On November 9, 2016, at 0420 with the Hope Creek reactor in Operational. Condition 2, Startup, the B channel reactor level instrumentation was found to be inoperable. The inoperable Instrumentation was discovered as reactor level was being lowered into the normal band in preparation for plant startup. Hope Creek had made a mode change from Operational Condition 4, Cold Shutdown, to Operation Condition 2, Startup, on November 9, 2016, at 0317, approximately 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> prior to discovering the inoperable instrumentation.
The B Channel reactor level instrumentation is required to be operable in order to enter Operational Condition 2 to support the B division of the Reactor Protection System ( RPS), the Emergency Core Cooling Systems ( ECCS), and the Primary Containment Isolation System ( PCIS). The cause was determined to be an improperly filled reference leg for the B channel reactor level instrumentation. This report Is being made under 10 CFR 50.73(a)(2Xi)(B), as a condition which was prohibited by the plant's Technical Specifications. |
LER-2016-006, Hope Creek Generating Station 05000354 |
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10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications |
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Category:Letter
MONTHYEARML24295A3742024-10-23023 October 2024 Project Manager Assignment IR 05000354/20240032024-10-23023 October 2024 Integrated Inspection Report 05000354/2024003 ML24291A0572024-10-17017 October 2024 License Amendment Request (LAR) – Hope Creek Technical Specification Conversion to NUREG-1433, Revision 5, Supplement 1 LR-N24-0063, Emergency Plan Document Revision Implemented September 18, 2024. Includes NC.EP-EP.ZZ-0903, Rev. 7, Opening of Emergency Operations Facility (EOF)2024-10-0707 October 2024 Emergency Plan Document Revision Implemented September 18, 2024. Includes NC.EP-EP.ZZ-0903, Rev. 7, Opening of Emergency Operations Facility (EOF) LR-N24-0059, 2024 Annual 10 CFR 50.46 Report2024-09-30030 September 2024 2024 Annual 10 CFR 50.46 Report LR-N24-0056, Response to Request for Additional Information Associated with License Amendment Request - Revise Hope Creek Generating Station Technical Specification to Change Surveillance Intervals to Accommodate a 24-Month Fuel Cycle2024-09-26026 September 2024 Response to Request for Additional Information Associated with License Amendment Request - Revise Hope Creek Generating Station Technical Specification to Change Surveillance Intervals to Accommodate a 24-Month Fuel Cycle IR 05000272/20244022024-09-23023 September 2024 And Salem Nuclear Generating Station, Units 1 and 2 - Security Baseline Inspection Report 05000354/2024402, 05000272/2024402, and 05000311/2024402 (Cover Letter Only) ML24255A8042024-09-11011 September 2024 Notification of Conduct of a Fire Protection Team Inspection LR-N24-0057, In-Service Inspection Activities2024-09-10010 September 2024 In-Service Inspection Activities 05000354/LER-2024-001-01, Invalid Primary Containment Integrated Leak Rate As-Found Test (ILRT) Supplement2024-09-0505 September 2024 Invalid Primary Containment Integrated Leak Rate As-Found Test (ILRT) Supplement ML24249A1362024-09-0404 September 2024 EN 57304 - Westinghouse Electric Company, LLC, Final Report - No Embedded Files. Notification of the Potential Existence of Defects Pursuant to 10 CFR Part 21 IR 05000354/20240052024-08-29029 August 2024 Updated Inspection Plan for Hope Creek Generating Station (Report 05000354/2024005) LR-N24-0044, Relief Request VR-042024-08-0606 August 2024 Relief Request VR-04 IR 05000354/20240022024-07-30030 July 2024 Integrated Inspection Report 05000354/2024002 ML24200A0572024-07-18018 July 2024 Request for Withholding Information from Public Disclosure for License Amendment Request to Revise Technical Specification Lift Settings for Reactor Coolant System Safety/Relief Valves ML24145A1772024-07-15015 July 2024 And Salem Nuclear Generating Station, Unit Nos. 1 and 2 - Issuance of Amendment Nos. 236, 349, and 331 Modify Exclusion Area Boundary ML24197A0552024-07-15015 July 2024 Requalification Program Inspection 05000354/LER-2024-001, Invalid Primary Containment Integrated Leak Rate As-Found Test (ILRT)2024-07-0202 July 2024 Invalid Primary Containment Integrated Leak Rate As-Found Test (ILRT) LR-N24-0030, License Amendment Request to Revise Technical Specification Lift Settings for Reactor Coolant System Safety/Relief Valves2024-06-28028 June 2024 License Amendment Request to Revise Technical Specification Lift Settings for Reactor Coolant System Safety/Relief Valves IR 05000272/20245012024-06-12012 June 2024 And Salem Nuclear Generating Station, Units 1 and 2 - Emergency Preparedness Biennial Exercise Inspection Report 05000354/2024501, 05000272/2024501 and 05000311/2024501 ML24150A1002024-05-28028 May 2024 Core Operating Limits Report, Reload 25, Cycle 26, Revision 23 ML24150A0032024-05-28028 May 2024 Request for Exemptions from 10 CFR 50.82(a)(8)(i)(A) and 10 CFR 50.75(h)(1)(iv) and Proposed Amendment to the Decommissioning Trust Agreement LR-N24-0041, Stations, Revisions to Emergency Plan Document Nc EP-EP-ZZ-01102, Rev. 28, Emergency Coordinator Response2024-05-22022 May 2024 Stations, Revisions to Emergency Plan Document Nc EP-EP-ZZ-01102, Rev. 28, Emergency Coordinator Response ML24142A4072024-05-20020 May 2024 License Amendment Request (LAR) - Hope Creek Technical Specification Conversion to NUREG-1433, Revision 5 LR-N24-0004, License Amendment Request – Revise Technical Specification to Change Surveillance Intervals to Accommodate a 24-Month Fuel Cycle2024-05-20020 May 2024 License Amendment Request – Revise Technical Specification to Change Surveillance Intervals to Accommodate a 24-Month Fuel Cycle IR 05000354/20240012024-05-0808 May 2024 Integrated Inspection Report 05000354/2024001 IR 05000354/20240102024-05-0707 May 2024 Information Request for Quadrennial Baseline Comprehensive Engineering Team Inspection; Notification to Perform Inspection 05000354/2024010 LR-N24-0035, 2023 Annual Radiological Environmental Operating Report (AREOR)2024-04-30030 April 2024 2023 Annual Radiological Environmental Operating Report (AREOR) LR-N24-0034, 2023 Annual Radioactive Effluent Release Report (ARERR)2024-04-30030 April 2024 2023 Annual Radioactive Effluent Release Report (ARERR) LR-N24-0024, Response to Request for Additional Information Associated with License Amendment Request (LAR) to Modify the Salem and Hope Creek Exclusion Area Boundary2024-04-26026 April 2024 Response to Request for Additional Information Associated with License Amendment Request (LAR) to Modify the Salem and Hope Creek Exclusion Area Boundary IR 05000354/20243012024-04-10010 April 2024 Initial Operator Licensing Examination Report 05000354/2024301 LR-N24-0011, Supplemental Information to License Amendment Request (LAR) to Modify the Salem and Hope Creek Exclusion Area Boundary2024-04-0505 April 2024 Supplemental Information to License Amendment Request (LAR) to Modify the Salem and Hope Creek Exclusion Area Boundary IR 05000272/20240112024-04-0101 April 2024 And Salem Nuclear Generating Station, Units 1 and 2 - Plant Modification and Annual Problem Identification and Resolution Inspection Report 05000354/2024011, 05000272/2024011, and 05000311/2024011 LR-N24-0028, And Salem Generating Station - Notice of Intent to Pursue Subsequent License Renewal2024-03-28028 March 2024 And Salem Generating Station - Notice of Intent to Pursue Subsequent License Renewal LR-N24-0021, And Salem Generating Station, Units 1 and 2 - Guarantees of Payment of Deferred Premiums2024-03-20020 March 2024 And Salem Generating Station, Units 1 and 2 - Guarantees of Payment of Deferred Premiums IR 05000272/20244032024-03-20020 March 2024 And Hope Creek Generating Station - Information Request for the Cybersecurity Baseline Inspection, Notification to Perform Inspection 05000272/2024403, 05000311/2024403, and 05000354/2024403 05000354/LER-2023-003-01, Inadvertent Main Turbine Control Valve Closure Caused Reactor Scram2024-03-19019 March 2024 Inadvertent Main Turbine Control Valve Closure Caused Reactor Scram LR-N24-0020, Generation Station and Salem Generating Station, Units 1 & 2 - Annual Property Insurance Status Report2024-03-0707 March 2024 Generation Station and Salem Generating Station, Units 1 & 2 - Annual Property Insurance Status Report IR 05000354/20230062024-02-28028 February 2024 Annual Assessment Letter for Hope Creek Generating Station (Report 05000354/2023006) IR 05000272/20244012024-02-26026 February 2024 And Salem Nuclear Generating Station, Units 1 and 2 - Security Baseline Inspection Report 05000354/2024401, 05000272/2024401 and 05000311/2024401 (Cover Letter Only) LR-N24-0010, Technical Specification 6.9.1.5.b: 2023 Annual Report of SRV Challenges2024-02-22022 February 2024 Technical Specification 6.9.1.5.b: 2023 Annual Report of SRV Challenges 05000354/LER-2023-003, Inadvertent Main Turbine Control Valve Closure Caused Reactor Scram2024-02-12012 February 2024 Inadvertent Main Turbine Control Valve Closure Caused Reactor Scram IR 05000354/20230042024-02-0101 February 2024 Integrated Inspection Report 05000354/2023004 ML24030A8752024-02-0101 February 2024 Operator Licensing Examination Approval ML24009A1022024-01-26026 January 2024 – Exemption from Select Requirements of 10 CF Part 73 (EPID L-2023-LLE-0045 (Security Notifications, Reports, and Recordkeeping and Suspicious Activity Reporting)) IR 05000354/20234012024-01-22022 January 2024 Material Control and Accounting Program Inspection Report 05000354/2023401 ML23341A1372024-01-16016 January 2024 Issuance of Amendment No. 235 Revise Trip and Standby Auto-Start Logic Associated with Safety Related Heating, Ventilation and Air Conditioning ML23335A1122023-12-15015 December 2023 Retest Schedule for Drywell to Suppression Chamber Vacuum Breakers ML23307A1532023-12-15015 December 2023 NRC Investigation Report No. 1-2023-001 ML23270C0072023-11-29029 November 2023 Notice of Proposed Amendment to Decommissioning Trust Agreement 2024-09-05
[Table view] Category:Licensee Event Report (LER)
MONTHYEAR05000354/LER-2024-001-01, Invalid Primary Containment Integrated Leak Rate As-Found Test (ILRT) Supplement2024-09-0505 September 2024 Invalid Primary Containment Integrated Leak Rate As-Found Test (ILRT) Supplement 05000354/LER-2024-001, Invalid Primary Containment Integrated Leak Rate As-Found Test (ILRT)2024-07-0202 July 2024 Invalid Primary Containment Integrated Leak Rate As-Found Test (ILRT) 05000354/LER-2023-003-01, Inadvertent Main Turbine Control Valve Closure Caused Reactor Scram2024-03-19019 March 2024 Inadvertent Main Turbine Control Valve Closure Caused Reactor Scram 05000354/LER-2023-003, Inadvertent Main Turbine Control Valve Closure Caused Reactor Scram2024-02-12012 February 2024 Inadvertent Main Turbine Control Valve Closure Caused Reactor Scram 05000354/LER-2023-001-02, Technical Specification Required Shutdown Due to Declaring the Suppression Chamber and Primary Containment Inoperable2023-09-25025 September 2023 Technical Specification Required Shutdown Due to Declaring the Suppression Chamber and Primary Containment Inoperable 05000354/LER-2023-001-01, Technical Specification Required Shutdown Due to Declaring the Suppression Chamber and Primary Containment Inoperable2023-09-11011 September 2023 Technical Specification Required Shutdown Due to Declaring the Suppression Chamber and Primary Containment Inoperable 05000354/LER-2023-001, Technical Specification Required Shutdown Due to Declaring the Suppression Chamber and Primary Containment Inoperable2023-06-20020 June 2023 Technical Specification Required Shutdown Due to Declaring the Suppression Chamber and Primary Containment Inoperable 05000354/LER-1922-002, Inoperable Isolation Actuation Instrumentation Caused by Failure to Remove Electrical Jumper2023-01-18018 January 2023 Inoperable Isolation Actuation Instrumentation Caused by Failure to Remove Electrical Jumper 05000354/LER-2022-001, B EDG Inoperable Resulting in a Condition Prohibited by Technical Specifications2022-03-18018 March 2022 B EDG Inoperable Resulting in a Condition Prohibited by Technical Specifications 05000354/LER-2021-001, Safety Relief Valve (SRV) As-Found Setpoint Failures2021-08-13013 August 2021 Safety Relief Valve (SRV) As-Found Setpoint Failures 05000354/LER-2017-0012017-07-0707 July 2017 1 OF 3, LER 17-001-00 for Hope Creek, Unit 1 Regarding Secondary Containment Door Not Latched in Closed Position 05000354/LER-2016-0062017-05-0404 May 2017 LER 16-006-01 for Hope Creek, Unit 1, Regarding Mode Change Without B Channel Level Instrumentation Operable 05000354/LER-2016-0052017-03-13013 March 2017 Reactor Protection System Actuation While the Reactor Was Shutdown, LER 16-005-01 for Hope Creek, Unit 1, Regarding Reactor Protection System Actuation While the Reactor Was Shutdown 05000354/LER-2016-0032017-03-0808 March 2017 As-Found Values for Safety Relief Valve Lift Set Points Exceed Technical Specification Allowable Limit, LER 16-003-001 for Hope Creek Generating Station Unit 1 Regarding As-Found Values for Safety Relief Valve Lift Set Points Exceed Technical Specification Allowable Limit 05000354/LER-2016-0042016-12-20020 December 2016 1 OF 3, LER 16-004-00 for Hope Creek Regarding Operations With a Potential to Drain the Reactor Vessel (OPDRV) Without Secondary Containment 05000354/LER-2015-0052016-01-0505 January 2016 Reactor Scram Due to Invalid RRCS Actuation, LER 15-005-01 for Hope Creek, Unit 1, Regarding Reactor Scram Due to Invalid RRCS Actuation LR-N12-0114, Retraction of Licensee Event Report 2011-0012012-04-13013 April 2012 Retraction of Licensee Event Report 2011-001 LR-N05-0143, Special Report 05-001-01 Regarding the Cause of Failure and Channel Restoration2005-03-31031 March 2005 Special Report 05-001-01 Regarding the Cause of Failure and Channel Restoration LR-N04-0526, Special Report 354/04-012-002004-11-18018 November 2004 Special Report 354/04-012-00 LR-N04-0489, LER 04-08-00 for Hope Creek Generating Station Re Potential for Uncontrolled Radiological Release - Reactor Water Clean-up Isolation2004-10-28028 October 2004 LER 04-08-00 for Hope Creek Generating Station Re Potential for Uncontrolled Radiological Release - Reactor Water Clean-up Isolation 2024-09-05
[Table view] |
PLANT AND SYSTEM IDENTIFICATION
General Electric — Boiling Water Reactor (BWR/4) Reactor Protection System — EIIS Identifier {JC/LI}* ESF Actuation System — EIIS Identifier {JE/LI}* Containment Isolation Control System - EIIS Identifier {JM/ LI}* *Energy Industry Identification System {EIIS} codes and component function identifier codes appear as {SS/CCC}
IDENTIFICATION OF OCCURRENCE
Event Date: November 9, 2016 Discovery Date: November 9, 2016
CONDITIONS PRIOR TO OCCURRENCE
When the inoperable instrumentation was discovered, Hope Creek was in Operational Condition (OPCON) 2, Startup, with the reactor sub-critical, and a reactor startup in progress. No other structures, systems or components that could have contributed to the event were inoperable at the time of the event.
DESCRIPTION OF OCCURRENCE
During the twentieth refueling outage (H1R20) at Hope Creek, the reference leg for the B channel reactor vessel level instrumentation was replaced and rerouted using the design change process. The reference leg is normally maintained at a constant height of water by a condensing pot connected to the reactor vessel steam space. Initially, the reference leg needs to be backfilled with water to remove small pockets of air or voids which may be present. On November 9, 2018, the reference leg had not been backfified following the re-routing of the reference leg tubing, resulting in an Incorrect level indication on all B channel level Instruments.
Following replacement of the reference leg, the design change package (DCP) did not provide instructions for back-filling ° ° the reference leg. Instead, the DCP relied on the maintenance department to backfill the reference leg while returning the affected instruments to service. The maintenance supervisor was not cognizant of the DCP scope, and determined that the step to backfill the reference leg was not required. The B channel instruments were returned to service by maintenance without completing the backfill evolution. As a result, the reference leg for the B channel was not completely' filled with water, and level on this channel Indicated higher than actual level. The top of the indicating band for Technical Specification required reactor vessel instrumentation is +60 Inches, and water level was being maintained in a band of 60 to 65 inches Inches prior to making the mode change. Under this condition, all four channels of Technical Specification i required vessel level indication indicated off-scale high, above 60 inches. Vessel level was being monitored using non- ' Technical Specification required level instrumentation which has a wider Indicating range. Under this condition, the Incorrect indication on the B channel instrumentation was not observable to the plant operators.
Following the mode change, when vessel level was being lowered into the normal band of 30-39 inches, the A, C and D channels of vessel level instrumentation all tracked together into the indicating range, while the B channel remained off- ' scale high.
At approximately 0420, control room operators recognized the condition, declared the B channel inoperable and directed maintenance personnel to investigate.
I At 0528 a prompt investigation was Initiated by the Shift Manager.
Reported lessons reamed are Inc uporated Into the licensing process end fed back to industry, Send comments regarding burden estimate to the FOIA, Privacy end Informalion Collections Branch fT-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20565-0001, cc by a-mell Infoodects.Resounoserso,gov, and to the Desk Meer, Me of information and Regulatory AIME, NEOB-10202, (3160-0104 Office of Management and Budget, Washington, DC 20503. If a means used to knpose an Information collection does not display a cu ently valid OMB =del number, the NRC may not condUcl a apnea, laid s person to not required to respond to, the Jr/Donation Wisdom Plant Technical Specifications require that all four channels of vessel level instrumentation be operable prior to making the mode change from OP CON 4, Cold Shutdown to OP CON 2, Startup. The B channel level instruments are required for the operability of the B RPS {JC} channel, the B ECCS (.1E) channels and B PCIS {JM} channels, On November 9, 2018 at 1505, the B1 RPS channel and the B Nuclear Steam Supply Shutoff System (NSSS) {JM} were placed in the tripped condition to comply with the 12 hour1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> action for Technical Specification 3.3.1, Reactor Protection System actuation instrumentation, and Technical Specification 3.3.2, Primary Containment Isolation actuation instrumentation.
Maintenance technicians completed the backfill of the B channel reference leg and the B channel was returned to operable on November 9, 2016 at 2228.
CAUSE OF EVENT
The cause of the event is personnel error. A causal evaluation is in progress. A supplement to this LER will be submitted to provide the results of the investigation.
SAFETY CONSEQUENCES AND IMPLICATIONS
There were no adverse safety consequences as a result of this event. The A, C and D channel level instruments were all operable throughout the duration of the event. The RPS system would have responded properly to shut down the reactor with the B channel level instruments inoperable. The A, C and D ECCS subsystems would have responded to an actual low level condition, and would have provided sufficient capability to restore and maintain vessel level. The reactor coolant system pressure remained within the design capability of the low pressure ECCS systems throughout the event. The PCIS system would have successfully isolated primary containment with the B channel level instruments inoperable since the A, C and D channels were operable.
The B channel level instrumentation was restored to operable prior to the mode change to Operational Condition 1, Run, which occurred on November 11, 2016 at 1423.
SAFETY SYSTEM FUNCTIONAL FAILURE
A review of this condition and the associated evaluations determined that a Safety System Functional Failure (SSFF) as I defined in Nuclear Energy Institute (NEI) 99-02, "Regulatory Assessment Performance Indicator Guideline," did not occur.
PREVIOUS EVENTS
The cause evaluation will review similarity to previous events, The result of that review will be included in the supplement
CORRECTIVE ACTIONS
1. The B channel reference leg was backfilled and returned to operable status.
2. The personnel involved in the decision to not perform the backfill were disqualified from performing similar duties.
I COMMITMENTS There are no regulatory commitments contained In this LER.
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05000354/LER-2016-001 | High Pressure Coolant Injection System Found to be Inoperable During Testing | 10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident | 05000354/LER-2016-002 | High Pressure Coolant Injection System Inoperable | 10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000354/LER-2016-003 | As-Found Values for Safety Relief Valve Lift Set Points Exceed Technical Specification Allowable Limit LER 16-003-001 for Hope Creek Generating Station Unit 1 Regarding As-Found Values for Safety Relief Valve Lift Set Points Exceed Technical Specification Allowable Limit | 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000354/LER-2016-004 | 1 OF 3 LER 16-004-00 for Hope Creek Regarding Operations With a Potential to Drain the Reactor Vessel (OPDRV) Without Secondary Containment | 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000354/LER-2016-005 | Reactor Protection System Actuation While the Reactor Was Shutdown LER 16-005-01 for Hope Creek, Unit 1, Regarding Reactor Protection System Actuation While the Reactor Was Shutdown | 10 CFR 50.73(a)(2)(iv)(A), System Actuation | 05000354/LER-2016-006 | LER 16-006-01 for Hope Creek, Unit 1, Regarding Mode Change Without B Channel Level Instrumentation Operable | 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications |
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