05000219/FIN-2016004-01
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Finding | |
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| Title | E EMRV Failureto Stroke Due to Incorrect Reassembly |
| Description | The NRC identified a preliminary White finding and associated apparent violation of Technical Specification 6.8.1, Procedures and Programs, and Technical Specification 3.4.B, Automatic Depressurization System, because Exelon failed to implement a procedure related to the maintenance of safety related equipment. Specifically, Exelon personnel did not follow electromatic relief valve (EMRV) reassembly instructions that required personnel to reinstall previously removed lock washers from the E EMRV cut-out switch lever. The incorrect reassembly caused excessive friction between the solenoid frame and the cut-out switch lever, which led to the E EMRVs failure to perform its safety function. This resulted in one inoperable EMRV for greater than the Technical Specification allowed outage time. The issue was entered into the corrective action program as issue report 2722109, and Exelons immediate corrective actions include installing new cut-out switch lever plates with increased clearances, replacing star lock washers with split ring lock washers for additional clearance, and verifying the five EMRV solenoid actuators being installed into the drywell following the most recent refueling outage were correctly assembled. The finding is more than minor because it adversely affects the human performance quality attribute of the Mitigating Systems cornerstone objective of ensuring the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences (i.e., core damage). Specifically, the missing lock washers due to the incorrect EMRV lever plate reassembly caused excessive friction between the solenoid frame and the cut-out switch lever, causing the cut-out switch lever to become bound in the energized position. This led to the E EMRVs failure to perform its safety function. The inspectors screened this issue for safety significance in accordance with Inspection Manual Chapter 0609, Appendix A, Exhibit 2, Mitigating Systems Screening Questions, and determined a detailed risk evaluation was required because the E EMRV had potentially failed or was unreliable for greater than the Technical Specification allowed outage time. A detailed risk evaluation concluded that the increase in core damage frequency (CDF) related to the failure of the E EMRV is 5.4E-6/year; therefore, this finding was preliminary determined to have a low to moderate safety significance (White). Due to the nature of the failure, no recovery credit was assigned. The dominant core damage sequences involve loss of main feedwater events with operator errors resulting in failure to make-up to the 4 isolation condensers or otherwise maintain reactor vessel level and the loss of reactor pressure vessel depressurization capability (due to common cause failure of the remaining four EMRVs). The finding has a cross-cutting aspect in the area of Human Performance, Procedure Adherence, because Exelon personnel did not follow station processes. Specifically, Exelon did not follow written instructions when reassembling the E EMRV. The missing lock washers resulted in excessive friction between the solenoid frame and cut-out switch lever, causing the cut-out switch lever to become bound in the energized position, which led to the E EMRVs failure to perform its safety function. [H.8] |
| Site: | Oyster Creek |
|---|---|
| Report | IR 05000219/2016004 Section 4OA2 |
| Date counted | Dec 31, 2016 (2016Q4) |
| Type: | Violation: White |
| cornerstone | Mitigating Systems |
| Identified by: | NRC identified |
| Inspection Procedure: | IP 71152 |
| Inspectors (proximate) | A Patel E Andrews J Deboer J Lilliendahl J Richmond S Kennedy W Cook |
| Violation of: | Technical Specification Technical Specification - Procedures |
| CCA | H.8, Procedure Adherence |
| INPO aspect | WP.4 |
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Finding - Oyster Creek - IR 05000219/2016004 | |||||||||||||||||||||||||||||||
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Finding List (Oyster Creek) @ 2016Q4
Self-Identified List (Oyster Creek)
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