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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17292B7421999-07-20020 July 1999 LER 99-001-00:on 990628,ESF Signal Closed All Eight MSIVs While Plant Was Shutdown.Caused by Failure of Relay RPS-RLY-K10D.Subject Relay Was Replaced & Tested on 990630. with 990720 Ltr ML17292B4451998-10-27027 October 1998 LER 98-012-01:on 980715,failure to Comply with Requirements of TS SR 3.8.4.7 Was Noted.Caused by Inadequate Work Practices.Training Session Was Held with Personnel.With 981027 Ltr ML17284A7561998-09-0303 September 1998 LER 98-013-00:on 980805,ESF Actuations Were Noted Due to Deenergization of Vital Electrical Bus SM-8.Caused by Inadequate Direction in Troubleshooting Plan.Will Conduct Training for Engineering Personnel.With 980903 Ltr ML17284A7571998-09-0202 September 1998 LER 98-014-00:on 980807,completion of TS 3.8.1.F Required Shutdown Due to Inoperability of EDG-2 Was Noted.Caused by Degraded Voltage Regulator for DG-2.Replaced Voltage Regulator & Associated Scrs.With 980902 Ltr ML17284A7551998-09-0202 September 1998 LER 98-015-00:on 980808,discovered Reactor Coolant Pressure Boundary Leak During Shutdown Conditions.Caused by Leakage from Socket Weld (Fwb 63) on Elbow Connection.Failed Piping Connection Was Replaced.With 980902 Ltr ML17284A7311998-08-17017 August 1998 LER 98-012-00:on 980716,determined That 24-month SR 3.8.4.7 Had Not Been Fulfilled within Specified Frequency.Caused by Inadequate Work Practices.License Requested & Received Enforcement Discretion Re Battery Svc test.W/980817 Ltr ML17284A7121998-07-23023 July 1998 LER 98-006-01:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of 10CFR50,App R Calculations for High Impedance Faults.Caused by Inadequate Work Practices.Implemented Procedural Changes ML17284A6951998-07-17017 July 1998 LER 98-011-00:on 980617,ECCS Pump Room Flooding Was Noted Due to FP Sys Pipe Break.Caused by Inadequate Design of FP Sys.Detailed Review of FP Sys Design Was Conducted. W/980717 Ltr ML17284A6961998-07-15015 July 1998 LER 98-010-00:on 980615,TS Required Shutdown Due to Inoperability of TIP Sys Isolation Valve Was Noted.Caused by Improper Installation of TIP Tubing.Reattached Affected Tubing & Inspected Other TIP tubing.W/980715 Ltr ML17284A6731998-07-0101 July 1998 LER 98-009-00:on 980606,nuclear Steam Supply Shutoff Sys Group 3 & 4 Isolations During Testing Was Noted.Caused by Procedural Deficiency.Counseled Individuals Involved in preparation.W/980701 Ltr ML17284A6651998-06-24024 June 1998 LER 98-007-00:on 980530,inadvertent Full Scram & Division 1 ECCS Injection Was Noted.Caused by Failure to Meet Mgt Work Practice Expectation When Encountering Deficient Procedure. Incident Review Board Convened to Review event.W/980624 Ltr ML17284A6641998-06-24024 June 1998 LER 98-008-00:on 980531,inadvertent Full Scram During RPV Leak Testing in Mode 4 Was Noted.Caused by Change in Mgt Techniques.Revised Procedures to Take Into Account Addl Water Head in Pressure Sensing lines.W/980624 Ltr ML17284A6631998-06-19019 June 1998 LER 98-006-00:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of App R Calculations for High Impedance Fault Analysis.Caused Indeterminate. Implemented Procedural Changes Involving Operator Action ML17284A6551998-06-0404 June 1998 LER 98-005-00:on 980506,potential for Failure of RHR Sys Valve to Close on Isolation Signal Was Noted.Caused by Design Deficiency.Caution Tag Was Placed on RHR-V-40 Control Switch to Inform Plant Operators of limitation.W/980604 Ltr ML17284A6421998-06-0101 June 1998 LER 98-004-00:on 980502,determined That Primary Containment Penetration Overcurrent Protection Does Not Meet Reg Guide 1.63 Requirements.Caused by Inadequate Design Changes. Installed Addl Fuse in RHR-MO-9 circuit.W/980601 Ltr ML17292B3281998-04-0909 April 1998 LER 98-002-00:on 980311,reactor Scram & Plant Transient Occurred,Due to Failed Closed Main Steam Isolation Valve. Caused by Loss of Pneumatic Actuating Supply Pressure. Problem Evaluation Request Written for Failure of MS-V-22D ML17292B3291998-04-0909 April 1998 LER 98-003-00:on 980311,WNP-2 Experienced SCRAM Signal as Result of Low Rpv.Caused by Less than post-SCRAM Operational Strategy for Resetting SCRAM Signal in Conditions.Changes in post-SCRAM Operational Strategy implemented.W/980409 Ltr ML17292B2661998-03-0404 March 1998 LER 98-001-00:on 980203,automatic Start of HPCS EDG Was Noted.Caused by Operator Error.Operations Crew Stabilized Plant at Approximately 75% Reactor Power & Investigation of Event Was initiated.W/980304 Ltr ML17292B1111997-11-10010 November 1997 LER 97-011-00:on 971010,HPCS Battery Charger Failed.Caused by Failure of a Phase Firing Control Circuit Board Due to Aging During 7 Yrs of Use.Hpcs Sys Was Immediately Declared inoperable.W/971110 Ltr ML17292B1151997-11-0707 November 1997 LER 97-010-00:on 970906,discovered That TS SR 3.4.5.1 for Identified Portion of RCS Total Leakage Would Not Be Able to Perform within Time Limits of SR 3.0.2.Caused by Inadequate Methods.Method of Meeting SR 3.4.5.1 Established ML17292B0641997-09-24024 September 1997 LER 97-004-01:on 970327,plant Operators Manually Scrammed Reactor as Required by TS Due to Indication of Entry Into Region a of power-to-flow Map.Caused by Inadequate Attention to Detail.Established Event Evaluation teams.W/970924 Ltr ML17292B0241997-08-18018 August 1997 LER 97-009-00:on 970717,discovered Error in Recently Performed Inservice Testing procedure,OSP-TIP/IST-R701. Caused by Procedure Inadequacy.Plant Procedure OSP/TIP/IST-R701 Will Be changed.W/970818 Ltr ML17292B0291997-08-15015 August 1997 LER 97-008-00:on 970716,wire Seal Used to Lock Containment Instrument Air Pressure Control valve,CIA-PCV-2B,found Not Intact.Cause of Misadjustment of CIA-PCV-2B Unknown.Event Will Be Communicated to Plant employees.W/970815 Ltr ML17292B0201997-08-15015 August 1997 LER 97-S01-00:on 970718,failure to Take Compensatory Measure for Inoperative Microwave Security Zone Occurred. Caused by Personnel Error.Training Will Be Conducted W/ Appropriate Members of Security force.W/970815 Ltr ML17292A9481997-07-23023 July 1997 LER 97-007-00:on 970611,voluntary Rept of Automatic Start of DG-1 & DG-2 Was Experienced.Caused by Undervoltage Condition on Electrical Busses SM-7 & SM-8.Circulating Water Pump CW-P-1C Control Switch Placed in pull-to-lock.W/970723 Ltr ML17292A9201997-06-26026 June 1997 LER 97-006-00:on 970527,non-performance of Surveillance Requirement 3.6.1.3.2 for Blind Fanges,Was Noted.Caused Because Misunderstanding of Intent of Specs.Added Five Structural Assemblies for SP.W/970626 Ltr ML17292A8331997-04-28028 April 1997 LER 97-004-00:on 970327,plant Operators Manually Scrammed Reactor as Required by TS Due to Entry Into Region a of power-to-flow Map Following Planned Trip of Single Mfp. Event Evaluation teams,established.W/970428 Ltr ML17292A8311997-04-28028 April 1997 LER 97-005-00:on 970327,valid Reactor Scram Signal Received Due to Low Water Level Condition During Preparations for SRV Testing.Caused by Risks & Consequences of Decisions Not Completely Identified.Restored Water level.W/970428 Ltr ML17292A8251997-04-21021 April 1997 LER 97-003-00:on 970320,notification of Noncompliance W/Ts as TS SRs for Response Time Testing Were Not Being Met for Specified Instrumentation in Rps,Pcis & Eccs.Requested Enforcement Discretion for One Time exemption.W/970421 Ltr ML17292A7431997-03-20020 March 1997 LER 97-002-00:on 970218,determined That Rod Block Monitor (RBM) Calibr Values Were Not Set IAW Tech Specs.Caused by Calibr Procedures Inadequacies.Revised & re-performed RBM Channel Calibr procedures.W/970330 Ltr ML17292A7401997-03-13013 March 1997 LER 97-001-00:on 970211,reactor Water Cleanup Sys Blowdown Flow Isolation Setpoint Was Slightly Above TS Allowable Valve Occurred Due to Calculation Error.Lds Fss LD-FS-15 LD-FS-16 Were Declared inoperable.W/970313 Ltr ML17292A6641997-01-22022 January 1997 LER 96-009-00:on 961220,miscalculation of Instantaneous Overcurrent Relay Settings Resulted in Inoperability of safety-related Equipment.Caused by Utilization of Inappropriate Design.Testing Was completed.W/970122 Ltr ML17292A6461997-01-0606 January 1997 LER 96-008-00:on 961205,failure to Comply with TS Action Requirement for Emergency Core Cooling Sys Actuation Instrumentation Occurred Due to Unidentified Inoperability Condition.Pmr initiated.W/970106 Ltr ML17292A6371996-12-19019 December 1996 LER 96-007-00:on 961122,electrical Breakers Were Not Seismically Qualified in Test/Disconnect Position.Circuit Breaker Mfg Did Not Consider Raced Out Breaker Position During Testing.Relocated Circuit breakers.W/961217 Ltr ML17292A4121996-08-0808 August 1996 LER 96-006-00:on 960709,average Power Range Monitor Rod Block Downscale Surveillance Not Performed Prior to Entry Into Mode 1.Caused by long-standing Misinterpretation of Requirements of Tss.Procedures revised.W/960808 Ltr ML17292A3801996-07-24024 July 1996 LER 96-004-00:on 960624,plant Was Manually Scrammed by Control Room Personnel Due to Reactor Water Level Transient Experienced During Testing of Digital Feedwater Sys.Caused by Programming Error.Sys Was corrected.W/960724 Ltr ML17292A3771996-07-24024 July 1996 LER 96-005-00:on 960624,determined Missed Surveillance Test Re Channel Check of Average Power Range Monitor.Caused by Inadequate Procedures.Revised Surveillance Procedure Re When APRM Checks Must Be performed.W/960724 Ltr ML17292A3641996-07-12012 July 1996 LER 96-003-00:on 960615,required Surveillance Test Not Performed When Required by TS 3.4.1.3.Caused by Inadequate Procedures.Implementing Surveillance Procedure & Reactor Plant Startup Procedures revised.W/960712 Ltr ML17292A3361996-06-20020 June 1996 LER 96-002-00:on 960504,critical Bus SM-8 Lost Power When Supply Breaker 3-8 Tripped.Caused by Personnel Error. Operators Counselled & Procedures revised.W/960620 Ltr ML17292A2861996-05-24024 May 1996 LER 96-001-00:on 960425,inadvertent ESF Actuations Occurred Due to Tripping of Temporary Power Supply to IN-3.Caused by Personnel Error.Operations Restored to IN-3 Loads & Reset ESF actuations.W/960524 Ltr ML17291B0891995-10-19019 October 1995 LER 95-011-00:on 950919,failed to Comply W/Ts SR for RCIC Sys Due to Analysis Deficiency That Resulted in Inadequate Surveillance Test Procedure.Surveillance Procedure Revised to Correct deficiency.W/951019 Ltr ML17291A9021995-07-0707 July 1995 LER 95-010-00:on 950609,HPCS DG Declared Inoperable Due to Discovery That TS Test Method Incomplete.Caused by Inadequate Testing Procedure.Test Procedure for HPCS DG Reviewed & Special Test Procedures written.W/950707 Ltr ML17291A9031995-07-0707 July 1995 LER 95-009-00:on 950607,inadvertent MSIV Closure Occurred During Surveillance Test Due to Poor Communication Between Test Team.Determined That MSIV Closure Not Valid Because Closure Not Triggered by Plant conditions.W/950707 Ltr ML17291A8501995-06-0808 June 1995 LER 95-006-01:on 950405,reactor Scram Occurred During Surveillance Testing Due to Protective Sys Relay Failure. Replaced Failed Relay Before Plant Startup ML17291A8101995-05-12012 May 1995 LER 95-008-00:on 940125,TS Wording Lead to Potential TS Violation.Caused by Lack of Clarity in Ts.Submitted Improved TS for Plant to Provide Addl clarity.W/950512 Ltr ML17291A7841995-05-0505 May 1995 LER 95-007-00:on 950222,emergency Diesel Start Occurred Due to Voltage Transient on BPA Grid.Confirmation Was Received at 17:51 H That Disturbance Had Originated in BPA Grid ML17291A7801995-05-0404 May 1995 LER 95-006-00:on 950405,main Turbine Trip Occurred During Performance of Surveillance Test Due to Protective Sys Relay Failed.Replaced Failed Relay Before Plant startup.W/950504 Ltr ML17291A7851995-05-0303 May 1995 LER 95-005-00:on 950222,inoperable IRM Had Been Relied Upon to Meet TS Requirements During Reactor Startup.Caused by Lack of Neutron Source to Test Instrumentation. Sys Knowledge Gained Will Be incorporated.W/950503 Ltr ML17291A7071995-03-25025 March 1995 LER 95-004-00:on 950226,malfunction in Main Turbine DEH Control Sys Caused All Four High Pressure Turbine Governor Valves to Rapidly Close.Caused by Blown Fuse.Suspected Faulty Circuit Card replaced.W/950325 Ltr ML17291A7011995-03-20020 March 1995 LER 95-002-00:on 950218,automatic Reactor Scram Occurred. Caused by Erroneous Positioning of Control During Performance of Scheduled Periodic Functional Test.Control repositioned.W/950320 Ltr 1999-07-20
[Table view] Category:RO)
MONTHYEARML17292B7421999-07-20020 July 1999 LER 99-001-00:on 990628,ESF Signal Closed All Eight MSIVs While Plant Was Shutdown.Caused by Failure of Relay RPS-RLY-K10D.Subject Relay Was Replaced & Tested on 990630. with 990720 Ltr ML17292B4451998-10-27027 October 1998 LER 98-012-01:on 980715,failure to Comply with Requirements of TS SR 3.8.4.7 Was Noted.Caused by Inadequate Work Practices.Training Session Was Held with Personnel.With 981027 Ltr ML17284A7561998-09-0303 September 1998 LER 98-013-00:on 980805,ESF Actuations Were Noted Due to Deenergization of Vital Electrical Bus SM-8.Caused by Inadequate Direction in Troubleshooting Plan.Will Conduct Training for Engineering Personnel.With 980903 Ltr ML17284A7571998-09-0202 September 1998 LER 98-014-00:on 980807,completion of TS 3.8.1.F Required Shutdown Due to Inoperability of EDG-2 Was Noted.Caused by Degraded Voltage Regulator for DG-2.Replaced Voltage Regulator & Associated Scrs.With 980902 Ltr ML17284A7551998-09-0202 September 1998 LER 98-015-00:on 980808,discovered Reactor Coolant Pressure Boundary Leak During Shutdown Conditions.Caused by Leakage from Socket Weld (Fwb 63) on Elbow Connection.Failed Piping Connection Was Replaced.With 980902 Ltr ML17284A7311998-08-17017 August 1998 LER 98-012-00:on 980716,determined That 24-month SR 3.8.4.7 Had Not Been Fulfilled within Specified Frequency.Caused by Inadequate Work Practices.License Requested & Received Enforcement Discretion Re Battery Svc test.W/980817 Ltr ML17284A7121998-07-23023 July 1998 LER 98-006-01:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of 10CFR50,App R Calculations for High Impedance Faults.Caused by Inadequate Work Practices.Implemented Procedural Changes ML17284A6951998-07-17017 July 1998 LER 98-011-00:on 980617,ECCS Pump Room Flooding Was Noted Due to FP Sys Pipe Break.Caused by Inadequate Design of FP Sys.Detailed Review of FP Sys Design Was Conducted. W/980717 Ltr ML17284A6961998-07-15015 July 1998 LER 98-010-00:on 980615,TS Required Shutdown Due to Inoperability of TIP Sys Isolation Valve Was Noted.Caused by Improper Installation of TIP Tubing.Reattached Affected Tubing & Inspected Other TIP tubing.W/980715 Ltr ML17284A6731998-07-0101 July 1998 LER 98-009-00:on 980606,nuclear Steam Supply Shutoff Sys Group 3 & 4 Isolations During Testing Was Noted.Caused by Procedural Deficiency.Counseled Individuals Involved in preparation.W/980701 Ltr ML17284A6651998-06-24024 June 1998 LER 98-007-00:on 980530,inadvertent Full Scram & Division 1 ECCS Injection Was Noted.Caused by Failure to Meet Mgt Work Practice Expectation When Encountering Deficient Procedure. Incident Review Board Convened to Review event.W/980624 Ltr ML17284A6641998-06-24024 June 1998 LER 98-008-00:on 980531,inadvertent Full Scram During RPV Leak Testing in Mode 4 Was Noted.Caused by Change in Mgt Techniques.Revised Procedures to Take Into Account Addl Water Head in Pressure Sensing lines.W/980624 Ltr ML17284A6631998-06-19019 June 1998 LER 98-006-00:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of App R Calculations for High Impedance Fault Analysis.Caused Indeterminate. Implemented Procedural Changes Involving Operator Action ML17284A6551998-06-0404 June 1998 LER 98-005-00:on 980506,potential for Failure of RHR Sys Valve to Close on Isolation Signal Was Noted.Caused by Design Deficiency.Caution Tag Was Placed on RHR-V-40 Control Switch to Inform Plant Operators of limitation.W/980604 Ltr ML17284A6421998-06-0101 June 1998 LER 98-004-00:on 980502,determined That Primary Containment Penetration Overcurrent Protection Does Not Meet Reg Guide 1.63 Requirements.Caused by Inadequate Design Changes. Installed Addl Fuse in RHR-MO-9 circuit.W/980601 Ltr ML17292B3281998-04-0909 April 1998 LER 98-002-00:on 980311,reactor Scram & Plant Transient Occurred,Due to Failed Closed Main Steam Isolation Valve. Caused by Loss of Pneumatic Actuating Supply Pressure. Problem Evaluation Request Written for Failure of MS-V-22D ML17292B3291998-04-0909 April 1998 LER 98-003-00:on 980311,WNP-2 Experienced SCRAM Signal as Result of Low Rpv.Caused by Less than post-SCRAM Operational Strategy for Resetting SCRAM Signal in Conditions.Changes in post-SCRAM Operational Strategy implemented.W/980409 Ltr ML17292B2661998-03-0404 March 1998 LER 98-001-00:on 980203,automatic Start of HPCS EDG Was Noted.Caused by Operator Error.Operations Crew Stabilized Plant at Approximately 75% Reactor Power & Investigation of Event Was initiated.W/980304 Ltr ML17292B1111997-11-10010 November 1997 LER 97-011-00:on 971010,HPCS Battery Charger Failed.Caused by Failure of a Phase Firing Control Circuit Board Due to Aging During 7 Yrs of Use.Hpcs Sys Was Immediately Declared inoperable.W/971110 Ltr ML17292B1151997-11-0707 November 1997 LER 97-010-00:on 970906,discovered That TS SR 3.4.5.1 for Identified Portion of RCS Total Leakage Would Not Be Able to Perform within Time Limits of SR 3.0.2.Caused by Inadequate Methods.Method of Meeting SR 3.4.5.1 Established ML17292B0641997-09-24024 September 1997 LER 97-004-01:on 970327,plant Operators Manually Scrammed Reactor as Required by TS Due to Indication of Entry Into Region a of power-to-flow Map.Caused by Inadequate Attention to Detail.Established Event Evaluation teams.W/970924 Ltr ML17292B0241997-08-18018 August 1997 LER 97-009-00:on 970717,discovered Error in Recently Performed Inservice Testing procedure,OSP-TIP/IST-R701. Caused by Procedure Inadequacy.Plant Procedure OSP/TIP/IST-R701 Will Be changed.W/970818 Ltr ML17292B0291997-08-15015 August 1997 LER 97-008-00:on 970716,wire Seal Used to Lock Containment Instrument Air Pressure Control valve,CIA-PCV-2B,found Not Intact.Cause of Misadjustment of CIA-PCV-2B Unknown.Event Will Be Communicated to Plant employees.W/970815 Ltr ML17292B0201997-08-15015 August 1997 LER 97-S01-00:on 970718,failure to Take Compensatory Measure for Inoperative Microwave Security Zone Occurred. Caused by Personnel Error.Training Will Be Conducted W/ Appropriate Members of Security force.W/970815 Ltr ML17292A9481997-07-23023 July 1997 LER 97-007-00:on 970611,voluntary Rept of Automatic Start of DG-1 & DG-2 Was Experienced.Caused by Undervoltage Condition on Electrical Busses SM-7 & SM-8.Circulating Water Pump CW-P-1C Control Switch Placed in pull-to-lock.W/970723 Ltr ML17292A9201997-06-26026 June 1997 LER 97-006-00:on 970527,non-performance of Surveillance Requirement 3.6.1.3.2 for Blind Fanges,Was Noted.Caused Because Misunderstanding of Intent of Specs.Added Five Structural Assemblies for SP.W/970626 Ltr ML17292A8331997-04-28028 April 1997 LER 97-004-00:on 970327,plant Operators Manually Scrammed Reactor as Required by TS Due to Entry Into Region a of power-to-flow Map Following Planned Trip of Single Mfp. Event Evaluation teams,established.W/970428 Ltr ML17292A8311997-04-28028 April 1997 LER 97-005-00:on 970327,valid Reactor Scram Signal Received Due to Low Water Level Condition During Preparations for SRV Testing.Caused by Risks & Consequences of Decisions Not Completely Identified.Restored Water level.W/970428 Ltr ML17292A8251997-04-21021 April 1997 LER 97-003-00:on 970320,notification of Noncompliance W/Ts as TS SRs for Response Time Testing Were Not Being Met for Specified Instrumentation in Rps,Pcis & Eccs.Requested Enforcement Discretion for One Time exemption.W/970421 Ltr ML17292A7431997-03-20020 March 1997 LER 97-002-00:on 970218,determined That Rod Block Monitor (RBM) Calibr Values Were Not Set IAW Tech Specs.Caused by Calibr Procedures Inadequacies.Revised & re-performed RBM Channel Calibr procedures.W/970330 Ltr ML17292A7401997-03-13013 March 1997 LER 97-001-00:on 970211,reactor Water Cleanup Sys Blowdown Flow Isolation Setpoint Was Slightly Above TS Allowable Valve Occurred Due to Calculation Error.Lds Fss LD-FS-15 LD-FS-16 Were Declared inoperable.W/970313 Ltr ML17292A6641997-01-22022 January 1997 LER 96-009-00:on 961220,miscalculation of Instantaneous Overcurrent Relay Settings Resulted in Inoperability of safety-related Equipment.Caused by Utilization of Inappropriate Design.Testing Was completed.W/970122 Ltr ML17292A6461997-01-0606 January 1997 LER 96-008-00:on 961205,failure to Comply with TS Action Requirement for Emergency Core Cooling Sys Actuation Instrumentation Occurred Due to Unidentified Inoperability Condition.Pmr initiated.W/970106 Ltr ML17292A6371996-12-19019 December 1996 LER 96-007-00:on 961122,electrical Breakers Were Not Seismically Qualified in Test/Disconnect Position.Circuit Breaker Mfg Did Not Consider Raced Out Breaker Position During Testing.Relocated Circuit breakers.W/961217 Ltr ML17292A4121996-08-0808 August 1996 LER 96-006-00:on 960709,average Power Range Monitor Rod Block Downscale Surveillance Not Performed Prior to Entry Into Mode 1.Caused by long-standing Misinterpretation of Requirements of Tss.Procedures revised.W/960808 Ltr ML17292A3801996-07-24024 July 1996 LER 96-004-00:on 960624,plant Was Manually Scrammed by Control Room Personnel Due to Reactor Water Level Transient Experienced During Testing of Digital Feedwater Sys.Caused by Programming Error.Sys Was corrected.W/960724 Ltr ML17292A3771996-07-24024 July 1996 LER 96-005-00:on 960624,determined Missed Surveillance Test Re Channel Check of Average Power Range Monitor.Caused by Inadequate Procedures.Revised Surveillance Procedure Re When APRM Checks Must Be performed.W/960724 Ltr ML17292A3641996-07-12012 July 1996 LER 96-003-00:on 960615,required Surveillance Test Not Performed When Required by TS 3.4.1.3.Caused by Inadequate Procedures.Implementing Surveillance Procedure & Reactor Plant Startup Procedures revised.W/960712 Ltr ML17292A3361996-06-20020 June 1996 LER 96-002-00:on 960504,critical Bus SM-8 Lost Power When Supply Breaker 3-8 Tripped.Caused by Personnel Error. Operators Counselled & Procedures revised.W/960620 Ltr ML17292A2861996-05-24024 May 1996 LER 96-001-00:on 960425,inadvertent ESF Actuations Occurred Due to Tripping of Temporary Power Supply to IN-3.Caused by Personnel Error.Operations Restored to IN-3 Loads & Reset ESF actuations.W/960524 Ltr ML17291B0891995-10-19019 October 1995 LER 95-011-00:on 950919,failed to Comply W/Ts SR for RCIC Sys Due to Analysis Deficiency That Resulted in Inadequate Surveillance Test Procedure.Surveillance Procedure Revised to Correct deficiency.W/951019 Ltr ML17291A9021995-07-0707 July 1995 LER 95-010-00:on 950609,HPCS DG Declared Inoperable Due to Discovery That TS Test Method Incomplete.Caused by Inadequate Testing Procedure.Test Procedure for HPCS DG Reviewed & Special Test Procedures written.W/950707 Ltr ML17291A9031995-07-0707 July 1995 LER 95-009-00:on 950607,inadvertent MSIV Closure Occurred During Surveillance Test Due to Poor Communication Between Test Team.Determined That MSIV Closure Not Valid Because Closure Not Triggered by Plant conditions.W/950707 Ltr ML17291A8501995-06-0808 June 1995 LER 95-006-01:on 950405,reactor Scram Occurred During Surveillance Testing Due to Protective Sys Relay Failure. Replaced Failed Relay Before Plant Startup ML17291A8101995-05-12012 May 1995 LER 95-008-00:on 940125,TS Wording Lead to Potential TS Violation.Caused by Lack of Clarity in Ts.Submitted Improved TS for Plant to Provide Addl clarity.W/950512 Ltr ML17291A7841995-05-0505 May 1995 LER 95-007-00:on 950222,emergency Diesel Start Occurred Due to Voltage Transient on BPA Grid.Confirmation Was Received at 17:51 H That Disturbance Had Originated in BPA Grid ML17291A7801995-05-0404 May 1995 LER 95-006-00:on 950405,main Turbine Trip Occurred During Performance of Surveillance Test Due to Protective Sys Relay Failed.Replaced Failed Relay Before Plant startup.W/950504 Ltr ML17291A7851995-05-0303 May 1995 LER 95-005-00:on 950222,inoperable IRM Had Been Relied Upon to Meet TS Requirements During Reactor Startup.Caused by Lack of Neutron Source to Test Instrumentation. Sys Knowledge Gained Will Be incorporated.W/950503 Ltr ML17291A7071995-03-25025 March 1995 LER 95-004-00:on 950226,malfunction in Main Turbine DEH Control Sys Caused All Four High Pressure Turbine Governor Valves to Rapidly Close.Caused by Blown Fuse.Suspected Faulty Circuit Card replaced.W/950325 Ltr ML17291A7011995-03-20020 March 1995 LER 95-002-00:on 950218,automatic Reactor Scram Occurred. Caused by Erroneous Positioning of Control During Performance of Scheduled Periodic Functional Test.Control repositioned.W/950320 Ltr 1999-07-20
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17284A9001999-10-31031 October 1999 Rev 0 to COLR 99-15, WNP-2 Cycle 15,COLR GO2-99-177, LER 99-S01-00:on 990903,failure to Take Compensatory Measure within Required Time Upon Failure of Isolation Zone Microwave Unit,Was Noted.Caused by Personnel Error.Provided Refresher Training on Compensatory Measures.With1999-10-0101 October 1999 LER 99-S01-00:on 990903,failure to Take Compensatory Measure within Required Time Upon Failure of Isolation Zone Microwave Unit,Was Noted.Caused by Personnel Error.Provided Refresher Training on Compensatory Measures.With ML17284A8941999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for WNP-2.With 991012 Ltr ML17284A8801999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for WNP-2.With 990910 Ltr ML17284A8691999-07-31031 July 1999 Monthly Operating Rept for July 1999 for WNP-2.With 990813 Ltr ML17292B7421999-07-20020 July 1999 LER 99-001-00:on 990628,ESF Signal Closed All Eight MSIVs While Plant Was Shutdown.Caused by Failure of Relay RPS-RLY-K10D.Subject Relay Was Replaced & Tested on 990630. with 990720 Ltr ML17292B7271999-06-30030 June 1999 Monthly Operating Rept for June 1999 for WNP-2.With 990707 Ltr ML17292B6961999-05-31031 May 1999 Monthly Operating Repts for May 1999 for WNP-2.With 990608 Ltr ML17292B6641999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for WNP-2.With 990507 Ltr ML17292B6391999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for WNP-2.With 990413 Ltr ML17292B5871999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for WNP-2.With 990311 Ltr ML17292B5571999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for WNP-2.With 990210 Ltr ML17292B5621999-01-31031 January 1999 Rev 1 to COLR 98-14, WNP-2 Cycle 14 Colr. ML17292B5341999-01-15015 January 1999 Part 21 Rept Re Incorrect Modeling of BWR Lower Plenum Vol in Bison.Defect Applies Only to Reload Fuel Assemblies Currently in Operation at WNP-2.BISON Code Model for WNP-2 Has Been Revised to Correct Error ML17292B5331999-01-15015 January 1999 Part 21 Rept Re XL-S96 CPR Correlation for SVEA-96 Fuel. Defect Applies Only to WNP-2,during Cycles 12,13 & 14 Operation.Evaluations of Defect Performed by ABB-CE ML17292B4791998-12-31031 December 1998 Washington Public Power Supply Sys 1998 Annual Rept. with 981215 Ltr ML17292B5351998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for WNP-2.With 990112 Ltr ML17292B5741998-12-31031 December 1998 WNP-2 1998 Annual Operating Rept. with 990225 Ltr ML17284A8231998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for WNP-2.With 981207 Ltr ML17284A8081998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for WNP-2.With 981110 Ltr ML17292B4451998-10-27027 October 1998 LER 98-012-01:on 980715,failure to Comply with Requirements of TS SR 3.8.4.7 Was Noted.Caused by Inadequate Work Practices.Training Session Was Held with Personnel.With 981027 Ltr ML17284A7831998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for WNP-2.With 981007 Ltr ML17284A7491998-09-10010 September 1998 WNP-2 Inservice Insp Summary Rept for Refueling Outage RF13 Spring,1998. ML17284A7561998-09-0303 September 1998 LER 98-013-00:on 980805,ESF Actuations Were Noted Due to Deenergization of Vital Electrical Bus SM-8.Caused by Inadequate Direction in Troubleshooting Plan.Will Conduct Training for Engineering Personnel.With 980903 Ltr ML17284A7571998-09-0202 September 1998 LER 98-014-00:on 980807,completion of TS 3.8.1.F Required Shutdown Due to Inoperability of EDG-2 Was Noted.Caused by Degraded Voltage Regulator for DG-2.Replaced Voltage Regulator & Associated Scrs.With 980902 Ltr ML17284A7551998-09-0202 September 1998 LER 98-015-00:on 980808,discovered Reactor Coolant Pressure Boundary Leak During Shutdown Conditions.Caused by Leakage from Socket Weld (Fwb 63) on Elbow Connection.Failed Piping Connection Was Replaced.With 980902 Ltr ML17284A7681998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for WNP-2.With 980915 Ltr ML17284A7311998-08-17017 August 1998 LER 98-012-00:on 980716,determined That 24-month SR 3.8.4.7 Had Not Been Fulfilled within Specified Frequency.Caused by Inadequate Work Practices.License Requested & Received Enforcement Discretion Re Battery Svc test.W/980817 Ltr ML17284A7261998-07-31031 July 1998 Monthly Operating Rept for July 1998 for WNP-2.W/980810 Ltr ML17284A7121998-07-23023 July 1998 LER 98-006-01:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of 10CFR50,App R Calculations for High Impedance Faults.Caused by Inadequate Work Practices.Implemented Procedural Changes ML17284A6951998-07-17017 July 1998 LER 98-011-00:on 980617,ECCS Pump Room Flooding Was Noted Due to FP Sys Pipe Break.Caused by Inadequate Design of FP Sys.Detailed Review of FP Sys Design Was Conducted. W/980717 Ltr ML17284A6961998-07-15015 July 1998 LER 98-010-00:on 980615,TS Required Shutdown Due to Inoperability of TIP Sys Isolation Valve Was Noted.Caused by Improper Installation of TIP Tubing.Reattached Affected Tubing & Inspected Other TIP tubing.W/980715 Ltr ML17284A6731998-07-0101 July 1998 LER 98-009-00:on 980606,nuclear Steam Supply Shutoff Sys Group 3 & 4 Isolations During Testing Was Noted.Caused by Procedural Deficiency.Counseled Individuals Involved in preparation.W/980701 Ltr ML17284A6751998-06-30030 June 1998 Ro:On 980617,flooding of RB Northeast Stairwell with Consequential Flooding of Two ECCS Pump Rooms.Caused by Inadequate Fire Protection Sys Design.Pumped Out Water from Affected Areas to Point Below Berm Areas of Pump Rooms ML17284A6641998-06-24024 June 1998 LER 98-008-00:on 980531,inadvertent Full Scram During RPV Leak Testing in Mode 4 Was Noted.Caused by Change in Mgt Techniques.Revised Procedures to Take Into Account Addl Water Head in Pressure Sensing lines.W/980624 Ltr ML17284A6651998-06-24024 June 1998 LER 98-007-00:on 980530,inadvertent Full Scram & Division 1 ECCS Injection Was Noted.Caused by Failure to Meet Mgt Work Practice Expectation When Encountering Deficient Procedure. Incident Review Board Convened to Review event.W/980624 Ltr ML17284A6631998-06-19019 June 1998 LER 98-006-00:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of App R Calculations for High Impedance Fault Analysis.Caused Indeterminate. Implemented Procedural Changes Involving Operator Action ML17284A6551998-06-0404 June 1998 LER 98-005-00:on 980506,potential for Failure of RHR Sys Valve to Close on Isolation Signal Was Noted.Caused by Design Deficiency.Caution Tag Was Placed on RHR-V-40 Control Switch to Inform Plant Operators of limitation.W/980604 Ltr ML17284A6421998-06-0101 June 1998 LER 98-004-00:on 980502,determined That Primary Containment Penetration Overcurrent Protection Does Not Meet Reg Guide 1.63 Requirements.Caused by Inadequate Design Changes. Installed Addl Fuse in RHR-MO-9 circuit.W/980601 Ltr ML17284A6491998-05-31031 May 1998 Rev 0 to COLR 98-14, WNP-2,Cycle 14 Colr. ML17292B4031998-05-31031 May 1998 Monthly Operating Rept for May 1998 for WNP-2.W/980608 Ltr ML17292B3921998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for WNP-2.W/980513 Ltr ML17292B3291998-04-0909 April 1998 LER 98-003-00:on 980311,WNP-2 Experienced SCRAM Signal as Result of Low Rpv.Caused by Less than post-SCRAM Operational Strategy for Resetting SCRAM Signal in Conditions.Changes in post-SCRAM Operational Strategy implemented.W/980409 Ltr ML17292B3281998-04-0909 April 1998 LER 98-002-00:on 980311,reactor Scram & Plant Transient Occurred,Due to Failed Closed Main Steam Isolation Valve. Caused by Loss of Pneumatic Actuating Supply Pressure. Problem Evaluation Request Written for Failure of MS-V-22D ML17292B3371998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for WNP-2.W/980409 Ltr ML17292B2641998-03-0404 March 1998 Performance Self Assessment,WNP-2. ML17292B2661998-03-0404 March 1998 LER 98-001-00:on 980203,automatic Start of HPCS EDG Was Noted.Caused by Operator Error.Operations Crew Stabilized Plant at Approximately 75% Reactor Power & Investigation of Event Was initiated.W/980304 Ltr ML17292B2911998-02-28028 February 1998 Monthly Operating Rept for Feb 1998 for WNP-2.W/980313 Ltr ML17284A7971998-02-17017 February 1998 Rev 28 to Operational QA Program Description, WPPSS-QA-004.With Proposed Rev 29 ML17292B3591998-02-12012 February 1998 WNP-2 Cycle 14 Reload Design Rept. 1999-09-30
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Text
REGULATORY INFORMATXON DISTRIBUTXON SYSTEM (RIDS)ACCESSION NBR:8906290239 DOC.DATE: 89/06/16 NOTARIZED:
NO DOCKET FACIL:50-397 WPPSS Nuclear Project, Unit 2, Washington Public Powe 05000397 AUTH.NAME AUTHOR AFFILIATION FULLER,R.E.
Washington Public Power Supply System.POWERS,C.M.
Washington Public Power Supply System R RECI P.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 89-005-00:on 890311,multiple control rod drifts caused by momentary low scram air header pressure.W/8 ltr.DISTRIBUTION CODE: IE22T COPIES RECEIVED: LTR i ENCL (SIZE:/TITLE 50.73/50..9 Licensee Event Report (LER), Incident Rpt, etc., NOTES D S RECIPIENT ID CODE/NAME PD5 LA SAMWORTH,R INTERNAL: ACRS MICHELSON ACRS WYLIE AEOD/DS P/TPAB DEDRO NRR/DEST/ADE 8H NRR/DEST/CEB 8H NRR/DEST/ICSB 7 NRR/DEST/MTB 9H NRR/DEST/RSB 8E NRR/DLPQ/HFB 10 NRR/DOEA/EAB 11 NUDOCS-ABSTRACT RES/DSIR/EIB RGN5 FILE 01 EXTERNAL: EG&G WILLIAMS,S L ST LOBBY WARD NRC PDR NSIC MURPHY,G.A COPIES LTTR ENCL 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 4 1 1 1 1 1 1'RECIPIENT ID CODE/NAME PD5 PD ACRS MOELLER AEOD/DOA AEOD/ROAB/DSP IRM/DCTS/DAB NRR/DEST/ADS 7E NRR/DEST/ESB 8D NRR/DEST/MEB 9H NRR/DEST/PSB 8D NRR/DEST/SGB 8D NRR/DLPQ/PEB 10 RPB 10 RE FILE 02 S/DS PRAB FORD BLDG HOY g A LPDR NSIC MAYS,G COPIES LTTR ENCL 1 1 2 2 1 1 2 2 1 1 1 0 1 1 1 1 1 1 1 1 1 1 2 2 1 1 1 1 1 1 1 1 1 1 NOZE XQ ALL'RING" RECIPES: PURSE HELP US'Io REDUCE%ASTE!(EPZACZ'QK DXUNEÃZ CONZBOL DESK, RXH P1-37 (EXT.20079)TO ELIKBQXB YMR NAME PKH DIPZRIBVXXCH LISTS PER DOCUMENXS VXJ IXRPT NEEDf FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUXRED: LTTR 43 ENCL 42
~A~WASHINGTON PUBLIC POWER SUPPLY SYSTEM P.O.Box 968~3000 George 11'ashinglon Way~Richland, 1l'ashington 99352 Docket No.50-397 June 16, 1989 Document Control Desk U.S.Nuclear Regulatory Comission Washington, D.C.20555
Subject:
NUCLEAR PLANT NO.2 LICENSEE EVENT REPORT NO.89-005
Dear Sir:
Transmitted herewith is Licensee Event Report No.89-005 for the WNP-2 Plant.This report is submitted as an informational LER and discusses the corrective actions taken, and actions taken to preclude recurrence.
Very truly yours, C..owers (M/D 927M)WN Plant Manager CMP:lg
Enclosure:
Licensee Event Report No.89-005 cc: Mr.John B.Hartin, NRC-Region V Mr.C.J.Bosted, NRC Site (M/D 901A)INPO Records Center-Atlanta, GA Ms.Dottie Sherman, ANI Mr.D.L.Williams, BPA (M/D 399)8~0625'0235'<7+<>
g 6 F'DR ADOCK 05gc~i03yy PDC NRC Fnm 355 (9 53)'ICENSEE EVENT REPORT ILER)r~UPI NUCLEAR AE COLA'TO AY COMMISSIONLN APPAOVED OMS NO.31500104 EXPIRESI SI3)ISS FACILITY NAME (II DOCKET NVMSER (1(rACE I3l Washin ton Nuclear Plant-Unit 2 0 5 0 0 0 3 97 1 OF]0"'""'Multiple Control Rod Drifts Caused by Momentary Low Scram Air Header Pressure Due to Multi le Ra id Half-Scram Tri s and Resets EVENT DATE ISI YEAR OAY MONTH YF.AA LEA NUMBER IS)AEPOAT DATE (7I iC<<<<5ECVENTIAL i%'or HVMSEIa OAY YEAA REvrlrotr MONTH CiQ: IIVreEER DOCKET NVMSERISI 0 5 0 0 0 FACILITY IIAse55 OTHER FACILITIES INVOI.VEO (SI 0 3 8 9 005 0 006 1 6 8 9 0 5 0 0 0 OP E R AT IN 0 MODE lol]POWER LEYEL 0 7 8+4'...-'<<5<'
4v.I%6<<., c<<6<<I+gyp THIS REPORT IS SUSMITTED PURSUANT TO THE AEOVIREMENTS OF 10 CFA ('I: ICntra Ont Ol mete Ol rnt IOIIOtnnI)
IIII 20.405(cl 50.35(clll) 50.35(cl Ill 50.73(~I(2 IIII 50.73(el(2)(E) 50.73(el(1)(llrl LICENSEE CONTACT FOR THIS LEA 112)20.l02(bl 20.405(~Ill)Ill 20.405 (e l(1 I (E I 20.40S I~I ll I (ill I 20.405 le I ll I lit)20.405 (e l(1)H)50,73(~I)2)lie)50.73I~I(2)(rl 50.73(~I (1)(alii S0.73(~I(2 IN)Ill(A)50.73(el l1)It)(I)ISI 50.73(el(1(la) 73.71(II)73.71(c)CTHE R Isptciiy in Aoro'ect otlow end in Teel.IYRc ferne 366AI X Informational NAME R.E.Fuller Com liance En ineer TEI,EPHONE NUMSEA AREA CODE 50 937 7-2 79 7 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE OESCAISED IN THIS REPORT (13)CAUSE B SYSTEM S B COMPOsrENT 0 N MANVFAC TVREA G 0 0 EPOATASLE TO IIPADS 4Ãj$33 COMPONENT MANVFAC.TUREA EPORTASLE TO NPADS:~g$SUPPLEMENTAL REPORT EXPECTED (lll MONTH DAY YEAR YF5 III yn.comprert EXPfCTED SVSMISSION OATfl NO EXPECTED SVSMISSION DATE (151 ASSTAAcT (Limit to teoo rotter.I.e., epproeimertly liltnn rintlt Iptct rypttnitrtn linnl 115)Thi s i s an informational LER.On March ll, 1989, at 21:02 hours, 34 of-the 185 control rods drifted inward from one to seven notches due to momentary low scram air header pressure.The low air header pressure occurred subsequent to a very rapid series of Reactor Protection System (RPS)half-scram trips and resets which occurred over a period of approximately 1 to 2 seconds.The cause was a cyclic failure in the Channel HBH Main Steam Line (MSL)radiation monitor (MS-RIS-610B) high-voltage low inoperable sensing circuit which occurred coincident with resetting (one operator action),the RPS half-scram condition.
The root causes of the rod drift event include: 1)a MSL radiation monitor design deficiency which failed to anticipate the effects of a cyclic failure, and 2)'rocedure direction was less than adequate in defining the actions required when the underlying cause of abnormal operation of a safety related device is indeterminate.
The immediate.corrective actions to recover from the rod drift event included: 1)determine status of all control rods and verify no further drifting;2)verify no thermal limit was being exceeded;3)reduce fuel power below recommended fuel preconditioning limits;4)reestablish the desired rod pattern;5)trouble-shoot, rework, and test the MSL radiation monitor;and 6)restore reactor power to 78K.NRC Form 355 ro Ral NRC FEDm ESSA)843)~k<US.NUCLEAR REOULATORY COMMISSION LICENSEE IONT REPORT (LER)TEXT CONTINUA'Q4
'PPDDDDDDkkkD.DIDDkkkk EXPIRES: 8/3)/88~FACILITY NAME)))COCKET NUMBER)ll LER NUMSER Id)SEOVENTIAL:+DD REVISION NVMEER'NVMSER PACE (3)Mashin ton Nuclear Plant-Unit 2 TEXT///mace E/D/ce//mdv/DPd, II/E////PRE/HRC Fom/3ESAS)l)TI 0 s 0 0 o 97 89-0 0 0 0 o"1 0 Abstract (continued)
The corrective action to prevent recurrence is to perform a design review of the HSL radiation monitor drawer.Other corrective actions inclvde: 1)Abnormal Response procedures will be evaluated for consistency during periodic reviews;2)management policy relative to half-scram resets will be clarified and appropriate procedures revised;3)multiple rod drift related procedures will be modified to provide consistent direction, and 4)multiple rod drift scenarios will be included in the operator training program.There was no safety significance associated with this event.Calculations indicate that no thermal limit was exceeded.All safety systems were functional if necessary.
Plant Conditions a)Power Level-78K b)Plant Mode-1 (Power Operation)
Event Oescri tion On Harch ll, 1989, at 21:02 hours 34 of the 185 control rods drifted inward from one to seven notches due to low scram air header pressure.The low air header pressure occurred subsequent to a very rapid series of Reactor Protection System (RPS)half-scram trips and resets which occurred over a period of approximately 1 to 2 seconds.The driving signal for the rapid RPS trips and resets was the Channel"B" Main Steam Line (MSL)Radiation Monitor (HS-RIS-610B) rapidly cycling in and out of the trip and reset-to-normal condition coincident with a single RPS reset action.The HSL radiation monitor HS-RIS-610B is a Radiation Indicating Switch (RIS).An inoperable trip of.this switch causes: 1)a Hain Steam Isolation Valve (MSIV)half isolation trip on Channel"B";2)trip of the UB" Gland Steam Exhauster; and 3)a RPS Trip System"BU half-scram.
This switch has automatic reset-to-normal capability when the incoming signal that causes the switch to trip returns to within the trip setpoints.
However, the MSIV half isolation trip and RPS half-scram each require a manual reset.The UB" Gland Steam Exhauster trip is cleared with reset of the HSIV half isolation trip.The same MSL radiation monitor had undergone a similar trip/reset-to-normal cycling a few hours earlier at 1813 hours0.021 days <br />0.504 hours <br />0.003 weeks <br />6.898465e-4 months <br />.The Reactor Operator, within a few seconds of the RPS Trip System"B" half-scram trip, attempted to reset the half-scram.
Operators subsequently heard the RPS relays (K14)cycle rapidly between the energized and deenergized state before the half-scram was reset-to-normal.
The HSL radiation monitor stabilized and Maintenance Technicians were requested to trouble-shoot the MSL radiation monitor drawer.Trouble-shooting activities were delayed since Technicians more knowledgeable on the radiation monitor instrumentation were due in at shift turnover, at approximately 22:30 hours.NRC FORM SESA l9 R)t l DURST CTOD)9dd~)CE)))DIEI)90 NRC Form 3SSA l043l LICENSEE T REPORT tLER)TEXT CONTINUA U.S.NUCLEAR REGULATORY COMMISSION APPROVEO OM8 NO.3IS0-0104 EXPIRES: 8i31(88~FACILITY NAME III Washin ton Nuclear Plant-Unit 2 TEXT N more spsseis required, oss sddio'oosl irRC'Form JMA'sl IITI OOCKET NUMSER 13l 05000397 YEAR 8 9 LER NUMBER Idl SEQUENTIAL NUMSEA 0 0 5 AEVISION NVMSEA 0 0 PAGE ISI 0 3oF At 21:01:47 a rapid series of tri p/reset-to-normal cycles occurred, initiating another ov eral 1 period of HSL radiation monitor inoperable ins tabi 1 i ty.Th js overall period of instability lasted approximately 125 seconds until it was placed in"STANDBY", thus sealing in the inoperable trip.There were six distinct periods within the event in which the NSL radiation monitor experienced rapid cycling and/or was stabilized in the tripped condition.
It was during the first period of cycling that multiple control rod drift indications were observed.The control rod drift event is described as follows.21:01:47.3 A RPS Trip System NBN half-scram occurred due to an inoperable trip on MS-RIS-610B; As a result;the 185 Control Rod Drive (CRD)scram air pilot valves (CRD-SPV-118), one'n each Hydraulic Control Unit (HCU), moved to their scram position.This was the beginning the first period of the NS-RIS-610B instability.
The RPS scram contactor (K14 relay)de-energizes when the radiation monitor trips.The RPS reset pushbutton re-energizes the scram contactor when no trip signal exists.While the reset pushbutton is depressed, the tripping and resetting of the radiation monitor also cycles the scram contactor.
Cycling of the scram contactor cycles the CRD scram air pilot valve (CRD-SPV-118) on each HCU.See Figure'-for piping schematic of the scram pilot valves and the scram valves for one HCU in the normal operation configuration and Figure.2 for the RPS Trip System"BN half-scram configuration.
Energizing the CRD SPV 118 to the vent position vents a small portion of the instrument air piping between the scram air pilot valves (CRD-SPV-117 and CRD-SPV-118) to atmosphere.
While the solenoid valve is rapidly changing position, a scram air header vent path is also established for a short time.21:01:54 A scram air header high pressure alarm occurred.NOTE: Historically, a high pressure alarm has occurred on the scram a>r header following a RPS Trip System NBN half-scram actuation.
The high pressure response of the scram air header was attributed to air leaks in the HCUs, and regulator overshoot on a half-scram trip.This was concluded to have no effect on the rod drift event.21:01:57.5, RPS Trip System NBN half-scram reset-to-normal was recorded.While the RPS reset pushbuttons were depressed for 1 to 2 seconds, the scram.pilot valves=cycled due to the radiation monitor drawer repeated trip and reset.21:01:58.3 The high pressure scram air header alarm cleared and a low pressure alarm occurred.Between 21:01:57.5 and this point in time, a total of 13 trip/reset-to-normal cycles were recorded for/IS-RIS-6108.
NAC soAM 344*ro 441~II.S~CSOr leds STC de NRC Form 866A e., UA.NUCLEAR REGULATORY COMMISSIONr LICENSEE IjltIT REPORT (LERI TEXT CONTINUA4 APPROVEOOMB N0,3INMIDl EXPIRES: 8/31/88 FACILITY t/AME)ll Washington Nuclear Plant-Unit 2 TEXT///moIO/Oooo/o Iud/rud, uoo odd/dorN//VRO fonII 368A 8/117)OOCKET NVMSER)1)0 s o 0 03 97 89 LER NUMBER)6)+~SEQUEN'TIAL KN NUMSEII-0 0 5 j..66 REVISION.rrXC NUMSER 0 0 PAGE)3)0 4oF1 0 21:02:00.2 MS-RIS-610B reset-to-normal whichwas the end of the first period of rapid cycling.A total of 15 trip/reset-to-normal cycles were recorded since 21:Ol:57.5.
21:02:00.3 A rod drift alarm occurred at this time.The operator was aware that a rod drift alarm had occurred and saw several rod drift indications.
- The MSL radiation monitor had five more periods of rapid cycling.The RPS Trip System"B" half-scram was reset-to-normal following each of the four periods.These later events did not affect the rod drift event or result in any additional rod drift events because the scram-reset pushbuttons were not in the reset position during the MS-RIS-610B cycling.21:02:04.3 The scram air header low pressure alarm cleared.21:03:53.7 The MS-RIS-610B switch was placed in"standby", thus sealing in the inoperable trip.Immediate Corrective Action The following is a chronological description of the events and corrective actions immediately after placing the MS-RIS-610B switch in"STANDBY".21:05 The Plant Operators reviewed the applicable procedures.
Assessment of control rod status was begun by the Shift Technical Advisor.21:08 The Shift Manager ordered a reduction in power from 78K to 75K.The Reactor Operator confirmed that a large number of rods were at incorrect positions.
21:15 Based on input from a Plant Nuclear Engineer, the Shift Manager ordered Plant power reduced 10K.21'21 Reactor power was at 72.1%.A core performance monitor calculation was initiated at this point.21:25 Reactor power was at 65.6%.A second core performance monitor calculation was initiated at this point.21:30 21:35 The core performance calculation at the 72.1%power conditions was completed.
Review of core performance edits indicated a wide margin to all thermal limits existed.Review of fuel preconditioning edits indicated 63 nodes had exceeded the fuel preconditioning envelope, up to a peak of 1.5 kw/ft.The core performance calculation at the 65%power conditions was completed.
Review of edits indicated there were only four nodes still over the preconditioning envelope, up to a peak of 0.67 kw/ft.Based upon further input from a Plant Nuclear Engineer, the Shift Manager ordered core power reduced to 35%to reestablish the rod pattern.NRC POIIM SESA I9 8))~V.S.CPOi)966 AS)C SSF EOOTO NRC Form 3)ISA IS@3)'I/A.NUCLEAR REGULATORY COMMISSION/
LICENSEE tIIT REPORT (LER)TEXT CONTINUA~APPAOVEOOMBN0.3ISD-OIDI EXPIRES: S/31/ES I FACILITY NAME II)DOCKET NUMSER)3)LER NUMBER IE)Fqg<SEOUENTIAL dgj.REvrSION NVMEE/l 4 NUMSErl rAGE)3)Washin ton Nuclear Plant-Unit 2 TEXT I/I//lore s/lese Is rsr/o/red, os@edd I/orrs/HR forrrr 3//rr)A'sl
)1)l 0 5 0 0 0 3 9 7 005 0 0 0 5 OF 22:30 22:45 22:54 23:47 3-12-89 Reactor power was at 47.3%.A core monitor performance analysi s determined a wide margin (at least 16K)to all thermal limits existed throughout the event, and that the highest power node was 2.1 kw/ft above the fuel preconditioning envelope.There were no signs of fuel clad damage.Work had begun to recalibrate the high-voltage low inoperative setpoint of MS-RIS-610B.
Reactor power was at 36.5%.Plant Operators initiated restoration of the rod pattern.MS-RIS-610B was returned to normal operation following recalibration.
Reactor power was at 36K.The appropriate control rod pattern for return to rated power was reestablished.
Reactor power increase was started.02:14 Reactor power was at 78%.Further Evaluation and Corrective Actions A.Further Evaluation 1.This event was determined to be nonreportable for the following reasons.a.There were no Technical Specification limits exceeded during or following the rod drift event.b.The rod drift event did not result in conditions that fell outside of the design basis or safety analysis envelope of the plant.The integrity of the plant safety barriers were not compromised or degraded.c.All safety systems were functional to perform their intended function in the event any would have been needed.2.The cause of the Channel"B" MSL high radiation monitor indicating switch (MS-RIS-6108) was the"High Voltage LowU trip setpoint had drifted upward to equal the normal high voltage operating value.Since the logic circuit is a reset/set flip-flop, the condition"equal to" is indeterminate.
Therefore, a high voltage just equal to the trip setpoint,causes the rapid trip/reset-to-normal cycling to occur.A detailed review of other RPS trip inputs determined the possibility of this type of failure is less likely to happen from other similar input trips due to the design hysteresis of the trip logic, i.e., the dead band or the difference.between the tri p/reset-to-normal values is not zero.NnC rOrlM Sr)EA~U.S.Crcr IEEE 33F)ES OEOTO NRC ForrR 358AIS 83l.UA.NUCLEAR REGULATORY COMMISSION LICENSEE T REPORT (LER)TEXT CONTINUAT=APPRovfooMB No.3IEO&I04
'""'XPIRES: 8/31/88 FACILITY NAME (II OOCKET NUMBER ISI LER NVMSER ISI (gI SEQUENTIAL I~sl REvlsloN NUMSSA N%NUMSSR~AGE IS)Washington Nuclear Plant-Unit 2 TEXT Ld mrsrs s/ssss/s rssrr/ItN/
v>>sdd/drms/H/IC forrlr 3884's/IITI o s o o o3 97 8 9-0 0 0 0 0 6 OF The cause of the rod.dri ft event was the rapid cycling of the RPS relays/solenoids during the period of time the RPS reset pushbuttons were depressed, thus allowing the scram air header (local effect only)to vent to atmosphere.
3.The root causes of'the rod drift event include: 1)a design deficiency in that the MSL radiation monitor inoperable trip circuitry did not anticipate the trip/reset-to-normal cycling problem associated with voltages equal to the trip setpoints and 2)the Plant procedure lacked specific guidance regarding necessary actions to be taken when the underlying cause of abnormal operation of a safety related device is indeterminate.
a.The problem was not anticipated in that the MSL radiation monitor inoperable trip is the only RPS trip signal in which the design values for trip and automatic reset are equal.Had the monitor been designed such that the trip/reset values were different, as is the case with the other monitors, e.g., intermediate range monitors, the rapid tri p/reset-to-normal cycles would have been avoided.b.The Reactor Operator assessment and immediate response to the first inoperable trip of the radiation monitor was appropriate.
Specifically, the cause or source of the trip was identified to be the MS-RIS-6108, the inoperable trip condition had cleared, the process variable indications were normal compared to redundant equipment, the trip circuitry was functional, and the RPS half-scram was able to be reset.Appropriate subsequent actions were taken by the Shift Manager which included initiating.a Problem Evaluation Request (PER)per Plant procedures and requesting trouble-shooting for the underlying cause of the radiation monitor inoperable trip.When the second radiation monitor inoperable trip occurred, the underlying cause of the first trip'ad not been identified and corrected.
The Reactor Operator r'esponse to the second trip was similar to the first and appropriate per the existing procedures.
However, the Plant Abnormal Response procedures lacked specific guidance regarding appropriate response to subsequent abnormal operation of an inservice safety related device that has previously undergone abnormal operation and the underlying cause of the abnormality remains indeterminate.
The operational event was reviewed and analyzed to determine the best operational response to the event.It was determined that upon receipt of initial indication of any rod drift, the direction is to immediately reduce total core flow to 45K of rated within 30 seconds.This core flow represents a condition where even for extremely limiting control rod patterns, the power distribution would not violate either fuel thermal'limits'r fuel preconditioning guidelines.
This was determined to provide acceptable compensation for the worst case event.If a complete loss of scram air header pressure is indicated, or if more than one control rod continues to drift in, direction is given to manually, scram the reactor.NRC FOAM SSSA A r'r'0.5~CPOr I955 5;959 NRC Fo/m 3664 IQ43l LICENSEE E T REPORT (LER)TEXT CONTINUA U.S.NUCLEAR REGULATORY COMMISSION APPROVEO OMS NO.3IEO&104 EXPIRES: 6/31/88 FACILI'TY NAME ill DOCKET NUMSER (1l LER NUMSER l6)SEOVENTIAL NVM ER Re.y.ix'6 REVISION NVMSER PACE l3)Mashington Nuclear Plant-Unit 2 0 s o o 0 3 9 7 9 TEXT///more Z>>ce/e requ/red.uee edd/o'or>>/HRC
%%dmI 3SSI'e/I ITl 0 0 5 000 7 0F 1 5.The previous training on rod-drift events involved only the inward drift of a single rod during simulated startups.B.Further Corrective Action 1.Evaluate a design change of the MSL radiation monitor drawer which would preclude rapid trip/reset output signals from being generated.
2.Management has evaluated the current practice related to half-scram resets.Their expectations will be comunicated to the Licensed Operators and appropriate procedures revised.3.All.Abnormal Response procedures will be evaluated during periodic reviews to minimize ambiguity and ensure consistency of direction.
4.All procedures related to multiple rod drifts have been identified and modified to provide consistent direction.
5.Multiple rod drift scenarios will be included in the licensed Operator simulator training program.Safety Si nificance There is no safety significance associated with this event.Calculations indicate that thermal limits were not exceeded.Calculations, performed for a reactor power of lOOX at less than a half cycle core burnup with a worst case rod configuration, indicated that fuel power conditions might have reached or slightly exceeded Technical Specification thermal limits;Slightly exceeding thermal limits is not safety significant provided timely action is taken'o restore the Plant to acceptable conditions.
Technical Specification Safety Limits would not have been exceeded.'or greater than half cycle burnups, no thermal limits would be exceeded.This event occurred near the end of the fuel cycle.All safety'ystems were functional in the event cladding damage occurred.Had either immediate or latent cladding damage occurred, the Division I MSL radiation monitors were available to complete the RPS scram signal input if radiation levels exceeded trip setpoints.
The MS-RIS-610B had been placed in"STANDBY", which sealed in a Division II half-scram.
Also, Offgas System isolation capability was available to ensure against excessive radionuclide release to the environment in the unlikely event radiation levels exceeded preestablished setpoints from fuel failure.The administrative limits imposed by the WNP-2 Technical Specifications would also have prevented sustained plant operation at elevated radionuclide release rates.Therefore, this event posed no threat to the health and safety of the public or plant personnel.
Similar Events None":~S~CPP~It!.S C S!)OOO NRC For/n dddA (843)LICENSEE EIT REPORT (LER)TEXT CONTINUATN UA.NUCLEAR REOULATORY COMMISSION APPROVEO OMB NO.3(50-OIOd EX PIR ES: 8/3//88 FACILITY NAME (Il OOCKET NUMBER (El YEAR LER NVMBER (dl 5EOVENTIAL NVM ER.ib REVISION NUMBER PACE Ldl Washin ton Nuclear Plant-Unit 2<<<<o 3 9 7 TEXT////nord dpddd l/reqv/red, II/d dddWonN HRC'Fern 3BBA8/(lll 8 9 0 0 0 0 8 OF EI IS Information Text Reference EI IS Reference System Component Instrument Air Supply (Control/Service Air System)Instrument Air Supply (Pressure Control Valve, CAS-PCY-2)
Instrument Air Supply (Air Filter)Control Rod Drive System Control Rod Drive System (Scram Solenoid Pilot Yalve, 185 each CRD-SPY-117)
Control Rod Drive System (Scram Solenoid Pilot Yalve, 185 each CRD-SPV-118)
Control Rod Dt ive System (Scram Valve, 185 each CRD-Y-126)
Control Rod Drive System (Scram Yalve, 185 each CRD-V-'l27)
Main Steam System (Radiation monitor, NSL-RIS-610B)
Offgas System Reactor Protection System Annunciator System.Reactor Protection System LD LD LD AA AA AA AA SB WF, JC IB JC PCY FLT VTV VTV LOV LOV NnC FOnM SEEA U.S.Cl'0<Iddd 5/d Sdd 400/II I g II 1t~t il'~tl 4I Q2 Ek n 0 a 3 CI CONTROL/SERVICE AIR SYSTEM CAS-PCV-2~l C J M 4 INSTUMENT'IR HEADER a.'e M Mo ECI O n I C z III 2 IO"5n O m Z Ul m m CRD-SPV" 117 CRD-V"116 EXHAUST: CRD",SPY-118
~~.RPS CHANNEL'B'PI Z C 3 D QÃm 0 O.lTl m X, 0 0 z a n O E8~P~I~0 o hCCUMULhTQR AND CHARGIN VhTER CRD-V-126 RPS CHANNEL:h DRIVE VATER DRIVE MATER (INSERT CONTROL'VITHDRAV ROD DRIVE)FROM CONTROL ROD DRIVE)CRD-V-127 tD CD Vl O II Dn CC 3 III aa l%K Dy I-ZD c~3a (III j5 I D D n C iII Pre 0 g III (Zo-D~Ola 3le me 0 0 Q D'S~n L;3 o i3 ,L (o)