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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20046B4841993-07-30030 July 1993 LER 93-006-00:on 930703,auxiliary Feedwater Signal Inadvertently Actuated Due to Personnel Error.Equipment Reset to Normal Lineup & Fuses Removed for Reinstallation Prior to Reactor startup.W/930730 Ltr ML20045H7611993-07-16016 July 1993 LER 93-007-00:on 930626,CR Alarm Received,Indicating Excessive Temp on Reactor Coolant Pump Motor Stator 1-04 & Manual Trip Initiated.Caused by RTD Failure.Rtd Terminations Disconnected & AOP revised.W/930716 Ltr ML20045A9911993-06-11011 June 1993 LER 93-004-00:on 930514,failure to Satisfy TS Surveillance for Verification of Valve Position Due to Valve Discrepancies Discovered During DBD Review.Valve Cap & Clearance installed.W/930611 Ltr ML20045A4681993-06-0303 June 1993 LER 93-003-00:on 930504,manual Reactor Trip Occurred Following Inadvertent Closure of Fwiv.Caused by Instrumentation Channel Error.Maint Performed on Affected Instrumentation channels.W/930603 Ltr ML20044G4071993-05-26026 May 1993 LER 93-006-00:on 930426,failure to Satisfy TS Surveillance Requirement for Primary Plant ESF Exhaust Filtration Unit Noted.Caused by Poor Labeling,Specification of Wrong Procedure & Discrepancy in Parts list.W/930526 Ltr ML20024H1581991-05-21021 May 1991 LER 91-016-00:on 910418,failure of Check Valve to Prevent Backflow Discovered.Caused by Mfg Error in Machining Process of Valve Body Casting.Valves Reassembled & Scheduled to Receive testing.W/910521 Ltr ML20024G7211991-04-25025 April 1991 LER 91-012-00:on 910326,potential Gas Binding of Centrifugal Charging Pumps Due to Voids in Boric Acid Gravity Feed Line Identified.Caused by Hydrogen Coming Out of Solution in Lower Pressure Ccp Suction header.W/910425 Ltr ML20024G6801991-04-22022 April 1991 LER 91-010-00:on 910322,unit 1 Operated Outside Tech Spec Due to Auxiliary Feedwater Sys Test Line Isolation Valve Not Closed.Root Cause Not Determined.Providing Addl Guidance to Operators & Operators Monitoring valves.W/910422 Ltr ML20029B6421991-03-12012 March 1991 LER 91-004-00:on 910210,potential Transformer Drawer Opened at Bottom of Switchgear Bus 1A3 Auxiliary Cubicle,Causing Load Shed Signal & Reactor Trip.Caused by Personnel Error. Labels Attached to Switchgear bus.W/910312 Ltr ML20028G9551990-09-27027 September 1990 LER 90-026-00:on 900828,surveillance Missed Due to Inadequate Procedural Requirements.Caused by Inadequate Manual Surveillance Scheduling Methods.Station Procedures revised.W/900927 Ltr ML20044A1351990-06-26026 June 1990 LER 90-017-00:on 900527,main Feedwater Flow Control Valve Failed Closed,Resulting in Reduced Feedwater Flow & Decreasing Steam Generator Water Level.Caused by Failure of Solenoid Valve Coil.Solenoid Coil replaced.W/900626 Ltr ML20044A3281990-06-22022 June 1990 LER 90-016-00:on 900521,engineering Determined That Three Atmospheric Relief Valves Declared Inoperable Resulting in Entry Into Tech Spec Limiting Condition for Operation 3.0.3. Pneumatic Controls Drifted Out of calibr.W/900622 Ltr ML20043H1971990-06-19019 June 1990 LER 90-015-00:on 900520,chemistry Sample Special Condition Surveillance Missed.Caused by Procedural Error.Procedures Revised to Provide Appropriate Cautions Re Required Sample. W/900619 Ltr ML20043G1121990-06-13013 June 1990 LER 90-014-00:on 900514,containment Penetration Improperly Isolated While Containment Isolation Valve Made Inoperable for Repairs.Caused by Inadequate Review of Work Order. Supervisor Counseled & Shift Order issued.W/900613 Ltr ML20043F1571990-06-0808 June 1990 LER 90-013-00:on 900509,while Installing Jumpers Across Feedwater Pump Speed Controllers,Pump Coastdown Occurred, Resulting in Loss of Feedwater Flow & Reactor Trip.Caused by Inadequate Procedure Review.Review performed.W/900608 Ltr ML20043E4511990-06-0707 June 1990 LER 90-012-00:on 900508,control Room Personnel Failed to Satisfy Time Limit for Completion of Action Required by Tech Specs Re Plant Radiation Monitoring.Caused by Personnel Error.Individual Counseled & Procedure revised.W/900607 Ltr ML20043F4941990-06-0404 June 1990 LER 90-011-00:on 900504,Pressure Instrument Root Isolation Valve 1SI-8961 Open When Procedure Indicated Valve Should Be Locked Closed.Caused by Lack of Clear Instructions Re Definition of Physical Work. Valve locked.W/900604 Ltr ML20043C0201990-05-29029 May 1990 LER 90-010-00:on 900428 & 29,2-h Surveillance Interval, Including 25% Extension Allowed by Tech Spec 4.0.2,exceeded. Caused by Personnel Error.Procedure Enhancements Initiated & Personnel Involved counseled.W/900529 Ltr ML20043A6691990-05-18018 May 1990 LER 90-009-00:on 900421,reactor Trip Occurred Due to Accidental Bumping of Source Range Reactor Trip Reset/Block Previously Bypassed for Power Operation.Order Issued Suspending Cleaning of Control boards.W/900518 Ltr ML20043A6131990-05-16016 May 1990 LER 90-008-00:on 900416,Train a Diesel Generator Rendered Inoperable Due to Failure to Complete post-work Operability Testing on Starting Air Receiver Check Valve 01. Caused by Inadequate Review.Procedure revised.W/900516 Ltr ML20043A6111990-05-16016 May 1990 LER 90-007-00:on 900416,ESF Actuation Signal Occurred, Resulting in Train a of Control Room Air Conditioning Sys Shifting to Emergency Recirculation Mode.Caused by Personnel Error.Handswitch Added to Radiation monitor.W/900516 Ltr ML20043A4201990-05-14014 May 1990 LER 90-006-00:on 900412,P-6 Permissive Signal Received & Source Range Flux Doubling (Srfd) Actuation Occurred.Caused by Inadvertent Reset of Srfd Block.Integrated Plant Operations Procedures changed.W/900514 Ltr ML20012B6491990-03-0909 March 1990 LER 90-001-00:on 900209,reactor Protection Sys Actuation Occurred Due to Spike on Range Channel.Appropriate Source Range Procedures Revised to Require Insertion of Flux Doubling Signal Block Prior to withdrawal.W/900309 Ltr 1993-07-30
[Table view] Category:RO)
MONTHYEARML20046B4841993-07-30030 July 1993 LER 93-006-00:on 930703,auxiliary Feedwater Signal Inadvertently Actuated Due to Personnel Error.Equipment Reset to Normal Lineup & Fuses Removed for Reinstallation Prior to Reactor startup.W/930730 Ltr ML20045H7611993-07-16016 July 1993 LER 93-007-00:on 930626,CR Alarm Received,Indicating Excessive Temp on Reactor Coolant Pump Motor Stator 1-04 & Manual Trip Initiated.Caused by RTD Failure.Rtd Terminations Disconnected & AOP revised.W/930716 Ltr ML20045A9911993-06-11011 June 1993 LER 93-004-00:on 930514,failure to Satisfy TS Surveillance for Verification of Valve Position Due to Valve Discrepancies Discovered During DBD Review.Valve Cap & Clearance installed.W/930611 Ltr ML20045A4681993-06-0303 June 1993 LER 93-003-00:on 930504,manual Reactor Trip Occurred Following Inadvertent Closure of Fwiv.Caused by Instrumentation Channel Error.Maint Performed on Affected Instrumentation channels.W/930603 Ltr ML20044G4071993-05-26026 May 1993 LER 93-006-00:on 930426,failure to Satisfy TS Surveillance Requirement for Primary Plant ESF Exhaust Filtration Unit Noted.Caused by Poor Labeling,Specification of Wrong Procedure & Discrepancy in Parts list.W/930526 Ltr ML20024H1581991-05-21021 May 1991 LER 91-016-00:on 910418,failure of Check Valve to Prevent Backflow Discovered.Caused by Mfg Error in Machining Process of Valve Body Casting.Valves Reassembled & Scheduled to Receive testing.W/910521 Ltr ML20024G7211991-04-25025 April 1991 LER 91-012-00:on 910326,potential Gas Binding of Centrifugal Charging Pumps Due to Voids in Boric Acid Gravity Feed Line Identified.Caused by Hydrogen Coming Out of Solution in Lower Pressure Ccp Suction header.W/910425 Ltr ML20024G6801991-04-22022 April 1991 LER 91-010-00:on 910322,unit 1 Operated Outside Tech Spec Due to Auxiliary Feedwater Sys Test Line Isolation Valve Not Closed.Root Cause Not Determined.Providing Addl Guidance to Operators & Operators Monitoring valves.W/910422 Ltr ML20029B6421991-03-12012 March 1991 LER 91-004-00:on 910210,potential Transformer Drawer Opened at Bottom of Switchgear Bus 1A3 Auxiliary Cubicle,Causing Load Shed Signal & Reactor Trip.Caused by Personnel Error. Labels Attached to Switchgear bus.W/910312 Ltr ML20028G9551990-09-27027 September 1990 LER 90-026-00:on 900828,surveillance Missed Due to Inadequate Procedural Requirements.Caused by Inadequate Manual Surveillance Scheduling Methods.Station Procedures revised.W/900927 Ltr ML20044A1351990-06-26026 June 1990 LER 90-017-00:on 900527,main Feedwater Flow Control Valve Failed Closed,Resulting in Reduced Feedwater Flow & Decreasing Steam Generator Water Level.Caused by Failure of Solenoid Valve Coil.Solenoid Coil replaced.W/900626 Ltr ML20044A3281990-06-22022 June 1990 LER 90-016-00:on 900521,engineering Determined That Three Atmospheric Relief Valves Declared Inoperable Resulting in Entry Into Tech Spec Limiting Condition for Operation 3.0.3. Pneumatic Controls Drifted Out of calibr.W/900622 Ltr ML20043H1971990-06-19019 June 1990 LER 90-015-00:on 900520,chemistry Sample Special Condition Surveillance Missed.Caused by Procedural Error.Procedures Revised to Provide Appropriate Cautions Re Required Sample. W/900619 Ltr ML20043G1121990-06-13013 June 1990 LER 90-014-00:on 900514,containment Penetration Improperly Isolated While Containment Isolation Valve Made Inoperable for Repairs.Caused by Inadequate Review of Work Order. Supervisor Counseled & Shift Order issued.W/900613 Ltr ML20043F1571990-06-0808 June 1990 LER 90-013-00:on 900509,while Installing Jumpers Across Feedwater Pump Speed Controllers,Pump Coastdown Occurred, Resulting in Loss of Feedwater Flow & Reactor Trip.Caused by Inadequate Procedure Review.Review performed.W/900608 Ltr ML20043E4511990-06-0707 June 1990 LER 90-012-00:on 900508,control Room Personnel Failed to Satisfy Time Limit for Completion of Action Required by Tech Specs Re Plant Radiation Monitoring.Caused by Personnel Error.Individual Counseled & Procedure revised.W/900607 Ltr ML20043F4941990-06-0404 June 1990 LER 90-011-00:on 900504,Pressure Instrument Root Isolation Valve 1SI-8961 Open When Procedure Indicated Valve Should Be Locked Closed.Caused by Lack of Clear Instructions Re Definition of Physical Work. Valve locked.W/900604 Ltr ML20043C0201990-05-29029 May 1990 LER 90-010-00:on 900428 & 29,2-h Surveillance Interval, Including 25% Extension Allowed by Tech Spec 4.0.2,exceeded. Caused by Personnel Error.Procedure Enhancements Initiated & Personnel Involved counseled.W/900529 Ltr ML20043A6691990-05-18018 May 1990 LER 90-009-00:on 900421,reactor Trip Occurred Due to Accidental Bumping of Source Range Reactor Trip Reset/Block Previously Bypassed for Power Operation.Order Issued Suspending Cleaning of Control boards.W/900518 Ltr ML20043A6131990-05-16016 May 1990 LER 90-008-00:on 900416,Train a Diesel Generator Rendered Inoperable Due to Failure to Complete post-work Operability Testing on Starting Air Receiver Check Valve 01. Caused by Inadequate Review.Procedure revised.W/900516 Ltr ML20043A6111990-05-16016 May 1990 LER 90-007-00:on 900416,ESF Actuation Signal Occurred, Resulting in Train a of Control Room Air Conditioning Sys Shifting to Emergency Recirculation Mode.Caused by Personnel Error.Handswitch Added to Radiation monitor.W/900516 Ltr ML20043A4201990-05-14014 May 1990 LER 90-006-00:on 900412,P-6 Permissive Signal Received & Source Range Flux Doubling (Srfd) Actuation Occurred.Caused by Inadvertent Reset of Srfd Block.Integrated Plant Operations Procedures changed.W/900514 Ltr ML20012B6491990-03-0909 March 1990 LER 90-001-00:on 900209,reactor Protection Sys Actuation Occurred Due to Spike on Range Channel.Appropriate Source Range Procedures Revised to Require Insertion of Flux Doubling Signal Block Prior to withdrawal.W/900309 Ltr 1993-07-30
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217E8021999-10-0707 October 1999 CPSES Unit 1 Cycle 8 Colr ML20217G4151999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Cpses,Units 1 & 2 ML20212F7671999-09-24024 September 1999 SER Granting Relief Request C-4 Pursuant to 10CFR50.55a(g)(6)(i) for Unit 2,during First 10-year ISI Interval & Relief Requests B-15,B-16 & B-17 Pursuant to 10CFR50.55a(g)(6)(i) ML20216J5701999-09-16016 September 1999 Rev 2 to CPSES Unit 2 Cycle 5 Colr TXX-9920, Monthly Operating Repts for Aug 1999 for Cpses.With1999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Cpses.With ML20211M2981999-08-0606 August 1999 Rev 1 to CPSES Fuel Storage Licensing Rept, CPSES Credit for Soluble Boron & Expansion of Spent Fuel Storage Capacity, Consisting of Revised Title Page and 4-1 ML20210U4081999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Cpses,Units 1 & 2 ML20210D8321999-07-23023 July 1999 Safety Evaluation Accepting Relief Requests Re Use of 1998 Edition of Subsections IWE & Iwl of ASME Code for Containment Insp ML20209H7661999-07-15015 July 1999 Safety Evaluation Accepting GL 95-07, Pressure Locking & Thermal Binding of Safety-Related Power-Operated Gate Valves, for Comanche Peak Steam Electric Station,Units 1 & 2 ML20209H2721999-07-0909 July 1999 2RF04 Containment ISI Summary Rept First Interval,First Period,First Outage ML20209H2631999-07-0909 July 1999 2RF04 ISI Summary Rept First Interval,Second Period,Second Outage ML20209G7501999-07-0808 July 1999 SER Finding That Licensee Individual Plant Exam of External Events Complete with Regard to Info Requested by Suppl 4 to GL 88-20 & That IPEEE Results Reasonable Given Design, Operation & History of Comanche Peak Steam Electric Station ML20196L0191999-07-0808 July 1999 Safety Evaluation Granting Request Relief B-6 (Rev 2),B-7 (Rev2),B-12,B-13,B-14 & C-9,pursuant to 10CFR50.55a(g)(6)(i).Technical Ltr Rept Also Encl ML20210J9391999-06-30030 June 1999 CPSES Commitment Matl Change Evaluation Rept 0003,for 970802-990630 ML20209G0801999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Cpses,Units 1 & 2 ML20196J0621999-06-29029 June 1999 Safety Evaluation Supporting Proposed Changes to Emergency Plan Re Licenses NPF-87 & NPF-89 Respectively ML20195G5141999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Comanche Peak Steam Electric Station,Units 1 & 2.With ML20216E0711999-05-21021 May 1999 1999 Graded Exercise - Comanche Peak Steam Electric Station ML20206Q0091999-05-14014 May 1999 Safety Evaluation Accepting GL 92-08, Thermo-Lag 330-1 Fire Barriers, Dtd 921217,for Comanche Peak Electric Station,Unit 1 ML20206H2061999-05-0606 May 1999 SER Accepting Exemption to App K Re Leading Edge Flowmeter for Plant,Units 1 & 2 ML20196L2241999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Cpses,Units 1 & 2 ML20205R5701999-04-14014 April 1999 Rev 6 to ER-ME-067, TU Electric Engineering Rept,Evaluation of Thermo-Lag Fire Barrier Sys ML18016A9011999-04-12012 April 1999 Part 21 Rept Re Defect in Component of DSRV-16-4,Enterprise DG Sys.Caused by Potential Problem with Connecting Rod Assemblies Built Since 1986,that Have Been Converted to Use Prestressed Fasteners.Affected Rods Should Be Inspected ML20205J7831999-04-0101 April 1999 Rev 0 to ERX-99-001, CPSES Unit 2 Cycle 5 Colr ML20205N3101999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Cpses,Units 1 & 2 ML20204H6371999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Comanche Peak Units 1 & 2 ML20205N1481999-02-28028 February 1999 Corrected Monthly Operating Rept for Feb 1999 for CPSES, Units 1 & 2 ML20203A4881999-02-0303 February 1999 Safety Evaluation Granting Requests for Relief B-3 - B-6,C-2 & C-3 for Plant,Unit 2 ML20210J9201999-02-0101 February 1999 CPSES 10CFR50.59 Evaluation Summary Rept 0008,for 970802- 990201 ML20202D0101999-01-27027 January 1999 Safety Evaluation Supporting First 10-yr Interval ISI Program Plan Requests for Relief B-9,B-10 & B-11 for CPSES, Unit 1 ML20199E9961998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Cpses,Units 1 & 2 ML20207D6091998-12-31031 December 1998 1998 Annual Operating Rept for Cpses,Units 1 & 2. with ML20197K2371998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Cpses,Units 1 & 2 ML20195F3161998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Cpses,Units 1 & 2 ML20154M8841998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for Cpses,Units 1 & 2 ML20154B5741998-09-30030 September 1998 Safety Evaluation Re Licensee Response to GL 96-05, Periodic Verification of Design-Basis Capability of Safety- Related Motor-Operated Valves. Licensee Has Established Acceptable Program ML20151W0361998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for Cpses,Units 1 & 2. with ML20151Q1211998-08-14014 August 1998 Rev 0 to Control of Hazard Barriers ML20237C4061998-08-14014 August 1998 Safety Evaluation Supporting Request to Implement Risk Informed IST Program ML20237C6721998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Cpses,Units 1 & 2 ML20236V3121998-07-29029 July 1998 Final Part 21 Rept Re Enterprise DSR-4 & DSRV-4 Edgs.Short Term Instability Was Found During post-installation Testing & Setup as Part of Design mod/post-work Testing Process. Different Methods Were Developed to Correct Problem ML20236R0711998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Cpses,Units 1 & 2 ML20249B2581998-05-31031 May 1998 Monthly Operating Repts for May 1998 for Cpses,Units 1 & 2 ML20248A1671998-05-22022 May 1998 Interim Part 21 Re Enterprise DSR-4 & DSRV-4 Emergency diesel.Post-installation Testing Revealed,High Em/Rfi Levels Affected New Controllers,Whereas Original Controllers Were unaffected.Follow-up Will Be Provided No Later than 980731 ML20247G3241998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for Cpses,Units 1 & 2 ML20216B8661998-04-0101 April 1998 Rev 0 to ERX-98-001, CPSES Unit 1 Cycle 7 Colr ML20216J3061998-03-31031 March 1998 Monthly Operating Repts for Mar 1998 for Cpses,Units 1 & 2 ML20216J1861998-02-28028 February 1998 Monthly Operating Repts for Feb 1998 for Comanche Peak Steam Electric Station ML20197A6951998-02-24024 February 1998 Inservice Insp Summary Rept,First Interval,Second Period, First Outage ML20199J5391998-02-0202 February 1998 CPSES Commitment Matl Change Evaluation Rept 0002 for 960202-970801 1999-09-30
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Log # TXX-93268 Z C File # 10200 TUELECTRIC Ref. # 10C F R50. 73 ( a )( 2 )( i v )
July 30, 1993 William J. Cahill, Jr.
Group Voce PreuJent
- u. S. Nuclear Regulatory Commission Attn: b c m...c c,' 0 0,, t r oi Desk Washington, DC 20555
SUBJECT:
COMANCHE PEAK STEAM ELECTRIC STATION (CPSES) - UNIT 2 DOCKET NO. 50-446 MANUAL OR AUTOMATIC ACTUATION OF ANY ENGINEERED SAFETY FEATURE LICENSEE EVENT REPORT 93-006-00 Gentlemen:
Enclosed is Licensee Event Report (LER) 93-006-00 for Comanche Peak Steam Electric Station Unit 2. " Personnel Error Leading to Inadvertent Auxiliary Feedwater Actuation Signal" Sincerely, W '
f William J. Cahill, Jr.
3 .
By: M
- Roger D. Walker Manager of Regulatory Affairs for Nuclear Production OB:tg Enclosure cc: Mr. J. L. Milhoan, Region IV Mr. L. A. Yandell, Region IV Resident Inspectors, CPSES (2) i 1
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' Enclosure to TXX-93268 hhC, FORM 366 V $. NVCLLAR hEGULA10hv COMMI590N APfHOVLD OMb NO.3tbO-0104 EXPlRES: 4/30/92 E STIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS INFORMATION COLLE CTION REQUE ST: 50.0 HRS. F ORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND LICENSEE EVENT REPORT (LER) RE PORT S M AN AGE MENT BRANCH (P-530), U S. NUCLEAR REGULATORY COMMISSION, WASHfNGTON DC. 20555 AND TO THE PAPE RWORK REDUCTION PROJECT (3150'0104). OFFICE OF MANAGEMENT AND DVDGET, WASHINGTON. DC. 20503.
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COMANCHE PEAK-UNIT 2 0l510l0l0l4l4l6 $! 1 or 4 PERSONELL ERROR LEADING TO INADVERTE..T AUXILIARY FEEDWATER ACTUATION SIGNAL 3..,u... s us or e s.,o,, o.,. a , o,,,.=,,,in.., m M or.m o., s. ...r s._. m - M on,n o., 4. . . . . . , _ oom., ,,--.
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RAFAEL FLORES. SHIFT OPERATIONS. MANAGER Compei. On. Len. Foe E.r.h Compor.nt F.eis. D.sc.eteeo en T rw. Report ti h 8l1l7l8l9l7l-l515l910 !
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I At 1340, on July 3, 1993, CPSES Unit 2 was in Mode 3 Hot Standby and preparing for a Unit 2 reactor startup. The fuses which allow for an Engineered Safety Feature !
(ESF) auto start of the Auxiliary Feedwater pumps were reinstalled. Since both main feedwater pumps had not been reset from the trip condition, the removal of the fuses caused an ESF signal. The corrective actions were to reset the equipment to normal lineup and remove the fuses, pending installation when required. Cognizant personnel were made aware of the oversight.
Enclosure to TXX-93268 NRC Foam 3664 UA huctI AA RIOstATORv cOMMISSiOh APPROVLD OMB NO 3150 0104 EXPlRES: 4/30/92 LICENSEE EVENT REPORT (LER) IESETiO8""E"ECI"7N RE UE ST: 5. RS. WAR TEXT CONTINUATION ^ "'
" EE" E" S 5!YA WO UC "dN J CT 31'5 1 UF l MANAGEMENT AND BUDGET. WASHINGTON, DC. 20503.
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015101010141416
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01016 -
010 2 OF 4 I. DESCRIPTION OF THE REPORTABLE EVENT A. REPORTABLE EVENT CLASSIFICATION An event or condition that resulted in a manual or automatic actuation of any Engineered Safety Feature (ESF) including the Reactor Protection System (RPS).
B. PLANT OPERATING CONDITIONS PRIOR TO THE EVENT On July 3, 1993, at 1340 CDT, Comanche Peak Steam Electric Station (CPSES) Unit 2 was in Mode 3, Hot Standby.
C. STATUS OF STRUCTURES, SYSTEMS, OR COMPONENTS THAT WERE INOPERABLE AT THE START OF THE EVENT AND THAT CONTRIBUTED TO THE EVENT There were no inoperable structures, systems or components that contributed to the event.
D. HARRATIVE
SUMMARY
OF THE EVENT, INCLUDING DATES AND APPROXIMATE TIMES On July 3, 1993, at 1335 CDT, CPSES Unit 2 was in Mode 3 in preparation for Unit 2 reactor startup. The Unit Supervisor (utility, licensed),
after reviewing the bubble chart from Integrated Plant Operating procedure (IPO)-002B, " Plant Startup from Hot Standby", determined that the Auxiliary Feedwater auto start fuses should be installed (since entry into Mode 2 was going to occur within the next hour).
The Unit Supervisor (US) instructed the Balance of Plant (BOP) Reactor Operator (RO) (utility, licensed) to reinstalled the fuses as required by IPO-002B step 5.1.30. The US and the B0P RO overlooked the caution statement written above the procedure step 5.1.30 (i.e., between the text of step 5.1.29 and 5.1.30). The caution statement states in part that at least one Main Feedwater Pump (MFP) (EIIS:(P)(SJ)) shall be reset prior to replacing the fuses to avoid an ESF actuation. The fuses were installed by the BOP RO. Since both MFPs were in the tripped condition, an ESF actuation signal occurred.
1 l
Enclosure to TXX-93268 ksc F06M M6A u.s. NUCLEAR st GuLA106f COMM;55 ION APW10VED OMb NO.3150-0104 EXP RES: 4/30/92 LlCENSEE EVENT REPORT (LER) IJld%I5?ON""E8!"Ec7k"'!r7u?s'r ' s8 o"En's "?!"wItn's TEXT CONTINUATION MEEEN ]
Ef"!M?iJOM7DuSh*A*"Ic?f3" S?6 'f"d,"c! !?
" 'S MANAGEMENT AND BUDGET, WASHINGTON, DC. 20503.
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01016 -
010 3 or 4 l 1..,u ....<. , ,w.- .u.- sace- usu.,on E. THE METHOD OF DISCOVERY OF EACH COMPONENT OR SYSTEM FAILURE, OR PROCEDURAL OR PERSONNEL ERROR The BOP RO who installed the fuses noted the auto start signal was in due j to the MFPs which were in the trip position.
II. COMPONENT OR SYSTEM FAILURES A. FAILED COMPONENT INFORMATION Not applicable - there were no component failures associated with this event.
B. FAILURE MODE, MECHANISM, AND EFFECT OF EACH FAILED COMPONENT Not applicable - there were no component failures associated with this event. ,
C. CAUSE OF EACH COMPONENT OR SYSTEM FAILURE Not applicable - there were no component failures associated with this event, )
i l
D. SYSTEMS OR SECONDARY FUNCTIONS THAT WERE AFFECTED BY FAILURES OF COMPONENTS WITH MULTIPLE FUNCTIONS Not applicable - there were no component failures associated with this event.
III. ANALYSIS OF THE EVENT I
A. SAFETY SYSTEM RESPONSES THAT OCCURRED Both Auxiliary Feedwater (AFW) (EIIS:(P)(BA)) pumps were already in operation. The AFW discharge valves tripped to auto and opened to a full 1 position. Steam Generator blowdown and sampling lines were isolated, and I the Condensate Storage Tank discharge valve to main condenser closed.
B. DURATION OF SAFETY SYSTEM TRAIN IN0PERABILITY There was no safety system train inoperability that resulted from this event.
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C. SAFETY CONSEQUENCES AND IMPLICATIONS OF THE EVENT A loss of normal feedwater resulting from pump failure, valve malfunction, or loss of offsite power leads to a reduction in the capability of the secondary system to remove heat generated in the I reactor core. These events are analyzed in section 15.2.7 of the CPSES l Final Safety Analysis Report (FSAR) which uses conservative assumptions ;
in the analysis to minimize the energy removal capability of the i Auxiliary Feedwater system.
'1 The July 3, 1993 event occurred with the reactor shutdown. All systems <
and components functioned as designed. The event is bounded by the FSAR accident analysis which assumes an initial power level of 102 percent and ,
the worst single failure in the Auxiliary Feedwater system, for a loss of I feedwater event. )
IV. CAUSE OF THE EVENT The US and the BOP RO overlooked the caution statement while performing the required procedure step.
V. CORRECTIVE ACTIONS The plant equipment was reset to normal lineup and the fuses were removed for reinstallation prior to reactor startup. Operations Department management reemphasized to the US and BOP RO management's expectation concerning procedural usage. TU Electric's evaluation regarding the adequacy of the procedure did not identify any additional matters of concern.
VI. PREVIOUS SIMILAR EVENTS There have been no previous similar events at CPSES relating to resetting MFWPs during startup of the reactor.
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