On November 23, 2017, a routine surveillance on the South Texas Unit 1 Train "C" Control Room Makeup and Cleanup Filtration System failed due to the Train "C" control room makeup filtration system heater de-energizing approximately two minutes after actuation. The makeup filtration system heater de-energized due to an improperly configured jumper on a circuit board associated with the Train "C" control room makeup filtration unit outlet low flow switch. The circuit board had been installed with the improperly configured jumper on September 27, 2017. The circuit board was properly configured and returned to service on November 24, 2017.
This resulted in the Train "C" Control Room Makeup and Cleanup Filtration System being inoperable for 58 days; the associated Technical Specification allowed outage time for this condition is 7 days. The cause of the event is the maintenance work instructions did not include steps to: (1) ensure that the circuit board jumper is in the correct position, and (2) conduct a post-maintenance test to ensure proper operation of the heaters. As a corrective action, the applicable maintenance work instructions will be revised to (1) ensure that the circuit board jumper is in the correct position, and (2) conduct a post-maintenance test to ensure proper operation of the heaters. |
LER-2017-002, Unit 1 Condition Prohibited by Technical Specifications Due to Inoperable Control Room Envelope Makeup Filtration System Heating CoilSouth Texas Unit 1 |
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10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications |
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Category:Letter
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2024 Update ML24081A3972024-03-21021 March 2024 Response to Request for Additional Information for Request for Exemption from Enhanced Weapons, Firearms Background Checks, and Security Event Notifications Implementation ML24080A2902024-03-19019 March 2024 Nuclear Liability Certificates of Insurance NOC-AE-240040, Nuclear Liability Certificates of Insurance2024-03-19019 March 2024 Nuclear Liability Certificates of Insurance ML24066A2002024-03-0606 March 2024 10 CFR 50.46 Thirty-Day Report of Significant ECCS Model Changes ML24079A1312024-03-0505 March 2024 Nuclear Insurance Protection ML24060A1742024-02-28028 February 2024 Submittal of Annual Fitness for Duty Performance Report for 2023 IR 05000498/20230062024-02-28028 February 2024 Annual Assessment Letter for South Texas Project Electric Generating Station, Units 1 and 2 (Report 05000498/2023006 and 05000499/2023006) IR 05000498/20240132024-02-27027 February 2024 Design Basis Assurance Inspection (Programs) Commercial Grade Dedication IR 05000498/2024013 and 05000499/2024013 ML24022A2252024-02-20020 February 2024 Issuance of Amendment Nos. 227 and 212 to Authorize the Revision of the Alternative Source Term Dose Calculation ML24050A0082024-02-19019 February 2024 Evidence of Financial Protection ML24045A0922024-02-16016 February 2024 Response to STP FOF Move Letter (2024) 2024-09-30
[Table view] Category:Licensee Event Report (LER)
MONTHYEAR05000499/LER-2024-003, Containment Isolation Valve Inoperable Resulting in Condition Prohibited by Technical Specification and Prevention of Fulfillment of Safety Function2024-10-22022 October 2024 Containment Isolation Valve Inoperable Resulting in Condition Prohibited by Technical Specification and Prevention of Fulfillment of Safety Function 05000499/LER-2024-002, Two Control Room Envelope HVAC Trains Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function2024-10-17017 October 2024 Two Control Room Envelope HVAC Trains Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function 05000498/LER-2024-004, Loss of Offsite Power Resulting in Unit 1 Automatic Reactor Trip and Actuation of Emergency Diesel Generators and Auxiliary Feedwater Pumps2024-09-19019 September 2024 Loss of Offsite Power Resulting in Unit 1 Automatic Reactor Trip and Actuation of Emergency Diesel Generators and Auxiliary Feedwater Pumps 05000499/LER-2024-001-01, Supplement to Automatic Reactor Trip and Actuation of Two of Three Emergency Diesel Generators2024-08-29029 August 2024 Supplement to Automatic Reactor Trip and Actuation of Two of Three Emergency Diesel Generators 05000499/LER-2024-001, Automatic Reactor Trip and Actuation of Two of Three Emergency Diesel Generators2024-07-0202 July 2024 Automatic Reactor Trip and Actuation of Two of Three Emergency Diesel Generators 05000498/LER-2024-003, Condition Prohibited by Technical Specifications and Potential Loss of Safety Function Due to Inoperable Low Head Safety Injection Pump2024-07-0101 July 2024 Condition Prohibited by Technical Specifications and Potential Loss of Safety Function Due to Inoperable Low Head Safety Injection Pump 05000498/LER-2024-002-01, Two Essential Chilled Water Trains Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function2024-06-27027 June 2024 Two Essential Chilled Water Trains Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function 05000498/LER-2023-003-01, Two Essential Chilled Water Trains Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function2024-06-19019 June 2024 Two Essential Chilled Water Trains Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function ML24130A2712024-05-0909 May 2024 Re Two Essential Chilled Water Trains Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function 05000498/LER-2023-004-01, Condition Prohibited by Technical Specifications Due to Inoperable Train of Essential Chilled Water2024-04-25025 April 2024 Condition Prohibited by Technical Specifications Due to Inoperable Train of Essential Chilled Water 05000498/LER-2024-001, Re Two Steam Generator Power Operated Relief Valves (Porvs) Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function2024-04-0101 April 2024 Re Two Steam Generator Power Operated Relief Valves (Porvs) Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function 05000498/LER-2023-004, Condition Prohibited by Technical Specifications Due to Inoperable Train of Essential Chilled Water2024-02-0505 February 2024 Condition Prohibited by Technical Specifications Due to Inoperable Train of Essential Chilled Water 05000499/LER-2023-002, Automatic Actuation of Emergency Diesel Generator Due to Lockout of Switchyard Electrical Bus2024-01-30030 January 2024 Automatic Actuation of Emergency Diesel Generator Due to Lockout of Switchyard Electrical Bus 05000499/LER-2023-001, Two Essential Chilled Water Trains Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function2024-01-15015 January 2024 Two Essential Chilled Water Trains Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function 05000498/LER-2023-003, Two Essential Chilled Water Trains Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function2024-01-0909 January 2024 Two Essential Chilled Water Trains Inoperable Resulting in a Condition That Could Have Prevented Fulfillment of a Safety Function 05000498/LER-2023-001-01, Supplement to Pressurizer Power Operated Valve Failed to Open2023-07-26026 July 2023 Supplement to Pressurizer Power Operated Valve Failed to Open 05000498/LER-2023-001, Pressurizer Power Operated Relief Valve Failed to Open2023-06-12012 June 2023 Pressurizer Power Operated Relief Valve Failed to Open 05000499/LER-2021-002-01, Supplement to Condition Prohibited by Technical Specifications Due to Inoperable Train of Essential Core Cooling System and Containment Spray System2022-07-0505 July 2022 Supplement to Condition Prohibited by Technical Specifications Due to Inoperable Train of Essential Core Cooling System and Containment Spray System 05000499/LER-2022-001, From South Texas Project Unit 2, Automatic Actuation of Emergency Diesel Generator Due to Lockout of Switchyard Electrical Bus2022-03-0303 March 2022 From South Texas Project Unit 2, Automatic Actuation of Emergency Diesel Generator Due to Lockout of Switchyard Electrical Bus 05000499/LER-2021-002, Re Condition Prohibited by Technical Specifications Due to Inoperable Train of Essential Core Cooling System and Containment Spray System2021-12-21021 December 2021 Re Condition Prohibited by Technical Specifications Due to Inoperable Train of Essential Core Cooling System and Containment Spray System 05000499/LER-2021-001, Condition Prohibited by Technical Specifications Due to Inoperable Containment Isolation Valve2021-09-0909 September 2021 Condition Prohibited by Technical Specifications Due to Inoperable Containment Isolation Valve 05000498/LER-2017-0022018-01-22022 January 2018 Unit 1 Condition Prohibited by Technical Specifications Due to Inoperable Control Room Envelope Makeup Filtration System Heating Coil, LER 17-002-00 for South Texas Project, Unit 1, Regarding Condition Prohibited by Technical Specifications Due to Inoperable Control Room Envelope Makeup Filtration System Heating Coil 05000498/LER-2017-0012017-05-11011 May 2017 Unit 1 failure of a timing relay during a Technical Specification surveillance, LER 17-001-00 for South Texas, Unit 1, Regarding Failure of a Timing Relay During a Technical Specification Surveillance 05000498/LER-2016-0022016-06-29029 June 2016 Unit 1 Automatic Reactor Trip and Auxiliary Feedwater System Actuation Following Turbine Trip due to Generator Lockout, LER 16-002-00 for South Texas Project, Unit 1, Regarding Automatic Reactor Trip and Auxiliary Feedwater System Actuation Following Turbine Trip Due to Generator Lockout 05000498/LER-2016-0012016-03-22022 March 2016 Unit 1 Manual Reactor Trip due to Loss of Main Feedwater to C Train Steam Generator When the Steam Generator Feedwater Regulating Valve Failed Closed, LER 16-001-00 for South Texas Project, Unit 1, Regarding Manual Reactor Trip due to Loss of Main Feedwater to C Train Steam Generator When the Steam Generator Feedwater Regulating Valve Failed Closed NOC-AE-05001865, LER 05-01-00 South Texas Project Unit 2 Regarding Shutdown of STP Unit 2 Due to Reactor Coolant System Pressure Boundary Leak2005-04-0505 April 2005 LER 05-01-00 South Texas Project Unit 2 Regarding Shutdown of STP Unit 2 Due to Reactor Coolant System Pressure Boundary Leak NOC-AE-04001681, LER 01-03-007 for South Texas, Unit 1 Regarding Failure of Main Steam Power Operated Relief Valves 1B2004-02-18018 February 2004 LER 01-03-007 for South Texas, Unit 1 Regarding Failure of Main Steam Power Operated Relief Valves 1B NOC-AE-00000840, 1,Unauthorized Entry Into Protected Area,Safeguards Event Report2000-05-0404 May 2000 1,Unauthorized Entry Into Protected Area,Safeguards Event Report 2024-09-19
[Table view] |
comments regarding burden estimate to the Information Services Branch (T-2 F43), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mall to Infocollects Resource@nrc gov, and to the Desk Officer, Office of Information and Regulatory Affairs, 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.
I. Description of Reportable Event
A. Reportable event classification
This event is reportable under 10 CFR 50.73(a)(2)(i)(B) as an operation or condition prohibited by the plant's Technical Specifications.
B. Plant operating conditions prior to event
Prior to the event on November 23, 2017, South Texas Unit 1 was operating in Mode 1 at 100 percent power.
C Status of structures, systems, and components that were inoperable at the start of the event and that contributed to the event Unbeknownst to the Control Room operators at the start of the event, the Train "C" Control Room Makeup and Cleanup Filtration System was inoperable due to a misconfigured jumper on the circuit board associated with the Train "C" control room makeup filtration unit outlet low flow switch. The switch provides an input to energize/de-energize the associated filtration unit heater.
D. Narrative summary of the event NOTE: When known, approximate times for all major occurrences are provided below.
March 2, 2017 STP Nuclear Operating Company (STPNOC) issued a purchase order to Fluid Components International (FCI) for four circuit boards. The circuit boards are configured with a set of jumper pins that can be configured in either position J12 or J13. In the purchase order, the specified circuit board model indicated that all four circuit boards were to be procured with a standard option of "ENERGIZED AT FLOW OR WET", which corresponds to the J12 jumper position. The J13 position corresponds to the option of "ENERGIZED AT NO FLOW OR DRY.
April 1, 2017 STPNOC received the four circuit boards from FCI (Serial Numbers 624755, 624756, 624757, 624758).
May 30, 2017 The circuit board with serial number 624756 was installed in Unit 1 Train "B" Fuel Handling Building (FHB) exhaust.
June 1, 2017 A scheduled monthly surveillance on Unit 1 Train "B" FHB exhaust was performed During the surveillance, the associated FHB exhaust heater function was tested by measuring heater coil current. Based on the successful completion of this surveillance, the jumper on the circuit board with serial number 624756 was configured in the correct J12 position. Note that the FHB exhaust air system is not governed by Technical Specifications but is required in the Technical Requirement Manual during the movement of fuel within the spent fuel pool or when conducting crane operation with loads over the spent fuel pool.
comments regarding burden estimate to the Information Services Branch (T-2 F43), U S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc gov, and to the Desk Officer, Office of Information and Regulatory Affairs, 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.
17
NO
-0 - 002 05000-498
3. LER NUMBER
September 7, 2017 At 1036 hours0.012 days <br />0.288 hours <br />0.00171 weeks <br />3.94198e-4 months <br />, the quarterly surveillance was completed satisfactorily for Unit 1 Train "C" Control Room Makeup and Cleanup Filtration System.
September 27, 2017 The circuit board with serial number 624757 was installed in the Unit 1 Train "C" control room makeup filtration unit. Installation of the new circuit board was due to a planned periodic replacement and not because of a component failure. Following installation of the new circuit board, a post-maintenance test was performed to verify circuit board setpoints. However, a post-maintenance test to verify heater operability was not performed.
The as-found configuration of the removed circuit board was configured with the jumper in the J12 position (correct position); the new circuit board was installed with the jumper in the J13 position (incorrect position).
At 1445 hours0.0167 days <br />0.401 hours <br />0.00239 weeks <br />5.498225e-4 months <br />, Unit 1 Train "C" Control Room Makeup and Cleanup Filtration System was declared Operable following planned maintenance.
November 23, 2017 At 0940 hours0.0109 days <br />0.261 hours <br />0.00155 weeks <br />3.5767e-4 months <br />, the scheduled quarterly surveillance on Unit 1 Train "C" Control Room Makeup and Cleanup Filtration System was commenced (Unit 1 was in Mode 1 at 100% power).
At 1544 hours0.0179 days <br />0.429 hours <br />0.00255 weeks <br />5.87492e-4 months <br />, a manual actuation of the Unit 1 Train "C" control room emergency ventilation system was initiated per surveillance procedure.
At 1545 hours0.0179 days <br />0.429 hours <br />0.00255 weeks <br />5.878725e-4 months <br />, Unit 1 Train "C" Control Room Makeup and Cleanup Filtration System associated heater de-energized. The train was declared inoperable and Technical Specification 3.7.7 Action a was entered:
a. With one Control Room Makeup and Cleanup Filtration System inoperable for reasons other than condition b or condition e, within 7 days restore the inoperable system to OPERABLE status, or be in at least HOT STANDBY within the next 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> and in COLD SHUTDOWN within the following 30 hours3.472222e-4 days <br />0.00833 hours <br />4.960317e-5 weeks <br />1.1415e-5 months <br />.
November 24, 2017 At 1202 hours0.0139 days <br />0.334 hours <br />0.00199 weeks <br />4.57361e-4 months <br />, after corrective maintenance was performed, the quarterly surveillance on Unit 1 Train "C" Control Room Makeup and Cleanup Filtration System was re-performed. The jumper configuration for the installed circuit board with serial number 624757 was corrected in the field and the circuit board was returned to service.
At 2305 hours0.0267 days <br />0.64 hours <br />0.00381 weeks <br />8.770525e-4 months <br />, following successful surveillance test performance, Unit 1 Train "C" Control Room Makeup and Cleanup Filtration System declared Operable.
Time unknown: The circuit board with serial number 624758, which was never installed in the plant, was verified to have the jumper in the correct J12 position.
December 14, 2017 The circuit board with serial number 624755 was inspected and the jumper was found to be misconfigured (i.e., jumper was in the J13 position). The circuit board was located in the warehouse and had never been installed in the plant. A "discrepant hold" was placed on the circuit board with serial number 624755 to ensure that the card is not installed in the plant until the jumper is properly configured.
Infocollects Resource@nrc goy, and to the Desk Officer, Office of Information and Regulatory Affairs, 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 17
NO
-0 - 002 05000-498
3. LER NUMBER
January 10, 2018 The circuit board with serial number 624755 was reconfigured to place the jumper in the correct configuration and the "discrepant hold" was removed.
E. Method of discovery The event was discovered when the scheduled quarterly surveillance on Train "C" Control Room Makeup and Cleanup Filtration System failed on November 23, 2017.
II. Component failures
A. Failure mode, mechanism, and effects of failed component
The affected circuit board did not fail but was improperly configured. The system is designed to de-energize the heaters based on low air flow. As a result of the misconfigured jumper, the system operated in the opposite manner (i.e., the heaters energized during low flow conditions). The heaters are required to maintain desired makeup filtration effectiveness because without the heater energized, the humid ambient air would saturate the filters with moisture and reduce the filter efficiency from approximately 90% to approximately 30%.
B. Cause of component failure
The cause of the component failure was due to an improperly configured circuit board jumper. The jumper changed the output of the circuit board such that the associated heaters were energized (versus de-energized) at system low flow conditions.
C. Systems of secondary functions that were affected by failure of components with multiple functions The affected circuit board does not provide any secondary functions nor does it provide inputs to other systems.
D. Failed component information (Energy Industry Identification System (EIIS) designators provided in {brackets}) Control Room HVAC System (Control Building/Control Complex Environmental Control System) {VI} Flow Switch {80} Fluid Components International {F132}
III. Analysis of the event
A. Safety system responses that occurred
No safety systems were required to respond as a result of this event.
B. Duration of safety system inoperability Unit 1 Train "C" Control Room Makeup and Cleanup Filtration System was inoperable for a period of 58 days, 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br />, 20 minutes from 1445 hours0.0167 days <br />0.401 hours <br />0.00239 weeks <br />5.498225e-4 months <br /> on September 27, 2017 until 2305 hours0.0267 days <br />0.64 hours <br />0.00381 weeks <br />8.770525e-4 months <br /> on November 24, 2017.
comments regarding burden estimate to the Information Services Branch (T-2 F43), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by 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 informafion collection.
17
NO
-0 - 002 05000-498
C. Safety consequences and implications
When STPNOC reanalyzed the UFSAR Chapter 15 Accident Analyses for Alternate Source Term, Control Room makeup filtration was not credited in any accident analyses. Only recirculation filtration was credited in the design bases calculations. Therefore, reduced makeup filtration effectiveness, due to loss of heater function in a makeup train heater, would have no effect on the plant design basis assumptions.
Control Room makeup filtration is only credited for use as a compensatory action if tracer gas testing fails the inleakage measurement limit. The presence of uncredited makeup filtration would provide margin until the measured inleakage problem is resolved. During the time period of this event, no tracer gas testing was performed in Unit 1, so makeup filtration was not credited as a compensatory measure while the Train "C" Control Room Makeup and Cleanup Filtration System was inoperable.
In the STP PRA model, the system function of the Control Room Makeup and Cleanup Filtration System is to provide outside air for cooling of plant equipment located in the Control Room Envelope The heaters in the makeup filtration portion of the system are not modeled in the STP PRA model and have no impact on core damage frequency or large early release frequency. The heaters would become important after a core damage event followed by a radiological release to provide clean air to the Control Room Envelope for habitability; however, this is beyond the scope of the STP PRA model, which is a Levels I and II PRA model.
From a Technical Specification perspective, during the time period of this event, the other two trains of the Control Room Makeup and Cleanup Filtration System were Operable and capable of performing their required functions. Note that the Control Room Makeup and Cleanup Filtration System trains are 50% capacity trains (i.e., two trains are required to meet the design bases function).
IV. Cause of the event
The cause of the event is the applicable maintenance work instructions did not include steps to: (1) ensure that the circuit board jumper is in the correct position, and (2) conduct a post-maintenance test to ensure proper operation of the heaters.
V. Corrective actions
The applicable maintenance work instructions will be revised to (1) ensure that the circuit board jumper is in the correct position, and (2) conduct a post-maintenance test to ensure proper operation of the heaters.
VI. Previous similar events
An operating experience review was conducted to find similar events regarding improperly configured jumpers. One event in the past ten years was discovered (reference STP Condition Report 09-16821). This event did not result in an LER because the incorrectly installed jumper was discovered prior to the component being placed into service. No changes to written instructions were made as a result of this event.