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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20029E3351994-05-10010 May 1994 LER 94-006-00:on 940415,both Trains of CREVS Declared Inoperable.Caused by Tornado Warning & Sighting of Tornado Moving Toward Plant.Tornado Warnings downgraded.W/940510 Ltr ML20029E2021994-05-0909 May 1994 LER 94-004-00:on 940408,determined That TS Pressurizer Cooldown Limit Exceeded on 930618 & Not Restored within Required Timeframe.Caused by Unanticipated Sys Interaction. SI for Check Valve Opening Tests revised.W/940509 Ltr ML20029D8151994-05-0303 May 1994 LER 94-005-00:on 940403,inadvertent Fwis Occurred.Caused by Personnel Failure to Follow Work Document Instructions. Corrective Action:Individuals Were Counseled on Requirements to Follow Work Document Instruction steps.W/940503 Ltr ML20046B8351993-07-30030 July 1993 LER 93-017-00:on 930621,discovered 24-hour Telephone Notification Had Not Been Carried Out as Required by TS LCO 3.7.11.1 Action Statement (b)(2)(a) Due to Personnel Error. NRC Informed of Missed notification.W/930730 Ltr ML20046B8501993-07-30030 July 1993 LER 93-018-00:on 930704,DG Started Due to Improper WO Planning.Restored Power to 1BB Shutdown Board & Stopped Running DGs.W/930730 Ltr ML20046A4691993-07-19019 July 1993 LER 93-016-00:on 930619,Phase A,Auxiliary Bldg & Containment Isolations Manually Initiated as Result of Fuel Assembly Failing to Remain in Upright Position After Being Released. All Fuel Movement stopped.W/930719 Ltr ML20045J0111993-07-14014 July 1993 LER 93-015-00:on 930614,1A Start Bus Alternate Feeder Breaker Tripped Upon Start of Unit 1 RCP Which Resulted in Start of DG Due to Current Transformer Wired Incorrectly. Restored Offsite Power & Secured Final DG.W/930714 Ltr ML20045H0171993-07-12012 July 1993 LER 93-014-00:on 930611,determined That Inadequate Ventilation Design Resulted in Potential Inoperability of Vital Power Equipment.Design Being modified.W/930712 Ltr ML20045B9951993-06-15015 June 1993 LER 93-004-01:on 930222,determined That Blind Flange on Elevation 734 Personnel Airlock Outer Housing Leaking.Due to Improper Installation of Blind Flange.Evaluation Performed of Other 14 Double O-ring Blind flanges.W/930615 Ltr ML20045B9311993-06-10010 June 1993 LER 93-013-00:on 930514,fire Watch Was Not Performed within Time Frame Required by Tech Specs Due to Inadequate Supervision by Fire Protection Foreman.Fire Watch Patrol reestablished.W/930610 Ltr ML20045A7261993-06-0707 June 1993 LER 93-011-00:on 930507,discovered That Fire Barrier Breached W/O Proper Compensatory Measures Established.On 930505,door Leading to Room Housing Containment Spray HX 1A Breached.Roving Fire Watch Established & LCO 3.7.12 Entered ML20044H4501993-06-0303 June 1993 LER 93-012-00:on 930504,apparent Failure to Properly Identify & Plug SG Tube Determined to Exceed TS Plugging Limit.Caused by eddy-current Coordinator Not Ensuring Task requirements.Eddy-current Procedure revised.W/930603 Ltr ML20044H1561993-05-28028 May 1993 LER 93-010-00:on 930430,Westinghouse Identified Error in Development of Calculations for Cold Overpressure Mitigation Sys Setpoints.Caused by Vendor Failure to Consider Elevation Difference.Engineering Evaluation Performed ML20044E6341993-05-17017 May 1993 LER 93-009-00:on 930417,TS Surveillance Not Performed for Three Pipe Support Snubbers Because of Omission of Snubbers from Surveillance Instruction for Visual Insp.Snubbers Visually Inspected & Functionally tested.W/930517 Ltr ML20044B6751993-02-23023 February 1993 LER 93-001-00:on 930124,Unit 1 Ice Bed Temperature Recorder in MCR Declared Inoperable.Caused by Ineffective Communication.Appropriate Personnel Involved W/Event Have Been counseled.W/930223 Ltr ML20044B6141993-01-21021 January 1993 LER 92-026-00:on 921222,determined That Several ASME Section XI Pressure Tests Not Performed Due to Section XI Program Implementation Not Being well-defined,controlled or Documented.Test Expeditiously performed.W/930121 Ltr ML20024H2441991-05-22022 May 1991 LER 91-007-00:on 910422,LCO 3.0.3 Entered When Shaft of Train a Main Control Room Air Handling Unit Failed from Fatigue & Train B Out of Svc for Maint.Caused by Shaft Misalignment.New Shaft installed.W/910522 Ltr ML20029C1761991-03-21021 March 1991 LER 91-002-00:on 910211,unit Operated in Condition Prohibited by Tech Spec 3.3.3.8 Limiting Condition for Operation.Cause Under Investigation.Night Order Issued to Personnel Re Removal of Equipment from svc.W/910321 Ltr ML20029C1231991-03-18018 March 1991 LER 90-016-01:on 901117,determined That Calibr of Nuclear Instrumentation Sys intermediate-range Channels Set Nonconservatively.Caused by Lack of Operability Control for Rod Motion.Action Plan developed.W/910318 Ltr ML20029A6711991-02-25025 February 1991 LER 91-002-00:on 910124,LCOs 3.0.5 & 3.8.1.1 Entered When Both Trains of Emergency Gas Treatment Sys Declared Inoperable.Caused by Blown Fuse & Excessive Cycling of Air Start Sys.Fuse replaced.W/910225 Ltr ML20028H0331990-09-27027 September 1990 LER 90-019-00:on 900828,failure to Update P-250 Plant Computer Constants Resulted in Axial Flux Difference.Caused by Inadequate Procedures & Inappropriate Personnel Actions. Procedure 0-PI-NXX-092-001.0 revised.W/900927 Ltr ML20028G9201990-09-26026 September 1990 LER 90-020-00:on 900829,ventilation Sys Inoperable Due to Train B Diesel Generator Out of Svc.Caused by Stuck Microswitch Contacts on Pressure Switch 0-PS-311-172. Pressure Switch Adjusted & Returned to svc.W/900926 Ltr ML20044A9361990-07-0909 July 1990 LER 90-011-00:on 900608,determined That Actual Nuclear Instrumentation Sys Power Range Detector Currents Were 20% to 31% Lower than Predicted.Caused by Calibr Values Being Incorrectly Calculated.Channels corrected.W/900709 Ltr ML20044A3241990-06-25025 June 1990 LER 90-010-00:on 900526,limiting Condition for Operation Entered Because MSIV Failed to Close When Another MSIV Inoperable for Maint.Cause Attributed to Valve Stem & Valve Guide Binding.Operations Training Ltr issued.W/900625 Ltr ML20043H5091990-06-21021 June 1990 LER 90-009-00:on 900527,automatic Start of Auxiliary Feedwater Pumps Occurred When Both Main Feedwater Pumps Placed in Tripped Condition.Caused by Personnel Error.Trip Circuitry Reset & Operators counseled.W/900621 Ltr ML20043E5401990-06-0707 June 1990 LER 90-008-00:on 900514,two Control Room Isolations Occurred as Result of Spurious Spikes.Caused by Loose Terminations on Relay Socket.Loose Connections Properly terminated.W/900607 Ltr ML20043A4211990-05-16016 May 1990 LER 90-010-00:on 900416,containment Ventilation Isolation Occurred.Caused by Allowing Gaseous Radiation Level to Increase Too Close to Alarm Setpoint.Recovery from Isolation initiated.W/900516 Ltr ML20043A2261990-05-14014 May 1990 LER 90-009-00:on 900404,lower Containment Radiation Monitor Found Inoperable & Lower Containment Atmosphere Aligned to Upper Containment Radiation Monitor During Sampling.Caused by Personnel Error.Chemistry Training revised.W/900514 Ltr ML20043A2271990-05-14014 May 1990 LER 90-006-00:on 900414,auxiliary Bldg Isolation Occurred from Spent Fuel Pit Area Radiation Monitors 0-RM-90-102 & 103.Caused by Personnel Error.Training Ltr Issued to Instrument Mechanics & Operations personnel.W/900514 Ltr ML20043A2201990-05-14014 May 1990 LER 90-007-00:on 900413,discovered That Tech Spec Surveillance Requirement Not Performed within Required Interval.Caused by Personnel Error.Surveillance Successfully Performed Since missed.W/900514 Ltr ML20042G7861990-05-0909 May 1990 LER 90-005-00:on 900409,emergency Start of Four Emergency Diesel Generators Occurred While Attempting Transfer of Power.Caused by Personnel Error.Individuals Reprimanded, Training Initiated & Procedures revised.W/900509 Ltr ML20042G7931990-05-0909 May 1990 LER 90-008-00:on 900410,reactor Trip Occurred Resulting from General Warning Alarm on Both Trains of Solid State Protection Sys.Caused by Personnel Error.Individuals Disciplined & Site Wide Message distributed.W/900509 Ltr ML20042F3741990-05-0202 May 1990 LER 90-003-00:on 900404,control Room Ventilation Sys (CRVS) Transferred to Pressurization Mode.Caused by Electrical Transient in Vital Instrument Ac Bus PY-21A.CRVS Reset & Returned to Normal Operating modes.W/900502 Ltr ML20042E4191990-04-13013 April 1990 LER 90-007-00:on 900317 & 26,containment Ventilation Isolations Occurred During Purge Activities.Caused by Inadequate Procedural Guidance for Setpoint Determination. Alarm & Trip Setpoints increased.W/900413 Ltr ML20042E2021990-04-13013 April 1990 LER 90-005-00:on 900315,inadvertent Containment Vent Isolation Occurred While Preparing to Purge Containment. Caused by Lack of Attention to Detail by Operator.Operator Counseled & Received Administrative reprimand.W/900413 Ltr ML20012F5221990-04-0505 April 1990 LER 90-006-00:on 900307,containment Ventilation Isolation Occurred.Caused by Containment Particulate Level Too Close to Setpoint.Module Replaced.Radiation Alarm Setpoint Increased from 10% to 40% of Tech Spec limit.W/900406 Ltr ML20012D8611990-03-23023 March 1990 LER 90-004-00:on 900221,handswitches Controlling Operation of Isolation Valves on Steam Supply Line to Auxiliary Feedwater Pump Found in Manual Position.Cause Undetermined. Handswitches Placed in P-auto position.W/900323 Ltr ML20012C4271990-03-12012 March 1990 LER 90-003-00:on 900211,inadvertent Containment Vent Isolation Occurred.Caused by Lack of Attention to Detail in That Operator Did Not Look Closely Enough at Switch Designations.Personnel Involved counseled.W/900312 Ltr ML20011F7191990-03-0101 March 1990 LER 89-031-01:on 891205,RHR Pumps Determined to Have Deadheading Problem Identified by NRC Bulletin 88-004.Caused by Inadequate Technical Response to Bulletin.Training Ltr Issued to 10CFR50.59 reviewers.W/900301 Ltr ML20011F7421990-02-26026 February 1990 LER 90-002-00:on 900127,control Room Isolation Occurred When Circuit Breaker Opened Supplying Power to Radiation Monitor. Caused by Failure by Personnel to Exercise Sufficient Caution.Responsible Engineers reinstructed.W/900226 Ltr ML20011F7391990-02-26026 February 1990 LER 90-002-00:on 891122,value for Distance from Floor to Ctr Line of Level Switch 2-LS-87-21 Transposed in Variable Leg Calculation.Caused by Inattention to Detail.Procedure Revised to Replace Incorrect setpoint.W/900226 Ltr ML20006E3311990-02-0909 February 1990 LER 90-001-00:on 900112,Limiting Condition for Operation 3.0.3 Entered When Three of Four Lower Compartment Cooler Fan Motors Exceeded Lubrication Frequency.Caused by Personnel Error.Personnel counseled.W/900209 Ltr ML20006D5341990-02-0707 February 1990 LER 90-001-00:on 900108,discovered That Several ERCW Valves Not Being Periodically Verified to Be Correct.Caused by Personnel Error During Procedure Revs & Workplan Reviews. Info Notice Issued to Workplan reviewers.W/900207 Ltr ML19354E1631990-01-22022 January 1990 LER 89-036-00:on 891221,discovered That Surveillance Test Results Used for Declaring Diesel Generator 1B-B Operable Deficient.Caused by Instruction Not Including 60 Minute Run Time.Event Will Be Reviewed w/supervisors.W/900122 Ltr ML19354D8941990-01-16016 January 1990 LER 89-034-00:on 891215,leak Identified from Fitting on Vol Control Tank Level Transmitter & Auxiliary Bldg Evacuated, Preventing Fire Watch Patrol from Entering Bldg for Hourly Rounds.Fitting tightened.W/900116 Ltr ML19354D9061990-01-16016 January 1990 LER 89-033-00:on 891216,refueling Water Storage Tank Level Transmitters Failed High Due to Freezing from Extremely Cold Weather & Inappropriate Use of Calculations.Engineering Procedures Revised & Heating Installed in encl.W/900116 Ltr ML20005F8851990-01-0909 January 1990 LER 89-035-00:on 891210,turbine/reactor Trip Occurred from hi-hi Feedwater Level of 75% in Steam Generator 3.Caused by Failure of Loop 3 Main Feedwater Regulating Valve to Close. Equipment Adjusted & repaired.W/900109 Ltr ML20005E0801989-12-22022 December 1989 LER 89-032-00:on 891205,RHR Pumps Determined to Have Deadheading Problem,Per NRC Bulletin 88-004,resulting in Plant Operation Outside Design Basis.On 891128,RHR Pump Exceeded Head Criteria.Pumps started.W/891222 Ltr ML20005E0831989-12-22022 December 1989 LER 89-032-00:on 891201,discovered That Tech Spec Surveillance Requirement to Verify That Valves 1-67-748 & 2-67-748 in Open Position Not Met.Caused by Personnel Error.Correct Valve Position verified.W/891222 Ltr ML20005E1161989-12-22022 December 1989 LER 89-030-00:on 891204,fire Suppression Sys Deluge Valve Isolated More than 1 H W/O Required Continuous Fire Watch Establishment.Caused by Personal Communication Breakdown. Valve Opened & Foreman in Charge counseled.W/891222 Ltr 1994-05-09
[Table view] Category:RO)
MONTHYEARML20029E3351994-05-10010 May 1994 LER 94-006-00:on 940415,both Trains of CREVS Declared Inoperable.Caused by Tornado Warning & Sighting of Tornado Moving Toward Plant.Tornado Warnings downgraded.W/940510 Ltr ML20029E2021994-05-0909 May 1994 LER 94-004-00:on 940408,determined That TS Pressurizer Cooldown Limit Exceeded on 930618 & Not Restored within Required Timeframe.Caused by Unanticipated Sys Interaction. SI for Check Valve Opening Tests revised.W/940509 Ltr ML20029D8151994-05-0303 May 1994 LER 94-005-00:on 940403,inadvertent Fwis Occurred.Caused by Personnel Failure to Follow Work Document Instructions. Corrective Action:Individuals Were Counseled on Requirements to Follow Work Document Instruction steps.W/940503 Ltr ML20046B8351993-07-30030 July 1993 LER 93-017-00:on 930621,discovered 24-hour Telephone Notification Had Not Been Carried Out as Required by TS LCO 3.7.11.1 Action Statement (b)(2)(a) Due to Personnel Error. NRC Informed of Missed notification.W/930730 Ltr ML20046B8501993-07-30030 July 1993 LER 93-018-00:on 930704,DG Started Due to Improper WO Planning.Restored Power to 1BB Shutdown Board & Stopped Running DGs.W/930730 Ltr ML20046A4691993-07-19019 July 1993 LER 93-016-00:on 930619,Phase A,Auxiliary Bldg & Containment Isolations Manually Initiated as Result of Fuel Assembly Failing to Remain in Upright Position After Being Released. All Fuel Movement stopped.W/930719 Ltr ML20045J0111993-07-14014 July 1993 LER 93-015-00:on 930614,1A Start Bus Alternate Feeder Breaker Tripped Upon Start of Unit 1 RCP Which Resulted in Start of DG Due to Current Transformer Wired Incorrectly. Restored Offsite Power & Secured Final DG.W/930714 Ltr ML20045H0171993-07-12012 July 1993 LER 93-014-00:on 930611,determined That Inadequate Ventilation Design Resulted in Potential Inoperability of Vital Power Equipment.Design Being modified.W/930712 Ltr ML20045B9951993-06-15015 June 1993 LER 93-004-01:on 930222,determined That Blind Flange on Elevation 734 Personnel Airlock Outer Housing Leaking.Due to Improper Installation of Blind Flange.Evaluation Performed of Other 14 Double O-ring Blind flanges.W/930615 Ltr ML20045B9311993-06-10010 June 1993 LER 93-013-00:on 930514,fire Watch Was Not Performed within Time Frame Required by Tech Specs Due to Inadequate Supervision by Fire Protection Foreman.Fire Watch Patrol reestablished.W/930610 Ltr ML20045A7261993-06-0707 June 1993 LER 93-011-00:on 930507,discovered That Fire Barrier Breached W/O Proper Compensatory Measures Established.On 930505,door Leading to Room Housing Containment Spray HX 1A Breached.Roving Fire Watch Established & LCO 3.7.12 Entered ML20044H4501993-06-0303 June 1993 LER 93-012-00:on 930504,apparent Failure to Properly Identify & Plug SG Tube Determined to Exceed TS Plugging Limit.Caused by eddy-current Coordinator Not Ensuring Task requirements.Eddy-current Procedure revised.W/930603 Ltr ML20044H1561993-05-28028 May 1993 LER 93-010-00:on 930430,Westinghouse Identified Error in Development of Calculations for Cold Overpressure Mitigation Sys Setpoints.Caused by Vendor Failure to Consider Elevation Difference.Engineering Evaluation Performed ML20044E6341993-05-17017 May 1993 LER 93-009-00:on 930417,TS Surveillance Not Performed for Three Pipe Support Snubbers Because of Omission of Snubbers from Surveillance Instruction for Visual Insp.Snubbers Visually Inspected & Functionally tested.W/930517 Ltr ML20044B6751993-02-23023 February 1993 LER 93-001-00:on 930124,Unit 1 Ice Bed Temperature Recorder in MCR Declared Inoperable.Caused by Ineffective Communication.Appropriate Personnel Involved W/Event Have Been counseled.W/930223 Ltr ML20044B6141993-01-21021 January 1993 LER 92-026-00:on 921222,determined That Several ASME Section XI Pressure Tests Not Performed Due to Section XI Program Implementation Not Being well-defined,controlled or Documented.Test Expeditiously performed.W/930121 Ltr ML20024H2441991-05-22022 May 1991 LER 91-007-00:on 910422,LCO 3.0.3 Entered When Shaft of Train a Main Control Room Air Handling Unit Failed from Fatigue & Train B Out of Svc for Maint.Caused by Shaft Misalignment.New Shaft installed.W/910522 Ltr ML20029C1761991-03-21021 March 1991 LER 91-002-00:on 910211,unit Operated in Condition Prohibited by Tech Spec 3.3.3.8 Limiting Condition for Operation.Cause Under Investigation.Night Order Issued to Personnel Re Removal of Equipment from svc.W/910321 Ltr ML20029C1231991-03-18018 March 1991 LER 90-016-01:on 901117,determined That Calibr of Nuclear Instrumentation Sys intermediate-range Channels Set Nonconservatively.Caused by Lack of Operability Control for Rod Motion.Action Plan developed.W/910318 Ltr ML20029A6711991-02-25025 February 1991 LER 91-002-00:on 910124,LCOs 3.0.5 & 3.8.1.1 Entered When Both Trains of Emergency Gas Treatment Sys Declared Inoperable.Caused by Blown Fuse & Excessive Cycling of Air Start Sys.Fuse replaced.W/910225 Ltr ML20028H0331990-09-27027 September 1990 LER 90-019-00:on 900828,failure to Update P-250 Plant Computer Constants Resulted in Axial Flux Difference.Caused by Inadequate Procedures & Inappropriate Personnel Actions. Procedure 0-PI-NXX-092-001.0 revised.W/900927 Ltr ML20028G9201990-09-26026 September 1990 LER 90-020-00:on 900829,ventilation Sys Inoperable Due to Train B Diesel Generator Out of Svc.Caused by Stuck Microswitch Contacts on Pressure Switch 0-PS-311-172. Pressure Switch Adjusted & Returned to svc.W/900926 Ltr ML20044A9361990-07-0909 July 1990 LER 90-011-00:on 900608,determined That Actual Nuclear Instrumentation Sys Power Range Detector Currents Were 20% to 31% Lower than Predicted.Caused by Calibr Values Being Incorrectly Calculated.Channels corrected.W/900709 Ltr ML20044A3241990-06-25025 June 1990 LER 90-010-00:on 900526,limiting Condition for Operation Entered Because MSIV Failed to Close When Another MSIV Inoperable for Maint.Cause Attributed to Valve Stem & Valve Guide Binding.Operations Training Ltr issued.W/900625 Ltr ML20043H5091990-06-21021 June 1990 LER 90-009-00:on 900527,automatic Start of Auxiliary Feedwater Pumps Occurred When Both Main Feedwater Pumps Placed in Tripped Condition.Caused by Personnel Error.Trip Circuitry Reset & Operators counseled.W/900621 Ltr ML20043E5401990-06-0707 June 1990 LER 90-008-00:on 900514,two Control Room Isolations Occurred as Result of Spurious Spikes.Caused by Loose Terminations on Relay Socket.Loose Connections Properly terminated.W/900607 Ltr ML20043A4211990-05-16016 May 1990 LER 90-010-00:on 900416,containment Ventilation Isolation Occurred.Caused by Allowing Gaseous Radiation Level to Increase Too Close to Alarm Setpoint.Recovery from Isolation initiated.W/900516 Ltr ML20043A2261990-05-14014 May 1990 LER 90-009-00:on 900404,lower Containment Radiation Monitor Found Inoperable & Lower Containment Atmosphere Aligned to Upper Containment Radiation Monitor During Sampling.Caused by Personnel Error.Chemistry Training revised.W/900514 Ltr ML20043A2271990-05-14014 May 1990 LER 90-006-00:on 900414,auxiliary Bldg Isolation Occurred from Spent Fuel Pit Area Radiation Monitors 0-RM-90-102 & 103.Caused by Personnel Error.Training Ltr Issued to Instrument Mechanics & Operations personnel.W/900514 Ltr ML20043A2201990-05-14014 May 1990 LER 90-007-00:on 900413,discovered That Tech Spec Surveillance Requirement Not Performed within Required Interval.Caused by Personnel Error.Surveillance Successfully Performed Since missed.W/900514 Ltr ML20042G7861990-05-0909 May 1990 LER 90-005-00:on 900409,emergency Start of Four Emergency Diesel Generators Occurred While Attempting Transfer of Power.Caused by Personnel Error.Individuals Reprimanded, Training Initiated & Procedures revised.W/900509 Ltr ML20042G7931990-05-0909 May 1990 LER 90-008-00:on 900410,reactor Trip Occurred Resulting from General Warning Alarm on Both Trains of Solid State Protection Sys.Caused by Personnel Error.Individuals Disciplined & Site Wide Message distributed.W/900509 Ltr ML20042F3741990-05-0202 May 1990 LER 90-003-00:on 900404,control Room Ventilation Sys (CRVS) Transferred to Pressurization Mode.Caused by Electrical Transient in Vital Instrument Ac Bus PY-21A.CRVS Reset & Returned to Normal Operating modes.W/900502 Ltr ML20042E4191990-04-13013 April 1990 LER 90-007-00:on 900317 & 26,containment Ventilation Isolations Occurred During Purge Activities.Caused by Inadequate Procedural Guidance for Setpoint Determination. Alarm & Trip Setpoints increased.W/900413 Ltr ML20042E2021990-04-13013 April 1990 LER 90-005-00:on 900315,inadvertent Containment Vent Isolation Occurred While Preparing to Purge Containment. Caused by Lack of Attention to Detail by Operator.Operator Counseled & Received Administrative reprimand.W/900413 Ltr ML20012F5221990-04-0505 April 1990 LER 90-006-00:on 900307,containment Ventilation Isolation Occurred.Caused by Containment Particulate Level Too Close to Setpoint.Module Replaced.Radiation Alarm Setpoint Increased from 10% to 40% of Tech Spec limit.W/900406 Ltr ML20012D8611990-03-23023 March 1990 LER 90-004-00:on 900221,handswitches Controlling Operation of Isolation Valves on Steam Supply Line to Auxiliary Feedwater Pump Found in Manual Position.Cause Undetermined. Handswitches Placed in P-auto position.W/900323 Ltr ML20012C4271990-03-12012 March 1990 LER 90-003-00:on 900211,inadvertent Containment Vent Isolation Occurred.Caused by Lack of Attention to Detail in That Operator Did Not Look Closely Enough at Switch Designations.Personnel Involved counseled.W/900312 Ltr ML20011F7191990-03-0101 March 1990 LER 89-031-01:on 891205,RHR Pumps Determined to Have Deadheading Problem Identified by NRC Bulletin 88-004.Caused by Inadequate Technical Response to Bulletin.Training Ltr Issued to 10CFR50.59 reviewers.W/900301 Ltr ML20011F7421990-02-26026 February 1990 LER 90-002-00:on 900127,control Room Isolation Occurred When Circuit Breaker Opened Supplying Power to Radiation Monitor. Caused by Failure by Personnel to Exercise Sufficient Caution.Responsible Engineers reinstructed.W/900226 Ltr ML20011F7391990-02-26026 February 1990 LER 90-002-00:on 891122,value for Distance from Floor to Ctr Line of Level Switch 2-LS-87-21 Transposed in Variable Leg Calculation.Caused by Inattention to Detail.Procedure Revised to Replace Incorrect setpoint.W/900226 Ltr ML20006E3311990-02-0909 February 1990 LER 90-001-00:on 900112,Limiting Condition for Operation 3.0.3 Entered When Three of Four Lower Compartment Cooler Fan Motors Exceeded Lubrication Frequency.Caused by Personnel Error.Personnel counseled.W/900209 Ltr ML20006D5341990-02-0707 February 1990 LER 90-001-00:on 900108,discovered That Several ERCW Valves Not Being Periodically Verified to Be Correct.Caused by Personnel Error During Procedure Revs & Workplan Reviews. Info Notice Issued to Workplan reviewers.W/900207 Ltr ML19354E1631990-01-22022 January 1990 LER 89-036-00:on 891221,discovered That Surveillance Test Results Used for Declaring Diesel Generator 1B-B Operable Deficient.Caused by Instruction Not Including 60 Minute Run Time.Event Will Be Reviewed w/supervisors.W/900122 Ltr ML19354D8941990-01-16016 January 1990 LER 89-034-00:on 891215,leak Identified from Fitting on Vol Control Tank Level Transmitter & Auxiliary Bldg Evacuated, Preventing Fire Watch Patrol from Entering Bldg for Hourly Rounds.Fitting tightened.W/900116 Ltr ML19354D9061990-01-16016 January 1990 LER 89-033-00:on 891216,refueling Water Storage Tank Level Transmitters Failed High Due to Freezing from Extremely Cold Weather & Inappropriate Use of Calculations.Engineering Procedures Revised & Heating Installed in encl.W/900116 Ltr ML20005F8851990-01-0909 January 1990 LER 89-035-00:on 891210,turbine/reactor Trip Occurred from hi-hi Feedwater Level of 75% in Steam Generator 3.Caused by Failure of Loop 3 Main Feedwater Regulating Valve to Close. Equipment Adjusted & repaired.W/900109 Ltr ML20005E0801989-12-22022 December 1989 LER 89-032-00:on 891205,RHR Pumps Determined to Have Deadheading Problem,Per NRC Bulletin 88-004,resulting in Plant Operation Outside Design Basis.On 891128,RHR Pump Exceeded Head Criteria.Pumps started.W/891222 Ltr ML20005E0831989-12-22022 December 1989 LER 89-032-00:on 891201,discovered That Tech Spec Surveillance Requirement to Verify That Valves 1-67-748 & 2-67-748 in Open Position Not Met.Caused by Personnel Error.Correct Valve Position verified.W/891222 Ltr ML20005E1161989-12-22022 December 1989 LER 89-030-00:on 891204,fire Suppression Sys Deluge Valve Isolated More than 1 H W/O Required Continuous Fire Watch Establishment.Caused by Personal Communication Breakdown. Valve Opened & Foreman in Charge counseled.W/891222 Ltr 1994-05-09
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20212J6311999-10-0101 October 1999 SER Accepting Request for Relief from ASME Boiler & Pressure Vessel Code,Section Xi,Requirements for Certain Inservice Insp at Plant,Unit 1 ML20217G3721999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Sequoyah Nuclear Plant.With ML20212F0831999-09-23023 September 1999 Safety Evaluation Granting Relief from Certain Weld Insp at Sequoyah Nuclear Plant,Units 1 & 2 Pursuant to 10CFR50.55a(a)(3)(ii) for Second 10-year ISI Interval ML20212F4761999-09-23023 September 1999 Safety Evaluation Supporting Amends 246 & 237 to Licenses DPR-77 & DPR-79,respectively ML20212C4761999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Sequoyah Nuclear Plant.With ML20210L4361999-08-0202 August 1999 Cycle 9 12-Month SG Insp Rept ML20216E3781999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Sequoyah Nuclear Plant,Units 1 & 2.With ML20210L4451999-07-31031 July 1999 Unit-2 Cycle 10 Voltage-Based Repair Criteria 90-Day Rept ML20210G6631999-07-28028 July 1999 Cycle 9 90-Day ISI Summary Rept ML20196H8621999-06-30030 June 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data, June 1999 Rept ML20209H3831999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Sequoyah Nuclear Plant.With ML20211F9031999-06-30030 June 1999 Cycle 9 Refueling Outage ML20196J8521999-06-28028 June 1999 Safety Evaluation Authorizing Proposed Alternative to Use Iqis for Radiography Examinations as Provided for in ASME Section III,1992 Edition with 1993 Addenda,Pursuant to 10CFR50.55a(a)(3)(i) ML20195K2951999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Sequoyah Nuclear Plant,Units 1 & 2.With ML20206Q8951999-05-0505 May 1999 Rev 0 to L36 990415 802, COLR for Sequoyah Unit 2 Cycle 10 ML20206R5031999-04-30030 April 1999 Monthly Operating Repts for April 1999 for Sequoyah Units 1 & 2.With ML20205P9811999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Sequoyah Nuclear Plant,Units 1 & 2.With ML20204C3111999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Sequoyah Nuclear Plant,Units 1 & 2.With ML20205B6631999-02-28028 February 1999 Underground Storage Tank (Ust) Permanent Closure Rept, Sequoyah Nuclear Plant Security Backup DG Ust Sys ML20203H7381999-02-18018 February 1999 Safety Evaluation of Topical Rept BAW-2328, Blended U Lead Test Assembly Design Rept. Rept Acceptable Subj to Listed Conditions ML20211A2021999-01-31031 January 1999 Non-proprietary TR WCAP-15129, Depth-Based SG Tube Repair Criteria for Axial PWSCC Dented TSP Intersections ML20198S7301998-12-31031 December 1998 Cycle 10 Voltage-Based Repair Criteria 90-Day Rept ML20199G3641998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Sequoyah Nuclear Plant,Units 1 & 2.With ML20197J5621998-12-0303 December 1998 Unit 1 Cycle 9 90-Day ISI Summary Rept ML20197K1161998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Sequoyah Nuclear Plant,Units 1 & 2.With ML20195F8061998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Sequoyah Nuclear Plant.With ML20154H6091998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for Sequoyah Nuclear Plant,Units 1 & 2.With ML20154H6251998-09-17017 September 1998 Rev 0 to Sequoyah Nuclear Plant Unit 1 Cycle 10 Colr ML20153B0881998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for Sequoyah Nuclear Plant.With ML20239A0631998-08-27027 August 1998 SER Accepting Licensee Response to GL 95-07, Pressure Locking & Thermal Binding of Safety-Related Power-Operated Gate Valves, for Sequoyah Nuclear Plant,Units 1 & 2 ML20236Y2091998-08-0707 August 1998 Safety Evaluation Accepting Relief Requests RP-03,RP-05, RP-07,RV-05 & RV-06 & Denying RV-07 & RV-08 ML20237B5221998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Snp ML20237A4411998-07-31031 July 1998 Blended Uranium Lead Test Assembly Design Rept ML20236P6441998-07-10010 July 1998 LER 98-S01-00:on 980610,failure of Safeguard Sys Occurred for Which Compensatory Measures Were Not Satisfied within Required Time Period.Caused by Inadequate Security Procedure.Licensee Revised Procedure MI-134 ML20236R0051998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Sequoyah Nuclear Plant ML20249A8981998-05-31031 May 1998 Monthly Operating Repts for May 1998 for Sequoyah Nuclear Plant,Units 1 & 2 ML20247L5141998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for Sequoyah Nuclear Plant ML20217K4471998-04-27027 April 1998 Safety Evaluation Supporting Requests for Relief 1-ISI-2 (Part 1),2-ISI-2 (Part 2),1-ISI-5,2-ISI-5,1-ISI-6,1-ISI-7, 2-ISI-7,ISPT-02,ISPT-04,ISPT-06,ISPT-07,ISPT-8,ISPT-01 & ISPT-05 ML20217E2221998-03-31031 March 1998 Monthly Operating Repts for Mar 1998 for Sequoyah Nuclear Plant ML20248L2611998-02-28028 February 1998 Monthly Operating Repts for Sequoyah Nuclear Plant,Units 1 & 2 ML20199J2571998-01-31031 January 1998 Cycle 9 Voltage-Based Repair Criteria 90-Day Rept ML20202J7911998-01-31031 January 1998 Monthly Operating Repts for Jan 1997 for Sequoyah Nuclear Plant,Units 1 & 2 ML20199J2441998-01-29029 January 1998 Snp Unit 2 Cycle Refueling Outage Oct 1997 ML20199F8531998-01-13013 January 1998 ASME Section XI Inservice Insp Summary Rept for Snp Unit 2 Refueling Outage Cycle 8 ML20199A2931997-12-31031 December 1997 Revised Monthly Operating Rept for Dec 1997 for Sequoyah Nuclear Plant,Units 1 & 2 ML20198M1481997-12-31031 December 1997 Monthly Operating Repts for Dec 1997 for Sequoyah Nuclear Plant,Units 1 & 2 ML20197J1011997-11-30030 November 1997 Monthly Operating Repts for Nov 1997 for Sequoyah Nuclear Plant,Units 1 & 2 ML20199C2951997-11-13013 November 1997 LER 97-S01-00:on 971017,vandalism of Electrical Cables Was Observed.Caused by Vandalism.Repaired Damaged Cables, Interviewed Personnel Having Potential for Being in Area at Time Damage Occurred & Walkdowns ML20199C7201997-10-31031 October 1997 Monthly Operating Repts for Oct 1997 for Sequoyah Nuclear Plant L-97-215, SG Secondary Side Loose Object Safety Evaluation1997-10-23023 October 1997 SG Secondary Side Loose Object Safety Evaluation 1999-09-30
[Table view] |
Text
n a c,c 1 4
- 4. -TENNESSEE. VALLEY AUTHORITY 6N 38A Lookout' Place Chattanooga, Tennessee 37402-2801 r
July 9, 1990
.U.S. Nuclear. Regulatory Commission-ATTN Document Control Desk j Washington, D.C. 20555 .l l
Gentlemen:
TENNESSEE VALLEY AUTHdRITY - SEQUOYAH NUCLEAR PLANT UNIT 1 - DOCKET NO.
50-327 - FACILITY OPERATING LICENSE DPR LICENSEF EVENT REPORT (LER)-
50-327/90011
.i The enclosed LER provides details concerning the nonconservative calibration :
of nuclear-instrumentation system intermediate range and power range channels i as a result of.the misinterpretation of vendor information. 'This event is i being reported in accordance with 10 CFR 50.73(a)(2)(1) as an operation l prohibited by technical specifications and 10 CFR 50.73(a)(2)(vii) as a single i cause resulting-in. multiple inoperable.-channels.
j 1
-Very truly yours, i
TENNESSEE VALLEY AUTHORITY
.l
/.
.-R. Bynum,. ce President 1 Nuclear Power Production Enclosure
- cc ' (Enclo'sure ): ;
Mr; J. N.' Donohew U.S. Nuclear Regulatory Commission One White Flint, North j 11555 Rockville Pike Rockville, Maryland 20852 ;
q INPO Records Center Institute.of Nuclear Power Operations 1100 Circle 75 Parkway, Suite 1500 1 Atlanta, Georgia.-30339 j
NRC Resident Inspector' 3 Sequoyah Nuclear Plant 2600 Igou Ferry Road Soddy. Daisy,-Tennessee 37379 Mr. B. A. Wilson, Project Chief U.S. Nuclear Regulatory Commission Region II 101 Marietta Street, NW, Suite 2900 Atlanta, Georgia 30323 900717002'l YVU/UY PDR ADOCK 05000327 PDC
/ g S An Equal Opportunity Employer Li '
NRC Form 366 U.S. NUCLEAR REGULATOR 7 COMMIS$10N Approved OMB No.
.. 1150-0104-(6-8;)~ ' -
Erpires 4/30/92 LKENSEEEVENTREPORT(LER)
FACILITY NAME (1) lDOCKETNUMBER(2) lPAGE(3)
Seouovah Nuclear Plant. Uni t I 10lBl0101013 12 17 1110Fl 01 7 TITLE (4) Nuclear Instrumentation System Intermediate and Power Range Channels Were Nonconservatively Calibrated Egg ule of Misinterpretation of Vendor Info m tion EVENT DAY (5) I LER NUMBER (6) l REPORT DATE (7) l OTHER FACILITIES INVOLVED (B) l l l l l SEQUENTIAL l l REVISION l l l l FACILITY NAMES l00CKETNUMBER(S)
MONTHl DAY lYEAR lYEAR l l NUMBER l l HUMBER IMONTHI DAY lYEAR I 1015l010101 l l I I I l_l l_I I I I I I ,
Q.,j,_11 01 Bf 91 Ol 91 of I0l 1 l 1 I l 0 1 0 1 01 71 Ol 91 91 of 1015l010101 l l
-OPERATING l lTHISREPORTISSUBMITTEDPURSUANTTOTHEREQUIREMENTSOf10CFR$:
MODE l l_ICheckoneormoreofthefollowino)(11)
(9) I il (20.402(b) l_l20.405(c) l_l50.73(a)(2)(iv) l_l73.71(b)
POWER l l_l20.405(a)(1)(i) l_l50.36(c)(1) l_l50.73(a)(2)(v) l_l73.71(c) !
LEVEL l l_l20.405(a)(1)(ii) l_l50.36(c)(2) lEl50.73(a)(2)(vil) l_l0THER(Specifyin
_ (10) 1 01 21 41 l20.405(a)(1)(iii)lMl50.73(a)(2)(i) l_l50.73(a)(2)(viii)(A)l = Abstract below and in l_l20.405(a)(1)(iv) l_l50.73(a)(2)(ii) l_l50.73(a)(2)(viii)(B)l Text, NRC form 366A) -i l 120.405fa)(1)(v) l 150.73(a)(2)(iii) I 150.73(a)(2)(x) l l LICENSEE CONTACT FOR THIS LER (12) l NAME l TELEPHONE NUMBER lAREACODEl Russell R. Thomoson. Comollance Licensino Enoineer l6l1 15lBl4l3l-l7l417 l0 I COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13) l l l .l REPORTABLE l l l l l l REPORTABLE l CAUSElSYSTEMI COMPONENT lMANUFACTURERl TO NPRDS l lCAUSElSYSTEMI COMPONENT lMANUFACTURERl TO NPRDS l l I l l l l I I i l l I I l' I I I i i I I I I I I I I I I I I I I I I I l 1 I I I I I I I I I I l l l t i I I I I I I I I I l l t l l l I I I i ,
SUPPLEMENTAL REPORT EXPECTED (141 l EXPECTED lMONTHlDAYlYEAR l_ l SUBMISSION'l l l ,
I YES (If ves. comolete EXPECTED SUBMISSION DATE) l X l NO I DATE (15) l l l l l I l ABSTRACT (Limit to 1400 spaces, i .e., approximately fif teen single-space typewritten lines) (16) '
On June 8, 1990, at 0100 Eastern daylight time (EDT) with Unit 1 in Mode 1,'it was determined that Unit I had operated in noncompliance with Technical Specification 2.2.1, " Limiting Safety System Settings." The actual Nuclear Instrumentation System
-(NIS) power range (PR) detector currents were determined to have been 20 to 31 percent g lower than predicted, which would shift the PR trip setpoint actuation 20 to 31 percent '
higher than expected.. This nonconservative calibration of the PR channels was present.
from May 31, 1990 (Unit 1 Cycle 5 criticality), to June 6, 1990. The intermediate i range (IR) channels had been nonconservatively calibrated in the same manner from f May 31, 1990, to June 1, 1990. The nonconservative calibration resulted from a i misinterpretation of vendor information when calculating expected NIS IR and PR detector currents for Cycle 5 operation. Although the nonconservative calibration Tresulted in IR and PR setpoints being outside of their respective TS allowable values, the plant remained within the. Updated Final Safety Analysis Report (UFSAR) accident analyses limits. The prestartup NIS calibration procedures will be revised to require j the use of the correct prediction methodology. The NIS correction procedures will be revised to provide guidance for performing evaluations of observed NIS deviations in NIS detector indications.
i NRC Form 366(6-89)
1
, NRC F:rm 366A U.S. NUCLEAR REGULATORY COMMISSION Approved OMB No. 3150-0104 (6-89) .'
Expires 4/30/92 LKENSEEEVENTREPORT(LER) !
TEXT CONTINUATION FACILITY NAME (1) lDOCKETNUMBER(2)l LER NUMBER (6) l l PAGE (3) l l l l l$EQUENTIALl l REVISION l l l l l Sequoyah Nuclear Plant Unit 1 l lYEARI I NUMBER l l NUMBER l l l l l l 1015l0101013 12 17 19 10 l--I 0 1 1 l1 l-l 0 1 0 1 01 2l0Fl 01 7 TEXT-(If more space is required, use additional NRC Form 366A's) (17)
Description of Event On June 8, 1990, at 0100 Eastern daylight time (EDT) with Unit 1 in Mode 1 (24 percent reactor power, reactor coolant system (RCS] pressure at 2,235 pounds per square inch gauge (psig}, and RCS temperature at 555 degrees Fahrenheit (F)), it was determined that. Unit I had operated in noncompliance with Technical Specification (TS) 2.2.1, j
" Limiting Safety System Settings " because the nuclear instrumentation system (NIS) intermediate range. (IR) and pc er range (PR) channels (EIIS Code IG) had been nonconservatively calibrated. TS 2.2.1 requires the reactor trip system -!
instrumentation and interlock setpoints to be set consistent with trip setpoint values j l of TS Table 2.2-1. This requires the NIS PR channels to have high and low setpoints of I
- l. less than or equal to 109 and 25 percent reactor power, respectively; and allowable I values of less than or equal to lil A and 27.4 percent reactor power, respectively.
-The NIS IR channels are required to have setpoints of less than or equal to 25 percent reactor power; and allowable values of less than or equal to 30 percent. reactor power. j If a reactor trip system instrumentation or interlock setpoint is found to be less j conservative than the value shown in the allowable values column of Table 2.2-1, the ;
corresponding channel is to be declared inoperable, and the applicable action i provisions of Limiting Condition for Operation applied.
- During the timeframe of this event, Unit 1 was restarting- f rom its Cycle 4 refueling !
outage. The unit entered Mode 2 at approximately 0540 EDT on May 31, 1990, achieved criticality at 1033 EDT on May 31, 1990; and entered Mode 1 at approximately 1728 EDT on June 1, 1990. On June 2,1990, Unit 1 tripped from approximately 11 percent power at 0802 EDT. The unit was again critical at 2104 EDT on June 2, 1990, and entered Mode 1 at 2233 EDT on June 2,'1990. The reactor was returned to Mode 2 at 1608 EDT on !
June 3, 1990, for maintenance on a main turbine governor valve. After the completion !
of the maintenance activities, power escalation was initiated, and the unit entered
-l Mode 1 at 1406 EDT on June 5, 1990. Power escalation continued from this point. '
Prior to startup from the Unit 1 Cycle 4 refueling outage IR and PR NIS detector currents were predicted, and adjustments were made based on the past cycle low leakage core operation and the even lower leakage core loading pattern for this cycle. Due to !
uncertainty introduced by the re. load and installation of Gamma-Metrics for the IR detectora, the IR high flux trip setpoint was conservatively adjusted to one-half the !
normal trip setpoint, i.e., from 25 percent to 12 percent.
On June 1, 1990 (4 percent actual power), Periodic Instruction (PI) 0-PI-NXX-092-002.0, "Poststartup NIS Calibration Following Core Load," was performed. This PI uses calorimetric data to check the output of the IR channels. The performance was done to further check the NIS detectors and to then allow readjustment of the IR trip setpoints to the normal 25 percent nominal value. Deviations of approximately 5 percent voltage span were observed, i.e., the IR detectors indicated approximately one-half decade below actual reactor power as determined by calorimetric data. The accuracy of the calorimetric data was questioned because of low secondary system flowrates. IIoweve r ,
the IR channels were adjusted consistent with the more conservative callometric indicated power. The deviations were not considered to be atypical for an initial startup from a refueling outage. No anomolies were identified in the PR indication at this time; however, problems would not likely be apparent at this low of a power level.
NRC Form 366(6-89)
.. *- i
, HRC Fora 366A~ U.S. NUCtEAR REGULATORY COMMISSION Appro n d OMB No. 3150-0104 (6-89)
- Empires 4/30/92 LEENSEEEVENTRENRT(LER)
TEXT CONTINUATION FACILITY NAME (1) l DOCKET NUMBER (2) l LER NUMBER (6) l l PAGE (3) l l l l SEQUENTIAL l l REVISION l l l l l Siquoyah Nuclear Plant Unit I- l lYEAR I l HUMBER l l HUMBER l l l l l 101$10101013 12 17 19 10 l--! 0 l 111 l-I01 0 l 01 310FI 01 7 TEXT (If more space is required, use additional NRC Form 366A's) (17)
Description of Event (Continued)
On June 6, 1990 (24 percent actual power), Operations performed Surveillance
- Instruction (SI) 78, " Power Range Neutron Flux Channel Calibration by Heat Balance Comparison Daily," to adjust the PR channels to within 2 percent of the secondary side calorimetric full power value. Calorimetric data at this power level was considered reliable, and deviations of approximately 20 to 31 percent between actual and-prestartup estimated detector currents were noted. Again the deviations were not considered to be atypical for a startup from a refueling outage.
At 0100 EDT, on June 8, 1990 (24 percent actual power), during the performance of-PI 0-PI-NXX-092-001.0,,"Incore-Excore Detector Calibration," it was determined by Reactor Engineering that the projected normalized top and bottom excore PR detector currents for 100 percent power indicated that the PR channels had been initially calibrated with nonconservative values prior to startup from the Unit I refueling outage due to an incorrect equation used to calculate preliminary detector current values. 'This error caused the PR channels to indicate lower than actual power by 20 to 31 percent of the power level, and resulted in the NIS reactor trip setpoints being set 20 to 31 percent higher than their TS-required values during startup evolutions (May 30-June 6). The nonconservative calibration values were noted when "new" PR full power detector currents calculated in 0-PI-NXX-092-001.0 were compared to the prestartup calibration detector currents calculated in 1-PI-NXX-092-001.0, "Prestartup NIS Calibration Following Core' Load." Subsequent evaluation also determined that the same error had been made-in predicting the prestartup IR detector currents resulting in the IR detectors indicating approximately one-half decade below actual reactor power.
Procedure 1-PI-NXX-092-001.0 is used to calculate preliminary NIS IR and PR detector current values. The-PR and IR channels are then calibrated using the preliminary values prior to startup. The procedure utilized power distributions from beginning of life (BOL) of the previous cycle (PR old), power distributions from BOL of the new cycle (PR new), and end-of-life (EOL) detector currents from the previous cycle (I old) to calculate the new preliminary current values. (I old x PR new/PR old = I new) This calculation methodology was believed to have been in accordance with Westinghouse Electric Corporation information. However, it was determined that the information had been misinterpreted. The reason for the resultant nonconservative values was the use of BOL power distributions with E0L detector currents. Power moves towards the outer core over core life, which increases the leakage neutron flux. For this reason -EOL detector currents tend to be latger than BOL detector currents (20 to 31 percent for this cycle), and this resulted in larger nonconservative preliminary detector current values being calculated. More accurate preliminary current values would have been calculated by utilizing detector currents and power distributions from the same point I in core life from the previous cycle (both BOL or both EOL). Utilization of EOL values was recommended by Westinghouse in discussions held subsequent to this event. i No deviations outside of TS allowable values were noted during previous startups from refueling outages at SQN, although the initial prediction of full power NIS IR and PR detector currents were made utilizing the equation described above.
NRC Fom 366(6-89)
.~ _
+ ."
NRC F,orm 366A U.S NUCLEAR REGULATORY COMMISSION ApprovGd OMB No. 3150-0104 (6-89) .
Expires 4/30/92 llCENSEEEVENTREPORT(LER)
TEXT CONTINUATION FACILITY NAME (1) lDOCKETNUMBER(2) l LER HUMBER f6) I l PAGE f3) l l l l$EQUENTIALl l REVISION l l l l l Sequoyah Nuclear Plant Unit 1 l lYEAR l l NUMBER l I NUMBER I l l l l 10151010101312171910 l-l 0 l 111 l-l0l0 1 01 410Fl 01 7 TEXT (If more space is required, use additional NRC form 366A's) (17)
Description of Event (Continued)
In the past, the IR detectors indicated in amperes and the correlation between IR indication and actual reactor power was difficult to observe directly. The status of the IR indications has been specifically monitored since the Unit 2 IR detector mispositioning_ event (LER 50-328/89006). No corrections of the IR indications would have been made routinely until the performance of the full power (90 to 100 percent) calorimetric and incore-excore cross-calibration. Additionally, the IR reactor trip is blocked at 10 percent reactor power.
For the NIS PR channels, daily adjustments of PR indication are made as necessary by Operations' personnel when reactor power is greater than 15 percent. These daily adjustments match PR indications to plant calorimetric data. Pe.st reviews of the adjustment _ procedures.between 15 and 30 percent focused primarily on "as-left" data.
Calibrations of the PR channels would have been performed as-required after performance af the 30 percent and full power incore-excore cross-calibrations. For both the IR and PR channels, no accurate calorime:.ric data has been available typically prior to 30 percent reactor power for comparison. A possible reason why a deviation was more evident during this startup may be related to the point in the operating cycle where the EOL detector current was obtained. For this specific case, the last cycle detector current was taken at the extreme E0L condition, thereby maximizing the error.
Cause of Event The preliminary IR and PR calibration values were incorrectly calculated based on misinterpreted vendor information. A Westinghouse letter on low leakage loading (L3 P) schemes stated. that "The expected values of these currents can be estimated from the last previous cycle's Incore-Excore calibration and the predicted X-Y power distribution for the L P3 cycle at HFP conditions." The Reactor Engineering group interpreted this to mean the NIS currents from the last-(EOL) incore-excore calibration
-performed in the previous' cycle, in combination with BOL power distributions from both cycles.
A contributing cause to the duration of the event may have been the lack of procedural guidance concerning the evaluation of deviations.- Disagreement between predicted detector currents and calorimetric indicated power was considered to be solely a function of the inherent uncertainty involved in the prediction and measurement processes,'i.e., the refueling had included a lower leakage loading pattern, gamma-metrics had been installed for the IR detectors, secondary side flow measuring devices had been cleaned and recalibrated, and accuracy of the secondary side L calorimetric data of low power levels is considered inaccurate. As a result, potential for disagreement was considered likely and to some extent unavoidable; resolution of deviations consisted of readjustment of NIS to match best estimate power particularly
,during low power escalation. More detailed evaluation of the cause of the observed deviation in the IR detectors on June 1 may have identified the potential for error in the PR detectors at an earlier point in time.
NRC form 366(6-89)
).. ..--
,NRC Fprm 366A . U.S. NUCLEAR REGULATORY COMMIS$10N Approved OMB No. 3150-0104 (6-89) '* Expires 4/30/92 LKENSEEEVENTRENRI(LER)
TEXT CONTINUATION FACILITY NAME (1) lDOCKETNUMBER(2)l LER NUMBER (6) l l PAGE (3) l l l l$EQUENTIAtl l REVISION l l l l l Sequoyah Nuclear Plant Unit 1 l lYEAR I I NUMBER l l NUMBER l l l l l 1015l0101013 12 17 19 10 l--l 0 l 1 1 1 l--l 0 1 0 1 Ol_$10Fl 01 7 TEXT (If more space is required, use a.iditional NRC Form 366A's) (17)
Analysis of Event This event is reportable in accordance with 10 CFR 50.73(a)(2)(i) as a condition prohibited by TSs and in accordance with 10 CFR 50.73(a)(2)(vii) as a single cause resulting in multiple inoperable channels.
Section 15.2.1.1 of the Updated Final Safety Analysis (UFSAR) states that the reactor trip for a postulated uncontrolled rod cluster control assembly (RCCA) bank withdrawal from suberitical conditions is assumed to be initiated by PR high neutron flux (low setting). The most adverse combination of instrument and setpoint errors, as well as delay for trip signal actuation and RCCA release, is taken into account. A 10 percent increase is assumed for the PR flux trip setpoint raising it from the nominal.value_of 25 percent to 35 percent. Previous results, however, show that rise in the neutron flux is so rapid that the effect of errors in the trip setpoint on the actual time at which the rods are released is negligible. In addition, the reactor trip insertion characteristic is based on the assumption that the highest worth RCCA is stuck in its fully-withdrawn position.
Prior to 24 percent' power, the PR channels were adjusted such that the low flux trip bistables would have actuated at 33 percent (worst case), which is less than the 35 percent setpoint used in the analysis. The plant safety analysis takes no credit for the IR trips, which would have tripped at 38 percent power. Because the IR N channels were newly installed equipment (Gamma-Metrics), for conservatism, the reactor trip biotables had-been set to one-half of their normal 25 percent power setpoint (12 percent). Even with this additional conservatism, during a transient,' reactor power could have reached 38 percent before the first IR channel would have tripped.-
Above 10= percent power, the PR low flux trip and IR trips were blocked as required by
. plant procedures. Between 10 and 24 percent power, the PR positive rate trip would have provided reactor protection for a postulated control rod drive rupture accident.
-Although the positive rate trip was affected by the misalignment (6.2 percent setpoint
-instead of 5 percent), it was still within the TS allowable of.6.3 percent _and would have had little effect on the analysis due to the high rate of power increase predicted
~
for this event.
The uncontrolled rod withdrawal at power event (UFSAR, Section 15.2.2) relies on the PR high flux trip at 109 percent power. With the PR channels improperly calibrated, the high flux trip setpoint was approximately 135 percent, which was outside of the safety analysis-of 118 percent power. Another reactor trip used to mitigate this event is
- over temperature delta temperature (T), provided the reactivity addition rate is within certain limits. Over temperature delta T is used to mitigate slower reactivity insertion rates while the high flux trip is used in faster transients.
-NRC form 366(6-89)
. NRQ T,orm 366A U.S. NUCLEAR REGULATORY COMMIS$10N Approved OMB No. 3150-0104 (6-89) Expires 4/30/42 UCENEE WENT RPORT REO TEXT CONTINUATION
( FACILITY NAME (1) (DOCKETNUMBER(2)l LER NUMBER (6) l I PAGE (3) l l l l$EQUENTIALl l REVISION l l l l l Sequoyah NvClear Plant Unit 1 l lYEAR l I NUMBER l I NUMBER l l l l l 1015l0101013 12 17 19 10 l--! O l 1 11 l--I 0 1 0 I of 610Fl 01 7 TEXT (If more space is required, use additional NRC Form 366A's) (17)
Analysis of Event (Continued)
During power operation between 10 and 24 percent power, control bank D was at least 130 steps out of the core, (range is 0 to 230 steps). For conservatism, if 100 steps out of the core is used, the intergral rod worth for control bank D (from 100 to 230 steps) is 660 percent milli (pcm). Maximum rod speed is 72 steps per minute.
Therefore, it will take 130 steps at 72 steps per minute, which equals 1.8 minutes (108.3 seconds) to withdraw bank D. This corresponds to 660 pcm in 108.3 seconds, which equals 6.09 pcm per second (6.09 E-5 delta k per second) for the average reactivity insertion rate. In accordance with UFSAR Figures 15.2.2.6 and 15.2.2.7 for 60 and.10 percent, a 6.09 E-5 delta k per second rate falls well within the protection envelope of over temperature delta T, and the high flux trip would not have been required. The peak reactivity insertion rate for this scenario is approximately 7.50 E-5 delta k per second. Again, the high flux trip would not have been required.
The RCCA misalignment event (UFSAR, Section 15.2.3) utilizes the PR negative rate trip to mitigate the effect of a dropped group of rods. As with the positive rate trip, the negative rate trip was within the TS allowable value of 6.3 percent.
For the postulated startup of an inactive RCS loop (UFSAR Section 15.2.6), the P-8 (single loop loss of flow) interlock setpoint provides protection because the core power level increases to a power level above P-8 when the inactive loop is started, before loop flow reaches a value sufficient to clear the low-low trip setpoint.
However, SQN procedures restrict the startup of an inactive RCS icop to reach power levels less than 10 percent. This restriction provides sufficient margin to the accident analysis limits that a reactor trip signal is not generated. Therefore, the shift in the P-8 setpoint resulting from the nonconservative NIS PR calibration would have no impact on this event.
Postulated excessive heat removal events from feedwater system malfunctions (UFSAR, Section 15.2.10), are bounded by the uncontrolled RCCA bank withdrawal from suberitical conditions analysis.
In summary, although the reactor trip setpoints were out of TS limits, the consequences were bounded by the UFSAR accident analyses. Additionally, normal administrative controls were in place and utilized to adjust the NIS channels during startup such that the nonconservatisms were corrected by 24 percent power. Therefore, the health and safety of plant personnel or the general public was not adversely affected by this event.
Corrective Action The NIS IR channels were corrected at 4 percent reactor power on June 1, 1990, by the performance of 0-PI-NXX-092-002.0; and the NIS PR channels were corrected at 24 percent reactor power on June 6, 1990, by the performance of SI-78. These corrections are part of the normal NIS corrections performed during power escalation from a refueling i
NRC Fonn 366(6-89)
- l. HRf-form 366A= U.S. NUCLEAR REGULATORY COMMIS$10N Approved OMB No. 3150-0104 (6-89)fr Empires 4/30/92 LKENSEEEYENTREPORT(LER)
TEXT CONTINUATION FACILITY NAME (1) lDOCKETNUMBER(2)i LER NUMBER (M l l PAGE (3) l l l l$EQUENTIALl l REVISION l l l l l
'Sequoyah Nuclear Plant Unit 1 l lYEAR l I NUMBER l I NUMBER l l l l j l0l510101013 12 17 19 10 l- I O l 1 I ) 1-!OI0 1 01 710Fl 01 7 TEXT-(If more space is required ' use additional NRC Form 366AN (17)
Corrective Action (Continued) outage. The NIS PR channels were recalibrated to reflect the new 100 percent reactor power detector currents on June 8, 1990. To prevent recurrence, Pts 1- and 2-PI-NXX-92-001.0 will be revised to require the use of EOL NIS detector currents and fuel assembly power fractions from the last cycle and the corresponding BOL fuel assembly power fractions for the upcoming cycle.
To enhance capability for early identification and correction of NIS anomolles, SI-78 and 0-PI-NXX-092-002.0 will be revised to provide guidance for performing evaluations i of observed deviations in NIS detector indication.
Additional Information A similar event was reported by LER 50-328/89006, which reported the mispositioning of the NIS IR detectors for Unit 3. The NIS PR detectors were not affected during this similar event. Corrective actions for this event were directed at configuration control and the status of Ik indications during power escalation. Although this previous event further heightened sensitivity of station personnel to potential for NIS anomolies, corrective actions would not have been expected to have prevented this event. These events and similar events experienced at other utilities, emphasize the need for continued diligence in improving NIS prediction, monitoring, and assessment performance.
Commitments
- 1. Periodic Instructions 1- and-2-PI-NXX-92-001.0 will be revised before startup from Unit 2 Cycle 4 refueling outage to require the use of "end-of-life" NIS detector
, currents and fuel assembly power fractions from the last cycle and the corresponding "beginning-of-life" fuel assembly power fractions for the upcoming-cycle.
- 2. SI-78 and 0-PI-NXX-092-002.0 wi;1 be revised before startup from the Unit 2 Cycle 4 refueling outage to provide guidance for performing evaluations of observed deviations in NIS detector indications.
0921h-NRC form 366(6-89)
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