit 2,providing Revised Average Daily Unit Power Level,Operating Data Rept & Unit Shutdowns & Power Reductions B17808, Monthly Operating Rept for May 1999 for Millstone Nuclear Power Station,Unit 3.With1999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Millstone Nuclear Power Station,Unit 3.With ML20211B7351999-05-31031 May 1999 Cycle 7 Colr B17804, Monthly Operating Rept for May 1999 for Mnps,Unit 2.With1999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Mnps,Unit 2.With B17807, Monthly Operating Rept for May 1999 for Mnps,Unit 1.With1999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Mnps,Unit 1.With ML20209J0661999-05-31031 May 1999 Revised Monthly Operating Rept for May 1999 for Millstone Unit 2 ML20206M4631999-05-11011 May 1999 Safety Evaluation Supporting Alternative Proposed by Licensee to Perform Ultrasonic Exam on Inner Surface of Nozzle to safe-end Weld ML20206J8351999-05-0707 May 1999 Rev 20,Change 7 to QAP-1.0, Northeast Utls QA Program (Nuqap) Tr ML20206G6221999-05-0404 May 1999 SER Accepting Util Request to Apply leak-before-break Status to Pressurizer Surge Line Piping for Millstone Nuclear Power Station,Unit 2 B17782, Monthly Operating Rept for Apr 1999 for Millstone Nuclear Power Station,Unit 1.With1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Millstone Nuclear Power Station,Unit 1.With ML20205R3531999-04-30030 April 1999 Addendum 4 to Annual Rept, B17775, Monthly Operating Rept for Apr 1999 for Millstone Nuclear Power Station Unit 3.With1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Millstone Nuclear Power Station Unit 3.With ML20205K6141999-04-30030 April 1999 Non-proprietary Version of Rev 2 to Holtec Rept HI-971843, Licensing Rept for Reclassification of Discharge in Millstone Unit 3 Spent Fuel Pool ML20206E2971999-04-30030 April 1999 Rev 1 to Millstone Nuclear Power Station,Unit 2 COLR - Cycle 13 B17777, Monthly Operating Rept for Apr 1999 for Millstone Unit 2. with1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Millstone Unit 2. with ML20205Q5891999-04-0909 April 1999 Rev 20,change 6 to QAP-1.0,Northeast Utils QA Program TR ML20205R8751999-04-0909 April 1999 Provides Commission with Staff Assessment of Issues Related to Restart of Millstone Unit 2 & Staff Recommendations Re Restart Authorization for Millstone Unit 2 ML20206T3991999-03-31031 March 1999 First Quarter 1999 Performance Rept, Dtd May 1999 B17747, Monthly Operating Rept for Mar 1999 for Millstone Nuclear Power Station,Unit 1.With1999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Millstone Nuclear Power Station,Unit 1.With 1999-09-30
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8EI ant im. . enerer em*E.eny HARTFORD. CONNECTICUT 06414+0N0 (20M666 6000 ;
october 25, 1989 !
PS-13659 i Re: 10CFR50.73(a)(2)(i) l U.S. Nuclear Regulatory Comminion Document Control Desk Washington, D.C. 20555 q h
Reference:
Facility Operating License No. NPF-49 ,.
Docket No. 50-423 Licensee Event Report 89-022-00 i Gentlemen:
This letter forwards Licensee Event Report 89-022-00, required to be submitted within -
thirty (30) days pursuant to 10CFR50.73(a)(2)(i), any operation or condition prohibited by the Plam's Technical Specification.
Very truly yours, NORTHEAST NUCLEAR ENERGY COMPAhT I Stephen E. Scace !
Station Superintendent Millstone Nuclear Power Station l
SES/AAC:tjp !
Attachment:
LER 80-022-00 i ec: W. T. Russell, Region 1 Administrator l W. J. Raymond, Senior Resident Ins >ector, Millstone Unit Nos.1, 2 and 3 .
D. H. Jaffe, NRC Project Manager, Millstone Unit No. 3 !
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LIO E NEEI CONT ACT FOR TMi$ Lt54 f12 N *.Mt TE L E PMONE NLNME R AkLACYM Augustine A. Cardillo. Engineer, x5210 2 0l3 4l4l7l-l1l7;9l1 COMP6ETE oNE tine FOR E ACM COM*0NENT F ALURf DE $0RIBED W TH'E 5(EPOS<T f135 CAUSE $v8 TEM COMPONENT MIM$C* 7d cAUS: Sv& TEM CoMacNtNT "$MgC. pg i
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~'l ves sie v.s. oom.i. Exetetto sueu ssioN oAtti kl No N DE l l l AestnAc, rumn to i.co so. .s. . .. . co oum.i.g tift , sinci.-so.c. tro.wntten an.s> Dei On September 25,1969 at 1215, in Mode 1 at 100"c power, 566 degrees and 2250 psia, it was discovered that an Inservice Test (IST) Surveillance, required stroke time testing of the High Pressure Safety Iniection (S!H) Pump Inlet Isolation vah'es in the wrong direction (CLOSE to OPEN vice OPEN to CLOSE). The
, discovery was rnade during a routine review of surveillance data. Immediate action was to pctform the l stroke time test in the proper direction (i.e., OPEN to CLOSE) which was satisfactorily completed.
The root cause of the esent was a transcription error when writing the surveillance procedure. The stroke direction which was properly identihed in the IST Manual, was incorrectly stated in the procedure and was not identified during the procedure review process.
The associated surveillance procedure was changed to reflect the correct stroke direction for the valves. A review of all IST stroke time test direction requirements versus the stroke time test procedures has been completed. No other reportable dehtiencies were identified. One non-reportable discrepancy was identified. The IST program was updated to reflect the proper stroke direction identihed in the surveillance procedure.
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]. Descrmtinn nf Event ,
On September 25,1969 at 1215, while in Mode I at 100% power, $66 degrees Fahrenhen and i 2250 psia, an Inservice Test (IST) techmcian discovered that a Plant Technical Specification r
- surveillance was not correct. The High Pressure Safety injection (SlH) Pumps Inlet (motor
- l operated) Isolation valves. 3SIH'M\'8923A & B, were bemp stroke time tested in the wrong direction (i.e., CLOSE to UPEN vice OPEN to CLOSE). The discovery was made during a routine
- review of previously performed surveillance data. Immediate action was to perform the stroke time !
lest in the proper direction (i.e., OPEN to CLOSE). The *as found" stroke time met the acceptance entena.
II. Came of Event The root cause of the event was a transenption error when wnting the procedure. This was not identified during the review of the associated surseillance procedure. During the mitial deselopment of the IST manual, the proper stroke direcuon for the subject valves was identified, in developing the surveillance procedures to implement the stroke test requirements, the stroke direction for the subject valves was incorrectly stated. This was a transenption error in wnting the surveillance i procedure which was not discovered during the procedure review process.
111. Ann)vois of Frent This esent is being reported in accordance with 10 cit 30.73(a)(2)(i), because the Technical Specification surveillance requirements were not properly performed. Technical Specification 1.0.5 requires iraplementation of the IST program m accordance with ASME Section XI, as identified by 10CFR50.55(a)(g).
3SlH'M\'8903A & B are normally open pate valves. Each valve is required to remain open dunng the injection phase of a Lors of Coolant Accident. The valves are closed by an operator to isolate a pump in the event of a passive failure of SlH pump suction piping. Ahhough the OPEN to CLOSE stroke time test was not being performed, the abihty of the valves to isolate the SlH pump suction lines was not degraded. The valves were being stroked OPEN to CLOSE even though the stroke r times were not logged or trended. As a result, reasonable assurance was available that the valves would stroke closed. This was verified by subsequent testing. Therefore, this event had no adverse safety consequences.
l \'. Correcthe Action As immediate corrective action 3SlH'M\'6923A & B were satisfactorily stroke time tested in the
- CLOSE direction.
To prevent recurrence of a similar event, the proper stroke test direction was incorporated into the quarterly SlH valve stroke test suncillance procedure. A review of the IST program stroke time test direction requirements versus the stroke time test suncillance procedures has been completed.
Another discrepancy was idenufied during this review. The IST program identified 3SlH'M\'8635, ,
the SlH Cold Leg isolation valve, to be full stroke tested in both the OPEN and CLOSE directions.
The surveillance procedure tested the valve in the CLOSE direction only. This valve is normally open with power locked out to provide a flow path for cold leg injection and is positioned closed when shifting to hot leg iniection. 3SlH'M\'6635 should therefore be stroke time tested in the CLOSE direction. The IST Manual will be revised to reflect the correct stroking requirements.
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LICENSEE EVENT REPORT (LER) ,,, i TEXT CONTINUATION pg,";g,p,'g'g*';.ne6Q,," f,*;*,*l8,,
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- \' . Addninnal Informntinn Licensee Event Reports previously submitted which concern improperly performed surveillances are: ,
LER Number Subtect t
(
j $6-034 Radiation hionitor Sampler Flow ;66-047 OTdeltaT Setpoint f
, 66-0$3 Intermediate Range Detector Setpoints !
I '66-058 Radiation hionitor Surveillance 67-035 Containment Air Lock ,
f 67-042 hiissed intermediate Range / power Range Surveillance t
$7-045 Failure To Sample Diesel Fuel Oil for Kinematic Viscosity
$$-020 Improper Bypass Breaker Suneillance
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$9-006 hiissed Fire Detector Surveillance on Six Fire Detectors
- 69-021 hiiscalculation of Engineered Safety Features Response Time Due to ;
Procedural Inadequacy >
i A review of Technical Specifications surveillance requirements versus surveillance procedures was i performed as corrective action for LER 67-042-01. This review was completed on December 15.
- 1968. LER 66-020 was submitted to document an inadequate surveillance imerval for the Reactor :
Trip Bypass Breakers. This inadequacy was identified dunng the review process. As corrective '
action, the surveillance was updated to reflect the required surveillance mierval. LER 89-006, t which was reported after completion of this review. identified a deficient fire detector surveillance :
on six (6) hre detectors. As corrective action for this LER, a comprehensive review of the Fire !
Detection and Control System surveillances verifying Technical Specification requirements was t performed. Only minor deficiencies were identified and have been addressed. LER 69-021, was !
submitted to identify a lack of an adequate slave relay response time testing surveillance. The ?
deficient procedure was identified dunng the surveillance review discussed in LER 67-042-01. }
However, the requirement to response time test slave relays was not incorporated into a subsequer.t !
revision of the surveillance. The surveillance will be corrected prior to performance and a review i was performed to verify all other comments for the surveillance were incorporated.
The deficiencies identified in this LER were not discovered during the Technical Specification !
surveillance review because the scope of the review was hmited to the requirements of the ,
Technical Specifications versus surveillance procedure acceptance enteria. The source of tne IST 3 hianual requirement to test the subject valves were the Unit's FSAR rather than the Technical ;
Specifications. Neither the IST hianual nor the FSAR were used as a cross-senfication during the Technical Specification surveillance review. A subsequent review of the IST hianual and the FSAR versus surveillance procedure stroke time test direction requirements has been completed with the resuhs noted in the corrective action section of this LER.
EllR Codes Systems Comnnnem t I,
i High Pressure Safety injection isolation Yahe - ISV I System - BG t NRC Form 366A 16-89 L