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LICENSEE EVENT REPORT (LER)
PACaLITY 96AA85 til DOCKET feuksetR (2)
PAGEIW Fort Calhoun Station Unit No. 1 o l5 l 0 l0 l 0 l2 l 8l 5 1 lOFl 0l2 f tTLS 44e Auxiliary Building Crane Interlocks Bypassed IV9887 OATS (96 LSet Nuesten 446 REPORT DAff (7)
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, n Technical Specification 2.11(2) states the following:
The Auxiliary Building crane shall not be used to move material over irradiated fuel in the fuel storage pool.
If the crane interlocks are inoperable or bypassed, the crane operation will be under the direct control of a super-visor.
l The hooks on the Auxiliary Building crane cannot travel over the Spent Fuel Pool unless the travel interlocks are bypassed by means of a key switch on the crane.
Contrary to Technical Specification 2.11(2), the crane supervisor left the Spent Fuel Pool Area while the key was still in the interlock bypass switch in the bypassed position. When the Quality control inspector at the job site discovered l
that the crane supervisor had left, he immediately called for another crane super-visor. Approximately twenty minutes elapsed between the departure of the first crane supervisor and the arrival of the second. At no time during this period was the crane operated inside the interlocked zone over the Spent Fuel Pool.
The certification of the crane supervisor who failed to maintain proper admini-strative control of the key was withdrawn. The incident and its significance were discussed with the individual by plant supervision. The training and certi-l 1.* wtion of ' crane supervisors was reviewed and was found to be adequate with re-i gard to this incident.
l 8403050124 840222 i
PDR ADOCK 05000285 S
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seeC pere 3BAA U $ 8euCLila EtOULiTOAY COMMIS$40es LICENSEE EVENT REPORT (LER) TEXT CONTINUATION AreaonO oue so Jino-eios f uPiRES 8/3196 F ACILITv maast IH DocaEY esuesSER til Len osuMSER del Pact (3)
Fort Calhoun Station, uggp,*'
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Technical Specification 2.11(2) states the following:
The Auxiliary Building crane shall not be used to move material over irradiated fuel in the fuel storage pool.
If the crane interlocks are inoperable or bypassed, the crane operation will be under the direct control of a super-visor.
Operating Instruction OI-HE-2 on normal operation of the Auxiliary Building crane lists the following precaution:
If the crane interlocks are inoperable during crane use, or if they are de-feated by means of the bypass key, the crane must be under the administrative control of a certified / qualified Crane Supervisor.
Certification of Crane Supervisors includes training on Technical Specification 2.11 and Operating Instruction OI-HE-2.
The hooks on the Auxiliary Building crane cannot travel over the Spent Fuel Pool unisss the travel interlocks are bypassed by means of a key switch on the crane.
Contrary to Technical Specification 2.11(2) and Operating Instruction OI-HE-2, the crane supervisor Icft the Spent Fuel Fool Area while the key was still in the inter. lock bypass switch in the bypassed position.
Before leaving the area, the Crane Supervisor had verified that the crane was out of the interlocked zone over the pool. When the Quality Control inspector at the job site discovered that the Crane Supervisor had left, he immediately called for another crane supervisor. Approximately twenty minutes elapsed between the departure of the first crane supervisor and the arrival of the second. The Quality Control inspector knew the provisions of Technical Specification 2.11(2) and Operating Instruction OI-HE-2 and understood the basis for the administrative requirement on the inter-lock bypass key. The crane operator was also aware of the basis for the admini-strative requirement. However, neither the Quality Control inspector nor the crane operator were certified Crane Supervisors. At no time during the absence of a Crane Supervisor was the crane operated in the interlock ~ed zone over the Spent Fuel Pool.
This incident occurred on January 22, 1984 at approximately 1330 hours0.0154 days <br />0.369 hours <br />0.0022 weeks <br />5.06065e-4 months <br />. The personnel error was a cognitive error and was contrary to approved procedures.
The certification of the Crane Supervisor who failed to maintain proper admini-strative control of the key was withdrawn. The individual is an engineer employed by the Omaha Public Power District. The incident and its significance was dis-cussed with the individual by plant supervision.
The training and certification of crane supervisors was reviewed and was found to be adequate with regard to this incident.
The Fort Calhoun Station was operating at 100% power at the time of the incident.
gag,,o. su
Omaha Public Power District 1623 Harney Omaha, Nebraska 68102 402/536 4000 February 22, 1984 FC-037-84 LIC-84-041 U.
S.
Nuclear Regulatory Commission Document Control Desk Washington, D.C.
20555
Reference:
Docket No. 50-285 Gentlemen:
Licensee Event Report for the Fort Calhoun Station Please find attached Licensee Event Report 84-001 dated February 20, 1984.
This report is being submitted per requirements of 10 CFR 50.73.
Sincerely,
/
1
'/j' '
- - T W.'C.
Jones Division Manager Production Operations WCJ/JCB:jmm Attachment cc:
Mr. Richard P.
Denise, Director Division of Resident, Reactor Project
& Engineering Programs U.
S.
Nuclear Regulatory Commission Region IV 611 Ryan Plaza Drive, Suite 1000 Arlington, Texas 76011 1
INPO Records Center l
Mr.
E.
G.
Tourigny, Project Manager l
SARC Chairman PRC Chairman Mr.
L.
A.
Yandell, Senior Resident N
f' Inspector Fort Calhoun File (2)
,f 455:24 Employment with Equal Opportunity maie/rema!c i
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| 05000285/LER-1984-001, :on 840122,crane Supervisor Left Spent Fuel Pool Area While Key Still in Interlock Bypass Switch in Bypassed Position,Contrary to Tech Spec 2.11(2).Caused by Personnel Error.Event Discussed W/Individual |
- on 840122,crane Supervisor Left Spent Fuel Pool Area While Key Still in Interlock Bypass Switch in Bypassed Position,Contrary to Tech Spec 2.11(2).Caused by Personnel Error.Event Discussed W/Individual
| | | 05000285/LER-1984-002, :on 840303,during Scheduled Refueling Shutdown, Five Main Steam Safety Valves Failed to Lift within +/- 1% of Tech Specs.Caused by Normal Drift of Valve Setting.Test Revised |
- on 840303,during Scheduled Refueling Shutdown, Five Main Steam Safety Valves Failed to Lift within +/- 1% of Tech Specs.Caused by Normal Drift of Valve Setting.Test Revised
| | | 05000285/LER-1984-003, :on 840314,while Tagging Out Instrument Inverter B for Maint,Switching Error Made,Causing Partial Loss of Dc Power.Breaker Reclosed to Restore Dc Power in Control Room |
- on 840314,while Tagging Out Instrument Inverter B for Maint,Switching Error Made,Causing Partial Loss of Dc Power.Breaker Reclosed to Restore Dc Power in Control Room
| | | 05000285/LER-1984-004, :on 840303,reactor Coolant Radioactivity Exceeded Tech Spec Limits.Caused by Iodine Spike Following Reactor Power Change.No Corrective Actions Planned |
- on 840303,reactor Coolant Radioactivity Exceeded Tech Spec Limits.Caused by Iodine Spike Following Reactor Power Change.No Corrective Actions Planned
| | | 05000285/LER-1984-005, :on 840502,discovered That 14 Unplanned Actuations of Ventilation Isolation Actuation Signal Which Occurred Between 840101-0502 Reportable.Causes Listed.No Apparent Equipment Malfunctions Identified |
- on 840502,discovered That 14 Unplanned Actuations of Ventilation Isolation Actuation Signal Which Occurred Between 840101-0502 Reportable.Causes Listed.No Apparent Equipment Malfunctions Identified
| | | 05000285/LER-1984-006, :on 840522,unplanned Actuation of Ventilation Isolation Actuation Sys (Vias) Occurred.Vias Actuation Spurious.Alarm Cleared & Vias Lockout Reset Once Filter Replaced |
- on 840522,unplanned Actuation of Ventilation Isolation Actuation Sys (Vias) Occurred.Vias Actuation Spurious.Alarm Cleared & Vias Lockout Reset Once Filter Replaced
| | | 05000285/LER-1984-007, :on 840516,during Heatup & Pressurization, Unplanned Actuation of Ventilation Isolation Actuation Sys Occurred.Caused by High Airborne Activity in Containment. Procedure Change Submitted |
- on 840516,during Heatup & Pressurization, Unplanned Actuation of Ventilation Isolation Actuation Sys Occurred.Caused by High Airborne Activity in Containment. Procedure Change Submitted
| | | 05000285/LER-1984-008, :on 840516,RCS Leakage Approached 110 Gpm W/Indication of Tube Rupture in Steam Generator B RC-2B. Caused by Igscc.Corrective Actions Contained in |
- on 840516,RCS Leakage Approached 110 Gpm W/Indication of Tube Rupture in Steam Generator B RC-2B. Caused by Igscc.Corrective Actions Contained in
| | | 05000285/LER-1984-009, :on 840622,penetration Assemblies Failed.Caused by Brittle & Cracked Teflon Insulation on Lead Wires. Selected Penetration Assemblies Modified.Assemblies Remaining Will Be Qualified by Nov 1985 |
- on 840622,penetration Assemblies Failed.Caused by Brittle & Cracked Teflon Insulation on Lead Wires. Selected Penetration Assemblies Modified.Assemblies Remaining Will Be Qualified by Nov 1985
| | | 05000285/LER-1984-010, :on 840921,unplanned Actuation of Ventilation Isolation Actuation Signal Initiated by Containment Activity Gaseous Process Monitor RM-051.Caused by Maladjusted Monitor Discriminator Sensitivity.Sensitivity Adjusted |
- on 840921,unplanned Actuation of Ventilation Isolation Actuation Signal Initiated by Containment Activity Gaseous Process Monitor RM-051.Caused by Maladjusted Monitor Discriminator Sensitivity.Sensitivity Adjusted
| | | 05000285/LER-1984-011, :on 840720,stainless Steel Woven Connection from Auxiliary Bldg Ventilation Discharge Duct to Radiation Monitors RM-061/062 Found Disconnected.Caused by Loose Slip Fit Connection.Connector Reattached |
- on 840720,stainless Steel Woven Connection from Auxiliary Bldg Ventilation Discharge Duct to Radiation Monitors RM-061/062 Found Disconnected.Caused by Loose Slip Fit Connection.Connector Reattached
| | | 05000285/LER-1984-012, :on 840717,boron Concentration in Safety Injection & Refueling Water Tank Below Tech Spec Limits. Caused by Analytical Error.Boron Concentration Maintained at Higher Level |
- on 840717,boron Concentration in Safety Injection & Refueling Water Tank Below Tech Spec Limits. Caused by Analytical Error.Boron Concentration Maintained at Higher Level
| | | 05000285/LER-1984-013, :on 840722,trip Signals Received on Channels a & C of Thermal Margin/Low Pressure Reactor Protective Sys Circuits.Caused by Noise Spikes on Calculators.Noise Suppressors Installed |
- on 840722,trip Signals Received on Channels a & C of Thermal Margin/Low Pressure Reactor Protective Sys Circuits.Caused by Noise Spikes on Calculators.Noise Suppressors Installed
| | | 05000285/LER-1984-014, :on 840703,during Weekly Replacement of Iodine Collection Cartridge on RM-060,actuation of Ventilation Isolation Actuation Sys Occurred.No Cause given.RM-060 Will Be Out of Svc During Filter Replacement |
- on 840703,during Weekly Replacement of Iodine Collection Cartridge on RM-060,actuation of Ventilation Isolation Actuation Sys Occurred.No Cause given.RM-060 Will Be Out of Svc During Filter Replacement
| | | 05000285/LER-1984-015, :on 840702,load Over RCS Suspended from Auxiliary Hook of Polar Crane Violated Tech Spec 2.11(1). Procedure Change Made to RCS Vent & Leak Test Operating Instructions |
- on 840702,load Over RCS Suspended from Auxiliary Hook of Polar Crane Violated Tech Spec 2.11(1). Procedure Change Made to RCS Vent & Leak Test Operating Instructions
| | | 05000285/LER-1984-016, :on 840705,stack Noble Gas Monitor RM-062 High Alarm Setpoint Exceeded Limit.Caused by Drift in Alarm Card. Monitor Reclibr to Tech Spec Requirements |
- on 840705,stack Noble Gas Monitor RM-062 High Alarm Setpoint Exceeded Limit.Caused by Drift in Alarm Card. Monitor Reclibr to Tech Spec Requirements
| | | 05000285/LER-1984-017, :on 840803,unplanned Actuation of Ventilation Isolation Actuation Sys Occurred.Caused by Containment Air Activity Particulate Process Monitor RM-050 Trip.Monitor Discriminator Sensitivity Adjusted |
- on 840803,unplanned Actuation of Ventilation Isolation Actuation Sys Occurred.Caused by Containment Air Activity Particulate Process Monitor RM-050 Trip.Monitor Discriminator Sensitivity Adjusted
| | | 05000285/LER-1984-018, :on 840807,during Routine Weekly Replacement of iodine-collection Cartridge on RM-060,unplanned Actuation of Ventilation Isolation Actuation Signal Occurred.Caused by Personnel Error |
- on 840807,during Routine Weekly Replacement of iodine-collection Cartridge on RM-060,unplanned Actuation of Ventilation Isolation Actuation Signal Occurred.Caused by Personnel Error
| | | 05000285/LER-1984-019, :on 840902,ventilation Isolation Actuation Sys Started.Caused by Operator Error During Changing of Ventilation Discharge Duct Monitor.Monitors Returned to Normal & Sys Reset.Procedures Under Review |
- on 840902,ventilation Isolation Actuation Sys Started.Caused by Operator Error During Changing of Ventilation Discharge Duct Monitor.Monitors Returned to Normal & Sys Reset.Procedures Under Review
| | | 05000285/LER-1984-020, Informs That LER 84-020 Re Containment Hydrogen Monitors VA-81A & VA-81B Requires 7-day Extension to Ensure Complete & Adequate Response.Rept Will Be Submitted by 841022 | Informs That LER 84-020 Re Containment Hydrogen Monitors VA-81A & VA-81B Requires 7-day Extension to Ensure Complete & Adequate Response.Rept Will Be Submitted by 841022 | | | 05000285/LER-1984-021, :on 841017,sample from Safety Injection & Refueling Water Tank Yielded Low Boron Concentration.Change Made to Test ST-CHEM-1,F.2 to Notify Supervisor When Boron Concentration Falls Below 1,740 Ppm |
- on 841017,sample from Safety Injection & Refueling Water Tank Yielded Low Boron Concentration.Change Made to Test ST-CHEM-1,F.2 to Notify Supervisor When Boron Concentration Falls Below 1,740 Ppm
| | | 05000285/LER-1984-022, :on 841026,during Maint Activities,Temporary Fire Barriers Found Not Meeting Design Criteria.Temporary Barriers Repaired.Insp Expanded to Include Permanent Cable Tray Penetration Fire Barriers |
- on 841026,during Maint Activities,Temporary Fire Barriers Found Not Meeting Design Criteria.Temporary Barriers Repaired.Insp Expanded to Include Permanent Cable Tray Penetration Fire Barriers
| | | 05000285/LER-1984-023-01, :on 841118,19 & 24,five Actuations of Ventilation Isolation Actuation Signal Occurred.Caused by Leaks in Pressurizer Spray Valve & Vent Header.Leak in Vent Header & Valve Located & Repaired |
- on 841118,19 & 24,five Actuations of Ventilation Isolation Actuation Signal Occurred.Caused by Leaks in Pressurizer Spray Valve & Vent Header.Leak in Vent Header & Valve Located & Repaired
| | | 05000285/LER-1984-023, :on 841118,19 & 24,radiation Monitor RM-060 Ventilation Isolation Signal Actuated.Caused by Leak of Gas to Auxiliary Bldg.Leak Located & Stopped.Monitor Recalibr & Spray Valve Repaired |
- on 841118,19 & 24,radiation Monitor RM-060 Ventilation Isolation Signal Actuated.Caused by Leak of Gas to Auxiliary Bldg.Leak Located & Stopped.Monitor Recalibr & Spray Valve Repaired
| | | 05000285/LER-1984-024, :on 841126,unplanned Ventilation Isolation Actuation Sys Actuation Occurred.Caused by Operator Changing Ventilation Discharge Duck Monitor RM-061 to High Alert/Alarm Setpoints During Temp Inversion |
- on 841126,unplanned Ventilation Isolation Actuation Sys Actuation Occurred.Caused by Operator Changing Ventilation Discharge Duck Monitor RM-061 to High Alert/Alarm Setpoints During Temp Inversion
| | | 05000285/LER-1984-025, :on 841207,gaseous Leak in Waste Gas Vent Header Caused Stack Iodine Monitor RM-060 to Initiate Ventilation Isolation Actuation Signal.Leak Located & Stopped |
- on 841207,gaseous Leak in Waste Gas Vent Header Caused Stack Iodine Monitor RM-060 to Initiate Ventilation Isolation Actuation Signal.Leak Located & Stopped
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