ML17325A933

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LER 88-009-00:on 880829,while Technician Changing Out Particle Filters & Iodine Cartridges,Open Pathway from Containment Atmosphere to Auxiliary Bldg Established.Caused by Inadequate Procedure.Procedure revised.W/880928 Ltr
ML17325A933
Person / Time
Site: Cook American Electric Power icon.png
Issue date: 09/28/1988
From: SMITH W G, WOJCIK J T
INDIANA MICHIGAN POWER CO. (FORMERLY INDIANA & MICHIG
To:
NRC OFFICE OF ADMINISTRATION & RESOURCES MANAGEMENT (ARM)
References
LER-88-009, LER-88-9, NUDOCS 8810070042
Download: ML17325A933 (6)


Text

gCCELZRABUTlONDEMONS.TIONSYFI'EMREGULAZNEORNAZONDZSTRZBUTZOt'EN(RZDS)QACCESSZONNBR:8810070042DOC.DATE:88/09/28NOTARZZED:NODOCKETFACIL:5G-315DonaldC.CookNuclearPowerPlant,Unit1,Indiana&0500031550-316DonaldC.CookNuclearPowerPlant,Unit2,Indiana&05000316AUTH.NAMEAUTHORAFFILIATIONWOJCIKzJ.T.IndianaMichiganPowerCo.(formerlyIndiana&MichiganEle.SMZTHgW.G.IndianaMichiganPowerCo.(formerlyIndiana&MichiganEleRECIP.NAMERECIPIENTAFFILIATION

SUBJECT:

LER88-009-00:on880829,non-compliancew/TechSpecsduetoopenpathwayfromcontainmentduringcorealteration.W/8ltr.DISTRIBUTIONCODE:ZE22DCOPIESRECEIVED:LTR'ENCLJSIZE:TITLE:50.73LicenseeEventReport(LER),IncidentRpt,etc.NOTES:RECIPIENTZDCODE/NAMEPD3-1LASTANGzJINTERNAL:ACRSMICHELSONACRSWYLIEAEOD/DSP/NASAEOD/DSP/TPABDEDRONRR/DEST/CEB8HNRR/DEST/ICSB7NRR/DEST/MTB9HNRR/DEST/RSB8ENRR/DLPQ/HFB10NRR/DOEA/EABllNRR/DREP/RPB10NUDOCS-ABSTRACTRESTELFORD,JRES/DSZR/EIBEXTERNAL'G&GWILLIAMSESHSTLOBBYWARDNRCPDRNSICMAYS,GCOPIESLTTRENCL11111-1111111111111111111112211111144111111RECIPIENTIDCODE/NAMEPD3-1PDACRSMOELLERAEOD/DOAAEOD/DSP/ROABARM/DCTS/DABNRR/DEST/ADS7ENRR/DEST/ESB8DNRR/DEST/MEB9H'RR/DEST/PSB8DNRR/DEST/SGB8DNRR/DLPQ/QAB10NRR/DREP/RAB10SSIB9AREGFI'2~SIRDEPYRGN3FILE01FORDBLDGHOY,ALPDRNSZCHARRIS,JCOPIESLTTRENCL11221122111011.11111111111111111111111TOTALNUMBER'OFCOPIESREQUIRED:LTTR46ENCL45 0~\

NRCForm388(94)3ILICENSEEEVENTREPORT(LER)U.S.NUCLEARREOULATORYCOMMISSIONAPPROVEDOMBNO.31504104EXPIRES:8/31/88FACILITYNAME(1)D.C.CookNuclearPlant,Unit2DOCKETNUMBER(2)PAGE3osooo316ioF03Non-complianceWithTechnicalSpecificationsDuetoOpenPathwayPromContainmentDuringCoreAlteration'andFuelMovementEVENTDATE(5ILERNUMBER(8)REPORTDATE(7)01'HERFACILITIESINVOLVED(8)MONTHOAYYEARYEARSEOUENTIALNUMBER:REVS~MONTH8::NUMBEROAYYEARFACILITYNAMESD.C.Cook,Unit1DOCKETNUMBER(S)osooo31502988880090009288805000OPERATINQMODE(8)POWERLEVEL(10)20.402(bl20.405(eI(1)(i)20.405(e)(1)(ii)20.405(~l(1)illl)20AOS(II(1)(iv)20.405(el(1)(vl20.405(c)SOW(cl(I)50.38(cl(2)XSODS(el(2)ID50.73(~l(2)(Q)50.73(e)12)IIIIILICENSEECONTACTFORTHISLER(12)50.73(eI(2)IIv)50.73(e)l2)(v)50.73(e)(2)(vil)50.73(el(2)(vill)(A)50.73(el(2)(villi(BI50.73le)(21(e)0THEAEOUIAEMENTSOF10CFR():/C/seekoneormorrofrhefo/fovf/np/(11THISREPORTISSUBMITTEDPURSUANTT73.71(b)73.71(clDTHER/specify/n4osrrectorfovrend/nTrrrt,f/RCForm366A)NAMEJ.T.Wojcik-TechnicalPhysicalSciencesSuperintendentTELFPHONENUMBERAREACODE616465-5901COMPLETEONELINEFOREACHCOMPONENTFAILUREDESCRIBEDINTHISREPORT(13)CAUSESYSTEMCOMPONENTMAHUFACTURERREPD1TR8LR',)~MINIg;,~MCAUSESYSTEMCOMPONENTMANUFAC.TUREREPORTABLETONPADSI!&<NISUPPLEMENTALRFPORTEXPECTED(14)YE5/lfyrs,complerrEXPECTEDSl/Bet/$$/DIVDATE/NOAssTAAcT/Limitto/coosprees,fr.,rppror/merelyfifteenslnple.specstyprvr/Itenlines/(18)EXPECTEDSU8MISSIONDATE(15)MONTHOAYYEAROnAugust29,1988,it'asidentifiedthatforshortperiodsoftime(typicallytwotofiveminutes)whilearadiationprotectiontechnicianwaschangingouttheparticulatefiltersandiodinecartridgesforthelowercontainmentmonitors,anopenpathwayfromthecontainmentatmospheretotheauxiliarybuildingwasestablished.Thechangeoutisperformedatleastonceperday,andthesameprocedurehasbeenfollowedsincethesemonitorswereinstalledonUnit1andUnit2in1985.Theconditionisuniquetothecontainmentintegrityrequirementsduringcorealterationsduetothefactthatthereisnoautomaticcontainmentisolationsignaloperable.forthe'radiationmonitoringsystemduringthismodeofoperation.Thecauseofthiseventwasaninadequateprocedurewhichallowedtheparticulatefiltersandiodinecartridgestobechangedduringcorealterationconditionswithoutfirstestablishingpositivecontainmentisolation.WhenthisconditionwasidentifiedcorealterationandfuelmovementforthecurrentUnit2refuelingoutagehadceased.Aspreventiveaction,procedurer:"12THP6010RADR124hasbeenrevisedtoincludestepstoisolatethesampleinletpriortochangingparticulatefiltersandiodinecartridges.CglOQsrQos,7r3j)r7pr3PDRi'IDQ:;IF.0,/000."3)7Sr/)qt)NRCForm388(94)3)

)SNCForm38M(94)3)LICENSEENTREPORT(LER)TEXTCONTINUANU.S.NUCLEARREGULATORYCOMMISSIONAPPROVEOOMBNO.3(SBM(84EXPIRES:8/31/88ACILITYNAME(11D.C.CookNuclearPlant,Unit2TEXT//P/INYsEPscs/4/sES)sI/,//Ss/dE/4/M////ICFem/38849/(17)COCKETNUMBER(2)060003]YEAR88LERNUMBER(6)SEGVENTIALNVMSER009REVISIONNUMBER0002PAGE(3)OF03ConditionsPriortoOccurrenceUnit1at90percentreactorthermalpower,Unit2refueling..DescritionofEventOnAugust29,1988,duringadrawingreviewforarefuelingintegrityprocedurerevision,itwasidentifiedthatforshortperiodsoftime(typicallytwotofiveminutes)whilearadiationprotectiontechnicianwaschangingouttheparticulatefiltersandiodinecartridgesforthelowercontainmentradiationmonitors(ERS-1300andERS-1400inUnit1andERS-2300andERS-2400inUnit2)(EIIS/IL-MON)anopenpathwayfromthecontainmentatmospheretotheauxiliarybuildingwasestablished.Theparticulatefilterandiodinecartridgechangeoutwasperformedperanapprovedprocedurewiththeradiationprotectiontechnicianpresentthroughtheentirechangeoutprocedure.Thechangeoutisperformedatleastonceperday,,andthesameprocedurehasbeenfollowedsincethesemonitorswereinstalledonUnit1andonUnit2in1985.Theconditionisuniquetothecontainmentintegrityrequirementsduringcorealterationsdue-tothefactthatthereisnoautomaticcontainmentisolationsignaloperablefortheradiationmonitoringsystemduringthismodeofoperation.Sincethisconditionwasnotrecognizedduringpreviousrefuelingoutages,itisverylikelythattheopenpathwaymayhaveexistedduringpreviouscorealterationsormovementofirradiatedfuelwithinthecontainmentbuilding.Noinoperablestructures,components,orsystemscontributedtothesignificanceofthisevent.CauseofEventThiseventwascausedbytheproceduralinadequacywhichallowedtheparticulatefiltersandiodinecartridgestobechangedduringcorealterationconditionswithoutfirstestablishingpositivecontainmentisolation.AnalsisoftheEventThiseventisconsideredafailuretocomplywithTechnicalSpecification3.9.4ActionStatementrequirementsinthatcorealterationsormovementofirradiatedfuelwithinthecontainmentbuildingwerenotsuspendedwhiletheparticulatefiltersandiodinecartridgeswerebeingchangedandthereforereportableunder10CFR50.73(a)(2)(i).NRCFORMSSSA(983)'*U.S.GPO:19860624538/455 oCFore38oA(883(LICENSEENTREPORT(LER)TEXTCONTINUANU.S.NUCLEARREGULATORYCOMMISSIONAPPROVEOOMBNO.3150M(04EXPIRES:8/31/88ACILITYNAME(11OOCKETNUMBER(21LERNUMBER(BIYEARNS?:SEOVENTIAL'r8REVISIONNSNUMBER'iNSNUMBERPAGE(3)D.C.CookNuclearPlant,Unit2TEXT///'/Roro<<oco/4'////rorLIrro//I/orN//VRC%%dr(II38843/(17)osooo31688-0090003oF03Theexistenceofthedirectpathwayfromthecontainmentatmosphereforthetwotofiveminuteswhiletheparticulatefiltersandiodinecartridgeswerebeingchangedwouldnotsignificantlyincreasetheoffsitedoefromafuelhandlingaccidentwithinthecontainmentbasedonthefollowingfacts;(1)theshortdurationthattheopenpathwayexisted,(2)therewasalwaysaradiationprotectiontechnicianpresentthatimmediatelycouldhaveisolatedthepathway,(3)thesmallsizeofthepenetration(oneinchdiameterpipe)and(4)similarevolutionssuchasopeningamanualisolationvalveincontainmentatmospheresamplinglineonanintermittentbasisunderadministrativecontroltoobtaingrabsamplesispermittedbytheTechnicalSpecifications.Thusthehealthandsafetyofthepublicwerenotaffectedbythisevent.CorrectiveActionWhenthisconditionwasidentifiedcorealterationandfuelmovementforthecurrentUnit2,refuelingoutagehadceased.Aspreventiveactionprocedure"'"12THP6010RAD.124hasbeenrevisedtoincludestepstoisolatethesampleinletlinepriortochangingparticulatefiltersandiodinecartridges.FailedComonent'dentificationNocomponentfailureswereidentifiedduringthisevent.PreviousSimilarEventsNone.NRCFORMSSEA(84LII*U.S.GPO:10880.824538/455 IndianaMichiganPowerCompanyCookNuclearPlant~P.O.Box458Bridgman,Ml49106~6164655901Z2NEMAR$4MCMCMHPCbVGRSeptember28,1988UnitedStatesNuclearRegulatoryCommissionDocumentControlDeskWashington,D.C.20555OperatingLicenseDPR-58DocketNo.50-316DocumentControlManager:Inaccordancewiththecriteriaestablishedby10CFR50.73entitledLicenseeEventReortinSstem,thefollowingreportisbeingsubmitted:88-009-00Sincerely,PlantManagerWGS:clwAttachmentcc:D.H.Williams,Jr.A.B.Davis,RegionIIIM.P.AlexichP.A.BarrettJ.E.BorggrenR.F.KroegerNRCResidentInspectorJ.F.Stang,NRCR.C.CallenG.Charnoff,Esq.DottieSherman,ANILibraryD.HahnINPOPNSRCA.A.BlindS.J.Brewer/B.P.Lauzau.