LER-1981-015, Forwards LER 81-015/03L-0.Detailed Event Analysis Encl |
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| 2511981015R00 - NRC Website |
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PRN-LI-81-556 1
Mr. James P. O'Reilly Regional Administrator, Region II U.S. Nuclear Regulatory Commission 101 Marietta Street, Suite 3100 Atlanta, Georgi a 30303 Dear Mr. O'Reilly; REPORfABLE OCC,URRENCE 294-81-15 TURKEY P0ild UNIT 4 DATE OF OCCUR:hNCE:
NOVEMBER 28, 1981 TECHNICM SPECIFICATION 6.9.2.b.1 R.CS PRESSUR.E TRANSIENT The attar.hed Licensee Event Report 's being submitted in accordance with Technical Specificat ico 4.9 to provide 30 day notification of the subject occurrence.
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J. W. Williams, Jr.
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~If h.,t Repertnle Occurrence 251-81-015
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Additional Event Description and Probable Consequences A.
Conditions Prior to Occurrence (ofdydEiEwith a temperature of approximately[ystem (RCS) was in a w The reactor was shutdown and the Reactor Coolant S 1((ind a pressure of approximate @ 10ysig ~ Pressure control was being maintained by charging into and letting down r'6thlhe RCS. The letdown path was via the Residual Heat Removal System (RHRS) and the Chemical Volume Control System (CVCS) letdown Pressure Control Valve (PCV-4-145). Reactor Coolant System filling and venting operations were completed and preparcti.;ns were underwcy te start RCS
'heatup.
B.
Descriptica of O currence
- 1. November 28,1981,10:55 p.m.
The 4B Reactor Coolant Pump (RCP) was started to begin RCS heatup. The Reactor Control Operator (RCO) r.oticed that RCS pressure was approximately PCV-4345las in the fu!!y i
500 psig and increasing. He also noticed thatg closed position and attempted to open i}gauto}bf lowering the setpoint, When this attempt failed, the valve was opened in manual, 4B RCP, 4 A charging pump and the pressurizer control heaters were also secured. One Power Operated Relief Valve (PORV-4-455C) was manually opened to reduce RCS pressure. The other PORY (PORV-4-456) was isolated on a clearance. An pHR~ isolation valve (MOV-4-750) was found in the closed positiori'and iiiiinediately 'r6Liu' ally 8p~e'nid'.'PCVl42145 was ret'Orned tdTut'6Aontrcl and
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4 A charging pump was restarted. The RCS pressure was maintained constant at approximately 335 psig.
overpressure condition was approximatelggi(u@psigpDuration of the The RCS peak pressure during the transient was/1100"
- The problem was initia!!y diagnosed as misoperation of PCV-4-145. When PCV-4-145 was returneJ to auto control with a pressure setpoint of 6.5 and RCS pressure maintained constant,4B RCP operation was again attempted by the next shif t.
Subsequent investigation indicates that the RCS pressure transmitter PT-4-403 had closed MOV-4-750, due to the pressure interlock at 465 psig, thus resulting in the overpressure condition._lt_is common for the RCS pressure to surge during RCP startup ffdV 4-751 did not close, apparently due to PT-4-405 failing to reach the 46Y siQ interlock. It was later found 7. hat the instrument Efso'taatRvtwmr2:inssosssagstfWese.gynasteriMiesed;4 allowing a hycrostatic test by constructio'HKrsonnel.
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Re;>r-table Occurrence 251-81-015 Litu see Event Report Page three g.;.: -
- 2. November 29,1981,12:55 a.m.
The 4B RCP was restartede An overpressure condition reoccurred with peak pressure reachinff50$g? Again the RCP and the charging pump in operation were secured. PORV-Tt35C was manually opened to decrease RCS pressure.
Duration of the overpressure condition was approximatelygri,'e i]n'gi g Investigation of this condition found MOV-4-750 and MOV-4-751 closed, thus isolating letdown. It was found that RCS pressure transmitter PT-4-405 was,
reading higher than the others. It is believed thatPTr4 405 triu Thye76s~t itsf<s 8etpoint du'e'16 hydrostatic tnstinf'oi the sensing fineVitFthe b'l*6ciTVsTvP ~
' leaking through the7eai'.9fnce PT-4-405 was reading about 130 psig higher than the others, starting the RC' could have caused PT-4-405 to pren aturely close MOV-4-751 thus resulting in the overpressure condition.
During these two overpressure transients, thefiKffEIM57c3tdPAfter the first event, the block valve to PT-4-iO5 waW80)~ErTidf'fn ad' itTon, d
attempts were made to release the redundant OMS loop from clearance and restore it to operating conditions, but this was..et accomplished by the time the second overpressure event occurred.
Additional Cause Description and Corrective Actions The primary cause of the overpressure conditions is considered to be the automatic closure of the RHRS suction isolation valves coupled with the malfunction of the OMS while operating in a water solid condition. The reason the OMS did not operate as designed was found to be agaiTEdYtfrrim~a~fo'rpn the 40'5Tasis'61at'6dMThis electronic circuitry coupled with the fact that<PTJy$itry to aut53atida*lly open
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pressure transtnitter provides input to the OMSTirct
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PORV-4-455C on high pressure conditions. The two devices which malfunctioned hadfieviously,been tested and calibrated _.
g p p 4 _4o5-CD rp s u m mam-During both occurrences, the operators took action to stop the charging pumps which were providing the source of rapid pressurization. However, once the letdown flow was significantly reduced or terminated by closure of the RHRS isolation valves, timely operator action was precluded by the rapidity of the transient.
A fracture mechanics analysis based on the methods of Appendix G to Section Ill of the ASME Boiler and Pressure Vessel Code was performed by Westinghouse.
The analysis showed that the integrity of the reactor vessel was not impaired by these transients. It was further judged that the fatigue life of the vessel was not significantly affected. An independent Florida Power and Light Co. consultant reviewed the analysis and concurred with its conclusions. The fact that there was no thermal stress present was a beneficial factor in the analysis.
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Reportable Occurrence 251-81-015 Licensee Event Report Pageihr.
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The immediate corrective action consisted of reducing the RCS pressure to a value within the Technical Specification limits and obtaining an evaluation of the events from the Nuclear Steam System Supplier (Westinghouse).
As part of the long term corrective action, procedure changes will be rnade to include additional equipment checks as well as to insure proper valve line up following any tests prior to releasing the systems to operations. These actions will minimize the probability of component failures similar to the ones that resul+cd in the OMS operational anomalies.
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! VENT DESCaiPTICN ANO enc 9 AELE CONSE CUENCE5 h at2 i The reactor was shutdown and the Reactor Coolant System (RCS) was in a a en--aratrre
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| 05000251/LER-1981-001-03, /03L-0:on 810112,during Startup,For 4-h,condensate Storage Tank Contained Less than 185,000 Gallons Required by Tech Spec 3.8.1.C.Caused by Increased Water Demand During Low Power Physics Testing Exceeding Treatment Plant Ou | /03L-0:on 810112,during Startup,For 4-h,condensate Storage Tank Contained Less than 185,000 Gallons Required by Tech Spec 3.8.1.C.Caused by Increased Water Demand During Low Power Physics Testing Exceeding Treatment Plant Output | | | 05000251/LER-1981-001, Forwards LER 81-001/03L-0 | Forwards LER 81-001/03L-0 | | | 05000250/LER-1981-001, Forwards LER 81-001/03L-0 | Forwards LER 81-001/03L-0 | | | 05000250/LER-1981-001-03, /03L-0:on 810101,while Performing Surveillance on Emergency Diesel Generator B,Loss of Voltage Control Occurred.Caused by Fuse Failure.Fuses Were Replaced.Annual Surveillance Will Include Fuse Checks | /03L-0:on 810101,while Performing Surveillance on Emergency Diesel Generator B,Loss of Voltage Control Occurred.Caused by Fuse Failure.Fuses Were Replaced.Annual Surveillance Will Include Fuse Checks | | | 05000250/LER-1981-002, Forwards LER 81-002/01T-0 | Forwards LER 81-002/01T-0 | | | 05000250/LER-1981-002-01, /01T-0:on 810103,during Planned Shutdown,Boric Acid Flowpath from Boric Acid Tanks Found Obstructed.Caused by Reduced Temp Resulting from Failure of One Channel of Heat Tracing Circuit 21.Temp Setpoint Increased | /01T-0:on 810103,during Planned Shutdown,Boric Acid Flowpath from Boric Acid Tanks Found Obstructed.Caused by Reduced Temp Resulting from Failure of One Channel of Heat Tracing Circuit 21.Temp Setpoint Increased | | | 05000251/LER-1981-002-03, /03L-0:on 810214,boric Acid Flow in Normal Flowpath from Boric Acid Tanks Could Not Be Established & Low Temp Reading Found in Flowpath on 810217.Caused by Three Splices Needing Repair on Heat Tracing Circuits | /03L-0:on 810214,boric Acid Flow in Normal Flowpath from Boric Acid Tanks Could Not Be Established & Low Temp Reading Found in Flowpath on 810217.Caused by Three Splices Needing Repair on Heat Tracing Circuits | | | 05000251/LER-1981-002, Forwards LER 81-002/03L-0 | Forwards LER 81-002/03L-0 | | | 05000250/LER-1981-003-01, /01T-0:on 810105,new Coil Assembly in Spare Parts Storage Found to Have Crack in Spool End Plate.Cause Not Stated.One Coil in Svc Found Cracked.Coil Replaced.All New Coils &/Or Relays Will Be Inspected Upon Receipt | /01T-0:on 810105,new Coil Assembly in Spare Parts Storage Found to Have Crack in Spool End Plate.Cause Not Stated.One Coil in Svc Found Cracked.Coil Replaced.All New Coils &/Or Relays Will Be Inspected Upon Receipt | | | 05000251/LER-1981-003-03, /03L-0:on 810218,leak Discovered in Rcs.Caused by Cracked Weld Between Vent Valve Line & 4A Reactor Coolant Pump Seal Supply Line.Vent Line Cut & Rewelded to Seal Line. Mod Will Be Implemented | /03L-0:on 810218,leak Discovered in Rcs.Caused by Cracked Weld Between Vent Valve Line & 4A Reactor Coolant Pump Seal Supply Line.Vent Line Cut & Rewelded to Seal Line. Mod Will Be Implemented | | | 05000250/LER-1981-003, Forwards LER 81-003/01T-0 | Forwards LER 81-003/01T-0 | | | 05000251/LER-1981-003, Forwards LER 81-003/03L-0 | Forwards LER 81-003/03L-0 | | | 05000250/LER-1981-004, Forwards Updated LER 81-004/03X-1 | Forwards Updated LER 81-004/03X-1 | | | 05000251/LER-1981-004, Forwards LER 81-004/03L-0 | Forwards LER 81-004/03L-0 | | | 05000250/LER-1981-004-03, During Power Operation Auxiliary Feedwater Pump a Failed to Meet Acceptance Criteria Per Tech Spec 4.10.1.Caused by Damaged Valve Plug. Cause of Damage Not Determined.Stem & Plug Replaced | During Power Operation Auxiliary Feedwater Pump a Failed to Meet Acceptance Criteria Per Tech Spec 4.10.1.Caused by Damaged Valve Plug. Cause of Damage Not Determined.Stem & Plug Replaced | | | 05000251/LER-1981-004-03, /03L-0:on 810322,reactor Trip Resulted from Steam Flow/Feedwater Flow Mismatch Coincident W/Steam Generator a Low Level.Caused by Failed Solenoid Coil on Feedwater Regulator Valve.Evaluation Continuing | /03L-0:on 810322,reactor Trip Resulted from Steam Flow/Feedwater Flow Mismatch Coincident W/Steam Generator a Low Level.Caused by Failed Solenoid Coil on Feedwater Regulator Valve.Evaluation Continuing | | | 05000250/LER-1981-005, Forwards LER 81-005/01T-0 | Forwards LER 81-005/01T-0 | | | 05000251/LER-1981-005-03, /03L-0:on 810407,need for Governor Adjustment Found During Auxiliary Feedwater Pump a Test & Pump C Taken Out of Svc for IE Bulletin 79-14 Mods.Cause Not Stated. Governors Repaired | /03L-0:on 810407,need for Governor Adjustment Found During Auxiliary Feedwater Pump a Test & Pump C Taken Out of Svc for IE Bulletin 79-14 Mods.Cause Not Stated. Governors Repaired | | | 05000251/LER-1981-005, Forwards LER 81-005/03L-0 | Forwards LER 81-005/03L-0 | | | 05000250/LER-1981-005-01, /01T-0:on 810310,drain Header to Floor of Component Cooling Water Pump & Heat Exchanger Room Backed Up.Caused by Overflow of Laundry Water from Monitor Tank. Laundry Water Transfer Terminated | /01T-0:on 810310,drain Header to Floor of Component Cooling Water Pump & Heat Exchanger Room Backed Up.Caused by Overflow of Laundry Water from Monitor Tank. Laundry Water Transfer Terminated | | | 05000251/LER-1981-006-03, /03L-0:on 810423,snubber on Supply Steam Line to Auxiliary Feedwater Sys Observed to Have Broken Loose. Caused by Failure of Threaded Joint for Connection of Snubber Rod from Turnbuckle to Adaptor Plate.Joint Welded | /03L-0:on 810423,snubber on Supply Steam Line to Auxiliary Feedwater Sys Observed to Have Broken Loose. Caused by Failure of Threaded Joint for Connection of Snubber Rod from Turnbuckle to Adaptor Plate.Joint Welded | | | 05000251/LER-1981-006, Forwards LER 81-006/03L-0 | Forwards LER 81-006/03L-0 | | | 05000250/LER-1981-006, Forwards LER 81-006/03L-0 | Forwards LER 81-006/03L-0 | | | 05000250/LER-1981-006-03, /03L-0:on 810324,rept Not Submitted Per Tech Spec 6.9.2.b.2 When Action Mode of Tech Spec 3.1.5.d Was Entered. Caused by Misinterpretation of Reporting Requirements.Plant in Process of Obtaining Interpretations of Requiremen | /03L-0:on 810324,rept Not Submitted Per Tech Spec 6.9.2.b.2 When Action Mode of Tech Spec 3.1.5.d Was Entered. Caused by Misinterpretation of Reporting Requirements.Plant in Process of Obtaining Interpretations of Requirements | | | 05000250/LER-1981-007-03, /03L-0:on 810401,during Planned Maint,Disc Stud Nut Discovered Missing from 3A Main Feedwater Check Valve & Pivot Pins Missing from 3A Feedwater Bypass Check Valve. Improved Locking Device Will Be Installed During Outage | /03L-0:on 810401,during Planned Maint,Disc Stud Nut Discovered Missing from 3A Main Feedwater Check Valve & Pivot Pins Missing from 3A Feedwater Bypass Check Valve. Improved Locking Device Will Be Installed During Outage | | | 05000251/LER-1981-007, Forwards LER 81-007/03L-0 | Forwards LER 81-007/03L-0 | | | 05000251/LER-1981-007-03, /03L-0:on 810426,component Cooling Water Surge Tank Low Level Alarm Sounded & Containment Sump Level Found Increasing.Caused by Failed Flexitallic Gasket on Inlet Flange of Excess Letdown Heat Exchanger | /03L-0:on 810426,component Cooling Water Surge Tank Low Level Alarm Sounded & Containment Sump Level Found Increasing.Caused by Failed Flexitallic Gasket on Inlet Flange of Excess Letdown Heat Exchanger | | | 05000250/LER-1981-007, Forwards LER 81-007/03L-0 | Forwards LER 81-007/03L-0 | | | 05000251/LER-1981-008-03, /03L-0:on 810717,while Performing Instrumentation Repairs on Pressurizer Spray Valve PCV-4-455B,RCS Leakage Discovered in Unused & Capped Packing Leakoff Line.Caused by Failure of Stem Seal Bellows & Crack in Nipple | /03L-0:on 810717,while Performing Instrumentation Repairs on Pressurizer Spray Valve PCV-4-455B,RCS Leakage Discovered in Unused & Capped Packing Leakoff Line.Caused by Failure of Stem Seal Bellows & Crack in Nipple | | | 05000251/LER-1981-008, Forwards LER 81-008/03L-0 | Forwards LER 81-008/03L-0 | | | 05000250/LER-1981-008-03, /03L-0:on 810416,crack Found in Weld on Drain Line from Charging Sys Downstream of Regenerative Heat Exchanger. Probably Caused by Stress Due to Line Vibration.Defective Area Cut Out,Nipple Shortened & Weld Replaced | /03L-0:on 810416,crack Found in Weld on Drain Line from Charging Sys Downstream of Regenerative Heat Exchanger. Probably Caused by Stress Due to Line Vibration.Defective Area Cut Out,Nipple Shortened & Weld Replaced | | | 05000250/LER-1981-008, Forwards LER 81-008/03L-0 | Forwards LER 81-008/03L-0 | | | 05000251/LER-1981-009, Forwards LER 81-009/03L-0 | Forwards LER 81-009/03L-0 | | | 05000251/LER-1981-009-03, /03L-0:on 810728,bus 4A Failed to Transfer Properly (Startup Acb 4AA05 Did Not Close After Auxiliary Acb 4AA02 Tripped).Probably Caused by Transfer Inhibit Relay 162/4A2 W/Loose Crimp on Coil Wire.Relay Replaced | /03L-0:on 810728,bus 4A Failed to Transfer Properly (Startup Acb 4AA05 Did Not Close After Auxiliary Acb 4AA02 Tripped).Probably Caused by Transfer Inhibit Relay 162/4A2 W/Loose Crimp on Coil Wire.Relay Replaced | | | 05000250/LER-1981-009, Forwards LER 81-009/03L-0 | Forwards LER 81-009/03L-0 | | | 05000250/LER-1981-009-03, /03L-0:on 810420,while Performing Low Power Physics Testing,Reactor Protection Bistables Associated W/ N-43 Found Not in Trip Mode While Instrument Used as Input. Caused by Procedural Inadequacy | /03L-0:on 810420,while Performing Low Power Physics Testing,Reactor Protection Bistables Associated W/ N-43 Found Not in Trip Mode While Instrument Used as Input. Caused by Procedural Inadequacy | | | 05000250/LER-1981-010, Forwards LER 81-010/03L-0 | Forwards LER 81-010/03L-0 | | | 05000251/LER-1981-010-03, /03L-0:on 810903,while Surveillance Testing, Auxiliary Feedwater Pump a Could Not Be Properly Tripped & Was Removed for Repair.Caused by Loose Set Screw & Misaligned Yoke.Yoke & Set Screw Repaired | /03L-0:on 810903,while Surveillance Testing, Auxiliary Feedwater Pump a Could Not Be Properly Tripped & Was Removed for Repair.Caused by Loose Set Screw & Misaligned Yoke.Yoke & Set Screw Repaired | | | 05000250/LER-1981-010-03, /03L-0:on 810501,component Cooling Water Pump 3A Did Not Start During Routine Equipment Rotation.Caused by Closing Latch Spring in Pump Circuit Breaker Detaching, Preventing Charging of Closing Springs.Breaker Repaired | /03L-0:on 810501,component Cooling Water Pump 3A Did Not Start During Routine Equipment Rotation.Caused by Closing Latch Spring in Pump Circuit Breaker Detaching, Preventing Charging of Closing Springs.Breaker Repaired | | | 05000251/LER-1981-010, Forwards LER 81-010/03L-0 | Forwards LER 81-010/03L-0 | | | 05000250/LER-1981-011-03, /03L-0:on 810506,two Electrical Penetration Fire Barriers Found Nonfunctional During Implementation of Surveillance Per Tech Specs.Caused by Incomplete Installation.Personnel Readvised of Fireproofing Procedure | /03L-0:on 810506,two Electrical Penetration Fire Barriers Found Nonfunctional During Implementation of Surveillance Per Tech Specs.Caused by Incomplete Installation.Personnel Readvised of Fireproofing Procedure | | | 05000250/LER-1981-011, Forwards LER 81-011/03L-0 | Forwards LER 81-011/03L-0 | | | 05000251/LER-1981-011-01, /01T-0:on 811021,high Head Safety Injection Line to Cold Legs Found to Be Obstructed During Full Flow Test on Discharge Check Valve of Pumps.Caused by Reduced Temp Due to Missing Insulation Near 4-inch Tee at Bit Inlet | /01T-0:on 811021,high Head Safety Injection Line to Cold Legs Found to Be Obstructed During Full Flow Test on Discharge Check Valve of Pumps.Caused by Reduced Temp Due to Missing Insulation Near 4-inch Tee at Bit Inlet | | | 05000251/LER-1981-011, Forwards LER 81-011/01T-0 | Forwards LER 81-011/01T-0 | | | 05000250/LER-1981-012, Forwards LER 81-012/09T-0 | Forwards LER 81-012/09T-0 | | | 05000250/LER-1981-012-09, /09T-0:on 811020,voltage Spike Discovered to Have Potential to Cause arc-over & Subsequent Open Circuit at Junction Between Coil Winding & Lead Wire.Caused by Design Deficiency.Affected Coils Replaced During Current Outage | /09T-0:on 811020,voltage Spike Discovered to Have Potential to Cause arc-over & Subsequent Open Circuit at Junction Between Coil Winding & Lead Wire.Caused by Design Deficiency.Affected Coils Replaced During Current Outage | | | 05000251/LER-1981-012-03, /03L-0:on 811124,during Safeguard Sys Testing,Bus Clearing Relays Did Not Pick Up 4A Bus.Emergency Diesel Generator Did Not Close in on 4A Bus.Caused by Malfunction of 4kv Breaker Auxiliary Switches Associated W/Bus Logic | /03L-0:on 811124,during Safeguard Sys Testing,Bus Clearing Relays Did Not Pick Up 4A Bus.Emergency Diesel Generator Did Not Close in on 4A Bus.Caused by Malfunction of 4kv Breaker Auxiliary Switches Associated W/Bus Logic | | | 05000251/LER-1981-012, Forwards LER 81-012/03L-0 | Forwards LER 81-012/03L-0 | | | 05000250/LER-1981-013, Forwards Updated LER 81-013/02X-2 | Forwards Updated LER 81-013/02X-2 | | | 05000250/LER-1981-013-02, Small Void in Concrete Found Immediately Below Equipment Hatch Barrel.Cause Not Stated.Similar Void Confirmed on Unit 4.Voids Repaired | Small Void in Concrete Found Immediately Below Equipment Hatch Barrel.Cause Not Stated.Similar Void Confirmed on Unit 4.Voids Repaired | |
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