LER-1978-039, /03L-0:on 780417,containment High Radiation Channel 4 Setpoint Out of Tolerance.Caused by Component Failure.Bistable Drifted from Manual Setpoint.Setpoint for Channel 4 Adjusted to Value within Tolerance |
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60 68 CoCKET NuMsER 68 69 EVENT oATg 74 75 REPomToATE 80 EVENT DESCRIPTION AND PROBABLE CONSEQUdNCES h Io Ial l At 1445 hours0.0167 days <br />0.401 hours <br />0.00239 weeks <br />5.498225e-4 months <br /> on 4/17/78, the designated reviewer of Surveillance Test ST 5031.01, I
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.Iotal ] SFAS Monthly Test, which was performed on 4/14/78, found that the Contain=ent High l
Io14l l Radiation Trip Bistable for SFAS Channel 4 was out of tolerance.
This occurrence l
l o i s ; l placed the unit in Action Statement 9 of Technical Specification 3.3.2.1.
There was l 1
1 no dangGT to the health and safety of the public or unit personnel.
Three other SFAS l l o l6 l l O l 7 ] l Containment High Rt.diation Channels were operable during the period that Channel 4 l
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I o I8 i g High Radiation Trip Bistable was inoperable.
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44 47 CAUSE DESCRIPTION AND CORRECTIVE ACTIONS 27 l31ojl The cause of this occurrence was component failure. The bistable had drif ted from l
l3 lij l its manual setpoint. An Instrument and Control technician, in conjunction with an i
I i i 21 1 operator, adjusted the setpoint for SFAS Channel 4 Contain=ent High Radiation to a
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ii,Ai l Specification 3.3.2.1 at 1530 hours0.0177 days <br />0.425 hours <br />0.00253 weeks <br />5.82165e-4 months <br /> on April 17, 1978.
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TOLEDO EDISON COMPANY DAVIS-BESSE UNIT ONE NUCLEAR POWER STATION
-~s SUPPLEMENTAI, INFORMATION FOR LER NP-33-78-47 l
DATE OF EVENT: April 17, 1978 FACILITY: " Davis-Besse Unit 1 I_DENTIFICATION OF OCCURRENCE:
Safety Features Actuation System (SFAS) Containment High Radiation Channel 4 setpoint out of tolerance.
Conditions Prior to occurrence:
The unit was in Mode 1, with Power (HRT) = 1838 and Load (MRE) = 606.
l Description of Occurrence: At 1445 hours0.0167 days <br />0.401 hours <br />0.00239 weeks <br />5.498225e-4 months <br /> on April 17, 1978, the designated reviewer of Surveillance Test ST 5031.01, "S7AS Monthly Test", which was per-i formed on April 14, 1978 found that the Contain=ent High Radiation Trip Bistable for SEAS Channel 4 was out of tolerance in the non-conservative direction.
This occurrence placed the unit in Action Statement 9 of Technical Specification 3.3.2.1.
Technical Specification 3.3.2.1 requires that each of four Containment Radiation High Instrument Channels be operable in all modes.
Action Statement 9 states b that power operation may proceed, provided the inoperable unit is placed in the tripped condition within one hour, and three other SFAS Containment Radiation High Instrument Channels are operable.
Designation of Apparent Cause of Occurrence: The cause of this occurrence was component failure. The bistable had drif ted from its manual setpoint. The bi-stable was not immediately adjusted because of personnel error on the part of 1
the operator who performed the Surveillance Test.
The Surveillance Test, ST 5031.01, specifically states that if the trip bistable i's out of tolerance, it is to be declared inoperable and adjusted immediately.
In this case, the 4
operator did not realize that it was out of tolerance, and failed to declare the channel inoperable on April 14, 1978.
I i
Analvsis of Occurrence: There was no danger to the health and safety of the j
public or unit personnel.
Three other SFAS Containment High Radiatica Channels j
were operable during the period that Channel 4 High Radiation Trip Bistable was inoperable.
The system would have. performed as designed given high radiation levels inside containment.
1 i
LER.#78-039 t
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- - l TOLEDO EDISON COMPANY g
DAVIS-BESSE UNIT ONE NUCLEAR F0WER STATION j
SUPPLEMENTAL INFORMATION'FOR LER NP-33-78-47 PAGE 2
Corrective Action
Upon discovery of this occurrence the designated reviewer of Surveillance Test ST 5031.01 immediately notified the Instrument and Control Shop of the situation. An Instrument and Contro1 mechanic, in conjunction with an operator, adjusted the setpoint for SFAS Channel 4 Containment High Radiation to a value within tolerance.
The unit was removed from Action Statement 9.of Technical Specification 3.3.2.1 at 1530 hours0.0177 days <br />0.425 hours <br />0.00253 weeks <br />5.82165e-4 months <br /> on April 17, 1978.
The operator who performed ST 5031.01 has been made cognizant of the i=portance of having the channel declared inoperable should the trip bistable setpoint be found out of tolerance.
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6 Failure Data: There have been no previously reportable occurrences involving SFAS Channel inoperability due to setpoint drift.
LER #78-039
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| 05000346/LER-1978-002-03, /03L-0:on 780103,control Rod Group 5 Rod 12 Absolute Position Indication Declared Inoperable.Caused by Component Failure of Absolute Position Indicator Reed Switch.Switch Replaced | /03L-0:on 780103,control Rod Group 5 Rod 12 Absolute Position Indication Declared Inoperable.Caused by Component Failure of Absolute Position Indicator Reed Switch.Switch Replaced | | | 05000346/LER-1978-002, Forwards LER 78-002/03L-0 | Forwards LER 78-002/03L-0 | | | 05000346/LER-1978-003-03, /03L-0:on 780103,unidentified RCS Leakage Greater than 1,66 Gallon Per Minute.Caused by Loose Packing on Valve DH2735.Valve Repacked & Stroked | /03L-0:on 780103,unidentified RCS Leakage Greater than 1,66 Gallon Per Minute.Caused by Loose Packing on Valve DH2735.Valve Repacked & Stroked | | | 05000346/LER-1978-003, Forwards LER 78-003/03L-0 | Forwards LER 78-003/03L-0 | | | 05000346/LER-1978-004, Forwards LER 78-004/03L-0 | Forwards LER 78-004/03L-0 | | | 05000346/LER-1978-004-03, /03L-0:on 780105,inlet Balancing Dampers to Emergency Ventilation Sys Fans 1-1 & 1-2 Found Closed.Cause Unknown.Dampers Returned to Balance Position & Locknut Tightened | /03L-0:on 780105,inlet Balancing Dampers to Emergency Ventilation Sys Fans 1-1 & 1-2 Found Closed.Cause Unknown.Dampers Returned to Balance Position & Locknut Tightened | | | 05000346/LER-1978-005-03, /03L-0:on 780106,auxiliary Feed Pump Turbine 1-1 Speed Control Lost & Declared Inoperable.Caused by Short Circuits & Blown Fuses Due to Design Deficiency.Higher Current Rated Relays Installed & Circuit Modified | /03L-0:on 780106,auxiliary Feed Pump Turbine 1-1 Speed Control Lost & Declared Inoperable.Caused by Short Circuits & Blown Fuses Due to Design Deficiency.Higher Current Rated Relays Installed & Circuit Modified | | | 05000346/LER-1978-005, Forwards LER 78-005/03L-0 | Forwards LER 78-005/03L-0 | | | 05000346/LER-1978-006-03, /03L-0:on 780107,computer Alarm Indicated That Steam & Feedwater Rupture Control Sys Steam Generator to Feedwater Differential Pressure Channel 1 Had Tripped.Caused by Component Failure.Input Buffer 1-3 in Channel 1 Replaced | /03L-0:on 780107,computer Alarm Indicated That Steam & Feedwater Rupture Control Sys Steam Generator to Feedwater Differential Pressure Channel 1 Had Tripped.Caused by Component Failure.Input Buffer 1-3 in Channel 1 Replaced | | | 05000346/LER-1978-006, Forwards LER 78-006/03L-0 | Forwards LER 78-006/03L-0 | | | 05000346/LER-1978-007-03, /03L-0:on 780109,during Monthly Surveillance Test ST 5081.01,diesel Generator 1-1 Tripped on High Crankcase Pressure.Caused by Dirty Crankcase Vent Oil Collector.Vent Oil Collector Disassembled & Cleaned | /03L-0:on 780109,during Monthly Surveillance Test ST 5081.01,diesel Generator 1-1 Tripped on High Crankcase Pressure.Caused by Dirty Crankcase Vent Oil Collector.Vent Oil Collector Disassembled & Cleaned | | | 05000346/LER-1978-007, Forwards LER 78-007/03L-0 | Forwards LER 78-007/03L-0 | | | 05000346/LER-1978-008-03, /03L-0:on 780112,both Containment Spray Pumps Found Inoperable.Caused by Personnel Error.Spray Pump Circuit Breakers re-energized | /03L-0:on 780112,both Containment Spray Pumps Found Inoperable.Caused by Personnel Error.Spray Pump Circuit Breakers re-energized | | | 05000346/LER-1978-008, Forwards LER 78-008/03L-0 | Forwards LER 78-008/03L-0 | | | 05000346/LER-1978-009-03, /03L-0:on 780112,component Cooling Water Heat Exchanger 1-1 Outlet Isolation Valve SW 1424 Declared Inoperable.Caused by Component Failure.Solenoid Valve in Control Scheme Found Burned Out.Unit Removed | /03L-0:on 780112,component Cooling Water Heat Exchanger 1-1 Outlet Isolation Valve SW 1424 Declared Inoperable.Caused by Component Failure.Solenoid Valve in Control Scheme Found Burned Out.Unit Removed | | | 05000346/LER-1978-009, Forwards LER 78-009/03L-0 | Forwards LER 78-009/03L-0 | | | 05000346/LER-1978-010-03, /03L-0:on 780115, Reactor Coolant Pump Monitor on Channel 1 Found Out of Tolerance & Reactor Protection Sys Declared Inoperable.Caused by Defective Module.New Module Calibr & Installed | /03L-0:on 780115, Reactor Coolant Pump Monitor on Channel 1 Found Out of Tolerance & Reactor Protection Sys Declared Inoperable.Caused by Defective Module.New Module Calibr & Installed | | | 05000346/LER-1978-010, Forwards LER 78-010/O3L-0 | Forwards LER 78-010/O3L-0 | | | 05000346/LER-1978-011, Forwards LER 78-011/03L-0 | Forwards LER 78-011/03L-0 | | | 05000346/LER-1978-011-03, /03L-0:on 780116,during Surveillance Test,Decay Heat Pump 1-1 Failed to Start.Caused by Fuses in Breaker for Decay Heat Motor Failing to Make Proper Contact.Control Power Fuese Pulled & Reinserted.Pump Returned to Svc | /03L-0:on 780116,during Surveillance Test,Decay Heat Pump 1-1 Failed to Start.Caused by Fuses in Breaker for Decay Heat Motor Failing to Make Proper Contact.Control Power Fuese Pulled & Reinserted.Pump Returned to Svc | | | 05000346/LER-1978-012, Forwards LER 78-012/03L-0 | Forwards LER 78-012/03L-0 | | | 05000346/LER-1978-012-03, /03L-0:on 780124,personnel Airlock Failed Leak Rate Test.Caused by Loose Shaft Seal Due to Routine Use of Personnel & Escape Lock (Exit/Entry to Containment).Shaft Seals Tightened to Prevent Excessive Leakage | /03L-0:on 780124,personnel Airlock Failed Leak Rate Test.Caused by Loose Shaft Seal Due to Routine Use of Personnel & Escape Lock (Exit/Entry to Containment).Shaft Seals Tightened to Prevent Excessive Leakage | | | 05000346/LER-1978-013-03, /03L-0:780119,Cell 32 in Station Battery 1N Electrolyte Specific Gravity Decreased 0.003 Greater than Allowed by Tech Spec 3.8.2.3.Caused by Electrolyte Stratification Due to Low Battery Loading | /03L-0:780119,Cell 32 in Station Battery 1N Electrolyte Specific Gravity Decreased 0.003 Greater than Allowed by Tech Spec 3.8.2.3.Caused by Electrolyte Stratification Due to Low Battery Loading | | | 05000346/LER-1978-013, Forwards LER 78-013/03L-0 | Forwards LER 78-013/03L-0 | | | 05000346/LER-1978-014, Forwards LER 78-014/03L-0 | Forwards LER 78-014/03L-0 | | | 05000346/LER-1978-014-03, /03L-0:on 780123,quandrant Power Tilt in Excess of Steady State & Transient Limits Indicated by Unit Process Computer.Caused by Detector Inadvertently Left Off Scan After Testing.Test Procedure Being Modified | /03L-0:on 780123,quandrant Power Tilt in Excess of Steady State & Transient Limits Indicated by Unit Process Computer.Caused by Detector Inadvertently Left Off Scan After Testing.Test Procedure Being Modified | | | 05000346/LER-1978-015, Forwards LER 78-015/03L-0 | Forwards LER 78-015/03L-0 | | | 05000346/LER-1978-015-03, /03L-0:on 780131,feedwater Steam Generator 1 Channel 2 Pressure Differential Switch Did Not Actuate at Desired Setpoint During Surveillance Test.Caused by Pressure Differential Switch Out of Tolerance | /03L-0:on 780131,feedwater Steam Generator 1 Channel 2 Pressure Differential Switch Did Not Actuate at Desired Setpoint During Surveillance Test.Caused by Pressure Differential Switch Out of Tolerance | | | 05000346/LER-1978-016-03, /03L-1:on 780202,absolute Position Indicator for Group 5,Rod 12,declared Inoperable.Caused by Component Failure in Penetration Area.Containment Conductors Connected to Spare Penetration Connector | /03L-1:on 780202,absolute Position Indicator for Group 5,Rod 12,declared Inoperable.Caused by Component Failure in Penetration Area.Containment Conductors Connected to Spare Penetration Connector | | | 05000346/LER-1978-016, Forwards LER 78-016/03L-1,LER 78-021/03L-1,LER 78-100/03L-1, LER 78-034-03L-1 & LER 78-024/03L-1 | Forwards LER 78-016/03L-1,LER 78-021/03L-1,LER 78-100/03L-1, LER 78-034-03L-1 & LER 78-024/03L-1 | | | 05000346/LER-1978-017, Forwards LER 78-017/03L-0 | Forwards LER 78-017/03L-0 | | | 05000346/LER-1978-017-03, /03L-0:on 780126,all Meteorological Channels Became Inoperable During Blizzard.Caused by Instrumentation Power Loss Due to Tripped Breaker at Meteorological Tower. Breaker Reset on 780128 | /03L-0:on 780126,all Meteorological Channels Became Inoperable During Blizzard.Caused by Instrumentation Power Loss Due to Tripped Breaker at Meteorological Tower. Breaker Reset on 780128 | | | 05000346/LER-1978-018-03, /03L-0:on 780208,diesel Generator 1-1 Making Unusual Noises During Monthly Test.Unusual Noise Traced to Turbocharger.Exact Cause Undetermined.Turbocharger Replaced & Diesel Generator Monthly Test Completed | /03L-0:on 780208,diesel Generator 1-1 Making Unusual Noises During Monthly Test.Unusual Noise Traced to Turbocharger.Exact Cause Undetermined.Turbocharger Replaced & Diesel Generator Monthly Test Completed | | | 05000346/LER-1978-018, Forwards LER 78-018/03L-0 | Forwards LER 78-018/03L-0 | | | 05000346/LER-1978-019-03, /03L-1:on 780210,decay Heat Cooler Outlet Valve DH14A & DH14B Mechanical Stops Found Incorrectly Opened. Caused by Personnel Incorrectly Resetting Stops After Previous Work Completion.Stops Tagged & Records Marked | /03L-1:on 780210,decay Heat Cooler Outlet Valve DH14A & DH14B Mechanical Stops Found Incorrectly Opened. Caused by Personnel Incorrectly Resetting Stops After Previous Work Completion.Stops Tagged & Records Marked | | | 05000346/LER-1978-020, Forwards LER 78-020/03L-0 | Forwards LER 78-020/03L-0 | | | 05000346/LER-1978-020-03, /03L-0:on 780210,reactor Protection Sys Channel 3 Hot Leg Temp String TI-RC3B4 Declared Inoperable.Caused by Loose Wire Connection.Loose Terminal at Temp Element Tightened,Rendering TI-RC3B4 Operable | /03L-0:on 780210,reactor Protection Sys Channel 3 Hot Leg Temp String TI-RC3B4 Declared Inoperable.Caused by Loose Wire Connection.Loose Terminal at Temp Element Tightened,Rendering TI-RC3B4 Operable | | | 05000346/LER-1978-021-03, /03L-1:on 780220,absolute Position Indicator for Control Rod 12 of Group 5 Declared Inoperable.Caused by Component Failure in Penetration Area.Conductors Connected W/Spare Penetration Connectors | /03L-1:on 780220,absolute Position Indicator for Control Rod 12 of Group 5 Declared Inoperable.Caused by Component Failure in Penetration Area.Conductors Connected W/Spare Penetration Connectors | | | 05000346/LER-1978-022-03, /03L-0:on 780223,flow Transmitter FTRC1A3 Found Inoperable.Caused by Defective Flow Transmitter Amplifier. Amplifier Replaced & Flow Transmitter FTRC1A3 Returned to Svc on 780226 | /03L-0:on 780223,flow Transmitter FTRC1A3 Found Inoperable.Caused by Defective Flow Transmitter Amplifier. Amplifier Replaced & Flow Transmitter FTRC1A3 Returned to Svc on 780226 | | | 05000346/LER-1978-022, Forwards LER 78-022/03L-0 | Forwards LER 78-022/03L-0 | | | 05000346/LER-1978-023-03, /03L-0:on 780224,temp Indication for Reactor Protection Sys Channel 2 Spiked Tripping Channel & Shut Down Reactor.Caused by Faulty Connector Due to Dirt on Contacts. Channel 2 Temp String Modules Removed & Connectors Cleaned | /03L-0:on 780224,temp Indication for Reactor Protection Sys Channel 2 Spiked Tripping Channel & Shut Down Reactor.Caused by Faulty Connector Due to Dirt on Contacts. Channel 2 Temp String Modules Removed & Connectors Cleaned | | | 05000346/LER-1978-023, Forwards LER 78-023/03L-0 | Forwards LER 78-023/03L-0 | | | 05000346/LER-1978-024-03, /03L-1:on 780228,MSIV MS-101 Rendered Inoperable to Allow Maint Personnel to Remove Raised Metal on Two of Four Spring Guide Tubes.Cause of Raised Metal Unknown.Metal Filed Down,Valve Closing Time Adjusted & Valve Tested | /03L-1:on 780228,MSIV MS-101 Rendered Inoperable to Allow Maint Personnel to Remove Raised Metal on Two of Four Spring Guide Tubes.Cause of Raised Metal Unknown.Metal Filed Down,Valve Closing Time Adjusted & Valve Tested | | | 05000346/LER-1978-025-03, /03L-0:on 780304,RCS Leakage Found Greater than 1 Gallon Per Minute.Leakage Cause Undetermined.Leakages Processed Through Normal Containment Sump.Unidentified RCS Leakage Reduced Below 1 Gallon Per Minute in 5.5-h | /03L-0:on 780304,RCS Leakage Found Greater than 1 Gallon Per Minute.Leakage Cause Undetermined.Leakages Processed Through Normal Containment Sump.Unidentified RCS Leakage Reduced Below 1 Gallon Per Minute in 5.5-h | | | 05000346/LER-1978-025, Forwards LER 78-025/03L-0 | Forwards LER 78-025/03L-0 | | | 05000346/LER-1978-026, Forwards LER 78-026/03L-0 | Forwards LER 78-026/03L-0 | | | 05000346/LER-1978-026-03, /03L-0:on 780309,radiation Monitor Re 5029 Found Inoperable Due to Low Sample flow.12 Previous Radiation Monitor Inoperabilities Not Reported.Caused by Pump Motor Bearing Seizure Due to High Ambient Temp | /03L-0:on 780309,radiation Monitor Re 5029 Found Inoperable Due to Low Sample flow.12 Previous Radiation Monitor Inoperabilities Not Reported.Caused by Pump Motor Bearing Seizure Due to High Ambient Temp | | | 05000346/LER-1978-027, Forwards LER 78-027/03L-0 | Forwards LER 78-027/03L-0 | | | 05000346/LER-1978-027-03, /03L-0:on 780316,stop Valve AF3870 Failed to Open During Testing.Caused by High Differential Pressure Due to Check Valve AF39 & AF72 Leakage.Motor Operator Initially Not Adjusted for This Pressure,Causing Operator to Torque | /03L-0:on 780316,stop Valve AF3870 Failed to Open During Testing.Caused by High Differential Pressure Due to Check Valve AF39 & AF72 Leakage.Motor Operator Initially Not Adjusted for This Pressure,Causing Operator to Torque Out | | | 05000346/LER-1978-028-03, /03L-0:on 780318,channel 1 Steam Generator 1-1 Declared Inoperable.Caused by Water in Level Transmitter SP09B8 Connecting Box Due to Steam Leak.Connection Box Cleaned & Dried.Waterproof Fitting Will Be Installed | /03L-0:on 780318,channel 1 Steam Generator 1-1 Declared Inoperable.Caused by Water in Level Transmitter SP09B8 Connecting Box Due to Steam Leak.Connection Box Cleaned & Dried.Waterproof Fitting Will Be Installed | |
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