05000282/LER-2016-003
Prairie Island Nuclear Generating Plant | |
Event date: | 1-7-2016 |
---|---|
Report date: | 3-4-2016 |
Reporting criterion: | 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition |
Initial Reporting | |
ENS 51642 | 10 CFR 50.72(b)(3)(ii)(B), Unanalyzed Condition |
2822016003R00 - NRC Website | |
comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
Event Description
On 1/7/2016, Prairie Island Nuclear Generating Plant (PINGP) reviewed corrective actions associated with the transition to National Fire Protection Association "Performance-Based Standard for Fire Protection for Light Water Reactor Electric Generating Plants" (NFPA 805) and discovered no cold shutdown repair procedure existed for train B RCS vent valves to reduce reactor coolant system (RCS) (EIIS System Code AB) pressure in event of a fire in Fire Area (FA) 59 (Auxiliary Building Mezzanine Floor Unit 1) and FA 74 (Auxiliary Building Mezzanine Floor Unit 2). The PINGP Appendix R safe shutdown analysis (SSA) credits a cold shutdown repair procedure for train B RCS vent valves for a fire in these areas.
This event is reportable pursuant to 10 CFR 50.73(a)(2)(ii)(B) as an unanalyzed condition that significantly degrades plant safety. PINGP submitted Event Notification 51642 on 1/7/2016.
PINGP established compensatory measures for affected areas: hourly fire watches, briefings of the operating crews and fire brigades on the impact of a fire, protecting fire detection zones, walkdowns to verify transient combustible materials were controlled according to plant procedures. Along with automatic fire detection and suppression capability, these measures ensured protection of potentially affected equipment.
On 04/14/2005, a revision of the SSA was approved that credited a cold shutdown repair for train B RCS vent valves as a compliance strategy for FA 59 and 74, but no such repair procedure existed. On 4/21/2006, PINGP discovered during a self- assessment that no cold shutdown repair procedure existed for train B RCS vent valves in event of fire in FA 59. No EN was submitted for this discovery in 2006. A condition evaluation performed on 7/7/2006 determined "repair action is not credited until well into the shutdown scenario, the means (equipment) to perform the repair are readily available, and a similar repair is already proceduralized, the lack of a formal repair procedure in this instance isn't considered to significantly impact the ability to safely shutdown the plant for a fire in Fire Area 59.
The cause of the lack of the repair procedure is lack of technical rigor to ensure procedure F5 Appendix D "Impact of Fire Outside Control/Relay Room" included instructions to restore power to train B RCS vent valves in event of fire in FA 59 and FA 74 as credited in the SSA.
On 1/11/2016, F5 Appendix D, Revision 36, was issued and includes cold shutdown repair procedures for Train B RCS vent valves.
Event Analysis
The SSA describes that the reactor coolant vent system is provided to exhaust non-condensable gases from the reactor coolant system that could inhibit natural circulation core cooling. The vent path from the reactor vessel head and the vent path from the pressurizer each contain two normally closed, independently-powered valves in parallel and connect to a common header that discharges either to the containment atmosphere or to the Pressurizer Relief Tank (PRT). The head vent system solenoid valves are desired closed to prevent a flow diversion path from the RCS during hot standby. They may be used to vent non-condensable gases or as a letdown path for boration to achieve cold shutdown boron concentration. The RCS head vent lines are designed for RCS pressure to the second isolation valve; therefore, this flow path is not a high/low pressure interface concern. Thus, SV-37035 through SV-37040 and SV-37091 through SV-37096 are required components.
The valves used to vent the RCS through train B are SV-37036, 1 RCS Vent Sys Przr Vent Trn B SV, and SV-37040, 1 RCS Vent Sys to Cntmt Trn B SV, for Unit 1 and SV-37092, 2 RCS Vent Sys Przr Vent Trn B SV, and SV-37096, 2 Prairie Island 05000-282 comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
RCS Vent Sys to Cntmt Trn B SV, for Unit 2.
On 1/7/2016, PINGP reviewed corrective actions associated with transition to NFPA 805 and discovered no such procedure existed for train B RCS vent valves for a fire in FA 59 and FA 74. The PINGP SSA credits a cold shutdown repair procedure for train B RCS vent valves.
Upon further investigation, PINGP found a self-assessment on 4/21/2006 discovered that no cold shutdown repair procedure existed to restore power to train B RCS vent valves to reduce RCS pressure in event of fire in FA 59.
Safety Significance
There was no nuclear, environmental, radiological or industrial safety consequence related to this event. PINGP has procedures and controls in places to minimize the likelihood and severity of fires occurring, and a significant fire impacting the ability to safely shutdown did not occur. A scenario requiring the use of the RCS vent valve procedure would involve a significant fire of sufficient size and intensity to damage cables for both the Train A and Train B RCS vent valves and damage the electrical cabinet where the cold shutdown repair action is credited. The cold shutdown repair action for Train B RCS vents is very similar to the previously established repair action for the Train A RCS vent solenoid valves. This repair action is credited to provide a method to depressurize the Reactor Coolant System to transition to cold shutdown. Hot standby could be maintained while the procedure was revised to repair the Train B RCS vent valves. Since this repair action is only required to achieve cold shutdown and hot standby could be maintained in the interim, and the low likelihood of a fire damaging the Train A and Train B RCS vent valves, the lack of established procedures to repair the Train B RCS Vents had a low impact on risk.
This condition was identified during the PINGP transition to NFPA 805. This was identified in the corrective action program (CAP) as an action to revise the post fire safe shutdown procedure to incorporate these additional actions for the Train B RCS vent valves.
Cause
The cause of the event is the lack of technical rigor to ensure procedure F5 Appendix D included instructions to restore power to train B RCS vent valves in event of fire in FA 59 and FA 74 as credited in the Appendix R SSA. Contributing causes are 1) Supervision determined that a Senior Reactor Operator (SRO) review was not required when the general action request (a non-CAP action request) was changed to a CAP action request and 2) Inappropriate use of management exception to extend the due dates for action requests.
Corrective Action On 1/11/2016, F5 Appendix D, Revision 36, was issued and includes cold shutdown repair procedures for train BRCS vent valves.
Since the event date, the following measures have been put into place to address the apparent cause: improvements to the procedure review process, improvements to engineering human performance, training for PINGP supervisors and managers in Engineering, Maintenance, Procurement and Planning on the need to reinforce and observe that individual contributors are validating assumptions and ensuring high quality products with adequate technical rigor are produced.
In addition, the following actions will be taken: 1) Evaluate whether changes to the PINGP CAP are required to ensure when non-CAP action requests are converted to CAP action requests that the issues are processed as a new CAP 05000-282 APPROVED BY OMB: NO. 3150-0104 EXPIRES: 10/31/2018 comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
action request and 2) Review all CAP action requests that have management exception and ensure they meet requirements for management exception and have a success path.
Previous Similar Events
6/17/2015.
Corrective Actions:
- Procedure Change Request (PCR) 01475022 moved the step ahead in the timeline to locally verify 12 RCP breaker is OPEN and PCR 01475293 added steps to OPEN DC knife switches for all RCP breakers. Both of these actions were completed.
Prior site training was conducted for Supervisors and Managers in Engineering, Maintenance, Procurement and Planning on need to reinforce and observe individual contributors, as they validate assumptions and to ensure that high quality products with adequate technical rigor are produced. Recurring periodicity of training will be determined by the Supervisory Leadership Development Program Curriculum Review Committee.
- The lack of technical rigor that occurred in 2005 was a legacy issue and was corrected with the implementation of the Engineering Human Performance program in 2006. This program includes applying technical rigor to verification/validation processes. Additionally, ESP receive training on engineering rigor and human performance as part of initial ESP training through FL-ESP-ORT-034L.
Prairie Island 05000-282 Xcek Energy@ Prairie Island Nuclear Generating Plant 1717 Wakonade Drive East Welch. MN 55089 MAR 0 4 2016 L-PI-16-019 10 CFR 50.73 ATTN: Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 Docket 50-282 Renewed License No. DPR-42 Docket 50-306 Renewed License No. DPR-60 Licensee Event Report 50-282-2005-001-00 Unanalyzed Condition -- Procedures Credited by Appendix R Calculation not in Place Licensee Event Report (LER) 50-282-2005-001-00 is enclosed. The LER describes a past condition for which a cold shutdown repair procedure that is credited in the 10 CFR 50 Appendix R safe shutdown analysis for the Prairie Island Nuclear Generating Plant was not in place. This condition is reported in accordance with 10 CFR 50.73(a)(2)(ii)(B) as an unanalyzed condition that significantly degrades plant safety. The appropriate plant procedure was since revised to include the credited cold shutdown repair.
Summary of Commitments This letter contains no new commitment and no revision to an existing commitment.
41,3 evin Davison Site Vice President Prairie Island Nuclear Generating Plant Northern States Power Company - Minnesota Enclosure (1) cc: Administrator, Region III, USNRC Project Manager, Prairie Island, USNRC Resident Inspector, Prairie Island, USNRC State of Minnesota ENCLOSURE 1 Licensee Event Report 50-282-2005-001-00 Unanalyzed Condition -- Procedures Credited by Appendix R Calculation not in Place (4 pages follow) Reported lessons learned are Incorporated into the licensing process and fed back to industry.
Send comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by Internet e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0104), Office of Management and Budget, Washington, DC 20503. If a means used to Impose an Information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the Information collection.
Prairie Island Nuclear Generating Plant 05000 282
4. TITLE
Unanalyzed Condition - Procedures Credited by Appendix R Calculations not in Place 5. EVENT DATE 6. LER NUMBER 7. REPORT DATE 8. OTHER FACILITIES INVOLVED
MONTH DAY YEAR YEAR MONTH SEQUENTIAL
FACILITY NAME
DOCKET NUMBER
4 14 2005 2005 -001 -00 3 4 2016
FACILITY NAME DOCKET NUMBER
05000 9. OPERATING MODE 11. THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR 10 CFR : (Check all that apply) Unit 1: MODE 1 Unit 2: MODE 1
- 20.2201(b) 0 20.2203(a)(3)(i) 0 50.73(a)(2)(ii)(A) 0 50.73(a)(2)(viii)(A)
- 20.2201(d) 0 20.2203(a)(3)(ii) CI 50.73(a)(2)(ii)(B) MI 50.73(a)(2)(viii)(B)
- 20.2203(a)(1)
- 20.2203(a)(4) 12 50.73(a)(2)(iii) 0 50.73(a)(2)(ix)(A)
- 20.2203(a)(2)(i) 0 50.36(c)(1)(i)(A)
- 50.73(a)(2)(iv)(A)
- 50.73(a)(2)(x) II 20.2203(a)(2)(8) II 50.36(c)(1)(ii)(A) MI 50.73(a)(2)(v)(A)
- 73.71(a)(4)
10. POWER LEVEL
Unit 1: 100% Unit 2: 100% II 20.2203(a)(2)(iii)
- 50.36(c)(2) M 50.73(a)(2)(v)(B) III 73.71(a)(5) III 20.2203(a)(2)(iv) U 50.46(a)(3)(8) M 50.73(a)(2)(v)(C) III 73.77(a)(1)
- 20.2203(a)(2)(v) E 50.73(a)(2)(i)(A)
- 50.73(a)(2)(v)(D)
- 73.77(a)(2)(i) 0 20.2203(a)(2)(vi) E 50.73(a)(2)(1)(B)
- 50.73(a)(2)(vii)
- 73.77(a)(2)(ii)
- 50.73(a)(2)(i)(C)
- OTHER Specify in Abstract below or in NRC Form 366A
12. LICENSEE CONTACT FOR THIS LER
LICENSEE CONTACT
Glenn A. Carlson TELEPHONE NUMER (Include Area Code) 651-267-1755
13. COMPLETE ONE UNE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT
CAUSE SYSTEM COMPONENT MANU-
FACTURER
REPORTABLE
TO EPIX
CAUSE SYSTEM COMPONENT MANU-
FACTURER
REPORTABLE
TO EPIX
14. SUPPLEMENTAL REPORT EXPECTED
q YES (If yes, complete 15. EXPECTED SUBMISSION DATE) 1 NO
15. EXPECTED
SUBMISSION
DATE
MONTH DAY YEAR
ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) On 1/7/2016, Prairie Island Nuclear Generating Plant (PINGP) reviewed corrective actions associated with the transition to National Fire Protection Association "Performance-Based Standard for Fire Protection for Light Water Reactor Electric Generating Plants" (NFPA 805). PINGP discovered no cold shutdown repair procedure existed to restore power to train B reactor coolant system (RCS) vent valves to reduce RCS pressure in event of fire in Fire Area (FA) 59 (Auxiliary Building Mezzanine Floor Unit 1 Unit 1) and FA 74 (Auxiliary Building Mezzanine Floor Unit 2). The PINGP Appendix R safe shutdown analysis (SSA) credits such actions for train B RCS vent valves for a fire in these areas. PINGP established compensatory measures for affected equipment and, with automatic detection and suppression capability, these measures ensured protection of potentially affected equipment. The health and safety of the public was not at risk.
PINGP submitted Event Notification51642 on 1/7/2016 as this event is reportable pursuant to 10 CFR 50.72(b)(3)(ii)(B) as an unanalyzed condition that significantly degrades plant safety. On 04/14/2005, a revision of the SSA was approved that credited a cold shutdown repair as a compliance strategy for FA 59 and 74, but no repair procedure existed in the event of a fire in FA 59 nor FA 74.
On 1/11/2016, F5 Appendix D "Impact of Fire Outside Control/Relay Room" was issued and includes cold shutdown repair procedures for Train B RCS vent valves. Lack of technical rigor to ensure procedure F5 Appendix D included actions required by the SSA is the identified cause.
comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person Is not required to respond to, the information collection.
Event Description
On 1/7/2016, Prairie Island Nuclear Generating Plant (PINGP) reviewed corrective actions associated with the transition to National Fire Protection Association "Performance-Based Standard for Fire Protection for Light Water Reactor Electric Generating Plants" (NFPA 805) and discovered no cold shutdown repair procedure existed for train B RCS vent valves to reduce reactor coolant system (RCS) (EIIS System Code AB) pressure in event of a fire in Fire Area (FA) 59 (Auxiliary Building Mezzanine Floor Unit 1) and FA 74 (Auxiliary Building Mezzanine Floor Unit 2). The PINGP Appendix R safe shutdown analysis (SSA) credits a cold shutdown repair procedure for train B RCS vent valves for a fire in these areas. This event is reportable pursuant to 10 CFR 50.73(a)(2)(ii)(B) as an unanalyzed condition that significantly degrades plant safety. PINGP submitted Event Notification 51642 on 1/7/2016.
PINGP established compensatory measures for affected areas: hourly fire watches, briefings of the operating crews and fire brigades on the impact of a fire, protecting fire detection zones, walkdowns to verify transient combustible materials were controlled according to plant procedures. Along with automatic fire detection and suppression capability, these measures ensured protection of potentially affected equipment.
On 04/14/2005, a revision of the SSA was approved that credited a cold shutdown repair for train B RCS vent valves as a compliance strategy for FA 59 and 74, but no such repair procedure existed. On 4/21/2006, PINGP discovered during a self-assessment that no cold shutdown repair procedure existed for train B RCS vent valves in event of fire in FA 59.
No ENS was submitted for this discovery in 2006. A condition evaluation performed on 7/7/2006 determined "repair action is not credited until well into the shutdown scenario, the means (equipment) to perform the repair are readily available, and a similar repair is already proceduralized, the lack of a formal repair procedure in this instance isn't considered to significantly impact the ability to safely shutdown the plant for a fire in Fire Area 59.
The cause of the lack of the repair procedure is lack of technical rigor to ensure procedure F5 Appendix D "Impact of Fire Outside Control/Relay Room" included instructions to restore power to train B RCS vent valves in event of fire in FA 59 and FA 74 as credited in the SSA.
On 1/11/2016, F5 Appendix D, Revision 36, was issued and includes cold shutdown repair procedures for Train B RCS vent valves.
Event Analysis
The SSA describes that the reactor coolant vent system is provided to exhaust non-condensable gases from the reactor coolant system that could inhibit natural circulation core cooling. The vent path from the reactor vessel head and the vent path from the pressurizer each contain two normally closed, independently-powered valves in parallel and connect to a common header that discharges either to the containment atmosphere or to the Pressurizer Relief Tank (PRT). The head vent system solenoid valves are desired closed to prevent a flow diversion path from the RCS during hot standby.
They may be used to vent non-condensable gases or as a letdown path for boration to achieve cold shutdown boron concentration. The RCS head vent lines are designed for RCS pressure to the second isolation valve; therefore, this flow path is not a high/low pressure interface concern. Thus, SV-37035 through SV-37040 and SV-37091 through SV- 37096 are required components.
The valves used to vent the RCS through train B are SV-37036, 1 RCS Vent Sys Przr Vent Trn B SV, and SV-37040, 1 RCS Vent Sys to Cntmt Trn B SV, for Unit 1 and SV-37092, 2 RCS Vent Sys Przr Vent Trn B SV, and SV-37096, 2 Prairie Island 05000-282 comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by Internet e-mall to used to Impose an Information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person Is not required to respond to, the information collection.
RCS Vent Sys to Cntmt Trn B SV, for Unit 2.
On 1/7/2016, PINGP reviewed corrective actions associated with transition to NFPA 805 and discovered no such procedure existed for train B RCS vent valves for a fire in FA 59 and FA 74. The PINGP SSA credits a cold shutdown repair procedure for train B RCS vent valves.
Upon further investigation, PINGP found a self-assessment on 4/21/2006 discovered that no cold shutdown repair procedure existed to restore power to train B RCS vent valves to reduce RCS pressure in event of fire in FA 59.
Safety Significance
There was no nuclear, environmental, radiological or industrial safety consequence related to this event. PINGP has procedures and controls in places to minimize the likelihood and severity of fires occurring, and a significant fire impacting the ability to safely shutdown did not occur. A scenario requiring the use of the RCS vent valve procedure would involve a significant fire of sufficient size and intensity to damage cables for both the Train A and Train B RCS Vent valves and damage the electrical cabinet where the cold shutdown repair action is credited. The cold shutdown repair action for Train B RCS vents is very similar to the previously established repair action for the Train A RCS vent solenoid valves. This repair action is credited to provide a method to depressurize the Reactor Coolant System to transition to cold shutdown. Hot standby could be maintained while the procedure was revised to repair the Train B RCS vent valves. Since this repair action is only required to achieve cold shutdown and hot standby could be maintained in the interim, and the low likelihood of a fire damaging the Train A and Train B RCS vent valves, the lack of established procedures to repair the Train B RCS Vents had a low impact on risk.
This condition was identified during the PINGP transition to NFPA 805. This was identified in the corrective action program (CAP) as an action to revise the post fire safe shutdown procedure to incorporate these additional actions for the Train B RCS vent valves.
Cause
The cause of the event is the lack of technical rigor to ensure procedure F5 Appendix D included instructions to restore power to train B RCS vent valves in event of fire in FA 59 and FA 74 as credited in the Appendix R SSA. Contributing causes are 1) Supervision determined that a Senior Reactor Operator (SRO) review was not required when the general action request (a non-CAP action request) was changed to a CAP action request and 2) Inappropriate use of management exception to extend the due dates for action requests.
Corrective Action On 1/11/2016, F5 Appendix D, Revision 36, was issued and includes cold shutdown repair procedures for train B RCS vent valves.
Since the event date, the following measures have been put into place to address the apparent cause: improvements to the procedure review process, improvements to engineering human performance, training for PINGP supervisors and managers in Engineering, Maintenance, Procurement and Planning on the need to reinforce and observe that individual contributors are validating assumptions and ensuring high quality products with adequate technical rigor are produced.
In addition, the following actions will be taken: 1) Evaluate whether changes to the PINGP CAP are required to ensure when non-CAP action requests are converted to CAP action requests that the issues are processed as a new CAP Prairie Island 05000-282 comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by Internet e-mall to used to impose an Information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person Is not required to respond to, the Information collection.
action request and 2) Review all CAP action requests that have management exception and ensure they meet requirements for management exception and have a success path.
Previous Similar Events
6/17/2015.
Corrective Actions:
- Procedure Change Request (PCR) 01475022 moved the step ahead in the timeline to locally verify 12 RCP breaker is OPEN and PCR 01475293 added steps to OPEN DC knife switches for all RCP breakers. Both of these actions were completed.
- Prior site training was conducted for Supervisors and Managers in Engineering, Maintenance, Procurement and Planning on need to reinforce and observe individual contributors, as they validate assumptions and to ensure that high quality products with adequate technical rigor are produced. Recurring periodicity of training will be determined by the Supervisory Leadership Development Program Curriculum Review Committee.
- The lack of technical rigor that occurred in 2005 was a legacy issue and was corrected with the implementation of the Engineering Human Performance program in 2006. This program includes applying technical rigor to verification/validation processes. Additionally, ESP receive training on engineering rigor and human performance as part of initial ESP training through FL-ESP-ORT-034L.
Prairie Island 05000-282 Reported lessons learned are incorporated into the licensing process and fed back to industry.
Send comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by Internet e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0104), Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
Prairie Island Nuclear Generating Plant 05000 282
4. TITLE
Unanalyzed Condition - Procedures Credited by Appendix R Calculations not in Place 5. EVENT DATE 6. LER NUMBER 7. REPORT DATE 8. OTHER FACILITIES INVOLVED
MONTH DAY YEAR YEAR SEQUENTIAL
FACILITY NAME
DOCKET NUMBER
1 7 2016 2016 - 003 - 00 3 4 2016
FACILITY NAME DOCKET NUMBER
05000 9. OPERATING MODE 11. THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR 10 CFR : (Check all that apply)
- 20.2201(b) I 20.2203(a)(3)(1) III 50.73(a)(2)(ii)(A) I 50.73(a)(2)(viii)(A) Unit 1: MODE 1 ill 20.2201(d)
- 20.2203(a)(3)(ii) g 50.73(a)(2)(ii)(B) I 50.73(a)(2)(viii)(B) Unit 2: MODE 1 III 202203(a)(1) MI 20.2203(a)(4) M 50.73(a)(2)(iii)
- 50.73(a)(2)(ix)(A)
- 20.2203(a)(2)(i)
- 50.36(c)(1)(i)(A) M 50.73(a)(2)(iv)(A) II 50.73(a)(2)(x) II 20.2203(a)(2)(0) MI 50.36(c)(1)(ii)(A)
- 50.73(a)(2)(v)(A) MI 73.71(a)(4)
10. POWER LEVEL
- 20.2203(a)(2)(iii) E 50.36(c)(2) I 50.73(a)(2)(v)(B) U 73.71(a)(5) Unit 1: 100%
- 20.2203(a)(2)(iv)
- 50.46(a)(3)(ii) NI 50.73(a)(2)(v)(C)
- 73.77(a)(1) Unit 2: 100% iiii 20.2203(a)(2)(v)
- 50.73(a)(2)(i)(A)
- 50.73(a)(2)(v)(D) III 73.77(a)(2)(i) I 20.2203(a)(2)(vi) III 50.73(a)(2)(i)(B)
- 50.73(a)(2)(vii) III 73.77(a)(2)(ii) E 50.73(a)(2)(i)(C) M OTHER Specify in Abstract below or in NRC Form 366A
12. LICENSEE CONTACT FOR THIS LER
LICENSEE CONTACT
Frank Sienczak TELEPHONE NUMER (Include Area Code) 651-267-1740
13. COMPLETE ONE UNE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT
CAUSE SYSTEM COMPONENT MANU-
FACTURER
REPORTABLE
TO EPIX
CAUSE SYSTEM COMPONENT MANU-
FACTURER
REPORTABLE
TO EPIX
14. SUPPLEMENTAL REPORT EXPECTED 15. EXPECTED MONTH DAY YEAR q YES (If yes, complete 15. EXPECTED SUBMISSION DATE) i NO -
SUBMISSION
DATE
ABSTRACT (Limit to 1400 spaces, le., approximately 15 single-spaced typewritten lines) On 1/7/2016, Prairie Island Nuclear Generating Plant (PINGP) reviewed corrective actions associated with the transition to National Fire Protection Association "Performance-Based Standard for Fire Protection for Light Water Reactor Electric Generating Plants" (NFPA 805). PINGP discovered no cold shutdown repair procedure existed to restore power to train B reactor coolant system (RCS) vent valves to reduce RCS pressure in event of fire in Fire Area (FA) 59 (Auxiliary Building Mezzanine Floor Unit 1) and FA 74 (Auxiliary Building Mezzanine Floor Unit 2). The PINGP Appendix R safe shutdown analysis (SSA) credits such actions for train B RCS vent valves for a fire in these areas. PINGP established compensatory measures for affected equipment and, with automatic detection and suppression capability, these measures ensured protection of potentially affected equipment. The health and safety of the public was not at risk. PINGP submitted Event Notification51642 on 1/7/2016 as this event is reportable pursuant to 10 CFR 50.72(b)(3)(ii)(B) as an unanalyzed condition that significantly degrades plant safety. On 04/14/2005, a revision of the SSA was approved that credited a cold shutdown repair 'as a compliance strategy for FA 59 and 74, but no repair procedure existed in the event of afire in FA 59 nor FA 74.
On 1/11/2016, F5 Appendix D "Impact of Fire Outside Control/Relay Room" was issued and includes cold shutdown repair procedures for Train B RCS vent valves. Lack of technical rigor to ensure procedure F5 Appendix D included actions required by the SSA is the identified cause.
comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
Event Description
On 1/7/2016, Prairie Island Nuclear Generating Plant (PINGP) reviewed corrective actions associated with the transition to National Fire Protection Association "Performance-Based Standard for Fire Protection for Light Water Reactor Electric Generating Plants" (NFPA 805) and discovered no cold shutdown repair procedure existed for train B RCS vent valves to reduce reactor coolant system (RCS) (EIIS System Code AB) pressure in event of a fire in Fire Area (FA) 59 (Auxiliary Building Mezzanine Floor Unit 1) and FA 74 (Auxiliary Building Mezzanine Floor Unit 2). The PINGP Appendix R safe shutdown analysis (SSA) credits a cold shutdown repair procedure for train B RCS vent valves for a fire in these areas.
This event is reportable pursuant to 10 CFR 50.73(a)(2)(ii)(B) as an unanalyzed condition that significantly degrades plant safety. PINGP submitted Event Notification 51642 on 1/7/2016.
PINGP established compensatory measures for affected areas: hourly fire watches, briefings of the operating crews and fire brigades on the impact of a fire, protecting fire detection zones, walkdowns to verify transient combustible materials were controlled according to plant procedures. Along with automatic fire detection and suppression capability, these measures ensured protection of potentially affected equipment.
On 04/14/2005, a revision of the SSA was approved that credited a cold shutdown repair for train B RCS vent valves as a compliance strategy for FA 59 and 74, but no such repair procedure existed. On 4/21/2006, PINGP discovered during a self- assessment that no cold shutdown repair procedure existed for train B RCS vent valves in event of fire in FA 59. No EN was submitted for this discovery in 2006. A condition evaluation performed on 7/7/2006 determined "repair action is not credited until well into the shutdown scenario, the means (equipment) to perform the repair are readily available, and a similar repair is already proceduralized, the lack of a formal repair procedure in this instance isn't considered to significantly impact the ability to safely shutdown the plant for a fire in Fire Area 59.
The cause of the lack of the repair procedure is lack of technical rigor to ensure procedure F5 Appendix D "Impact of Fire Outside Control/Relay Room" included instructions to restore power to train B RCS vent valves in event of fire in FA 59 and FA 74 as credited in the SSA.
On 1/11/2016, F5 Appendix D, Revision 36, was issued and includes cold shutdown repair procedures for Train B RCS vent valves.
Event Analysis
The SSA describes that the reactor coolant vent system is provided to exhaust non-condensable gases from the reactor coolant system that could inhibit natural circulation core cooling. The vent path from the reactor vessel head and the vent path from the pressurizer each contain two normally closed, independently-powered valves in parallel and connect to a common header that discharges either to the containment atmosphere or to the Pressurizer Relief Tank (PRT). The head vent system solenoid valves are desired closed to prevent a flow diversion path from the RCS during hot standby. They may be used to vent non-condensable gases or as a letdown path for boration to achieve cold shutdown boron concentration. The RCS head vent lines are designed for RCS pressure to the second isolation valve; therefore, this flow path is not a high/low pressure interface concern. Thus, SV-37035 through SV-37040 and SV-37091 through SV-37096 are required components.
The valves used to vent the RCS through train B are SV-37036, 1 RCS Vent Sys Przr Vent Trn B SV, and SV-37040, 1 RCS Vent Sys to Cntmt Trn B SV, for Unit 1 and SV-37092, 2 RCS Vent Sys Przr Vent Trn B SV, and SV-37096, 2 Prairie Island 05000-282 comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
RCS Vent Sys to Cntmt Trn B SV, for Unit 2.
On 1/7/2016, PINGP reviewed corrective actions associated with transition to NFPA 805 and discovered no such procedure existed for train B RCS vent valves for a fire in FA 59 and FA 74. The PINGP SSA credits a cold shutdown repair procedure for train B RCS vent valves.
Upon further investigation, PINGP found a self-assessment on 4/21/2006 discovered that no cold shutdown repair procedure existed to restore power to train B RCS vent valves to reduce RCS pressure in event of fire in FA 59.
Safety Significance
There was no nuclear, environmental, radiological or industrial safety consequence related to this event. PINGP has procedures and controls in places to minimize the likelihood and severity of fires occurring, and a significant fire impacting the ability to safely shutdown did not occur. A scenario requiring the use of the RCS vent valve procedure would involve a significant fire of sufficient size and intensity to damage cables for both the Train A and Train B RCS vent valves and damage the electrical cabinet where the cold shutdown repair action is credited. The cold shutdown repair action for Train B RCS vents is very similar to the previously established repair action for the Train A RCS vent solenoid valves. This repair action is credited to provide a method to depressurize the Reactor Coolant System to transition to cold shutdown. Hot standby could be maintained while the procedure was revised to repair the Train B RCS vent valves. Since this repair action is only required to achieve cold shutdown and hot standby could be maintained in the interim, and the low likelihood of a fire damaging the Train A and Train B RCS vent valves, the lack of established procedures to repair the Train B RCS Vents had a low impact on risk.
This condition was identified during the PINGP transition to NFPA 805. This was identified in the corrective action program (CAP) as an action to revise the post fire safe shutdown procedure to incorporate these additional actions for the Train B RCS vent valves.
Cause
The cause of the event is the lack of technical rigor to ensure procedure F5 Appendix D included instructions to restore power to train B RCS vent valves in event of fire in FA 59 and FA 74 as credited in the Appendix R SSA. Contributing causes are 1) Supervision determined that a Senior Reactor Operator (SRO) review was not required when the general action request (a non-CAP action request) was changed to a CAP action request and 2) Inappropriate use of management exception to extend the due dates for action requests.
Corrective Action On 1/11/2016, F5 Appendix D, Revision 36, was issued and includes cold shutdown repair procedures for train BRCS vent valves.
Since the event date, the following measures have been put into place to address the apparent cause: improvements to the procedure review process, improvements to engineering human performance, training for PINGP supervisors and managers in Engineering, Maintenance, Procurement and Planning on the need to reinforce and observe that individual contributors are validating assumptions and ensuring high quality products with adequate technical rigor are produced.
In addition, the following actions will be taken: 1) Evaluate whether changes to the PINGP CAP are required to ensure when non-CAP action requests are converted to CAP action requests that the issues are processed as a new CAP 05000-282 APPROVED BY OMB: NO. 3150-0104 EXPIRES: 10/31/2018 comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
action request and 2) Review all CAP action requests that have management exception and ensure they meet requirements for management exception and have a success path.
Previous Similar Events
6/17/2015.
Corrective Actions:
- Procedure Change Request (PCR) 01475022 moved the step ahead in the timeline to locally verify 12 RCP breaker is OPEN and PCR 01475293 added steps to OPEN DC knife switches for all RCP breakers. Both of these actions were completed.
Prior site training was conducted for Supervisors and Managers in Engineering, Maintenance, Procurement and Planning on need to reinforce and observe individual contributors, as they validate assumptions and to ensure that high quality products with adequate technical rigor are produced. Recurring periodicity of training will be determined by the Supervisory Leadership Development Program Curriculum Review Committee.
- The lack of technical rigor that occurred in 2005 was a legacy issue and was corrected with the implementation of the Engineering Human Performance program in 2006. This program includes applying technical rigor to verification/validation processes. Additionally, ESP receive training on engineering rigor and human performance as part of initial ESP training through FL-ESP-ORT-034L.
Prairie Island 05000-282