LER-1981-026, /03L-0:on 810428,reactor Protection Sys Channel 1 Tripped on Flux/Delta Flux/Flow.Caused by Failure of Flow Differential Pressure Transmitter Primary Power Transformer Shorting to Ground.New Amplifier Installed & Calibr |
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U.S. NUCLEAR REGULATERY COMMISSION NRC FORM 366 87 77)
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60 61 DOCK ET NUVS ER 68 69 EVENT DATE 74 75 REPORT DATE 80 EVENT DESCRIPTION AND PROB A BLE CONSEQUENCES h ITTTl I (NP-33-81-28) On 4/28/81 at 2300 hours0.0266 days <br />0.639 hours <br />0.0038 weeks <br />8.7515e-4 months <br />, Reactor Protection System (RPS) Channel 1 l
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11 i O I l The cause of this occurrence was the failure of the flow differential pressure trans-lmitter pricary power transformer shorting to ground and causing the transmitter ampli-l i i l fier output to go low.
Under WO IC-405-81, a new amplifier assembiv was installed I
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(419) 259-5000, Ext. 231?
John Werner PHONE:
DVR 81-057 NAVE Of PREPARER a
o TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION UNIT ONE SUPPLEMENTAL INFORMATION FOR LER NP-33-81-28 DATE OF EVENT: April 28, 1981 FACILITY: Davis-Besse Unit 1 IDENTIFICATION OF OCCURRENCE: Loss of Channel 1 Reactor Coolant Flow Signal to the Reactor Protection Systea (RPS)
Conditions Prior to Occurrence: The unit was in Mode 1 with Power (MWT) = 2550 and Load (Gross MRE) = 836 Description of Occurrence: On April 28, 1981.at approximately 2300 hours0.0266 days <br />0.639 hours <br />0.0038 weeks <br />8.7515e-4 months <br />, RPS Channel 1 tripped on flux / delta flux / flow.
Investigation revealed that the Chan-nel 1 Loop A flow signal had failed to zero. Loop A flow on all other channels indicated normal flow conditions. This placed the unit in Action Statement 2 of Technical Specification 3.3.1.1, which required the intnerable channel to be placed in a tripped condition. The channel was declarea inoperable, and the chan-nel left in the tripped condition.
. Designation of Apparent Cause of Occurrence: The apparent cause of this occurrence was the failure of the flow transmitter primary power transformer shorting to ground and causing the transmitter amplifier output to go low.
Analysis of Occurrence: There was no danger to the health and safety of the public or to station personnel. Reactor coolant flow'did not vary, only one of eight differential pressure transmitters failed.
Corrective Action
Maintenance Work Order IC-405-81 was issued for repair. Inves-tigation revealed icw resistance readings to ground on both 115 VAC power leads to the transmitter (one lead read approximately 20 ohms to ground and the other lead read approximately 100 ohms to ground). Unit power was decreased to 10%, the trans-mitter was removed from containment, a new amplifier assembly installed and cali-I brated, and the transmitter re-installed and put into servf.ce. A time response and calibration check per ST 5030.05 were satisfactorily performed, and the channel declared operable at about 1900 hours0.022 days <br />0.528 hours <br />0.00314 weeks <br />7.2295e-4 months <br /> on May 3, 1981, thus removing the unit from the action statement of Technical Specifciation 3.3.1.1.
The failed flow transmitter was a Bailey BY differential pressure transmitter, which has a history of a high failure rate.
Facility Change Faquest 78-525 has been approved for implementation and will replace all Bailey transmitters in containment with Rosemont detectors. This was not done at this time because the new transmitters have not yet been received from Rosemont. The failed Bailey amplifier aasembly did have its primary transformer winding shorted to ground, and the transformer did show some discoloration due to possible overheating.
LER #81-026
TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION UNIT ONE SUPPLEMENTAL INFORMATION FOR LER NP-33-81-28 PAGE 2 Failure Data: There have been two previous failures of reactor cooiant flow trans-mitters, see Licensee Ovent Reports NP-33-78-24 and NP-33-78-117.
LER #81-026 e
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| 05000346/LER-1981-001, Forwards LER 81-001/01X-1 | Forwards LER 81-001/01X-1 | | | 05000346/LER-1981-001-01, /01X-1:on 810107,discovered Contractor Personnel on 801204 Disassembled Restraints Other than Those Requested & Failed to Perform Reassembly in Timely Manner. Caused by Inadequate Procedural Control | /01X-1:on 810107,discovered Contractor Personnel on 801204 Disassembled Restraints Other than Those Requested & Failed to Perform Reassembly in Timely Manner. Caused by Inadequate Procedural Control | | | 05000346/LER-1981-002-03, /03L-0:on 810102,reactor Coolant Pump 1-2 Was Shutdown Due to High Seal Return Temp & Deteriorating Seal Staging & on 810106,pump 2-1 Was Shutdown for Deteriorating Seal Staging.Caused by Seal Degradation.Seals Replaced | /03L-0:on 810102,reactor Coolant Pump 1-2 Was Shutdown Due to High Seal Return Temp & Deteriorating Seal Staging & on 810106,pump 2-1 Was Shutdown for Deteriorating Seal Staging.Caused by Seal Degradation.Seals Replaced | | | 05000346/LER-1981-002, Forwards LER 81-002/03L-0 | Forwards LER 81-002/03L-0 | | | 05000346/LER-1981-003-03, /03L-0:on 810106,breaker HX02B Tripped, de-energizing Bus B Which Reduced Electrical Distribution Less than Tech Specs Required.Caused by Personnel Error. Breakers Restored.Operators Counselled Re Attentiveness | /03L-0:on 810106,breaker HX02B Tripped, de-energizing Bus B Which Reduced Electrical Distribution Less than Tech Specs Required.Caused by Personnel Error. Breakers Restored.Operators Counselled Re Attentiveness | | | 05000346/LER-1981-003, Forwards LER 81-003/03L-0 | Forwards LER 81-003/03L-0 | | | 05000346/LER-1981-004, Forwards LER 81-004/03X-1 | Forwards LER 81-004/03X-1 | | | 05000346/LER-1981-005-03, /03L-0:on 810114,RCS Chloride Concentration Exceeded Tech Spec Limit.Caused by Use of Spotcheck in Cleaning Reactor Coolant Pump Seal Cavities.Instructions Issued for Use of Solvents in RCS | /03L-0:on 810114,RCS Chloride Concentration Exceeded Tech Spec Limit.Caused by Use of Spotcheck in Cleaning Reactor Coolant Pump Seal Cavities.Instructions Issued for Use of Solvents in RCS | | | 05000346/LER-1981-005, Forwards LER 81-005/03L-0 | Forwards LER 81-005/03L-0 | | | 05000346/LER-1981-006-03, /03L-0:on 810119,power Lost to Safety Features Actuation Sys Channel 1 Cabinet.Caused by Blown Supply Fuse from Panel Y-1 Due to Procedure Deficiency.Fuse Replaced & Procedure Modified | /03L-0:on 810119,power Lost to Safety Features Actuation Sys Channel 1 Cabinet.Caused by Blown Supply Fuse from Panel Y-1 Due to Procedure Deficiency.Fuse Replaced & Procedure Modified | | | 05000346/LER-1981-006, Forwards LER 81-006/03L-0 | Forwards LER 81-006/03L-0 | | | 05000346/LER-1981-007, Forwards LER 81-007/03L-0 | Forwards LER 81-007/03L-0 | | | 05000346/LER-1981-007-03, /03L-0:on 810122,door 306 Found Partially Open,So That Spent Fuel Pool Emergency Ventilation Sys Could Not Have Maintained Area at Correct Pressure.Caused by Maladjusted Door Closure.Maint Work Order Issued | /03L-0:on 810122,door 306 Found Partially Open,So That Spent Fuel Pool Emergency Ventilation Sys Could Not Have Maintained Area at Correct Pressure.Caused by Maladjusted Door Closure.Maint Work Order Issued | | | 05000346/LER-1981-008, Forwards LER 81-008/03L-0 | Forwards LER 81-008/03L-0 | | | 05000346/LER-1981-008-03, /03L-0:on 810127,345 Kv Switchyard Bus K Tripped & Locked out,de-energizing Startup Transformer 02.Caused by Action from Directional Ground Current Relay & Charred Phase Lightning Arrestor C on Startup Transformer | /03L-0:on 810127,345 Kv Switchyard Bus K Tripped & Locked out,de-energizing Startup Transformer 02.Caused by Action from Directional Ground Current Relay & Charred Phase Lightning Arrestor C on Startup Transformer | | | 05000346/LER-1981-009-03, /03L-0:on 810128,diesel Generator 1-2 Could Not Be Started W/Left Side Set of Air Start Motors During Diesel Generator Surveillance Test 5081.01.Caused by Failure of One Air Start Motor Due to Broken Solenoid Drive Shaft | /03L-0:on 810128,diesel Generator 1-2 Could Not Be Started W/Left Side Set of Air Start Motors During Diesel Generator Surveillance Test 5081.01.Caused by Failure of One Air Start Motor Due to Broken Solenoid Drive Shaft | | | 05000346/LER-1981-009, Forwards LER 81-009/03L-0 | Forwards LER 81-009/03L-0 | | | 05000346/LER-1981-010, Forwards LER 81-010/03L-0 | Forwards LER 81-010/03L-0 | | | 05000346/LER-1981-010-03, /03L-0:on 810202,MSIV Bypass Valve Ms 100 a Failed to Close.Probably Caused by Component Failure.Actuator Spring Adjusted to Increase Tension Until Valve Would Close | /03L-0:on 810202,MSIV Bypass Valve Ms 100 a Failed to Close.Probably Caused by Component Failure.Actuator Spring Adjusted to Increase Tension Until Valve Would Close | | | 05000346/LER-1981-011, Forwards LER 81-011/03L-0 | Forwards LER 81-011/03L-0 | | | 05000346/LER-1981-011-03, /03L-0:on 810205,post-accident Monitoring Instrument HPI Flow 1-2 Was Declared Inoperable.Caused by Bad Current Buffer.Current Buffer Was Repaired,Recalibr & Reinstalled.Hpi Flow 1-2 Was Returned to Operable Status | /03L-0:on 810205,post-accident Monitoring Instrument HPI Flow 1-2 Was Declared Inoperable.Caused by Bad Current Buffer.Current Buffer Was Repaired,Recalibr & Reinstalled.Hpi Flow 1-2 Was Returned to Operable Status | | | 05000346/LER-1981-012-03, /03L-0:on 810212,control Rod 1-3 Absolute Position Indication Declared Inoperable Due to Fluctuating Signals Causing Asymmetric Rod Alarms.Exact Cause Undetermined,But Absolute Position Indication Leads Picking Up Noise | /03L-0:on 810212,control Rod 1-3 Absolute Position Indication Declared Inoperable Due to Fluctuating Signals Causing Asymmetric Rod Alarms.Exact Cause Undetermined,But Absolute Position Indication Leads Picking Up Noise | | | 05000346/LER-1981-012, Forwards LER 81-012/03L-0 | Forwards LER 81-012/03L-0 | | | 05000346/LER-1981-013-03, /03L-0:on 810218,control Room Normal Ventilation Dampers Tripped Shut Resulting in No Power Available to Chlorine Detector 1 Above Control Room or in Block House. Caused by Failure of 10 Amp Fuse of Circuit Y111 | /03L-0:on 810218,control Room Normal Ventilation Dampers Tripped Shut Resulting in No Power Available to Chlorine Detector 1 Above Control Room or in Block House. Caused by Failure of 10 Amp Fuse of Circuit Y111 | | | 05000346/LER-1981-013, Forwards LER 81-013/03L-0 | Forwards LER 81-013/03L-0 | | | 05000346/LER-1981-014-03, /03X-1:on 810226,decay Heat Valve 64 Would Not Open During Testable ECCS Valves Quarterly Test.Caused by Loose Set Rod Bushing,Allowing Gear Box Set Rod to Move Which Unlocked Limit Switches from Adjusted Position | /03X-1:on 810226,decay Heat Valve 64 Would Not Open During Testable ECCS Valves Quarterly Test.Caused by Loose Set Rod Bushing,Allowing Gear Box Set Rod to Move Which Unlocked Limit Switches from Adjusted Position | | | 05000346/LER-1981-014, Forwards LER 81-014/03X-1 | Forwards LER 81-014/03X-1 | | | 05000346/LER-1981-015-03, /03L-0:on 810227,access Door 107 Found Propped Open from ECCS 2 Pump Room 115 to Miscellaneous Waste Monitor Tank & Pump Room 114.Caused by Failure to Follow Posted Signs While Clearing Odor from Room | /03L-0:on 810227,access Door 107 Found Propped Open from ECCS 2 Pump Room 115 to Miscellaneous Waste Monitor Tank & Pump Room 114.Caused by Failure to Follow Posted Signs While Clearing Odor from Room | | | 05000346/LER-1981-015, Forwards LER 81-015/03L-0 | Forwards LER 81-015/03L-0 | | | 05000346/LER-1981-016, Forwards LER 81-016/03L-0 | Forwards LER 81-016/03L-0 | | | 05000346/LER-1981-016-03, /03L-0:on 810308,dose Equivalent I-131 Level Exceeded Tech Spec Limit.Caused by Gas Leakage Through Fuel Cladding.Levels Monitored | /03L-0:on 810308,dose Equivalent I-131 Level Exceeded Tech Spec Limit.Caused by Gas Leakage Through Fuel Cladding.Levels Monitored | | | 05000346/LER-1981-017-03, /03L-0:on 810309,train 2 Hpi/Low Pressure Injection cross-connect Isolation Valve Dh 63 Would Not Open from Control Room During Quarterly Valve Surveillance Test 5051.13.Caused by Faulty Torque Switch in Valve Operator | /03L-0:on 810309,train 2 Hpi/Low Pressure Injection cross-connect Isolation Valve Dh 63 Would Not Open from Control Room During Quarterly Valve Surveillance Test 5051.13.Caused by Faulty Torque Switch in Valve Operator | | | 05000346/LER-1981-017, Forwards LER 81-017/03L-0 | Forwards LER 81-017/03L-0 | | | 05000346/LER-1981-018-03, /03L-0:on 810322 & 0401,chlorine Detector Ae 5358B Tripped.First Trip Probably Caused by Fouled Detector. Detector Cleaned.Detector & Circuit Board Replaced After Second Failure | /03L-0:on 810322 & 0401,chlorine Detector Ae 5358B Tripped.First Trip Probably Caused by Fouled Detector. Detector Cleaned.Detector & Circuit Board Replaced After Second Failure | | | 05000346/LER-1981-018, Forwards LER 81-018/03L-0 | Forwards LER 81-018/03L-0 | | | 05000346/LER-1981-019-03, /03L-0:on 810323,fluctuating Signals W/Numerous Asymmetric Rod Alarms Received,Resulting in Control Rod 4-7 Absolute Position Indication Inoperability.Probably Caused by Electrical Penetration Module Deficiency | /03L-0:on 810323,fluctuating Signals W/Numerous Asymmetric Rod Alarms Received,Resulting in Control Rod 4-7 Absolute Position Indication Inoperability.Probably Caused by Electrical Penetration Module Deficiency | | | 05000346/LER-1981-019, Forwards LER 81-019/03L-0 | Forwards LER 81-019/03L-0 | | | 05000346/LER-1981-020-03, /03L-0:on 810324,valve CV5011A,on Containment Air Sample Inlet Line to Hydrogen Analyzer,Would Not Stroke Closed W/Monitor Operator.Caused by Badly Worn Tripper in Motor Operator.Tripper Levers Replaced | /03L-0:on 810324,valve CV5011A,on Containment Air Sample Inlet Line to Hydrogen Analyzer,Would Not Stroke Closed W/Monitor Operator.Caused by Badly Worn Tripper in Motor Operator.Tripper Levers Replaced | | | 05000346/LER-1981-020, Forwards LER 81-020/03L-0 | Forwards LER 81-020/03L-0 | | | 05000346/LER-1981-021-03, /03L-0:on 810401,half Trip Occurred from Steam & Feedwater Rupture Control Sys Channel 1 Low Steam Generator Level Trip.Caused by Power Supply Failure.Power Supply Replaced Per Work Order on 810402 | /03L-0:on 810401,half Trip Occurred from Steam & Feedwater Rupture Control Sys Channel 1 Low Steam Generator Level Trip.Caused by Power Supply Failure.Power Supply Replaced Per Work Order on 810402 | | | 05000346/LER-1981-021, Forwards LER 81-021/03L-0 | Forwards LER 81-021/03L-0 | | | 05000346/LER-1981-022, Forwards LER 81-022/03L-0 | Forwards LER 81-022/03L-0 | | | 05000346/LER-1981-022-03, /03L-0:on 810316,NRC Site Inspector Reported Finding Four 0.5-inch Holes Through Control Room Equipment Room East Fire Wall.On 810403,two Holes Found in Wall of Room 427B.Caused by Personnel Error | /03L-0:on 810316,NRC Site Inspector Reported Finding Four 0.5-inch Holes Through Control Room Equipment Room East Fire Wall.On 810403,two Holes Found in Wall of Room 427B.Caused by Personnel Error | | | 05000346/LER-1981-023-03, /03L-1:on 810403,decay Heat Cooler Outlet Valve CC1467 Stroked Closed During Component Cooling Water Monthly Test & Would Not Reopen.Caused by Excessive Wear on Actuator Due to Design Deficiency.Actuator Rebuilt | /03L-1:on 810403,decay Heat Cooler Outlet Valve CC1467 Stroked Closed During Component Cooling Water Monthly Test & Would Not Reopen.Caused by Excessive Wear on Actuator Due to Design Deficiency.Actuator Rebuilt | | | 05000346/LER-1981-023, Forwards LER 81-023/03L-1 | Forwards LER 81-023/03L-1 | | | 05000346/LER-1981-024, Forwards LER 81-024/03L-0 | Forwards LER 81-024/03L-0 | | | 05000346/LER-1981-024-03, /03L-0:on 810418,bus J Was Rapidly Taken Out of Svc W/O Providing for Alternate Power Supply for Decay Heat Pump 1-1.Caused by Personnel Error.Procedure Modified & Operator Informed of Mods | /03L-0:on 810418,bus J Was Rapidly Taken Out of Svc W/O Providing for Alternate Power Supply for Decay Heat Pump 1-1.Caused by Personnel Error.Procedure Modified & Operator Informed of Mods | | | 05000346/LER-1981-025, Forwards LER 81-025/03L-0 | Forwards LER 81-025/03L-0 | | | 05000346/LER-1981-025-03, /03L-0:on 810423,during Review of Safety Tagging Log,Unit Entered Mode 4 W/O Required Two Makeup Pumps Operable.Caused by Personnel Error.Pumps Restored to Operation.Personnel Reinstructed in Procedures | /03L-0:on 810423,during Review of Safety Tagging Log,Unit Entered Mode 4 W/O Required Two Makeup Pumps Operable.Caused by Personnel Error.Pumps Restored to Operation.Personnel Reinstructed in Procedures | | | 05000346/LER-1981-026-03, /03L-0:on 810428,reactor Protection Sys Channel 1 Tripped on Flux/Delta Flux/Flow.Caused by Failure of Flow Differential Pressure Transmitter Primary Power Transformer Shorting to Ground.New Amplifier Installed & Calibr | /03L-0:on 810428,reactor Protection Sys Channel 1 Tripped on Flux/Delta Flux/Flow.Caused by Failure of Flow Differential Pressure Transmitter Primary Power Transformer Shorting to Ground.New Amplifier Installed & Calibr | |
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