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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20046C0661993-07-30030 July 1993 LER 92-009-01:on 920910,deficiencies Discovered During Dynamic Testing of Motor Operated Valves in Response to Generic Ltr 89-10.MOVs W/Deficiencies Modified or Repaired. W/930730 Ltr ML20046B6011993-07-26026 July 1993 LER 93-004-00:on 930428,plant Entered Mode 2 W/Afw Pump Turbine Main Steam Line Crossover Check Valve MS735 in Open Position.Caused by Inappropriate Use of Engineering Judgement.Valve MS735 closed.W/930726 Ltr ML20045D2451993-06-17017 June 1993 LER 93-003-00:on 930520,plant Experienced Trip from Approx & Continuity Between Fuse & Fuseholder Lost,Resulting in Loss of Selected RCS Average Temp Input to Ics.Faulty Fuse Cap & Fuse replaced.W/930617 Ltr ML20044B1681990-07-10010 July 1990 LER 90-002-01:on 900126,reactor Coolant Pump Current Monitor Inputs to Sfrcs ACH1 & Reactor Pressure Sys Channel 1 Experienced Reactor Trip.Probably Caused by Inadequate Test Switches & Isolation plug.W/900710 Ltr ML20043H3201990-06-18018 June 1990 LER 90-010-00:on 900518,station Experienced Inadvertent Safety Features Actuation Signal Level 1-4 Actuation W/Injection of 1,000 Gallons of Borated Water.Caused by Loss of 120-volt Ac Bus Y3.W/900618 Ltr ML20043B5711990-05-25025 May 1990 LER 90-008-00:on 900425,safety Features Actuation Sys Level 1 Actuation Occurred,Resulting in Trip of Containment Radiation Monitors.Caused by High Radiation Fields While Lifting Core Support Assembly.Mod initiated.W/900525 Ltr ML20043B8051990-05-25025 May 1990 LER 90-009-00:on 900426,source-check of Station Vent Radiation Monitors Not Performed Per Tech Spec 3.3.3.10. Caused by Use of Outmoded Light Emitting Dioide as Check Source.Source Check Procedures revised.W/900525 Ltr ML20042F2811990-05-0303 May 1990 LER 90-007-00:on 900403,inadvertent,inconsequential Safety Features Actuation Signal Occured While Defueled.Caused by Incidental Contact W/Monitor in Containment.Temporary Barriers Built Around monitors.W/900503 Ltr ML20042F2791990-05-0303 May 1990 LER 90-006-00:on 900403,station Experienced Safety Features Actuation Sys Levels 1 Through 5 Actuation.Caused by Contact W/Breaker Switch HAAE2 in High Voltage Switchgear Room 2. Meetings Held W/Craft personnel.W/900503 Ltr ML20042E4891990-04-16016 April 1990 LER 90-005-00:on 900314,determined That Some Class 1E Circuits That Pass Through Containment Electrical Penetrations Do Not Have Adequate Backup Fault Protection. Caused by Inadequate Design control.W/900416 Ltr ML20012D0341990-03-19019 March 1990 LER 90-004-00:on 900217,fuel Assembly Moved in Spent Fuel Pool While Emergency Ventilation Inoperable.Caused by Personnel Error.Personnel Involved Counseled & Subj LER Part of Required reading.W/900319 Ltr ML20012C7151990-03-14014 March 1990 LER 90-003-00:on 900212,station Entered Mode 6,refueling,w/o Operable Audible Source Range Indication.Caused by Personnel Error.Individual counseled.W/900314 Ltr ML20012B4851990-03-0606 March 1990 LER 83-039/03X-2:on 830726,discovered That Handwheel for Inner Door of Personnel Airlock in Shut Position & Partially Opened.Caused by Excessive Use of Door During Outages.Door Repaired & Returned to Operable status.W/900306 Ltr ML20011F3831990-02-26026 February 1990 LER 90-002-00:on 900126,reactor Tripped from 73% Power. Caused by Spurious Reactor Coolant Pump Monitor Signal Indicating Only One Pump Running in Each Loop.Pump Seal to Be Replaced During Sixth Refueling outage.W/900226 Ltr ML20006E6861990-02-20020 February 1990 LER 90-001-00:on 900118,reactor Protection Sys Channel 2 Bypassed Temporarily During Performance of DB-MI-03207. Caused by Inadequate Procedure Re Inoperable Channel Removal.Procedure SP1105.02 revised.W/900220 Ltr ML20011E2251990-01-30030 January 1990 LER 86-032-01:on 860802,inadvertent Start of High Pressure Injection Pump 1-2 Occurred.Caused by Open Relay Coil. Failed Relay Replaced & Procedure Change Initiated. W/900130 Ltr ML20005G1091990-01-0909 January 1990 LER 89-015-01:on 891026,concluded That Transmitter Was Out of Tolerance When Reactor Protection Sys Channel 2 Returned to Operable Status on 890924.Caused by leak-by in Instrument Manifold.Transmitter Recalibr successfully.W/900109 Ltr ML20042D4011990-01-0202 January 1990 LER 89-010-01:on 890612,control Room Ventilation Sys Declared Inoperable Due to Compressor High Pressure Trips. Caused by Tripping of Refrigerant Pressure Switch on High Pressure.Switch Reset & Sys retested.W/900102 Ltr ML19354D7361989-12-22022 December 1989 LER 89-018-00:on 891123,hydrogen Dilution Blower 1-1 Casing Drain Line Broke Off at Casing,Declaring Blower Inoperable. Caused by Drain Line Being Accidentally Stepped On.Drain Removed & Pipe Plug installed.W/891222 Ltr ML19332F8951989-12-13013 December 1989 LER 89-017-00:on 891113,containment Spray Pump 1-1 Inadvertently Started During Monthly Functional Test in Safety Features Actuation Sys (Sfas) Channel 1.Caused by Failed Relay in Sfas Channel 3.Relay replaced.W/891213 Ltr ML19332E7521989-12-0404 December 1989 LER 89-016-00:on 890917,unplanned Release of Radioactive Resin to Onsite Settling Basin Occurred.Caused by Personnel Error.Standing Order 89-051 Generated on 890920 to Direct Use of Working Copy of procedures.W/891204 Ltr ML19332D3111989-11-27027 November 1989 LER 89-015-00:on 890924,RCS Flow Transmitter Out of Tolerance When Reactor Protection Sys Channel 2 Returned to Operable Status.Caused by leak-by in Instrument Manifold Seen as Zero Shift.Transmitter recalibr.W/891127 Ltr ML19324C2081989-11-10010 November 1989 LER 89-014-00:on 891011,plastic Sheeting Blocked Off Fire Detectors in Auxiliary Feedwater Pump 1-1 Room & High Voltage Switchgear Room B,Making Fire Detectors Inoperable. Caused by Personnel Oversight.Event reviewed.W/891110 Ltr ML19325D4671989-10-16016 October 1989 LER 89-004-01:on 890411,determined That Circulating Water Line Break Would Result in Loss of Svc Water as Result of Concerns Raised on 890206.Cause Unknown.Standing Order 89-026 in Place to Plug Floor drains.W/891016 Ltr ML19325C8531989-10-13013 October 1989 LER 89-013-00:on 890913,hourly Fire Watch Patrol Exceeded Allowed Interval,Violating Tech Spec 3.7.10,Action a.2. Caused by Personnel Error.Individual Counseled & Event Info Distributed to Fire Watch personnel.W/891013 Ltr ML20024E2591983-08-0101 August 1983 LER 83-033/03L-0:on 830620,fire Detection Zone Reactor Coolant Pump 1-2,containment Level 603 Ft Alarmed & Could Not Be Reset.Caused by Faulty Detector String.Zone Will Be Restored During Next Refueling outage.W/830801 Ltr ML20024B8351983-07-0101 July 1983 LER 83-028/03L-0:on 830603 & 17,fuel Handling Area Radiation Monitors RE8446 & 7 Found Deenergized.Caused by Blown Radiation Monitoring Cabinet Fuse.Fuse replaced.W/830701 Ltr ML20024B0471983-06-21021 June 1983 LER 83-026/03L-0:on 830524,one Half Channel Trip in Steam & Feedwater Rupture Control Sys (Sfrcs) Channel 2 Received. Caused by Component Failure.Input Buffer replaced.W/830621 Ltr ML20024A3621983-06-0909 June 1983 LER 83-024/03L-0:on 830511,while Starting Up from 830510 Reactor Trip,Quadrant Power Tilt in Quadrant Yz Exceeded Tech Spec steady-state Limit.Caused by Inherent Design of B&W NSSS & Negative Moderator Temp coefficient.W/830609 Ltr ML20024A5341983-06-0808 June 1983 LER 83-023/03L-0:on 830510,120-volt Ac Essential Bus Y4 Lost,Resulting in Deenergizing Reactor Protection & Safety Features Actuation Sys Channel 4.Caused by Blown Fuse in Inverter YV4.Power Restored to bus.W/830608 Ltr ML20024A5481983-06-0707 June 1983 Revised LER 83-002/03X-2:on 830115,18,0409,10 & 0510,RCS Dose Equivalent I-131 Exceeded Tech Spec Limit.Caused by Slight Fission Product Leakage Through Fuel Cladding.Level of I-131 monitored.W/830607 Ltr ML20023D9051983-05-26026 May 1983 LER 83-027/03L-0:on 830428,valve RC240B Would Not Close W/O Repeated Signals from Control Room.Caused by Valve Operator Torquing Out Due to Dirty & Improperly Lubricated Stem.Stem Cleaned & Torque Switch reset.W/830526 Ltr ML20023C3241983-05-0505 May 1983 LER 83-016/03L-0:on 830407,determined That Amplifier of Startup Level Transmitter LT-SP9A3 for Steam Generator 1-2 Failed.Caused by Component Failure within Amplifier. Amplifier Replaced ML20023C3021983-05-0505 May 1983 Revised LER 83-002/03X-1:on 830115,RCS Dose Equivalent I-131 Exceeded Tech Spec Limit of 1.0 Uci/Gm.Caused by Leakage of Fission Products Through Fuel cladding.I-131 Monitored Until Level Dropped ML20028E9581983-01-19019 January 1983 LER 82-068/03L-0:on 821220,core Imbalance Vs Core Power Limit Computer Alarm C963 Inoperable.Caused by Mistake in Alarm Subroutine.Alarm Statement Corrected So Limits & Value for Imbalance Scaled Same ML20028D2291983-01-0707 January 1983 Revised LER 81-045/03X-1:on 810730,after Unit Trip,Three Action Statements Entered.Auxiliary Feedwater Pump 1-2 Did Not Operate Properly.Shield Bldg Integrity Lost When Panel Blown Out.Main Steam Safety Valve Lifted at Low Setpoint ML20028C1231983-01-0303 January 1983 LER 82-064/03L-0:on 821129,decay Heat Cooler Component Cooling Water Outlet Valve on CCW Train 1 Would Not Open. Caused by Mfg Error.Flanged Bearing Missing from Actuator Mounting Plate.Flanged Bearing Installed on 821215 ML20028C3111982-12-30030 December 1982 Revised LER 81-031/03X-6:on 810512,following Reactor Trip, RCS Sample Level Peaked Above Microcurie Limit.Other Iodine Spikes Occurred 810730,0902,1016 & 23 & 1228.Caused by Slight Leakage of Fission Products Through Fuel Cladding ML20028C1971982-12-30030 December 1982 Revised LER 82-045/03X-1:on 820904 & 1203,auxiliary Feedwater Pump 1-1 Suction Valve FW786 Closed for No Apparent Reason W/O Operator Touching Close Button.Cause Unknown.Valve FW786 Reopened Upon Discovery ML20028C2591982-12-30030 December 1982 LER 82-065/03L-0:on 821201,discovered That Control Room Not Placed in Recirculation Mode within 1 H of Ventilation Sys Chlorine Detector Being Taken Out of Svc.On 821203,chlorine Detector Failed.Caused by Personnel Error ML20028B0291982-11-19019 November 1982 LER 82-054/03L-0:on 821021,Door 107 to Radiation Equipment Found Partially Open & Blocked by Hose When Personnel Attempted to Perform Routine Flush on RE-1878.Caused by Personnel Error.Personnel Counseled ML20028B2281982-11-16016 November 1982 LER 82-053/03L-0:on 821018,half Trip Alarm on Steam & Feedwater Rupture Control Sys Channel 2 Received Due to Failure of Steam Generator Level Instrument Cabinet Channel 2,24-volt Dc Power Supply.Caused by Component Failure ML20027E7891982-11-0404 November 1982 Revised LER 82-052/03X-1:on 820928,reactor Quadrant Power Tilt in Wx Quadrant Exceeded Tech Specs.Caused by Xenon Oscillation Producing Large Negative Imbalance.Control Rod Group 7 Borated Out to Reduce Negative Imbalance ML20027C9551982-10-19019 October 1982 LER 82-049/03L-0:on 820920 & 22,Channels 2 & 3 on Containment post-accident Radiation Monitor Re 4597BA Were Reading High.Caused by Problem in Microprocessor Software. New Set of Software Installed & Faulty Actuator Replaced ML20027C5381982-10-0404 October 1982 LER 82-045/03L-0:on 820904,auxiliary Feedwater Pump 1-1, Suction Valve FW786 Observed Closed for No Apparent Reason W/O Operator Touching Close Button.Cause Unknown. Valve Reopened ML20027A9471982-09-0707 September 1982 LER 82-036/03L-0:on 820808,hole Discovered in Fire Barrier Wall Above Door 309.Caused by Snubber EBD125R43 Penetrating Wall Through Pipe Shell.Hole Left by Workers After Work on Snubbers.Fire Watch Established & Hole Filled ML20052G6651982-05-0707 May 1982 LER 82-020/03L-0:on 820409,while in Mode 6,station Experienced Loss of 120-volt Ac Distribution Panel Y2.Caused by Blown YV2 Inverter Fuse When Short to Ground Occurred During Maint on Control Room Emergency Ventilation Sys ML20052E6231982-04-30030 April 1982 LER 82-019/01T-0:on 820426,some Steam Generator Tubes Adjacent to Auxiliary Feedwater Header Showed Potential Interaction W/Header Support Sys.Header Found Insecurely Fastened & Damaged.Cause & Corrections Being Investigated ML20052E8761982-04-29029 April 1982 LER 82-016/03X-1:on 820312,door 108 Found W/Both Door Closure Mechanisms Broken.Caused by Improper Operation of Door Closure Mechanisms by Personnel.Mechanisms Temporarily Repaired & New Parts Ordered ML20052C4151982-04-23023 April 1982 LER 82-018/03L-0:on 820326,electrician Cut High Voltage Cable on Source Range Detector NI-2,while Working in Containment Penetration Box P1L1L1.Caused by Problem in Coordination of Work Performed.Cut Cable Reconnected 1993-07-30
[Table view] Category:RO)
MONTHYEARML20046C0661993-07-30030 July 1993 LER 92-009-01:on 920910,deficiencies Discovered During Dynamic Testing of Motor Operated Valves in Response to Generic Ltr 89-10.MOVs W/Deficiencies Modified or Repaired. W/930730 Ltr ML20046B6011993-07-26026 July 1993 LER 93-004-00:on 930428,plant Entered Mode 2 W/Afw Pump Turbine Main Steam Line Crossover Check Valve MS735 in Open Position.Caused by Inappropriate Use of Engineering Judgement.Valve MS735 closed.W/930726 Ltr ML20045D2451993-06-17017 June 1993 LER 93-003-00:on 930520,plant Experienced Trip from Approx & Continuity Between Fuse & Fuseholder Lost,Resulting in Loss of Selected RCS Average Temp Input to Ics.Faulty Fuse Cap & Fuse replaced.W/930617 Ltr ML20044B1681990-07-10010 July 1990 LER 90-002-01:on 900126,reactor Coolant Pump Current Monitor Inputs to Sfrcs ACH1 & Reactor Pressure Sys Channel 1 Experienced Reactor Trip.Probably Caused by Inadequate Test Switches & Isolation plug.W/900710 Ltr ML20043H3201990-06-18018 June 1990 LER 90-010-00:on 900518,station Experienced Inadvertent Safety Features Actuation Signal Level 1-4 Actuation W/Injection of 1,000 Gallons of Borated Water.Caused by Loss of 120-volt Ac Bus Y3.W/900618 Ltr ML20043B5711990-05-25025 May 1990 LER 90-008-00:on 900425,safety Features Actuation Sys Level 1 Actuation Occurred,Resulting in Trip of Containment Radiation Monitors.Caused by High Radiation Fields While Lifting Core Support Assembly.Mod initiated.W/900525 Ltr ML20043B8051990-05-25025 May 1990 LER 90-009-00:on 900426,source-check of Station Vent Radiation Monitors Not Performed Per Tech Spec 3.3.3.10. Caused by Use of Outmoded Light Emitting Dioide as Check Source.Source Check Procedures revised.W/900525 Ltr ML20042F2811990-05-0303 May 1990 LER 90-007-00:on 900403,inadvertent,inconsequential Safety Features Actuation Signal Occured While Defueled.Caused by Incidental Contact W/Monitor in Containment.Temporary Barriers Built Around monitors.W/900503 Ltr ML20042F2791990-05-0303 May 1990 LER 90-006-00:on 900403,station Experienced Safety Features Actuation Sys Levels 1 Through 5 Actuation.Caused by Contact W/Breaker Switch HAAE2 in High Voltage Switchgear Room 2. Meetings Held W/Craft personnel.W/900503 Ltr ML20042E4891990-04-16016 April 1990 LER 90-005-00:on 900314,determined That Some Class 1E Circuits That Pass Through Containment Electrical Penetrations Do Not Have Adequate Backup Fault Protection. Caused by Inadequate Design control.W/900416 Ltr ML20012D0341990-03-19019 March 1990 LER 90-004-00:on 900217,fuel Assembly Moved in Spent Fuel Pool While Emergency Ventilation Inoperable.Caused by Personnel Error.Personnel Involved Counseled & Subj LER Part of Required reading.W/900319 Ltr ML20012C7151990-03-14014 March 1990 LER 90-003-00:on 900212,station Entered Mode 6,refueling,w/o Operable Audible Source Range Indication.Caused by Personnel Error.Individual counseled.W/900314 Ltr ML20012B4851990-03-0606 March 1990 LER 83-039/03X-2:on 830726,discovered That Handwheel for Inner Door of Personnel Airlock in Shut Position & Partially Opened.Caused by Excessive Use of Door During Outages.Door Repaired & Returned to Operable status.W/900306 Ltr ML20011F3831990-02-26026 February 1990 LER 90-002-00:on 900126,reactor Tripped from 73% Power. Caused by Spurious Reactor Coolant Pump Monitor Signal Indicating Only One Pump Running in Each Loop.Pump Seal to Be Replaced During Sixth Refueling outage.W/900226 Ltr ML20006E6861990-02-20020 February 1990 LER 90-001-00:on 900118,reactor Protection Sys Channel 2 Bypassed Temporarily During Performance of DB-MI-03207. Caused by Inadequate Procedure Re Inoperable Channel Removal.Procedure SP1105.02 revised.W/900220 Ltr ML20011E2251990-01-30030 January 1990 LER 86-032-01:on 860802,inadvertent Start of High Pressure Injection Pump 1-2 Occurred.Caused by Open Relay Coil. Failed Relay Replaced & Procedure Change Initiated. W/900130 Ltr ML20005G1091990-01-0909 January 1990 LER 89-015-01:on 891026,concluded That Transmitter Was Out of Tolerance When Reactor Protection Sys Channel 2 Returned to Operable Status on 890924.Caused by leak-by in Instrument Manifold.Transmitter Recalibr successfully.W/900109 Ltr ML20042D4011990-01-0202 January 1990 LER 89-010-01:on 890612,control Room Ventilation Sys Declared Inoperable Due to Compressor High Pressure Trips. Caused by Tripping of Refrigerant Pressure Switch on High Pressure.Switch Reset & Sys retested.W/900102 Ltr ML19354D7361989-12-22022 December 1989 LER 89-018-00:on 891123,hydrogen Dilution Blower 1-1 Casing Drain Line Broke Off at Casing,Declaring Blower Inoperable. Caused by Drain Line Being Accidentally Stepped On.Drain Removed & Pipe Plug installed.W/891222 Ltr ML19332F8951989-12-13013 December 1989 LER 89-017-00:on 891113,containment Spray Pump 1-1 Inadvertently Started During Monthly Functional Test in Safety Features Actuation Sys (Sfas) Channel 1.Caused by Failed Relay in Sfas Channel 3.Relay replaced.W/891213 Ltr ML19332E7521989-12-0404 December 1989 LER 89-016-00:on 890917,unplanned Release of Radioactive Resin to Onsite Settling Basin Occurred.Caused by Personnel Error.Standing Order 89-051 Generated on 890920 to Direct Use of Working Copy of procedures.W/891204 Ltr ML19332D3111989-11-27027 November 1989 LER 89-015-00:on 890924,RCS Flow Transmitter Out of Tolerance When Reactor Protection Sys Channel 2 Returned to Operable Status.Caused by leak-by in Instrument Manifold Seen as Zero Shift.Transmitter recalibr.W/891127 Ltr ML19324C2081989-11-10010 November 1989 LER 89-014-00:on 891011,plastic Sheeting Blocked Off Fire Detectors in Auxiliary Feedwater Pump 1-1 Room & High Voltage Switchgear Room B,Making Fire Detectors Inoperable. Caused by Personnel Oversight.Event reviewed.W/891110 Ltr ML19325D4671989-10-16016 October 1989 LER 89-004-01:on 890411,determined That Circulating Water Line Break Would Result in Loss of Svc Water as Result of Concerns Raised on 890206.Cause Unknown.Standing Order 89-026 in Place to Plug Floor drains.W/891016 Ltr ML19325C8531989-10-13013 October 1989 LER 89-013-00:on 890913,hourly Fire Watch Patrol Exceeded Allowed Interval,Violating Tech Spec 3.7.10,Action a.2. Caused by Personnel Error.Individual Counseled & Event Info Distributed to Fire Watch personnel.W/891013 Ltr ML20024E2591983-08-0101 August 1983 LER 83-033/03L-0:on 830620,fire Detection Zone Reactor Coolant Pump 1-2,containment Level 603 Ft Alarmed & Could Not Be Reset.Caused by Faulty Detector String.Zone Will Be Restored During Next Refueling outage.W/830801 Ltr ML20024B8351983-07-0101 July 1983 LER 83-028/03L-0:on 830603 & 17,fuel Handling Area Radiation Monitors RE8446 & 7 Found Deenergized.Caused by Blown Radiation Monitoring Cabinet Fuse.Fuse replaced.W/830701 Ltr ML20024B0471983-06-21021 June 1983 LER 83-026/03L-0:on 830524,one Half Channel Trip in Steam & Feedwater Rupture Control Sys (Sfrcs) Channel 2 Received. Caused by Component Failure.Input Buffer replaced.W/830621 Ltr ML20024A3621983-06-0909 June 1983 LER 83-024/03L-0:on 830511,while Starting Up from 830510 Reactor Trip,Quadrant Power Tilt in Quadrant Yz Exceeded Tech Spec steady-state Limit.Caused by Inherent Design of B&W NSSS & Negative Moderator Temp coefficient.W/830609 Ltr ML20024A5341983-06-0808 June 1983 LER 83-023/03L-0:on 830510,120-volt Ac Essential Bus Y4 Lost,Resulting in Deenergizing Reactor Protection & Safety Features Actuation Sys Channel 4.Caused by Blown Fuse in Inverter YV4.Power Restored to bus.W/830608 Ltr ML20024A5481983-06-0707 June 1983 Revised LER 83-002/03X-2:on 830115,18,0409,10 & 0510,RCS Dose Equivalent I-131 Exceeded Tech Spec Limit.Caused by Slight Fission Product Leakage Through Fuel Cladding.Level of I-131 monitored.W/830607 Ltr ML20023D9051983-05-26026 May 1983 LER 83-027/03L-0:on 830428,valve RC240B Would Not Close W/O Repeated Signals from Control Room.Caused by Valve Operator Torquing Out Due to Dirty & Improperly Lubricated Stem.Stem Cleaned & Torque Switch reset.W/830526 Ltr ML20023C3241983-05-0505 May 1983 LER 83-016/03L-0:on 830407,determined That Amplifier of Startup Level Transmitter LT-SP9A3 for Steam Generator 1-2 Failed.Caused by Component Failure within Amplifier. Amplifier Replaced ML20023C3021983-05-0505 May 1983 Revised LER 83-002/03X-1:on 830115,RCS Dose Equivalent I-131 Exceeded Tech Spec Limit of 1.0 Uci/Gm.Caused by Leakage of Fission Products Through Fuel cladding.I-131 Monitored Until Level Dropped ML20028E9581983-01-19019 January 1983 LER 82-068/03L-0:on 821220,core Imbalance Vs Core Power Limit Computer Alarm C963 Inoperable.Caused by Mistake in Alarm Subroutine.Alarm Statement Corrected So Limits & Value for Imbalance Scaled Same ML20028D2291983-01-0707 January 1983 Revised LER 81-045/03X-1:on 810730,after Unit Trip,Three Action Statements Entered.Auxiliary Feedwater Pump 1-2 Did Not Operate Properly.Shield Bldg Integrity Lost When Panel Blown Out.Main Steam Safety Valve Lifted at Low Setpoint ML20028C1231983-01-0303 January 1983 LER 82-064/03L-0:on 821129,decay Heat Cooler Component Cooling Water Outlet Valve on CCW Train 1 Would Not Open. Caused by Mfg Error.Flanged Bearing Missing from Actuator Mounting Plate.Flanged Bearing Installed on 821215 ML20028C3111982-12-30030 December 1982 Revised LER 81-031/03X-6:on 810512,following Reactor Trip, RCS Sample Level Peaked Above Microcurie Limit.Other Iodine Spikes Occurred 810730,0902,1016 & 23 & 1228.Caused by Slight Leakage of Fission Products Through Fuel Cladding ML20028C1971982-12-30030 December 1982 Revised LER 82-045/03X-1:on 820904 & 1203,auxiliary Feedwater Pump 1-1 Suction Valve FW786 Closed for No Apparent Reason W/O Operator Touching Close Button.Cause Unknown.Valve FW786 Reopened Upon Discovery ML20028C2591982-12-30030 December 1982 LER 82-065/03L-0:on 821201,discovered That Control Room Not Placed in Recirculation Mode within 1 H of Ventilation Sys Chlorine Detector Being Taken Out of Svc.On 821203,chlorine Detector Failed.Caused by Personnel Error ML20028B0291982-11-19019 November 1982 LER 82-054/03L-0:on 821021,Door 107 to Radiation Equipment Found Partially Open & Blocked by Hose When Personnel Attempted to Perform Routine Flush on RE-1878.Caused by Personnel Error.Personnel Counseled ML20028B2281982-11-16016 November 1982 LER 82-053/03L-0:on 821018,half Trip Alarm on Steam & Feedwater Rupture Control Sys Channel 2 Received Due to Failure of Steam Generator Level Instrument Cabinet Channel 2,24-volt Dc Power Supply.Caused by Component Failure ML20027E7891982-11-0404 November 1982 Revised LER 82-052/03X-1:on 820928,reactor Quadrant Power Tilt in Wx Quadrant Exceeded Tech Specs.Caused by Xenon Oscillation Producing Large Negative Imbalance.Control Rod Group 7 Borated Out to Reduce Negative Imbalance ML20027C9551982-10-19019 October 1982 LER 82-049/03L-0:on 820920 & 22,Channels 2 & 3 on Containment post-accident Radiation Monitor Re 4597BA Were Reading High.Caused by Problem in Microprocessor Software. New Set of Software Installed & Faulty Actuator Replaced ML20027C5381982-10-0404 October 1982 LER 82-045/03L-0:on 820904,auxiliary Feedwater Pump 1-1, Suction Valve FW786 Observed Closed for No Apparent Reason W/O Operator Touching Close Button.Cause Unknown. Valve Reopened ML20027A9471982-09-0707 September 1982 LER 82-036/03L-0:on 820808,hole Discovered in Fire Barrier Wall Above Door 309.Caused by Snubber EBD125R43 Penetrating Wall Through Pipe Shell.Hole Left by Workers After Work on Snubbers.Fire Watch Established & Hole Filled ML20052G6651982-05-0707 May 1982 LER 82-020/03L-0:on 820409,while in Mode 6,station Experienced Loss of 120-volt Ac Distribution Panel Y2.Caused by Blown YV2 Inverter Fuse When Short to Ground Occurred During Maint on Control Room Emergency Ventilation Sys ML20052E6231982-04-30030 April 1982 LER 82-019/01T-0:on 820426,some Steam Generator Tubes Adjacent to Auxiliary Feedwater Header Showed Potential Interaction W/Header Support Sys.Header Found Insecurely Fastened & Damaged.Cause & Corrections Being Investigated ML20052E8761982-04-29029 April 1982 LER 82-016/03X-1:on 820312,door 108 Found W/Both Door Closure Mechanisms Broken.Caused by Improper Operation of Door Closure Mechanisms by Personnel.Mechanisms Temporarily Repaired & New Parts Ordered ML20052C4151982-04-23023 April 1982 LER 82-018/03L-0:on 820326,electrician Cut High Voltage Cable on Source Range Detector NI-2,while Working in Containment Penetration Box P1L1L1.Caused by Problem in Coordination of Work Performed.Cut Cable Reconnected 1993-07-30
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217K1231999-10-14014 October 1999 Revised Positions for DBNPS & Pnpp QA Program ML20217D5441999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Davis-Besse Nuclear Power Station.With ML20211R0811999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20211B0271999-08-13013 August 1999 SER Accepting Second 10-year Interval Inservice Insp Requests for Relief RR-A16,RR-A17 & RR-B9 for Plant, Unit 1 ML20210Q8541999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20209E6231999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20195K2871999-06-16016 June 1999 Safety Evaluation Accepting Licensee Response to GL 95-07, Pressure Locking & Thermal Binding of Safety-Related Power-Operated Gate Valves ML20195F4871999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20207E8011999-05-19019 May 1999 Non-proprietary Rev 2 to HI-981933, Design & Licensing Rept DBNPS Unit 1 Cask Pit Rack Installation Project ML20207F4351999-05-0404 May 1999 Rev 1 to DBNPS Emergency Preparedness Evaluated Exercise Manual 990504 ML20206M6341999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Davis-Besse Nuclear Station,Unit 1.With ML20205M2931999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Davis-Besse Nuclear Power Station.With ML20207J1461999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Davis-Besse Nuclear Power Station,Unit 1.With ML20199H5931999-01-20020 January 1999 Safety Evaluation Accepting Thermo-Lag Re Ampacity Derating Issues for Plant ML20204J6751998-12-31031 December 1998 1998 Annual Rept for Dbnps,Unit 1,PNPP,Unit 1 & BVPS Units 1 & 2 ML20199E2501998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20206B0101998-12-31031 December 1998 1998 Annual Rept for Firstenergy Corp, for Perry Nuclear Power Plant & Davis-Besse Nuclear Power Station.Form 10-K Annual Rept to Us Securities & Exchange Commission for Fiscal Yr Ending 981231,encl ML20205K5781998-12-31031 December 1998 Waterhammer Phenomena in Containment Air Cooler Swss ML20197J3441998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20195D0001998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20155B6781998-10-28028 October 1998 Safety Evaluation Accepting Proposed Reduction in Commitment Changes in QA Program Matl Receipt Insp Process ML20154H5801998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Davis-Besse Nuclear Power Station,Unit 1.With ML20151W1611998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Dbnps.With ML20237E3171998-08-21021 August 1998 ISI Summary Rept of Eleventh Refueling Outage Activities for Davis-Besse Nuclear Power Station ML20237B1681998-07-31031 July 1998 Monthly Operating Rept for July 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20236U5011998-07-23023 July 1998 Special Rept:On 980624,Unit 1 Site Damaged by Tornado & High Winds.Alert Declared by DBNPS Staff,Dbnps Emergency Response Facilities Activiated & Special Insp Team Deployed to Site by Nrc,As Result of Event ML20236R1441998-07-15015 July 1998 SER Related to Quality Assurance Program Description Changes for Davis-Besse Nuclear Power Station,Unit 1 ML20236N7451998-06-30030 June 1998 Monthly Operating Rept for June 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20236K3981998-06-30030 June 1998 SER Accepting in Part & Denying in Part Relief Requests from Some of ASME Section XI Requirements as Endorsed by 10CFR50.55a for Containment Insp for Davis-Besse Nuclear Power Station,Unit 1 ML20236K5131998-06-29029 June 1998 Safety Evaluation Accepting Proposed Alternate Emergency Operations Facility Location for Davis-Besse Nuclear Power Station,Unit 1 ML20248F7441998-05-31031 May 1998 Reactor Vessel Working Group,Response to RAI Regarding Reactor Pressure Vessel Integrity ML20249A4121998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20196B5221998-05-23023 May 1998 10CFR50.59 Summary Rept of Facility Changes,Tests & Experiments Dbnps,Unit 1 for 960602-980523 ML20236E7581998-05-19019 May 1998 Rev 0 to Davis-Besse Unit 1 Cycle 12 Colr ML20236N7501998-04-30030 April 1998 Rev 2 to Monthly Operating Rept for Apr 1998 for Davis-Besse Nuclear Power Station,Unit ML20247F6721998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for Davis-Bess Nuclear Power Station,Unit 1 ML20249A4141998-04-30030 April 1998 Revised Monthly Operating Rept for Apr 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20217P8041998-04-0707 April 1998 11RFO OTSG ECT Insp Scope ML20216B4041998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20216C5131998-02-28028 February 1998 Monthly Operating Rept for Feb 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20202D3721998-01-31031 January 1998 Monthly Operating Rept for Jan 1998 for Davis-Besse Nuclear Power Station,Unit 1 ML20199G6321998-01-26026 January 1998 Rev 1 to Davis-Besse Unit 1,Cycle 11,COLR ML20198R4771998-01-13013 January 1998 SER Approving Second 10-year Interval Inservice Inspection Program Plan Requests for Relief for Davis-Besse Nuclear Power Station,Unit 1 ML20198K7931997-12-31031 December 1997 Monthly Operating Rept for Dec 1997 for Davis-Besse Nuclear Power Station,Unit 1 ML20217K6401997-12-31031 December 1997 1997 Annual Rept First Energy ML20203A3931997-11-30030 November 1997 Monthly Operating Rept for Nov 1997 for Davis-Besse Nuclear Power Plant,Unit 1 ML20198S5371997-10-31031 October 1997 Monthly Operating Rept for Oct 1997 for Davis-Besse Nuclear Power Station ML20217H7701997-09-30030 September 1997 Monthly Operating Rept for Sept 1997 for Davis-Besse Nuclear Power Station,Unit 1 ML20216H3261997-08-31031 August 1997 Monthly Operating Rept for August 1997 for DBNPS ML20217K0241997-07-31031 July 1997 Monthly Operating Rept for Jul 1997 for Davis Besse Nuclear Power Station,Unit 1 1999-09-30
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%ms EDISON ED! SON PLAZA - l 300 MADISON AVENUE J
- TOLEDO, OHIO 43652-o001 1
i AB-93-0020~
NP-33-93-03 l Docket Number 50-346 License Number NPF-3
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June 17, 1993 United States Nuclear Regulatory Commission !
Document Control Desk j Vashington, D.C. 20555 ;
i Gentlemen: t LER 93-003 Davis-Besse Nuclear Power Station,. Unit Number 1- .
Date of Occurrence --May 20, 1993 Enclosed please find Licensee Event Report.93-003, which is being submitted to' provide 30 days written' notification of'the. subject occurrence. .This LER is being submitted in accordance with 10 CFR 50.73(a)(2)(iv). .
7 Very truly yours, ouis F. Storz Plant Manager Davis-Besse Nuclear Power Station !
LFS/lkg enclosure cc: Mr. J. B. Martin Regional Administrator USNRC Region III Hr. Stan Stasek DB-1 NRC Senior Resident Inspector 240083
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NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150-0104 (S ezi .
EXPIRES 5/31/95 E STIMATED BURDEN PE R FISPONSE TO COMPLY WITH THl$ 5
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INFORMATION COLLECTION REQUEST: 50.0 HRS. FORWARD LICENSEE EVENT REPORT (LER) COMvENTs ntuRD,Na suRDEN EsmATe TO 1HE iv0nMATcN AND RECORDS MANAGEMENT BAANCH (MNBA 7714), U S. NUCLEAA REGULATORY COMMISSION, W ASHINGTON, DC 20555-0001. AND TO THE PAPERWORK REDUCTION PRCLIECT (31504104), OFFtCE or (See reverse for requwed number of digits / characters for each block) MANAGE MENT AND BUDGET, WASHWGTON, DC POSu FACILITY NAME p) DOCKET NUMDER (2) PAGE (3)
Davis-Besse Unit Number 1 05000-346 1 OF 4 TITLE (4)
Reactor Trip - Loss of ICS Tave Input EVENT DATE (5) LER NUMBER (6i REPORT NUMBER (7) OTHEF< FACILITIES INVOLVED (8)
F ACluTY NAME DOGKET NUMBER SFOUENTAL REVISION MONTH DAY YEAR YEAR NUMBER NUMBER
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05000 FACluTY NAME DOCKET NUMBER
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05 20 93 93 003 00 06 17 93 05000 OPERATING THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR 6: (Check one or more) (11)
MODE (9) 1 20.402(b) 20.405(c) X $0.73(a)(2)(iv) 73 71(b)
POWER 20 405(a)(1)(i) 50.30(c)(1) 50.73(a)(2)(v) 73.71(c)
LEVEL (10) 100 20.405(a)(1)(ii) 50.361c)(2) 50.73(a)(2)(vii) OTHER 20.405(a)(1)(ud 50.73(a)(2)(i) 50.73(a)(2)(viii)tA) WP'c@
- Ab**c' 20.405(a)(1)0v) 50,73(a)(2)(n) 50.73(a)(2)(viii)(B) $N6A 20 405(a)(1)(v) [ 50.73(a)(2)(ui) 50.73(a)(2)(x)
LICENSEE CONTACT FOR THIS LER (12)
NAME T& HONE NUMBEH pcmae Area Goce)
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Mark A. Turkal, Engineer - Nuclear Licensing (419) 321-7377 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
CAUSE SYSTEM COMPONENT MANUFACTURER . CAUSE SYSTEM COMPONENT MANUFACTUAER ONR l
l SUPPLEMENTAL REPORT EXPECTED (14) EXPECTED MONT H DAY YLAR YEs SUBMISSION
(" Y+8 ""imee EXPECTED SUGMISS!ON DATE) X DATE (15)
ABSTRACT (Limit to 1400 spaces, i e., approximately 15 single-spaced typewntten Ones) (16)
On May 20, 1993, at 1138 hours0.0132 days <br />0.316 hours <br />0.00188 weeks <br />4.33009e-4 months <br />, the plant experienced a trip from approximately 102% power. Loss of continuity between a fuse and fuseholder resulted in a loss of power to an auxiliary relay in the Non-Nuclear Instrumentation (NNI) System. This caused a loss of the selected RCS average ;
temperature (Tave) input to the Integrated Control System (ICS). The ICS Tave l input failed to zero VDC indicating that the RCS average temperature was approximately 570 degrees F. Normal RCS average temperature is 582 degrees F. l l
To compensate, the ICS Tave integral increased Reactor Demand, withdrawing control rods and increasing reactor power. In an attempt to reduce reactor l power, operators took manual control of ICS and decreased the Steam Generator / Reactor Demand signal. The primary reactor operator overreacted and lowered demand too far. Primary to secondary heat flow became unbalanced as l feedvater flow followed the lowered demand, but reactor power did not decrease due to the low Tave input. As feedvater flow decreased, RCS pressure increased. The reactor tripped on high RCS pressure.
The faulty fuse cap and fuse vere replaced and other NNI fuse holders and fuses vere inspected. The plant was returned to service on May 21, 1993 at 1308 hours0.0151 days <br />0.363 hours <br />0.00216 weeks <br />4.97694e-4 months <br />.
NGC FORM 366 (5 92)
REQUIRED NUMBER OF DIGITS / CHARACTERS FOR EACH BLOCK ,
BLOCK NUMBER OF TITLE NUMBER DIGITS /CHARACTEDS 1 UP TO 46 FACILITY NAME 8 TOTAL DOCKET NUMBER 3 IN ADDITION TO 05000 3 VARIES PAGE NUMBER 4 UP TO 76 TITLE
^ EVENT DATE 5
2 PER BLOCK 7 TOTAL
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6 LER NUMBER 3 FOR SEQUENTIAL NUMBER 2 FOR REVISION NUMBER 6 TOTAL I REPORT DATE 2 PER BLOCK UP TO 18 - FACILITY NAME OTHER FACILITIES INVOLVED 8 TOTAL - DOCKET NUMBER 3 IN ADDITION TO 05000 9 1 OPERATING MODE 10 3 POWER LEVEL ,
l' REQUIREMENTS OF 10 CFR CHECK BOX THAT APPLIES UP TO 50 FOR NAME 12 LICENSEE CONTACT 14 FOR TELEPHONE CAUSE VARIES 2 FOR SYSTEM 13 4 FOR COMPONENT EACH COMPONENT FAILURE 4 FOR MANUFACTURER NPRDS VARIES SUPPLEMENTAL REPORT EXPECTED CHECK BOX THAT APPLIES 6 TOTAL 15 EXPECTED SUBMISSION DATE 2 PER BLOCK 1
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NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150-0104 ts $2;
- EXPlRES 5/31/95 ESTtMATED BURDEN PER RESPONSE TO COMPLY WITH TH!S LICENSEE EVENT REPORT (LER) 1* fj0E#n#2 "RD#fSEETOZ',Nf"NS TEXT CONTINUATION Eu"L[N u E N No"TE*E"'s'N'iiNDI$
'"i THE FAPERWORK REDUCTON PRGJECT (3150-0t04), OFFICE OF M ANAGEMENT AND BdDGET, WASMtNGTON, DC 20501 f ACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (s) PAGE (3) gp EEQUENLA RE v404 NUMBER NUVBER 05000-346 2 OF 4 '
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Davis-Besse Unit Number 1 93 003
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00 TEXT pr more space a reqwea. use e20sonei comes or NRC f orm ast.N (17)
Description of Occurrence: !
On May 20, 1993, the plant was in Mode 1 at approximately 100% reactor power.
The event began at 1135 hours0.0131 days <br />0.315 hours <br />0.00188 weeks <br />4.318675e-4 months <br /> when loss of continuity between a fuse and fuseholder resulted in de-energizing of auxiliary relay 86/RC7A in the Non-Nuclear Instrumentation (NNI) System. Loss of power to the auxiliary '
relay caused the loss of the selected Integrated Control System (ICS-JA)
The ICS Reactor _ Coolant System (RCS-JD) average temperature (Tave) input.
provides automatic coordination of the reactor, steam generator feedvater control, and turbine. The ICS includes four independent subsystems: (1) tht Unit Load Demand Control, (2) the Integrated Haster Control, (3) the Steam Generator Control, and (4) the Reactor Control. The four ICS subsystems were automatically controlling the plant when Tave failed.
The loss of Tave resulted in an erroneous input to the ICS indicating that the RCS average temperature was approximately 570 degrees F. Normal RCS average temperature is 582 degrees F, which.vas the approximate RCS average temperature at this time. As a result, the ICS attempted to recover normal RCS average temperature by withdrawing control rods, increasing reactor power '
to approximately 102%. The ICS includes a Reactor Demand High Power Limiter which prevents the ICS from demanding a power greater than 103% to prevent exceeding an RPS channel high flux trip setpoint.
In a proper attempt to reduce reactor power, operators took manual control of the ICS and decreased the Steam Generator / Reactor Demand signal. The primary reactor operator erred, however, as he overreacted to the conditions and manually lowered demand to approximately 80% of full power without properly informing the balance of the operating crev. Primary to secondary heat flow became unbalanced as feedvater flow decreased without a corresponding decrease in reactor power due to the low Tave input failure. As feedvater flow decreased, RCS pressure increased. The Reactor Protection System (JC) properly tripped the reactor on high RCS pressure (trip setpoint - less than or equal to 2355 psig) at 1138 hours0.0132 days <br />0.316 hours <br />0.00188 weeks <br />4.33009e-4 months <br />. Maximum indicated RCS pressure was 2350 psig based on plant computer data.
Redundant sensors for major system parameters are available to the ICS. The ICS inputs are monitored by 19 Smart Analog. Selector Switch (SASS) channels designed to automatically transfer to a redundant sensor in case of instrumentation problems. The SASS channel monitoring RCS average temptrature did not transfer in this event because the failure was downstream of the SASS.
The plan was returned to service on May 21, 1993 at 1308 hours0.0151 days <br />0.363 hours <br />0.00216 weeks <br />4.97694e-4 months <br />.
NRC FORM 366A (5-92)
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I NRC FORM 3fA6A U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150-0104 Hz, '
EXPIRES 5/31/95 l ESTIMATED BURDEN PER RESPONSE TO COMPLY w'TH THIS LICENSEE EVENT REPORT (LER) 'ET@s%&
C #ERs shATE' "OQ NFMAOi )
^$v"$28 "","'s"o 1 g9CM M B 7,74 TEXT CONTINUATION y E
TME PAPERWORK REDUCTION PRCUECT (3%C104n OFFICE OF MANAGE MENT AND BJDGET. WASHINGTON, DC 20503 F ACitITY NAME p) DOCKET NUMBER (2) LER NUMBER (s) P AGE (3)
SEQUENitA. RE v@ON NUMBER NUMBER 05000-346 3 OF 4
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Davis-Besse Unit Number 1 93 003 00 T ext m .c.c. ww.am. .umi,w .., mC ,,,,n my p r3 l Description of Occurrence: (con't)
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l Initial notification of the reactor trip was made on May 20, 1993, at 1258 hours0.0146 days <br />0.349 hours <br />0.00208 weeks <br />4.78669e-4 months <br />, in accordance with 10 CFR 50.72(b)(2)(ii). This LER is being submitted i in accordance with 10 CFR 50.73(a)(2)(iv).
l l Apparent Cause of Occurrence I
The plant transient was initiated by a loss of continuity between a fuse and fuseholder in the circuit that powers an auxiliary relay for Tave input selection to the ICS. The reactor trip resulted from operator action taken in an attempt to decrease reactor power.
A loss of continuity between a fuse and fuseholder resulted in de-energizing of auxiliary relay 86/RC7A in the NNI system. Loss of power to the auxiliary relay caused the loss of the selected ICS Tave input which provided an l
erroneous input to the ICS indicating that the RCS average temperature was approximately 570 degrees F. Normal RCS average temperature is 582 degrees F.
As a result, the ICS attempted to recover normal RCS average temperature by withdrawing control rods and increasing reactor power to approximately 102%.
In an attempt to reduce reactor power, operators took manual control of ICS and decreased the Steam Generator / Reactor Demand signal. Feedvater flow decreased, however, reactor power did not due to the lov Tave input. As feedvater flow decreased, RCS pressure increased. The RPS functioned properly by tripping the reactor on high RCS pressure.
I Analysis of Occurrence The event reported in this LER has minimal safety significance.
Plant and operating crew response to the trip was satisfactory. The Control Rod Drive trip breakers opened and all control rods inserted on the reactor trip as designed. Steam generator pressure increased due to the closing of the main turbine stop valves. The Turbine Bypass Valves and the Atmospheric Vent Valves (AVVs) properly opened and the Main Steam Safety Valves (MSSVs) lifted in response to the increasing secondary system pressure. The MSSVs and AVVs closed as . steam generator outlet pressure decreased.
Shortly before the reactor trip, there was an undetected lockup of the Safety Parameter Display System (SPDS). As a result, the SPDS was not available to the control room operators post-trip. The failure of the SPDS was not associated with the reactor trip and did not affect the operators' ability to respond to the event. The SPDS was returned to service at approximately 1150 hours0.0133 days <br />0.319 hours <br />0.0019 weeks <br />4.37575e-4 months <br /> and pertinent transient data is available.
NRC FORM 366A @92)
NRC FORM 3fnEA U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150-0104 H2> * '
rXPIRES 5/31/95 ESTIMATED BJRDEN PER RESPONSE TO COMPLY w'TH TH:s INFORMATION Cou1C'ON RE QUE ST $3 0 HRS FOAWARD LICENSEE EVENT REPORT (LER) CoMveN s REsiRo,N3 suotN EsT, MITE TO THE ,NFOnMAvoN TEXT CONTINUATION ^'* "'C N' ""^NCH ma nni. u s NuCttAa
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. , DC 20555 0001.ANDTO THE PAPERWORK REDUCTCN PRa ECT (31$0-0104. OFFICE OF MANAGEMENT AND BUDGET WA5MfN3 YON, DC 20503 F ACILITY NAME (1) DOCKET NUMBER (2) LE R NUMBL R lt) PAGE (3) biOVENTiA; hL O SiON yggq NUMBE R NUMBE R 05000-346 4 op 4 Davis-Besse Unit Number 1 93 ~ 003 00 Tw w n,, w.=. . ,,w.1 - .un., eop.., or Nnc ,,-, ase.a, ,, ,,
Corrective Action i
The faulty fuse cap and fuse vere replaced and the remaining 37 NNI fuse f holders and fuses associated with SASP instrumentation vere inspected. No additional faulty fuse holders or fuses were discovered, however, seven fuses and one fuse cap were replaced as a precautionary measure. !
l Operations personrel completed required reading regarding the failure of Tave, l the plant's response, and general guidance for ICS transients.
Subsequent to the event, simulator training on the transient was initiated.
Each operating crev vill complete this training by June 25, 1993. Control room team training, in association with INPO, is scheduled for completion by July 30, 1993.
Failure Data There have been no LERs due to ICS initiated transients in the previous three years. Also, there have been no LERs in the previous three years due to reactor trips resulting from operator action.
NP 33-93-003 PCAO No. 93-0311 1
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NRC FORY 3664 (S 921