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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML18066A6271999-09-0202 September 1999 LER 98-011-01:on 981217,inadequate Lube Oil Collection Sys for Primary Coolant Pumps Was Noted.Caused by Design Change Not Containing Appropriate Level of Rigor.Exemption from 10CFR50,App R Was Requested.With 990902 Ltr ML18066A6221999-08-20020 August 1999 LER 99-002-00:on 990722,TS Surveillance Was Not Completed within Specified Frequency.Caused by Failure to Incorporate Revised Frequency Into Surveillance Schedule in Timely Manner.Verified Implementation.With 990820 Ltr ML18066A3781999-01-20020 January 1999 LER 98-013-00:on 981222,safeguards Transfer Tap Changer Failure Caused Inadvertant DG Start.Caused by Failed Motor Contactor.Contactor Was Replaced.With 990120 Ltr ML18068A4851998-10-29029 October 1998 LER 97-011-01:on 971012,starting of Primary Coolant Pump with SG Temps Greater than Cold Leg Temps Occurred.Caused by Inadequate Procedures & Operator Decision.Sop Used for Starting Primary Coolant Pump Enhanced ML18066A2831998-08-18018 August 1998 LER 98-010-00:on 980721,reactor Manually Tripped.Caused by Failure of Coupling Which Drives Feedwater Pump Main Lube Oil Pump.Main Lube Oil Pump Coupling & Associated Components Replaced & Satisfactorily Tested ML18066A2261998-06-30030 June 1998 LER 98-009-00:on 980531,small Pinhole Leak Found on One of Welds,During Leak Test Following Replacement of Pcs Sample Isolation Valves.Caused by Welder Error.Leaking Welds Repaired ML18066A1781998-06-0909 June 1998 LER 98-008-00:on 980511,noted That Procedure Did Not Fully Satisfy Requirement to Test High Startup Rate Trip Function. Caused by Misunderstanding of Testing Requirements.Revised TS Surveillance Test Procedure & Reviewed Other Procedures ML18065B2451998-05-13013 May 1998 LER 98-007-00:on 980413,HPIS Sys Was Noted Inoperable During TS Surveillance Test.Caused by Performance of Flawed Procedure.Operators & Engineers Will Be Trained to Improve Operational Decision Making Through Resources & Knowledge ML18065B1151997-12-0909 December 1997 LER 97-013-00:on 971110,failure to Closure Test Two Check Valves Resulted in Violation of TS 6.5.7 Occurred.Caused by Close Function for Check Valves.Check Valves Tested to Confirm Proper Closure Capability ML18067A7751997-11-11011 November 1997 LER 97-011-00:on 971012,primary Coolant Pump Was Started W/Sg Temperatures Greater than Cold Leg Temperature.Caused by Inadequate Procedures & Operator Decision Making.Critique of Event Conducted W/Operators Involved ML18067A7581997-10-30030 October 1997 LER 97-010-00:on 970930,determined That Inadequacy in App R Analysis Resulted in Condition Outside Design Basis of Plant.Caused by Missing Cable in Circuit & Raceway Schedule. Developed New Evaluation Re ASD Valves Validation ML18067A7461997-10-23023 October 1997 LER 97-009-00:on 970923,discovered Procedure Weakness Re Implementation of App R Shutdown Methodology.Caused by Human Error.Revised Off-Normal Procedure ONP-25.2, Alternate Safe Shutdown Procedure. ML18067A7191997-10-10010 October 1997 LER 97-008-00:on 970912,spurious Valve Operation Could Result in Loss of Shutdown Capabilities Per 10CFR50,App R, Section Iii.L,Was Discovered.Caused by Failure to Validate Info from App R.Design Bases for SW Backup Reviewed ML18067A6951997-09-24024 September 1997 LER 97-007-00:on 970826,discovered Inadequate Testing of DG Sequencer Control Relay Contacts.Caused by Oversight on Part of Personnel Involved in Installation of Facility Change FC-800.Tested 106D-1/XL & 106D-2/XL Relay Contacts ML18067A5651997-06-0303 June 1997 LER 96-013-01:on 961115,DC Breaker Failed During Testing for as-found Trip Setting.Failure Caused by Oversight within Preventive Maint Program.Breaker Was Replaced & Tested ML18067A5461997-05-12012 May 1997 LER 97-006-00:on 970412,overtime Limits Were Exceeded for Radiation Protection Technicians.Caused by Inadequate Design,Review & Proper Verifications of Overtime Work Schedule.Communicate Overtime Limitation Responsibilities ML18067A4431997-03-24024 March 1997 LER 97-004-00:on 970221,trip of High Pressure Safety Injection Pump Occurred While Filling Safety Injection Tank Resulting in TS Violation.Caused by Particle Lodged Between Surface of Indication disk.Y-phase Relay Was OOS ML18067A4391997-03-21021 March 1997 LER 97-005-00:on 961220,operation of Plant Outside Design Basis Occurred Due to an Unacceptable Repair on Main Steam Isolation Valves.Pipe Plugs Permanently Repaired ML18067A4401997-03-21021 March 1997 LER 97-003-00:on 961101,four Piping Lines Were Determined to Be Potentially Susceptible to Pressurization Due to Containment Temperature Increase During an Accident.Cac Discharge Piping Will Be verified.W/970321 Ltr ML18066A8931997-02-21021 February 1997 LER 97-002-00:on 970123,failure to Meet TSs 4.5.2d(1)(b) for Testing of Emergency Escape Airlock Occurred.Caused by Missed Surveillance.Emergency Escape Air Lock Testing Was Completed & Declared operable.W/970221 Ltr ML18066A8751997-02-0505 February 1997 LER 97-001-00:on 970106,TAVE Temp Dropped Below Minimum Temp for Criticality.Caused by Control Rod Withdrawal Rate to Increase Power Not Sufficient to Match Increase in Steam. Turbine Bypass Valve Actuator repaired.W/970205 Ltr ML18066A8041996-12-23023 December 1996 LER 96-014-00:on 961124,class 1E Raychem Cable Splices Were Installed Incorrectly.Caused by Incorrectly Made Electrical Splices.Total of 270 Splices Have Been Replaced within Containment ML18066A7831996-12-16016 December 1996 LER 96-013-00:on 961115,DC Breaker Failure During Testing for as-found Trip Setting Occurred.Cause Under Investigation.All molded-case Circuit Breakers in DC Distribution Panels Were Replaced ML18065A9951996-10-0404 October 1996 LER 96-002-01:on 960116,initiated TS Required Shutdown Due to Safeguards Cable Fault.Both Sets (Six Cables) of Cables Were Replaced & Installed Through Turbine Generator Bldg ML18065A9171996-09-0909 September 1996 LER 95-012-00:on 960809,TS Violation Occurred,Due to No Senior Reactor Operator in Cr.Caused by Extensive Remodeling.Cr Remodeling completed.W/960909 Ltr ML18065A8961996-08-29029 August 1996 LER 96-011-00:on 960730,CR Continuous Air Monitor Alarm Setpoint Improperly Established.Caused by Failure to Utilize Mod Process in 1988 Leading to Failure to Properly Select & Calibrate Instruments ML18065A8811996-08-20020 August 1996 LER 96-005-01:on 960207,determined Fuse on Main Supply to Two Safety Related DC Panels & Panel Branch Circuit Breakers Not Properly Coordinated.Caused by Lack of Thorough Associated Circuits Analysis.Supply Fuse to Panels Replaced ML18065A8741996-08-16016 August 1996 LER 96-010-00:on 960717,high Pressure Safety Injection Pump Tripped While Filling Safety Injection Tank.Caused by Faulty 150/151Y-207 Time Overcurrent Relay.All Similar Relays in Time Overcurrent Application Have Been Inspected ML18065A8651996-08-12012 August 1996 LER 96-009-00:on 960712,identified Penetration Seal Deficiency on Fire Barriers Caused by Failure to Perform & Document Comprehensive Fire Barrier Evaluation.Developed Basis document.W/960812 Ltr ML18065A8601996-08-0202 August 1996 LER 96-006-01 on 960207,discovered Limits of Design Analysis Could Have Been Violated.Subsequent Tests & Analyses Facility Did Not Exceed Basis.Operating Procedures Have Been Revised to Treat 2530 Megawatts Limit as Absolute Limit ML18065A8321996-08-0101 August 1996 LER 96-003-01:on 960115,alternate Shutdown Panel Inverter Resulted in Unavailability of Panel.Replaced Defective Inverter Alarm Logic Board ML18065A7691996-06-12012 June 1996 LER 96-008-00:on 960513,fire Door Not Maintained Open in Accordance W/Design Basis.Cause Under Investigation. Engineering Evaluation Performed & Revised Documents, Surveillance & Test procedures.W/960612 Ltr ML18065A6901996-05-0101 May 1996 LER 95-001-01:on 950302,malfunction of Left Channel DBA Sequencer Resulted in Inadvertent Actuation of Left Channel Safeguards Equipment.Replaced microprocessor.W/960501 Ltr ML18065A6681996-04-22022 April 1996 LER 96-007-00:on 960321,inadequate Emergency Lighting & Ventilation in post-fire Safe Shutdown Areas.Caused by App R Program Documentation Insufficient to Demonstrate Regulatory Compliance.Lighting modified.W/960422 Ltr ML18065A5721996-03-11011 March 1996 LER 96-006-00:on 960207,average Reactor Power Level Exceeded License Limit Due to Insufficient Procedural Guidance. GOP-12 Revised to Treat 2,530 Mwt Limit as Absolute Limit Requiring Immediate Corrective Action If Exceeded ML18065A5261996-03-0101 March 1996 LER 96-005-00:on 960202,fuse on Main Supply to Two SR DC Panels & Panel Branch Circuit Breakers Not Properly Coordinated.Caused by Inadequate Electrical/App R Design Review.Implemented Hourly Fire tours.W/960301 Ltr ML18065A5111996-02-19019 February 1996 LER 94-012-02:on 940427,determined That Internal Ground in Thermal Margin Monitor Causes Nonconformance W/Rps Design Basis.Incorporated RPS Failure Modes & Effects Analysis in Plant DBD.W/960219 Ltr ML18065A5061996-02-19019 February 1996 LER 96-004-00:on 960118,SIS Disabled W/Primary Coolant Sys Greater than 300 F.Caused by Personnel Error.Permanent Maint Procedure to Disable/Enable SIS Actuation on Low Pressurizer Pressure Will Be Revised to Align W/Ts ML18065A5021996-02-15015 February 1996 LER 96-003-00:on 960115,technicians Found Low Voltage cut- Off for Alternate Shutdown Panel Inverter Set That Resulted in Unavailability of Panel.Caused by Inadequate Post Mod. Readjusted Set Point to Minimum setting.W/960215 Ltr ML18065A4581996-01-31031 January 1996 LER 96-001-00:on 960103,failed to Test Duplicate Equipment. Caused by STS No Longer Containing Requirement for cross- Train Testing of Duplicate Components.Will Submit Request to Delete Subj Requirements from TS.W/960131 Ltr ML18065A4421996-01-19019 January 1996 LER 95-016-00:on 951226,did Not Analyze Primary Coolant Samples within 72 H.Caused by Belief Acceptability to Save Pcs Samples for Choride Analysis Past 72 H.Counseled Chemistry Supervision.W/960119 Ltr ML18065A4041996-01-15015 January 1996 LER 95-014-00:on 950119,PCP Oil Collection Deficiencies Created by FC-860 Piping Mod.Caused by Inadequate DBD for Sys & Lack of Review by Experienced Fire Protection Personnel.Updated Design Basis documentation.W/960115 Ltr ML18065A3291995-12-0404 December 1995 LER 95-013-00:on 951103,circuit Fuse Coordination Deficiency Which Affects App R Safe Shutdown Equipment Noted.Design of Fuse Coordination in Potential Transformer Circuits Will Be Evaluated & Modified as required.W/951204 Ltr ML18065A2361995-11-0202 November 1995 LER 95-012-00:on 950701,discovered Unqualified Electrical Connection in Containment SW Outlet Valve Controller.Caused by Failure of Assigned Engineers to Available Info.Replaced Wire Nuts W/Inline Butt connections.W/951102 Ltr ML18065A2051995-10-20020 October 1995 LER 95-008-01:on 950728,discovered That None of Four Containment High Pressure Channels Would Initiate Reactor Trip Due to Programmatic Deficiencies.Administrative Procedure (AP) 9.44,AP 9.45 & AP 10.44 Will Be Revised ML18065A0841995-09-18018 September 1995 LER 95-011-00:on 950817,CR 40 Withdrawal Occurred When Given Insertion Signal Due to skill-based Error in Crimping & Removing Foreign Matl from CRDM Motor Connection Box.Crd Package replaced.W/950918 Ltr ML18065A0681995-09-14014 September 1995 LER 95-010-00:on 950815,ESFA Resulted in Manual Rt Following Isolation of Pcs.Replaced Failed Instrument Line ML18065A0651995-09-0808 September 1995 LER 95-009-00:on 950728,discovered Lack of Procedural Guidance for Pump Repair Following Fire.Proposed Use of Power Supply Breaker Did Not Adequately Address Effect of Loss of Control Power.Performed Independent Assessment ML18064A8781995-08-28028 August 1995 LER 95-008-00:on 950728,discovered During Design Change Testing That None of Four Containment High Pressure Channels Would Initiate Rt.Caused by Programmatic Deficiencies. Reviewed Selected Tests & Mods from Recent Refueling Outage ML18064A8831995-08-21021 August 1995 LER 95-007-00:on 950720,discovered That 12 Instrument Loops Had V-bolted Type Qualified Cable Splices Connected to Wires W/Exposed Kapton Insulation.Caused by Human Error.All V- Bolted Splices Replaced w/in-line design.W/950821 Ltr 1999-09-02
[Table view] Category:RO)
MONTHYEARML18066A6271999-09-0202 September 1999 LER 98-011-01:on 981217,inadequate Lube Oil Collection Sys for Primary Coolant Pumps Was Noted.Caused by Design Change Not Containing Appropriate Level of Rigor.Exemption from 10CFR50,App R Was Requested.With 990902 Ltr ML18066A6221999-08-20020 August 1999 LER 99-002-00:on 990722,TS Surveillance Was Not Completed within Specified Frequency.Caused by Failure to Incorporate Revised Frequency Into Surveillance Schedule in Timely Manner.Verified Implementation.With 990820 Ltr ML18066A3781999-01-20020 January 1999 LER 98-013-00:on 981222,safeguards Transfer Tap Changer Failure Caused Inadvertant DG Start.Caused by Failed Motor Contactor.Contactor Was Replaced.With 990120 Ltr ML18068A4851998-10-29029 October 1998 LER 97-011-01:on 971012,starting of Primary Coolant Pump with SG Temps Greater than Cold Leg Temps Occurred.Caused by Inadequate Procedures & Operator Decision.Sop Used for Starting Primary Coolant Pump Enhanced ML18066A2831998-08-18018 August 1998 LER 98-010-00:on 980721,reactor Manually Tripped.Caused by Failure of Coupling Which Drives Feedwater Pump Main Lube Oil Pump.Main Lube Oil Pump Coupling & Associated Components Replaced & Satisfactorily Tested ML18066A2261998-06-30030 June 1998 LER 98-009-00:on 980531,small Pinhole Leak Found on One of Welds,During Leak Test Following Replacement of Pcs Sample Isolation Valves.Caused by Welder Error.Leaking Welds Repaired ML18066A1781998-06-0909 June 1998 LER 98-008-00:on 980511,noted That Procedure Did Not Fully Satisfy Requirement to Test High Startup Rate Trip Function. Caused by Misunderstanding of Testing Requirements.Revised TS Surveillance Test Procedure & Reviewed Other Procedures ML18065B2451998-05-13013 May 1998 LER 98-007-00:on 980413,HPIS Sys Was Noted Inoperable During TS Surveillance Test.Caused by Performance of Flawed Procedure.Operators & Engineers Will Be Trained to Improve Operational Decision Making Through Resources & Knowledge ML18065B1151997-12-0909 December 1997 LER 97-013-00:on 971110,failure to Closure Test Two Check Valves Resulted in Violation of TS 6.5.7 Occurred.Caused by Close Function for Check Valves.Check Valves Tested to Confirm Proper Closure Capability ML18067A7751997-11-11011 November 1997 LER 97-011-00:on 971012,primary Coolant Pump Was Started W/Sg Temperatures Greater than Cold Leg Temperature.Caused by Inadequate Procedures & Operator Decision Making.Critique of Event Conducted W/Operators Involved ML18067A7581997-10-30030 October 1997 LER 97-010-00:on 970930,determined That Inadequacy in App R Analysis Resulted in Condition Outside Design Basis of Plant.Caused by Missing Cable in Circuit & Raceway Schedule. Developed New Evaluation Re ASD Valves Validation ML18067A7461997-10-23023 October 1997 LER 97-009-00:on 970923,discovered Procedure Weakness Re Implementation of App R Shutdown Methodology.Caused by Human Error.Revised Off-Normal Procedure ONP-25.2, Alternate Safe Shutdown Procedure. ML18067A7191997-10-10010 October 1997 LER 97-008-00:on 970912,spurious Valve Operation Could Result in Loss of Shutdown Capabilities Per 10CFR50,App R, Section Iii.L,Was Discovered.Caused by Failure to Validate Info from App R.Design Bases for SW Backup Reviewed ML18067A6951997-09-24024 September 1997 LER 97-007-00:on 970826,discovered Inadequate Testing of DG Sequencer Control Relay Contacts.Caused by Oversight on Part of Personnel Involved in Installation of Facility Change FC-800.Tested 106D-1/XL & 106D-2/XL Relay Contacts ML18067A5651997-06-0303 June 1997 LER 96-013-01:on 961115,DC Breaker Failed During Testing for as-found Trip Setting.Failure Caused by Oversight within Preventive Maint Program.Breaker Was Replaced & Tested ML18067A5461997-05-12012 May 1997 LER 97-006-00:on 970412,overtime Limits Were Exceeded for Radiation Protection Technicians.Caused by Inadequate Design,Review & Proper Verifications of Overtime Work Schedule.Communicate Overtime Limitation Responsibilities ML18067A4431997-03-24024 March 1997 LER 97-004-00:on 970221,trip of High Pressure Safety Injection Pump Occurred While Filling Safety Injection Tank Resulting in TS Violation.Caused by Particle Lodged Between Surface of Indication disk.Y-phase Relay Was OOS ML18067A4391997-03-21021 March 1997 LER 97-005-00:on 961220,operation of Plant Outside Design Basis Occurred Due to an Unacceptable Repair on Main Steam Isolation Valves.Pipe Plugs Permanently Repaired ML18067A4401997-03-21021 March 1997 LER 97-003-00:on 961101,four Piping Lines Were Determined to Be Potentially Susceptible to Pressurization Due to Containment Temperature Increase During an Accident.Cac Discharge Piping Will Be verified.W/970321 Ltr ML18066A8931997-02-21021 February 1997 LER 97-002-00:on 970123,failure to Meet TSs 4.5.2d(1)(b) for Testing of Emergency Escape Airlock Occurred.Caused by Missed Surveillance.Emergency Escape Air Lock Testing Was Completed & Declared operable.W/970221 Ltr ML18066A8751997-02-0505 February 1997 LER 97-001-00:on 970106,TAVE Temp Dropped Below Minimum Temp for Criticality.Caused by Control Rod Withdrawal Rate to Increase Power Not Sufficient to Match Increase in Steam. Turbine Bypass Valve Actuator repaired.W/970205 Ltr ML18066A8041996-12-23023 December 1996 LER 96-014-00:on 961124,class 1E Raychem Cable Splices Were Installed Incorrectly.Caused by Incorrectly Made Electrical Splices.Total of 270 Splices Have Been Replaced within Containment ML18066A7831996-12-16016 December 1996 LER 96-013-00:on 961115,DC Breaker Failure During Testing for as-found Trip Setting Occurred.Cause Under Investigation.All molded-case Circuit Breakers in DC Distribution Panels Were Replaced ML18065A9951996-10-0404 October 1996 LER 96-002-01:on 960116,initiated TS Required Shutdown Due to Safeguards Cable Fault.Both Sets (Six Cables) of Cables Were Replaced & Installed Through Turbine Generator Bldg ML18065A9171996-09-0909 September 1996 LER 95-012-00:on 960809,TS Violation Occurred,Due to No Senior Reactor Operator in Cr.Caused by Extensive Remodeling.Cr Remodeling completed.W/960909 Ltr ML18065A8961996-08-29029 August 1996 LER 96-011-00:on 960730,CR Continuous Air Monitor Alarm Setpoint Improperly Established.Caused by Failure to Utilize Mod Process in 1988 Leading to Failure to Properly Select & Calibrate Instruments ML18065A8811996-08-20020 August 1996 LER 96-005-01:on 960207,determined Fuse on Main Supply to Two Safety Related DC Panels & Panel Branch Circuit Breakers Not Properly Coordinated.Caused by Lack of Thorough Associated Circuits Analysis.Supply Fuse to Panels Replaced ML18065A8741996-08-16016 August 1996 LER 96-010-00:on 960717,high Pressure Safety Injection Pump Tripped While Filling Safety Injection Tank.Caused by Faulty 150/151Y-207 Time Overcurrent Relay.All Similar Relays in Time Overcurrent Application Have Been Inspected ML18065A8651996-08-12012 August 1996 LER 96-009-00:on 960712,identified Penetration Seal Deficiency on Fire Barriers Caused by Failure to Perform & Document Comprehensive Fire Barrier Evaluation.Developed Basis document.W/960812 Ltr ML18065A8601996-08-0202 August 1996 LER 96-006-01 on 960207,discovered Limits of Design Analysis Could Have Been Violated.Subsequent Tests & Analyses Facility Did Not Exceed Basis.Operating Procedures Have Been Revised to Treat 2530 Megawatts Limit as Absolute Limit ML18065A8321996-08-0101 August 1996 LER 96-003-01:on 960115,alternate Shutdown Panel Inverter Resulted in Unavailability of Panel.Replaced Defective Inverter Alarm Logic Board ML18065A7691996-06-12012 June 1996 LER 96-008-00:on 960513,fire Door Not Maintained Open in Accordance W/Design Basis.Cause Under Investigation. Engineering Evaluation Performed & Revised Documents, Surveillance & Test procedures.W/960612 Ltr ML18065A6901996-05-0101 May 1996 LER 95-001-01:on 950302,malfunction of Left Channel DBA Sequencer Resulted in Inadvertent Actuation of Left Channel Safeguards Equipment.Replaced microprocessor.W/960501 Ltr ML18065A6681996-04-22022 April 1996 LER 96-007-00:on 960321,inadequate Emergency Lighting & Ventilation in post-fire Safe Shutdown Areas.Caused by App R Program Documentation Insufficient to Demonstrate Regulatory Compliance.Lighting modified.W/960422 Ltr ML18065A5721996-03-11011 March 1996 LER 96-006-00:on 960207,average Reactor Power Level Exceeded License Limit Due to Insufficient Procedural Guidance. GOP-12 Revised to Treat 2,530 Mwt Limit as Absolute Limit Requiring Immediate Corrective Action If Exceeded ML18065A5261996-03-0101 March 1996 LER 96-005-00:on 960202,fuse on Main Supply to Two SR DC Panels & Panel Branch Circuit Breakers Not Properly Coordinated.Caused by Inadequate Electrical/App R Design Review.Implemented Hourly Fire tours.W/960301 Ltr ML18065A5111996-02-19019 February 1996 LER 94-012-02:on 940427,determined That Internal Ground in Thermal Margin Monitor Causes Nonconformance W/Rps Design Basis.Incorporated RPS Failure Modes & Effects Analysis in Plant DBD.W/960219 Ltr ML18065A5061996-02-19019 February 1996 LER 96-004-00:on 960118,SIS Disabled W/Primary Coolant Sys Greater than 300 F.Caused by Personnel Error.Permanent Maint Procedure to Disable/Enable SIS Actuation on Low Pressurizer Pressure Will Be Revised to Align W/Ts ML18065A5021996-02-15015 February 1996 LER 96-003-00:on 960115,technicians Found Low Voltage cut- Off for Alternate Shutdown Panel Inverter Set That Resulted in Unavailability of Panel.Caused by Inadequate Post Mod. Readjusted Set Point to Minimum setting.W/960215 Ltr ML18065A4581996-01-31031 January 1996 LER 96-001-00:on 960103,failed to Test Duplicate Equipment. Caused by STS No Longer Containing Requirement for cross- Train Testing of Duplicate Components.Will Submit Request to Delete Subj Requirements from TS.W/960131 Ltr ML18065A4421996-01-19019 January 1996 LER 95-016-00:on 951226,did Not Analyze Primary Coolant Samples within 72 H.Caused by Belief Acceptability to Save Pcs Samples for Choride Analysis Past 72 H.Counseled Chemistry Supervision.W/960119 Ltr ML18065A4041996-01-15015 January 1996 LER 95-014-00:on 950119,PCP Oil Collection Deficiencies Created by FC-860 Piping Mod.Caused by Inadequate DBD for Sys & Lack of Review by Experienced Fire Protection Personnel.Updated Design Basis documentation.W/960115 Ltr ML18065A3291995-12-0404 December 1995 LER 95-013-00:on 951103,circuit Fuse Coordination Deficiency Which Affects App R Safe Shutdown Equipment Noted.Design of Fuse Coordination in Potential Transformer Circuits Will Be Evaluated & Modified as required.W/951204 Ltr ML18065A2361995-11-0202 November 1995 LER 95-012-00:on 950701,discovered Unqualified Electrical Connection in Containment SW Outlet Valve Controller.Caused by Failure of Assigned Engineers to Available Info.Replaced Wire Nuts W/Inline Butt connections.W/951102 Ltr ML18065A2051995-10-20020 October 1995 LER 95-008-01:on 950728,discovered That None of Four Containment High Pressure Channels Would Initiate Reactor Trip Due to Programmatic Deficiencies.Administrative Procedure (AP) 9.44,AP 9.45 & AP 10.44 Will Be Revised ML18065A0841995-09-18018 September 1995 LER 95-011-00:on 950817,CR 40 Withdrawal Occurred When Given Insertion Signal Due to skill-based Error in Crimping & Removing Foreign Matl from CRDM Motor Connection Box.Crd Package replaced.W/950918 Ltr ML18065A0681995-09-14014 September 1995 LER 95-010-00:on 950815,ESFA Resulted in Manual Rt Following Isolation of Pcs.Replaced Failed Instrument Line ML18065A0651995-09-0808 September 1995 LER 95-009-00:on 950728,discovered Lack of Procedural Guidance for Pump Repair Following Fire.Proposed Use of Power Supply Breaker Did Not Adequately Address Effect of Loss of Control Power.Performed Independent Assessment ML18064A8781995-08-28028 August 1995 LER 95-008-00:on 950728,discovered During Design Change Testing That None of Four Containment High Pressure Channels Would Initiate Rt.Caused by Programmatic Deficiencies. Reviewed Selected Tests & Mods from Recent Refueling Outage ML18064A8831995-08-21021 August 1995 LER 95-007-00:on 950720,discovered That 12 Instrument Loops Had V-bolted Type Qualified Cable Splices Connected to Wires W/Exposed Kapton Insulation.Caused by Human Error.All V- Bolted Splices Replaced w/in-line design.W/950821 Ltr 1999-09-02
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML18066A6901999-11-0101 November 1999 Rev 5 to Palisades Nuclear Plant Colr. ML18066A6761999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Palisades Nuclear Plant ML18066A6271999-09-0202 September 1999 LER 98-011-01:on 981217,inadequate Lube Oil Collection Sys for Primary Coolant Pumps Was Noted.Caused by Design Change Not Containing Appropriate Level of Rigor.Exemption from 10CFR50,App R Was Requested.With 990902 Ltr ML18066A6351999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Palisades Nuclear Plant ML18066A6771999-08-31031 August 1999 Operating Data Rept Page of MOR for Aug 1999 for Palisades Nuclear Plant ML18066A6221999-08-20020 August 1999 LER 99-002-00:on 990722,TS Surveillance Was Not Completed within Specified Frequency.Caused by Failure to Incorporate Revised Frequency Into Surveillance Schedule in Timely Manner.Verified Implementation.With 990820 Ltr ML18066A6061999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Palisades Nuclear Plant.With 990803 Ltr ML18066A5201999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Palisades Nuclear Plant.With 990702 Ltr ML18066A4841999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Palisades Nuclear Plant.With 990603 Ltr ML18066A6371999-04-30030 April 1999 Revised Monthly Operating Rept for Apr 1999 for Palisades Nuclear Plant ML18068A5941999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Palisades Nuclear Plant.With 990503 Ltr ML18066A4161999-04-0101 April 1999 Rev 4 to COLR, for Palisades Nuclear Plant ML18066A4501999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Palisades Nuclear Plant.With 990402 Ltr ML18066A4671999-03-31031 March 1999 Rev 0 to SIR-99-032, Flaw Tolerance & Leakage Evaluation Spent Fuel Pool Heat Exchanger E-53B Nozzle Palisades Nuclear Plant. ML18068A5351999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Palisades Nuclear Plant.With 990302 Ltr ML18066A3931999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Palisades Nuclear Plant.With 990202 Ltr ML18066A3781999-01-20020 January 1999 LER 98-013-00:on 981222,safeguards Transfer Tap Changer Failure Caused Inadvertant DG Start.Caused by Failed Motor Contactor.Contactor Was Replaced.With 990120 Ltr ML20206F6131998-12-31031 December 1998 1998 Consumers Energy Co Annual Rept. with ML18066A3651998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Palisades Nuclear Plant.With 990105 Ltr ML18066A3421998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Palisades Nuclear Plant.With 981202 Ltr ML18066A3301998-11-11011 November 1998 Part 21 Rept Re Potential Safety Hazard Associated with Wrist Pin Assemblies for FM-Alco 251 Engines at Palisades Nuclear Power Plant.Caused by Insufficient Friction Fit Between Pin & Sleeve.Supplier of Pin Will No Longer Be Used ML18068A4921998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Palisades Nuclear Plant.With 981103 Ltr ML18068A4851998-10-29029 October 1998 LER 97-011-01:on 971012,starting of Primary Coolant Pump with SG Temps Greater than Cold Leg Temps Occurred.Caused by Inadequate Procedures & Operator Decision.Sop Used for Starting Primary Coolant Pump Enhanced ML18066A3181998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Palisades Nuclear Plant ML18066A2901998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Palisades Nuclear Power Plant.With 980903 Ltr ML18066A3191998-08-31031 August 1998 Revised Monthly Operating Rept Data for Aug 1998 for Palisades Nuclear Plant ML18066A2831998-08-18018 August 1998 LER 98-010-00:on 980721,reactor Manually Tripped.Caused by Failure of Coupling Which Drives Feedwater Pump Main Lube Oil Pump.Main Lube Oil Pump Coupling & Associated Components Replaced & Satisfactorily Tested 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 ML20237E0301998-07-31031 July 1998 ISI Rept 3-3 ML18066A2701998-07-31031 July 1998 Monthly Operating Rept for July 1998 for Palisades Nuclear Plant.W/980803 Ltr ML18066A2311998-06-30030 June 1998 Monthly Operating Rept for June 1998 for Palisades Nuclear Plant ML18066A2261998-06-30030 June 1998 LER 98-009-00:on 980531,small Pinhole Leak Found on One of Welds,During Leak Test Following Replacement of Pcs Sample Isolation Valves.Caused by Welder Error.Leaking Welds Repaired ML18066A3061998-06-18018 June 1998 SG Tube Inservice Insp. ML20249C4951998-06-17017 June 1998 Rev 1 to EA-GEJ-98-01, Palisades Cycle 14 Disposition of Events Review ML18066A1781998-06-0909 June 1998 LER 98-008-00:on 980511,noted That Procedure Did Not Fully Satisfy Requirement to Test High Startup Rate Trip Function. Caused by Misunderstanding of Testing Requirements.Revised TS Surveillance Test Procedure & Reviewed Other Procedures ML18066A1711998-06-0101 June 1998 Part 21 Rept Re Impact of RELAP4 Excessive Variability on Palisades Large Break LOCA ECCS Results.Change in PCT Between Cycle 13 & Cycle 14 Does Not Constitute Significant Change Per 10CFR50.46 ML18066A1741998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Palisades Nuclear Plant.W/980601 Ltr ML18066A2321998-05-31031 May 1998 Revised MOR for May 1998 for Palisades Nuclear Plant ML18068A4701998-05-31031 May 1998 Annual Rept of Changes in ECCS Models Per 10CFR50.46. ML18065B2451998-05-13013 May 1998 LER 98-007-00:on 980413,HPIS Sys Was Noted Inoperable During TS Surveillance Test.Caused by Performance of Flawed Procedure.Operators & Engineers Will Be Trained to Improve Operational Decision Making Through Resources & Knowledge ML18066A2331998-04-30030 April 1998 Revised MOR for Apr 1998 for Palisades Nuclear Plant ML18068A3461998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for Palisades Nuclear Plant.W/980501 Ltr ML18066A3411998-04-22022 April 1998 Rev 0 to EMF-98-013, Palisades Cycle 14:Disposition & Analysis of SRP Chapter 15 Events. ML18065B2071998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for Palisades Nuclear Plant.W/980403 Ltr ML20217C2741998-03-31031 March 1998 Independent Review - Is Consumers Energy Method (W Method) of Determining Palisades Nuclear Plant Best Estimate Fluence by Combining Transport Calculation & Dosimetry Measurements Technically Sound & Does It Meet Intent of Pts ML18066A2341998-03-31031 March 1998 Revised MOR for Mar 1998 for Palisades Nuclear Plant ML18068A3041998-02-28028 February 1998 Monthly Operating Rept for Feb 1998 for Palisades Nuclear Plant.W/980302 Ltr ML18066A2351998-02-28028 February 1998 Revised MOR for Feb 1998 for Palisades Nuclear Plant ML18065B1641998-02-0505 February 1998 Rev 0 to Regression Analysis for Containment Prestressing Sys at 25th Year Surveillance. ML18067A8211998-01-31031 January 1998 Monthly Operating Rept for Jan 1998 for Palisades Nuclear Plant.W/980203 Ltr 1999-09-30
[Table view] |
Text
- LICENSEE EVENT REPORT ILERt
- U..I. lllUC\U* lllGUUTOtlY
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,ACILIT'I' llAMI IU PALISADES NUCLEAR PLANT TITl.11..
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~ 3 8 8 N/A 011S1010101 I I LICl. . .I CONTACT '011 TMl9 I.Ill 1111 HAMI Tll.UMOHI NUMHlll AllllA COOi C S Kozup, Technical Engineer, Palisades Plant 6 1116 7 f 6141- 18 191113 C:OWONINT COWO..lllT X VI I I I I I I I No I I I I I I I I I I I I I I I I I I I I I IWl'\llllllTAL llPOllT IJll'ICTID (1 .. lllONTM CAY 'f'Alll IX,.CTIO IUlllllllON CATI 1111
~ VII llf ,,_, - IXflfr:TTO SUllllSllON OA Tri 0 17 311 8 19 At 1700 hours0.0197 days <br />0.472 hours <br />0.00281 weeks <br />6.4685e-4 months <br /> on August 22, 1988 the Control Room (CR) Heating Ventilation and Air Conditioning (HVAC) system [VI] was declared inoperable for failing to meet acceptance criteria defined in Technical Specification Surveillance Procedure R0-28, "Control Room/Technical Support Center Ventilation". During this test the CR HVAC system failed to maintain the required 0.125 inches water-gauge required. On October 27, 1988 errors were identified in analyses which were utilized to specify.CR HVAC iodine removal capabilities. These errors resulted in the CR HVAC being unable to meet General Design Criterion (GDC) 19 since its original operation in 1983. The Plant was in the refueling condition when both the test failure and design deficiencies were noted.
Failure of the CR HVAC to meet surveillance requirements was due to electrical penetrations in the CR floor being opened for outage modifications and an improper fan line-up specified in R0-28 for the adjacent switchgear area ventilatiqn system. The failure of the CR HVAC system to meet GDC 19 is due to calculation errors made when prescribing the required iodine removal capacity.
Acceptable CR habitability analyses have been performed for all Design Basis Accidents. Radiation monitoring instrumentation was placed within the CR HVAC env~lope to provide for early detection. Actions to be taken in the event of monitor alarms have been placed in Standing Orders. 8904100192 890331 ", ~a tO PDR ADOCK 05000255 A~ l / !
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, .. NAC* Form . .A 19-331 FACILITY NAMI 111 LICENSEE EVENT REPORT (LERI TEXT CONTINUATION DOCKET NUMeEll 121 U.I. NUClEAll AEQUlATOAY COMMISSION LEll NUMelll 181 APPROVED OMB NO 3150--0104 EXPIRES: 8131185 PAQ I I PALISADES NUCLEA.H PLANT 0 1s I 0 I 0 I 0 12 I 51 5 8 I 8 - 0 I 11 3 - 0I2 0 I 2 OF Q j9 TCXT f/f,,,.,,. - ir --1. ,,_ - NlfC Fonn JllM'*l 1171 Description At 1700 hours0.0197 days <br />0.472 hours <br />0.00281 weeks <br />6.4685e-4 months <br /> on August 22, 1988 the Control Room (CR) Heating, Ventilation and Air Conditioning (HVAC) system [VI] was declared inoperable for failing to meet acceptance criteria defined in Technical Specification (TS) Surveillance Procedure R0-28, "Control Room/Technical Support Center Ventilation". During the surveillance test, while in the emergency mode, the CR HVAC syst~m ~aintained a positive pressure of approximately 0.020 inches water-gauge, however, 0.125 inches water-gauge is required. This differential pressure aids in a.ssuring the radiation exposure of CR personnel will be within the guidelines of 10CFRSO Appendix A, General Design Criterion 19 during postulated design basis accidents. In the normal mode, the CR HVAC maintained the required differential pressure. Dur:f.ng subsequent analyses to determine the significance of the surveillance test failure, errors were identified on October 27, 1988 in analyses which were utilized to specify CR HVAC iodine removal capabilities. These errors resulted in the CR HVAC being unable to meet General Design Criterion 19 since its original operation in 1983. The Plant was in the refueling condition when both the test failure and design deficiencies were noted.
The function of the CR HVAC is to maintain an environment suitable for continuous personnel occupancy in both normal and emergency modes for the CR and Technical Support Center (TSC). During post Design Basis Accident operation, the system removes (by filtration) airborne radioactive materials to ensure habitability. The system is made up of two redundant trains. Each train is capable of maintaining a suitable environment and consists of an air handling unit [VI;FAN], filtration unit [VI;FLT], condensing unit [VI;CDU] and associated control circuitry. Each train is powered by an appropriate safety-related bus and backup emergency diesel generator [EK;DG].
The HVAC system has three modes of operation; normal, emergency and 100 percent recirculation. The normal operating mode provides outside air to the CR/TSC via the air handling unit. The emergency mode is initiated by a containment high pressure or high radiation signal. On receiving one of the above signals, the normal air supply is isolated and the supply source of outside air is transferred to a location 100 meters from the Containment Building. The outside air is then routed through the filter unit (HEPA & charcoal filters) before introduction into the CR/TSC area. The third mode of operation is the 100 percent recirculation mode which is initiated only by operator action. The operator may close the outside air supply damper which then provides for recirculation of 100 percent of the CR/TSC air through the air handling unit/air filter unit and back to the CR/TSC.
Investigation by Plant engineering personnel following the August 22, 1988 test failure revealed that ten electrical penetrations in the floor of the CR were open in support of on-going modifications. In order to determine the cause of the test failure, the open penetrations were resealed that same day and the surveillance test reperf orm~d on the NlllC FOlllM 398A 1s-831 LER 88013-02-LIOlA
NAC1 For"' JlllA.19-831 FACILITY NAMI 111 LICENSEE EVENT REPORT (LERI TEXT CONTINUATION DOCKET NUMIER 121 U.I. NUCLEAll REGULATORY COMMISllON LEll NUMelll 111 APPROVED OMB NO. 3150-01~
EXPIRES. 8/31185 PAO! Ill
?ALISADES 2IUCLEA..B PLANT 0 1s I 0 I 0 I 0 ,2 I 5I 5 8 I 8 - 81 11 3 - 0 12 0I 3 OF 0 19 TV<T (If,,_.-*--* **-NlfC Fonrt JllM'1I 1171 following day. With all penetrations resealed, the CR HVAC system met the 0.125 inch water-gauge acceptance criteria. Due to the immediate inability to determine the maximum size of an open penetration which would cause the CR HVAC to exceed its design basis, the condition was deemed to be reportable per 10CFRS0.72 and both trains of the HVAC system declared inoperable at 1700 on August 23, 1988, An analysis was completed on August 27, 1988 which analytically established the maximum open area of a penetration within the CR envelope such that the CR HVAC would remain operable. This area was determined to be 266 square inches. Also on August 27, 1988 an analysis was completed to assure the guidelines of Criterion 19 of 10CFR50 Appendix A would be satisfied following the hypothetical fuel handling accident. This analysis concluded that the equivalent whole body dose to CR personnel would not exceed 3.845 Rem. As this is bounded by the 5 Rem requirement presented in Criterion 10, refueling activities were allowed to proceed in parallel with ongoing modification activities.
On August 30, 1988 CP submitted a letter to the NRC which identified that the changes requested for our proposed TS Change Request of February 28, 1986 to be overly restrictive for cold shutdown and refueling conditions. The August 30, 1988 submittal further noted that administrative controls have been developed which ensure that the Plant will remain within its design basis positive pressure limits. These controls include Action Statements regarding CR HVAC system operability for cold shutdown and refueling conditions and restricting the size of openings within the CR envelope to less than 266 square inches.
While performing a new analysis, it was determined that the previous CR habitability study which form the design basis for the CR HVAC only included a dose consequence analysis following the "Maximum Hypothetical Accident" (MHA). This previous analysis was reviewed via NRC SER dated April 29, 1983.
A dose consequence analysis was initiated for the hypothetical volume control tank (VCT) [CB;TK] rupture utilizing a source term defined by the highest peak primary coolant system (PCS) [AB] iodine concentration since 1983. The rupture of the VCT has been previously analyzed in Palisades FSAR Section 14.21, "Waste Gas Incident" with respect to offsite dose consequence. As stated in the FSAR, "the VCT and the associated piping are not subjected to high temperatures or high stresses. The VCT is designed for a differential pressure of 90 pounds per square inch and temperature of 250 degrees F" with "normal operation at 10 pounds per square inch and 120 degrees F". Further, the VCT is equipped with level instrumentation and alarms and is protected against overpressurization by dual relief valves [CB;RV].
An evaluation by Plant engineering personnel indicates that either of the two relief valves could provide protection against inadvertent tank overpressurization. The discharge from these relief valves is routed to dirty waste drain tank T-60 [WF;TK] located in the East Engineered NlllC FOlllM :IMA
~~ 1 LER 88013-02-LIOlA
NRC For'" JMA U.I. NUCLEAR REGULATORY COMMllllON
- 9iaJ1 LICENSEE EVENT REPORT (LERI TEXT CONTINUATION APPROVEO OMB NO. J150-011l' EXPIRES. 8/JI 185 FACILITY NAMI 111 DOCKET NUM9EA 121 LEl'I NUM911'1 Ill ,AQE Ill PALISADES rmCLEAR PLANT 0 5 0 0 0 5 5 8 8 - 0 l 3 - 0 2 0 l OF 0 9 TEXT !If,_. - e ,..._, .,. - NlfC Fonn .-.*111171 Safeguards Room. This room and the adjacent West Engineered Safeguards Room are equipped with radiation monitors which isolate (typically at 900 counts per minute). Any failure in this system is considered highly improbable, however, the analysis was perf armed to determine the consequences of a VCT rupture from past operational data. Since Standard Review Plan Sections 15.7.1, "Waste Gas System Failure" and 15.7.2, "Radioactive Liquid Waste System Leak or Fe.ilure (Release to Atmosphere) were deleted July 9* 1981, no guidance regarding analysis parameters could be identified. Therefore, many conservative, simplifying assumptions were used in this particular analysis. The results of this analysis determined that the existing CR HVAC has been in compliance with General Design Criterion 19 for this scenario. The results and a copy of this analysis were presented to the NRC Resident Inspector.
Since the original CR habitability analysis was completed several changes have been made to the MHA analysis. These changes include the use of site specific atmospheric dispersion coefficients, a more accurate delivery time for hydrazine into containment spray water and an additional release pathway due to containment venting practices. While completing the reanalysis for CR habitability following the MHA, corporate engineering personnel further identified that two errors had been made in the original design calculations for prescribing the required CR iodine protection factor. The original design calculation, misinterpreted the MHA radionuclide inventory which was available for release from the containment. This misinterpretation introduced a factor of approximately two non-conservative error into the CR HVAC system design requirements. Further, an error was made when utilizing the iodine protection factor calculational method described in "Nuclear Power Plant Control Room Ventilation System Design for Meeting General Design Criterion 19", KG Murphy, etal. This method calculates the protection factor granted by the iodine removing charcoal installed in CR HVAC system. The "unprotected" thyroid dose is then divided by this factor to yield the resulting "protected" thyroid dose. While deriving the iodine protection factor, an error was made when utilizing an "effective" atmospheric dispersion coefficient to account for unfiltered inleakage.and incoming make-up air. When applying this "effective" atmospheric dispersion coefficient to the filter efficiencies of the CR HVAC another factor of approximately two non-conservative error was introduced. Therefore, the CR HVAC iodine removal efficiency was inadequately designed and installed with a factor of approximately four non-conservative error. This discovery was reported under 10CFR50.72(b)(2)(i) on October 27, 1988.
In order to re-evaluate CR habitability following the MHA, the MHA radionuclide inventory available for release and release rates for the containment ventilation pathway, the maximum containment and engineered safety feature (ESF) equipment leakage were recalculated. From this data, the dose commitments (in Rem) at the site boundary and low population zone listed below were derived:
Nl'IC FOl'IM 388A 31 19-8 LER 88013-02-LIOlA
F4CILITV NAME 111 LICENSEE EVENT REPORT (LERI TEXT CONTINUATION DOCKET NUMIElll Ill
- U.S. NUCLEAlll REGULATORY COMMllllON LElll NUMellll Ill APPROVED 01.48 NO. J150-011l' EXPIRES. 8/J1185 P40l Ill
- .. :;: SEOUINTIAL .::::>. ,..EVTSION
- -
- NUM*I!,_ ::.** . NUMllE,._
PALISADES NUC:!:..:EAR PL.A.J."'JT 0 1s I 0 I 0 I 0 I 2 15 15 818 - 0 11 I 3 - q 2 () I :: OF Cl I9 TCXT !If,,,....._ ii,..,,.__ ,,_ . - W NlfC Fomt .m.4'*11171 Containment Containment ESF Vent Pathway Leakage Leakage Total Site Boundary Thyroid 2.28E-2 42.92 26.78 69. 72 Whole Body 2.76E-5 0.899 7.60E-2 0.975 Low Population Thyroid 2.00E-3 12.88 26.75 39.63 Whole Body 3.38E-6 0.204 2.70E-2 0.231 The CR habitability analysis following the revised MHA was then completed. This initial effort resulted in a calculated dose commitment to CR operators which exceeded the limits specified in General Design Criterion 19. Following discussions with NRC personnel on November 2, 1988 CR habitability was re-analyzed.
The CR habitability analysis following an MHA recently completed yields a committed whole body equivalent dose of 4.86 Rem. This dose commitment is in compliance with the General Design Criterion 19 value of 5.00 Rem whole body equivalent dose. This analysis incorporates the revised MHA source term, takes credit for zero unfiltered inleakage (as recognized by Standard Review Plan 6. 4) and *:tilizes the methods of calculating equivalent whole body dose presented in Publication 30 of the International Commission on Radiation Protection (ICRP 30).
Cause Of The Event Failure of the CR HVAC system to maintain 0.125 inches water-gauge in the emergency mode during the performance of Surveillance Test R0-28 was due to open electrical penetrations in the floor of the CR and the switchgear area ventilation fan line-up required by revision 10 of R0-28. The penetrations had been opened during Plant operation to support ongoing modifications being performed during the present refueling outage and formed on open bridge between the normally isolated CR and switchgear area ventilation system envelopes. R0-28 Revision 10 required the switchgear area inlet fan, V-33 be secured, while exhaust/recirculation fan V-43 remain in operation. Therefore, the unbalanced ventilation system in the switchgear area took suction from the CR ventilation envelope. This fan line-up is not believed to have existed during periods of Plant operation. The previous revision of R0-28 did not incorporate this abnormal fan line-up. The reason for revising R0-28 to present an improper fan line-up could not be determined.
- The root cause of this event is attributed to the failure to control the opening of p~netrations, an improper test fan line-up and the subsequent outward leakage within the envelope controlled by the CR HVAC system. A Nl'IC FOlllM :MMIA 31 i9.a LER 88013-02-LIOlA
NAC For"' lMA 19-931 FACILITY NAMI 111 LICENSEE EVENT REPORT (LERI TEXT CONTINUATION DOCKET NUMtlEA 121
- U.I. NUCLEAR AEOULATOAY COMMllllON LEA NUMalA 181 APPROVED 01.18 NO. 3150--010' EXPIRES: BIJl.'85 PAO! 131 PALISADES NUCLEAR PLANT 0 I5 I 0 I 0 I 0 ,2 I 51 5 8 I 8 - 0 I i 13 - 0 I2 0 I6 OF 0 I ?
TEXT /If,,,.,,. - ii,..,,.-, u* - N l f C Fomt -..*111171 review of the 10CFR50.59 analyses (safety Evaluations) completed in support of the modifications was conducted to determine the adequacy of the safety evaluations in regard to maintenance of CR HVAC system operability in required modes of operation. This review determined that neither the 10CFR50.59 analysis preparer or its subsequent reviewers considered the potential impact on the CR HVAC system. The 10CFR50.59 analysis did adequately consider fire protection, cable separation and worker safety issues.
The existing Palisades TS do not specifically identify the applicable operational conditions for the CR HVAC system. To compensate for this administrative controls via Standing Order 54 delineate CR HVAC system operability as "at all times". This section of Standing Order 54 was established in support of a TS change request submitted to the NRC on November 19, 1984 and its revision submitted on February 28, 1986.
The failure to provide a CR HVAC system which would meet General Design Criterion 19 when it was installed is due to calculational errors made by CP personnel when prescribing the required iodine removal capacity.
These errors are attributable to mis-interpretation and mis-application of available data and calculational methodologies. Since the original design inputs for the CR HVAC were prescribed, the MHA analysis has been revised twice. However, the CR HVAC habitability analysis, Palisades FSAR Section 14.24 was not revised to account for the changes. The failure to update all affected accident/incident analysis described in Section 14 has been attributed to inadequate review for applicability of changes on previously defined analysis.
Corrective Actions TS Surveillance Test R0-28 was completed on November 11, 1988 with resulting positive pressure approximately two times the required 0.125 inches water-gauge. R0-28 was revised on October 28, 1988 to correct the improper fan line-up specified for the switchgear area ventilation system.
CR habitability analyses for all design basis accidents were completed on February 20, 1989. Credit was taken for vestibules as permitted by Standard Review Plan 6.4, for two points of ingress/egress into the CR HVAC envelope. Use of the remaining two points of ingress/egress will not be allowed during times when airborne radioactivity is detected in the CR. An engineering analysis has been completed which characterizes the existing vestibules. Sealing material was installed on the two outer vestibule doors as part of this characterization in November 1988.
Preventive maintenance activities are being generated to inspect and repair as necessary the seals on doors associated with the CR HVAC envelope. The results of all the recently completed analyses demonstrate compliance with General Design Criterion 19 as indicated I
below:
NAC FO"M :JeaA
~~~ LER 88013-02-LIOlA
FACll.ITY NAME 111 LICENSEE EVENT REPORT (LERI TEXT CONTINUATION DOCKET NUMeER 121
- U.I. NUCl.EAll llEGUl.ATORY COMMllSION I.Ell NUMelll Ill APPROVED 01.48 NO. Jl 50-01 Oo1 EXPIRES. 8/31185
'AGE Ill PALISADES NUCLE."3 PL.AliT TtxT 1/f""'" - ill--* .,.. - N l f C Fonn .mA'll 117) 0 1s I 0 I 0 I 0 I 2 j 5 15 s, 8 - 0 11 I 3 - q 2 ') I' OF 0 I?
FSAR Section Event Description Dose 14.11 Postulated Cask Drop Accidents - 30 day decay 3.07 with filtration operable 14 .11 Postulated Cask Drop Accidents - 90 dav decay 0.116 with no filtration*
14 .14 Steam Line Rupture Incident - Outside 0.693 containment/concurrent iodine spike 14.14 Steam Line Rupture Incident - Outside 0.648 containment/previous iodine spike 14.14 Steam Line Rupture Incident - Inside 2.29 containment/previous iodine spike 14.15 Steam Generator Tube Rupture Incident - 2.03 Concurrent iodine spike 14.15 Steam Generator Tube Rupture Incident - 4.56 Previous iodine spike*
14.16 Control Rod Ejection Incident - ** 4.59 14.19 Fuel Handling Incident - 0.527 14.20 Liquid Waste Incident - N/A 14.21 Waste Gas Incident - VCT Rupture/ 0.172 equilibrium iodine 14.21 Waste Gas Incident - VCT Rupture/ 4.27 previous iodine spike 14.22 Maximum Hypothetical Accident - 4.86 14.23 Failure of Small Lines Outside Containment - 0.156 equilibrium iodine 14.23 Failure of Small Lines Outside Containment - 3.32 Previous iodine spike All doses are total connnitted equivalent wholebody dose in Rem
- Assumes a maximum PCS iodine concentration (spiking conditions) of 25 micro-Curies per gram dose equivalent iodine - 131. TS 3.1.4.c currently specifies 40 micro-Curies per gram.
""C FOIO"' :NlllA
~~, LER 88013-02-LIOlA
NAC Form lMA l~~Jl FACILITY NAMI Ill LICENSEE EVENT REPORT (LERI TEXT CONTINUATION DOCKET NUMaEll 121
- U.i. !jUClEAA REGULATORY COMMll&ION LEll NUM9111 .Ill APPROVED OMB NO. 3150-<l104 EXPIRES. 8/31185 PAO! Ill PALISADES NUCLEAR PLANT o 1s 1o 1o 1o 1 2 15 1 5 s 1s - o 11 I 3 - o 1 2 o 1 s oF o I9 TEXT 1/f "'°"' - io ,.,,._, ,,_ - N l t C l'olmli9M'1I 1171
- Assumes primary to secondary leakage in each steam generator to be 0.2 gallons per minute during steady state operation and 0.4 gallons per minute during transient operating periods. TS 3.1.5.d currently specifies 0.3 and 0.6 gallons per minute during steady state and transient operating periods respectively.
Administrative controls have been instituted to maintain these administrative limits.
Radiation detection instrumentation was installed within the CR HVAC envelope to provide for detection of airborne radioactivity in November 1988. An Operations Department Standing Order was in-place prior to I Plant criticality which delineated required actions in the event of detection instrumentation alarms. This Standing Order directs operators to; 1) place the CR HVAC in the emergency mode, 2) restrict access through the two ingress/egress pathways without existing vestibules,
- 3) review Plant operating parameters, and 4) request Health Physics personnel to obtain appropriate air samples to confirm the presence of airborne radioactivity.
An evaluation was conducted which determined that installing processing radiation monitors in the normal CR HVAC intake for early detection would provide margin with respect to limits specified in General Design Criterion 19. However, due to the prohibitive preliminary cost estimate of this type of modification, additional evaluations are being conducted to determine if other cost beneficial engineering options are available.
These evaluations will review the desirability of having the CR HVAC system automatically switched into the emergency mode upon detection of airborne radioactivity.
On August 30, 1988 CP submitted a letter to the NRC which committed to provide a revised TS change request and supporting analysis with specific operability requirements for the CR HVAC system prior to Plant restart. In light of the design errors discovered, analysis remaining to be completed and efforts associated with the Combustion Engineering Owner's Group Restructured Standard Technical Specifications, the submittal will not be made as originally planned. Until such time that remaining evaluations are complete and the applicability of the Restructured Standard TS is determined, CR HVAC operability requirements will be defined by existing Plant TS and enhancements to an Operations Department Standing Order. This Standing Order will include the requirement to maintain zero open penetrations above the cold shutdown condition, not including normal ingress/egress pathways, until such time that analysis can justify the opening or NRC acceptance has been obtained.
An evaluation is in progress to determine the desirability of installing a vestibule at the two pathways currently without vestibules. If deemed appropriate, a modification will be performed to install these vestibules, thereby providing an additional ingress/egress pathway during required conditions.
~~ 1 LER 88013-02-LIOlA
NA'(. Farm JINA 1~.aJ1 .
FACILITY NAMI 111 LICENSEE EVENT REPORT (LERI TEXT CONTINUATION DOCKET NUM9EA 121
- U.I. NUCLEAll REGULATORY COMMISSION LEI! NUM9111 Ill APPROVED OMS "10. 3150~1~
EXPIRES: 8131 /85 PAGE 131 PALISADES NUCLEAR PL.ANT o 1s Io I o Io I 21 5 15 81 8 - o111 3 - o 12 o19 OF °1 9 TEXT 1/f - - * - - * - - N l f C Fomt .-.*11171 Analysis Of The Event The current radiological habitability analysis for the CR HVAC system was performed in accordance with Standard Review Plan 6.4. The source term utilized in this analysis is based on Regulatory Guide 1.4, 11 Assumptions Used for Evaluating the Potential Radiological Consequences of a Lciss of Coolant Accident for Pressurized Water Reactors 11 , FSAR Section 14.22, "Maximum Hypothetical Accident 11 and methods described in Publication 30 of the International Commission on Radiation Protection, 11 Limits for Intakes of Radionuclides by Workers 11
- As detailed above, the installed CR HVAC system meets the limits specified in General Design Criterion 19 when zero unfiltered inleakage is assumed. This assumption is recognized in Standard Review Plan 6.4 "when two door vestibules or equivalent 11 are utilized at points of ingress/egress.
An analysis was completed on August 27, 1988 which satisfactorily demonstrated CR HVAC system operability with open penetrations during the hypothetical fuel handling accident.
This condition is being reported per 10CFR50.73(a)(2)(ii) as a potential condition that was outside the design basis of the Plant and 10CFRS0.73(a)(2)(vi).
Additional Information For information regarding changes in .the MHA analysis due to hydrazine delivery time to containment spray water, reference Licensee Event Report 87-007.
For information regarding the additional radionuclide release pathway due to current containment venting practice, reference Licensee Event Report 88-010.
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~~ 1 LER 88013-02-LIOlA
consumers Power PDWERINli MICHlliAN'S PRDliRESS General Offices: 1945 West Parnall Road, Jackson, Ml 49201 * (517) 788-0550 March 31, 1989 Nuclear Regulatory Commission Document Control Desk Washington, DC 20555 DOCKET 50-255 - LICENSE DPR PALISADES PLANT -
LICENSEE EVENT REPORT 88-013 - INOPERABLE CONTROL ROOM VENTILATION SYSTEM Licensee Event Report (LER)88-013 (Inoperable Control Room Ventilation System) was attached. This event was reported to the NRC per 10CFR50.73(a)(2)(i) on September 22, 1988 and revised on November 17, 1988. A commitment was made in Consumers Power Company letter dated December 20, 1988 to update the LER by March 31, 1989 by providing results of analysis performed to show compliance with General Design Criterion 19.
Brian D Johnson Staff Licensing Engineer CC Administrator, Region III, USNRC NRC Resident Inspector - Palisades Attachment OC0389-0112-NL02 A OW5 ENe?GY COMPANY