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Category:Licensee Event Report (LER)
MONTHYEAR05000483/LER-2024-002, Concurrent Inoperability of Control Room Air Conditioning System Train and Opposite Train Emergency Diesel Generator Results in Condition Prohibited by Technical Specifications Limiting2024-10-0101 October 2024 Concurrent Inoperability of Control Room Air Conditioning System Train and Opposite Train Emergency Diesel Generator Results in Condition Prohibited by Technical Specifications Limiting . 05000483/LER-2024-001, Reactor Trip Due to Turbine Trip2024-04-0404 April 2024 Reactor Trip Due to Turbine Trip 05000483/LER-2023-001, Inoperable Instrument Tunnel Sump Level Indication Resulted in Condition Prohibited by Technical Specifications2023-11-29029 November 2023 Inoperable Instrument Tunnel Sump Level Indication Resulted in Condition Prohibited by Technical Specifications 05000483/LER-2022-003-01, Class 1E Electrical Air Conditioning System Thermal Expansion Valve Failure Resulted in Condition Prohibited by Technical Specifications2023-07-13013 July 2023 Class 1E Electrical Air Conditioning System Thermal Expansion Valve Failure Resulted in Condition Prohibited by Technical Specifications 05000483/LER-2022-003, Submittal of Class 1E Electrical Air Conditioning System Thermal Expansion Valve Failure Resulted in Condition Prohibited by Technical Specifications2022-12-21021 December 2022 Submittal of Class 1E Electrical Air Conditioning System Thermal Expansion Valve Failure Resulted in Condition Prohibited by Technical Specifications 05000483/LER-2022-002, Containment Spray and Cooling Systems, and a Condition Which Could Have Prevented Fulfillment of the Safety Function of the Containment Spray System2022-08-18018 August 2022 Containment Spray and Cooling Systems, and a Condition Which Could Have Prevented Fulfillment of the Safety Function of the Containment Spray System 05000483/LER-2022-001, Reactor Trip During Reactor Trip Breaker Surveillance Testing2022-03-0707 March 2022 Reactor Trip During Reactor Trip Breaker Surveillance Testing 05000483/LER-2021-001, Manual Actuation of Essential Service Water System2021-04-0808 April 2021 Manual Actuation of Essential Service Water System 05000483/LER-2020-008, Reactor Trip Due to Main Generator Electrical Fault2021-02-18018 February 2021 Reactor Trip Due to Main Generator Electrical Fault 05000483/LER-2020-002-01, Reactor Trip and AFW Actuation Following Spurious MFRV Closure2021-02-0909 February 2021 Reactor Trip and AFW Actuation Following Spurious MFRV Closure 05000483/LER-2020-001-01, Emergency Exhaust Inoperable Due to Fan Belt Degradation and Failure2021-02-0909 February 2021 Emergency Exhaust Inoperable Due to Fan Belt Degradation and Failure 05000483/LER-2020-007, Re B Pressurizer PORV Inoperable Due to Nonconformance with EQ Requirements2020-12-31031 December 2020 Re B Pressurizer PORV Inoperable Due to Nonconformance with EQ Requirements 05000483/LER-2020-006, Reactor Trip Due to Main Generator Ground Fault2020-11-25025 November 2020 Reactor Trip Due to Main Generator Ground Fault 05000483/LER-2020-004, Violation of Technical Specification 3.8.1, AC Sources-Operating2020-11-0505 November 2020 Violation of Technical Specification 3.8.1, AC Sources-Operating 05000483/LER-2020-001, Emergency Exhaust Train Inoperable Due to Fan Belt Degradation and Failure2020-04-17017 April 2020 Emergency Exhaust Train Inoperable Due to Fan Belt Degradation and Failure 05000483/LER-2019-005-01, Violation of Technical Specification 3.7.10 Due to Control Room Emergency Ventilation System Train B Inoperability2020-02-0606 February 2020 Violation of Technical Specification 3.7.10 Due to Control Room Emergency Ventilation System Train B Inoperability 05000483/LER-2019-001-01, Unplanned Loss of Switchyard Bus B Results in System Actuation2019-11-0707 November 2019 Unplanned Loss of Switchyard Bus B Results in System Actuation 05000483/LER-2019-006, Unrecognized Inoperability of Boron Dilution Mitigation System (Bdms) Train B2019-10-22022 October 2019 Unrecognized Inoperability of Boron Dilution Mitigation System (Bdms) Train B 05000483/LER-2019-005, Inoperability of CREVS B Train2019-09-12012 September 2019 Inoperability of CREVS B Train 05000483/LER-2019-004, Security Force Positions Evacuated Due to Severe Weather Announcement2019-07-16016 July 2019 Security Force Positions Evacuated Due to Severe Weather Announcement 05000483/LER-2019-003, Reactor Trip Due to Source Range Hi-Flux2019-07-15015 July 2019 Reactor Trip Due to Source Range Hi-Flux 05000483/LER-2019-002, Mode 4 Entry with Inoperable Auxiliary Building Pressure Boundary2019-07-10010 July 2019 Mode 4 Entry with Inoperable Auxiliary Building Pressure Boundary 05000483/LER-2019-001, Unplanned Loss of Switchyard Bus B Results in System Actuation2019-06-0606 June 2019 Unplanned Loss of Switchyard Bus B Results in System Actuation 05000483/LER-2018-006, Inoperability of SSCs Due to Improper Environmental Qualification Classification2019-01-28028 January 2019 Inoperability of SSCs Due to Improper Environmental Qualification Classification 05000483/LER-2018-004, Violation on TS 3.8.1 AC Sources - Operating2018-10-22022 October 2018 Violation on TS 3.8.1 AC Sources - Operating 05000483/LER-2018-002, Inadequate EOP Guidance for Asymmetric Natural Circulation Cooldown2018-07-0303 July 2018 Inadequate EOP Guidance for Asymmetric Natural Circulation Cooldown 05000483/LER-2018-001, Violation of Technical Specification 3.6.3 Containment Isolation Manual Found in Open Position2018-03-12012 March 2018 Violation of Technical Specification 3.6.3 Containment Isolation Manual Found in Open Position 05000483/LER-1917-003, Regarding Violation of Technical Specification 3.6.3, Containment Isolation Check Valve Found in Open Position2017-12-21021 December 2017 Regarding Violation of Technical Specification 3.6.3, Containment Isolation Check Valve Found in Open Position ULNRC-06398, Special Report 2017-02: Non-Functional Seismic Instrument for Greater than 30 Days2017-11-0808 November 2017 Special Report 2017-02: Non-Functional Seismic Instrument for Greater than 30 Days 05000483/LER-1917-002, Regarding Inadequate Protection from Tornado Missiles Identified Due to Nonconforming Design2017-10-13013 October 2017 Regarding Inadequate Protection from Tornado Missiles Identified Due to Nonconforming Design 05000483/LER-1917-001, Regarding Violation of Technical Specification 3.7.9 Due to Ultimate Heat Sink (UHS) Cooling Tower Train Inoperability2017-08-15015 August 2017 Regarding Violation of Technical Specification 3.7.9 Due to Ultimate Heat Sink (UHS) Cooling Tower Train Inoperability 05000483/LER-2015-002, Regarding Manual Auxiliary Feedwater System Actuation2016-09-0707 September 2016 Regarding Manual Auxiliary Feedwater System Actuation 05000483/LER-2016-001, Regarding Control Room Air Conditioning Inoperability Due to Essential Service Water Pressure Transient2016-06-20020 June 2016 Regarding Control Room Air Conditioning Inoperability Due to Essential Service Water Pressure Transient 05000483/LER-2015-004, Regarding Auxiliary Feedwater Control Valve Inoperable Due to Faulty Electronic Positioner Card2015-10-12012 October 2015 Regarding Auxiliary Feedwater Control Valve Inoperable Due to Faulty Electronic Positioner Card 05000483/LER-2015-003, Regarding Reactor Trip Caused by Transmission Line Fault2015-10-0101 October 2015 Regarding Reactor Trip Caused by Transmission Line Fault 05000483/LER-2015-001, Regarding Completion of a Shutdown Required by the Technical Specifications - TS 3.4.132015-09-17017 September 2015 Regarding Completion of a Shutdown Required by the Technical Specifications - TS 3.4.13 05000483/LER-2014-003-02, Regarding Inverter NN11 Inadvertently Transferred to Its Alternate AC Source2015-08-0606 August 2015 Regarding Inverter NN11 Inadvertently Transferred to Its Alternate AC Source 05000483/LER-2014-005-01, 1 for Callaway Unit 1 Regarding All ECCS Accumulator Isolation Valve Operator Breakers Closed in Mode 3 with RCS Pressure Greater than 1000 PSIG2015-08-0606 August 2015 1 for Callaway Unit 1 Regarding All ECCS Accumulator Isolation Valve Operator Breakers Closed in Mode 3 with RCS Pressure Greater than 1000 PSIG 05000483/LER-2014-003-01, Regarding Inverter NN11 Inadvertantly Transferred to Its Alternate AC Source2015-03-0505 March 2015 Regarding Inverter NN11 Inadvertantly Transferred to Its Alternate AC Source 05000483/LER-2014-006, Regarding Main Generator Excitation Transformer Faulted to Ground, Causing Turbine and Reactor Trip2015-02-0202 February 2015 Regarding Main Generator Excitation Transformer Faulted to Ground, Causing Turbine and Reactor Trip 05000483/LER-2014-005, Regarding All ECCS Accumulator Isolation Valve Operator Breakers Closed in Mode 3 with RCS Pressure Greater than 1000 PSIG2015-01-16016 January 2015 Regarding All ECCS Accumulator Isolation Valve Operator Breakers Closed in Mode 3 with RCS Pressure Greater than 1000 PSIG ULNRC-06162, Special Report 2014-05 Inoperability of Loose Parts Monitoring Instrument for Greater than 30 Day2014-12-11011 December 2014 Special Report 2014-05 Inoperability of Loose Parts Monitoring Instrument for Greater than 30 Day ULNRC-06142, SR-14-002 Callaway, Unit 1 - Special Report 2014-02-PAM Report Inoperability of Post Accident Monitoring (PAM) Instrument2014-09-16016 September 2014 SR-14-002 Callaway, Unit 1 - Special Report 2014-02-PAM Report Inoperability of Post Accident Monitoring (PAM) Instrument 05000483/LER-2014-003, Inverter NN11 Inadvertantly Transferred to Its Alternate AC Source2014-08-0707 August 2014 Inverter NN11 Inadvertantly Transferred to Its Alternate AC Source 05000483/LER-2014-002, Regarding Operation Outside of Pressure and Temperature Limit Report Curve Required by Technical Specification 3.4.32014-03-10010 March 2014 Regarding Operation Outside of Pressure and Temperature Limit Report Curve Required by Technical Specification 3.4.3 05000483/LER-2014-001, Regarding Security Measure Suspended Per Callaway Plant Security Plan. Letter Through Page 1 of 4 of 366A Form2014-02-12012 February 2014 Regarding Security Measure Suspended Per Callaway Plant Security Plan. Letter Through Page 1 of 4 of 366A Form 05000483/LER-2013-009, Regarding Appendix R Unanalyzed Condition - Direct Current Ammeter Circuits Without Overcurrent Protection2013-12-0909 December 2013 Regarding Appendix R Unanalyzed Condition - Direct Current Ammeter Circuits Without Overcurrent Protection 05000483/LER-2013-008, For Callaway, Unit 1, Regarding Arcing in Isophase Bus Results in a Generator Trip, Turbine Trip, Reactor Trip and Small Fire2013-09-24024 September 2013 For Callaway, Unit 1, Regarding Arcing in Isophase Bus Results in a Generator Trip, Turbine Trip, Reactor Trip and Small Fire 05000483/LER-2013-007, Violation of TS 3.8.1 Due to an Inoperable Offsite AC Electrical Power Source2013-07-23023 July 2013 Violation of TS 3.8.1 Due to an Inoperable Offsite AC Electrical Power Source 05000483/LER-2013-006, Regarding Degradation of Safety Injection Accumulator Vent Line2013-07-0303 July 2013 Regarding Degradation of Safety Injection Accumulator Vent Line 2024-04-04
[Table view] |
LER-2003-004, For Callaway Plant Unit 1 Regarding Boron Dilution Mitigation System Blocked in Mode 3 Which Not Consistent with FSAR Accident Analysis |
Event date: |
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Report date: |
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Reporting criterion: |
10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition
10 CFR 50.73(a)(2)(v), Loss of Safety Function |
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4832003004R00 - NRC Website |
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text
PO Box 620 Fulton, MO 65251 June 9, 2003 U. S. Nuclear Regulatory Commission Attn: Document Control Desk Mail Stop P1-137 Washington, DC 20555-0001 ULNRC04862 Ladies and Gentlemen:
UE DOCKET NUMBER 50-483 Callaway PLANT UNIT 1 UNION ELECTRIC CO.
FACILITY OPERATING LICENSE NPF-30 LICENSEE EVENT REPORT 2003-004-00 Boron Dilution Mitigation System blocked in Mode 3.
The enclosed licensee event report is submitted in accordance with 10CFR50.73(a)(2)(ii)(B) and 10CFR50.73(a)(2)(v)(D), to report events where the Boron Dilution Mitigation System was blocked while in Mode 3. This action is inconsistent with Final Safety Analysis Report accident analysis.
Very trly yours, Warren A. Witt Manager, Callaway Plant WAW/ewh Enclosure a subsidiary of Ameran Corporation AmerenUE Callaway Plant
- SE,Z
ULNRC-04862 June 9, 2003 Page 2 cc:
Mr. Thomas P. Gwynn Acting Regional Administrator U.S. Nuclear Regulatory Commission Region IV 611 Ryan Plaza Drive, Suite 400 Arlington, TX 76011-4005 Senior Resident ispector Callaway Resident Office U.S. Nuclear Regulatory Commission 8201 NRC Road Steedman, MO 65077 Mr. Jack N. Donohew (2 copies)
Licensing Project Manager, Callaway Plant Office of Nuclear Reactor Regulation U. S. Nuclear Regulatory Commission Mail Stop 7E1 Washington, DC 20555-2738 Manager, Electric Department Missouri Public Service Commission PO Box 360 Jefferson City, MO 65102 Records Center Institute of Nuclear Power Operations 700 Galleria Parkway Atlanta, GA 30339
Abstract
On 4/11/03, while at 100 percent power, it was discovered that a note contained in Technical Specification (T/S) 3.3.9 for the Boron Dilution Mitigation System (BDMS), had been inappropriately applied during past reactor startups. This had been interpreted to allow blocking BDMS while withdrawing Shutdown (S/D) Bank rods in Mode 3. This action is not allowed in Mode 3 per Final Safety Analysis Report (FSAR) accident analysis Section 15.4.6.2 where BDMS is credited for automatically terminating a dilution event while in Mode 3.
Wording of T/S 3.3.9 and T/S 3.3.9 Bases did not provide clear guidance as to what constitutes "reactor startup". The Bases indicate BDMS could be blocked prior to withdrawing "rods" for startup. These words do not delineate between control banks and shutdown banks. Based on this unclear guidance, procedure OTG-ZZ-00IA was incorrectly revised allowing the blocking of BDMS prior to withdrawing shutdown banks. The discovery of the unclear T/S wording was the result of requested procedure enhancements to clarify when it was allowable to block BDMS.
A review of reactor startups within the last 3 years indicated that BDMS was inappropriately blocked on three separate startups.
The first occurred on I 1/24/02, the second on 12/17/02, and the third on 4t2103. Plant procedures governing reactor startup were revised to remove statements allowing blocking BDMS while withdrawing S/D Bank rods in Mode 3.
NRC FORM 36 (1-ZID)
I (if more space is required, use addftional copies of SUMMARY OF THE EVENT, INCLUDING DATES AND APPROXIMATE TIMES On 4/11/03, while at 100 percent power, it was discovered that a note contained in Technical Specification (T/S) 3.3.9 for the Boron Dilution Mitigation System (BDMS), had been inappropriately applied during past reactor startups. This note states: "The boron dilution flux multiplication signal may be blocked in Modes 2 (below P-6 (Intermediate Range Neutron Flux) interlock) and 3 during reactor startup." This had been interpreted to allow blocking BDMS while withdrawing the Shutdown Banks in Mode 3. This action is not allowed in Mode 3 per Final Safety Analysis Report (FSAR) accident analysis.
The Callaway Mode 3 Accident Of Record (AOR) is discussed in FSAR Section 15.4.6.2. The acceptance criterion for a Mode 3 boron dilution event is that there is sufficient time available for automatic mitigation prior to the complete loss of shutdown margin. The BDMS generates a neutron flux-multiplication alarm that indicates an inadvertent boron dilution is in progress. The BDMS also initiates signals to automatically open valves BN-LCV-1 12D/E (Centrifugal Charging Pump Suction from Refueling Water Storage Tank) to initiate boration and then to close valves BG-LCV-I 12B/C (Volume Control Tank outlet isolation valve) to terminate the dilution. Re-boration occurs within 3.14 minutes after reaching the flux-multiplication condition. This occurs prior to the loss of shutdown margin at 6.22 minutes after reaching the flux-multiplication condition, had the condition gone unmitigated.
Since the Callaway Mode 3 Boron Dilution Event AOR has insufficient time available to credit operator actions to terminate this event prior to the loss of shutdown margin, the BDMS must be credited to mitigate the consequences of an inadvertent dilution in Mode 3. Therefore, the T/S 3.3.9 note which allows blocking the boron dilution flux multiplication signal in Mode 3 only applies to blocking BDMS just prior to withdrawing Control Bank rods. BDMS cannot be blocked while withdrawing Shutdown (S/D) Bank rods without blocking all potential dilution sources within 4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br /> specified by T/S 3.3.9. Withdrawing shutdown banks with BDMS blocked is not consistent with FSAR Section 15.4.6.2 Mode 3 analysis.
This problem was discovered while researching a revision for plant operating procedure OTG-ZZ-000 IA, SHUTDOWN BANK WITHDRAWAL.
While researching the requested procedure revision, it was identified that T/S 3.3.9 and T/S 3.3.9 Bases were not explicit in providing guidance for implementing the FSAR Accident Analysis for a boron dilution event. Safety Analysis engineers reviewed the wording and concluded that BDMS could not be blocked while withdrawing Shutdown Bank rods in Mode 3.
(ff moe space is required, use additional copies of NRC Form 3664) (17)
A historical review of reactor startups within the last 3 years indicated that BDMS was inappropriately blocked while withdrawing S/D Bank rods in Mode 3, on three separate startups. The first occurred on 1 l/24/02, the second on 12/17/03, and the third on 4/2/03.
An inmediate corrective action was to issue OTG-ZZ-OOOIA revision 6. This revision removed a step which stated that BDMS could be blocked.
E. METHOD OF DISCOVERY OF EACH COMPONENT, SYSTEM FAILURE, OR PROCEDURAL ERROR This problem was discovered while researching a revision for plant operating procedure OTG-ZZOOOlA, SHUTDOWN BANK WITHDRAWAL.
II.
EVENT DRIVEN INFORMATION A. SAFETY SYSTEMS THAT RESPONDED Not applicable at the time of discovery on 4/11/03.
B. DURATION OF SAFETY SYSTEM INOPERABILITY
Not applicable.
C. SAFETY CONSEQUENCES AND IMPLICATIONS OF THE EVENT.
The source range or intermediate range reactor trip functions are available in Modes 2 and 3. Licensed operators are trained to immediately enter Emergency Operating Procedures (EOP) following any indication of a reactor trip.
"Subcriticality" is one of the critical safety functions continuously monitored throughout the EOPs to ensure reactor power does not exceed 5 percent. These procedures require the licensed operators to immediately borate the reactor coolant system if neutron flux is not decreasing. These procedural controls would ensure that there is no resulting fuel damage or radiological release from the plant. Therefore, this concem had low safety significance with minimal impact on the health and safety of the public.
Ill.
CAUSE OF THE EVENT
Wording of T/S 3.3.9 and T/S 3.3.9 Bases did not provide clear guidance as to what constitutes "reactor startup". The Bases indicate BDMS could be blocked prior to withdrawing "rods" for startup. These words do not delineate between control banks and shutdown banks. Based on this unclear guidance, procedure OTG-ZZ-OOOlA was incorrectly revised allowing the blocking of BDMS prior to withdrawing shutdown banks.
IV.
CORRECTIVE ACTIONS
T/S 3.3.9 Bases wil be revised to clearly specify that BDMS can be blocked prior to withdrawing control rods for reactor startup.
An immediate corrective action was to issue OTG-ZZ-OOOlA revision 6. This revision removed a step, which stated that BDMS could be blocked, plus added steps to monitor source range counts and halt S/D Bank withdrawal if approaching a BDMS setpoint.
(If more space Is required, use addtional copies of NRC Form 366A) (17)
V.
PREVIOUS SIMILAR EVENTS
This event is documented in Corrective Action Request (CAR) 200302704. A 3-year historical review of the CAR system identified no other related events beyond the three events reported in this LER A review of Callaway LERs from 2000 to present confirmed that there were no past LERs involving BDMS.
ADDITIONAL INFORMATION
The system and component codes listed below are from the IEEE Standard 805-1984 and IEEE Standard 803A-1984 respectively.
System:
Component:
Not applicable.
Not applicable.VI.
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05000483/LER-2003-001, Re Improper Administrative Controls Result in Technical Specification Violation | Re Improper Administrative Controls Result in Technical Specification Violation | 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000483/LER-2003-002, Re EGHV0061 Inoperable for a Time Period Greater than Allowed by Technical Specifications | Re EGHV0061 Inoperable for a Time Period Greater than Allowed by Technical Specifications | 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000483/LER-2003-003, Incorrect Steam Generator Tube Rupture Analysis Contained in FSAR | Incorrect Steam Generator Tube Rupture Analysis Contained in FSAR | 10 CFR 50.73(a)(2)(v), Loss of Safety Function | 05000483/LER-2003-004, For Callaway Plant Unit 1 Regarding Boron Dilution Mitigation System Blocked in Mode 3 Which Not Consistent with FSAR Accident Analysis | For Callaway Plant Unit 1 Regarding Boron Dilution Mitigation System Blocked in Mode 3 Which Not Consistent with FSAR Accident Analysis | 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(v), Loss of Safety Function | 05000483/LER-2003-005, Failure of Both Containment Spray Pumps Due to Air Binding | Failure of Both Containment Spray Pumps Due to Air Binding | 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000483/LER-2003-006, Incorrect Sequencing of Steam Generator Tube Rupture Procedure Steps Could Have Resulted in Delaying Recovery from a Tube Rupture | Incorrect Sequencing of Steam Generator Tube Rupture Procedure Steps Could Have Resulted in Delaying Recovery from a Tube Rupture | 10 CFR 50.73(a)(2) | 05000483/LER-2003-007, Engineering Evaluations Incorrectly Approved Leaving Health Physics Access Doors Open | Engineering Evaluations Incorrectly Approved Leaving Health Physics Access Doors Open | 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000483/LER-2003-008, Regarding Technical Specification Violation Due to Valve Control Circuit Modification | Regarding Technical Specification Violation Due to Valve Control Circuit Modification | 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000483/LER-2003-009, Regarding Failure of Electrical Inverter Resulted in Technical Specification Required Plant Shutdown | Regarding Failure of Electrical Inverter Resulted in Technical Specification Required Plant Shutdown | 10 CFR 50.73(a)(2)(i)(A), Completion of TS Shutdown |
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