IR 05000250/2015003
ML15309A090 | |
Person / Time | |
---|---|
Site: | Turkey Point |
Issue date: | 11/04/2015 |
From: | Ladonna Suggs NRC/RGN-II/DRP/RPB3 |
To: | Nazar M Florida Power & Light Co |
References | |
IR 2015003 | |
Download: ML15309A090 (25) | |
Text
UNITED STATES ovember 4, 2015
SUBJECT:
TURKEY POINT NUCLEAR GENERATING STATION - NRC INTEGRATED INSPECTION REPORT 05000250/2015003, 05000251/2015003
Dear Mr. Nazar:
On September 30, 2015, the U.S. Nuclear Regulatory Commission (NRC) completed an inspection at your Turkey Point Nuclear Generating Station Units 3 and 4. On October 15, 2015, the NRC inspectors discussed the results of the inspection with Mr. Summers and other members of your staff. The inspectors documented the results of this inspection in the enclosed inspection report.
NRC inspectors documented one self-revealing finding of very low safety significance (Green) in this report. The finding did not involve a violation of NRC requirements.
If you contest the violation or significance of this non-cited violation (NCV), you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington DC 20555-0001; with copies to the Regional Administrator Region II; the Director, Office of Enforcement, U.S. Nuclear Regulatory Commission, Washington DC 20555-0001; and the NRC Resident Inspector at Turkey Point Nuclear Generating Station Units 3 and 4.
If you disagree with a cross-cutting aspect assignment, you should provide a response within 30 days of the date of this inspection report, with the basis for your disagreement, to the Regional Administrator, Region II; and the NRC resident inspector at the Turkey Point Nuclear Generating Station Units 3 and 4. In accordance with Title 10 of the Code of Federal Regulations 2.390, Public Inspections, Exemptions, Requests for Withholding, of the NRCs Rules of Practice, a copy of this letter, its enclosure, and your response (if any) will be available electronically for public inspection in the NRCs Public Document Room or from the Publicly Available Records (PARS) component of the NRCs Agency wide Documents Access and Management System (ADAMS). ADAMS is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
Sincerely,
/RA/
LaDonna B. Suggs, Chief Reactor Projects Branch 3 Division of Reactor Projects Docket Nos.: 50-250, 50-251 License Nos.: DPR-31, DPR-41
Enclosure:
IR 05000250/2015003, 05000251/2015003 w/Attachment: Supplementary Information
REGION II==
Docket Nos: 50-250, 50-251 License Nos: DPR-31, DPR-41 Report Nos: 05000250/2015003, 05000251/2015003 Licensee: Florida Power & Light Company (FP&L)
Facility: Turkey Point Nuclear Generating Station, Units 3 & 4 Location: 9760 S. W. 344th Street Homestead, FL 33035 Dates: July 1 to September 30, 2015 Inspectors: T. Hoeg, Senior Resident Inspector M. Endress, Resident Inspector M. Bates, Senior Operations Engineer D. Bacon, Senior Operations Engineer Approved by: LaDonna B. Suggs, Chief Reactor Projects Branch 3 Division of Reactor Projects Enclosure
SUMMARY
IR 05000250/2015003, 05000251/2015003; 07/01/15 - 9/30/15; Turkey Point Nuclear
Generating Station, Units 3 & 4; Event Follow-up.
The report covered a three-month period of inspection by the resident inspectors. One Green finding was identified. The significance of inspection findings are indicated by their color (i.e.,
greater than Green, or Green, White, Yellow, Red) and determined using Inspection Manual Chapter (IMC) 0609, Significance Determination Process, (SDP) dated April 29, 2015. The cross-cutting aspects were determined using IMC 0310, Aspects Within the Cross-Cutting Areas, dated December 4, 2014. All violations of NRC requirements were dispositioned in accordance with the NRCs Enforcement Policy dated February 4, 2015. The NRCs program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, Reactor Oversight Process, Revision
NRC-Identified and Self-Revealing Findings
Cornerstone: Initiating Events
- Green.
A self-revealing finding was identified for the licensees failure to provide adequate instructions for performing work on the Unit 4 main generator protection control circuitry. As a result, the lugged connections on an installed current transformer lacked the appropriate tightness causing increased electrical resistance and ultimately catastrophic failure of a lug connection. The lug failure produced an open circuit condition on the current transformer causing the generator protection circuit to actuate. This resulted in a turbine trip and reactor trip. Corrective actions included replacing the damaged lug and torqueing all the current transformer lug connections to the vendor recommended value. A root cause evaluation was performed and a revision made to maintenance procedure 0-PME-090.03,
Maintenance of Isophase Neutral Bus and Grounding Transformer Connection Assemblies, to include additional instructions on torqueing the lug assemblies. The licensee entered this performance deficiency in their corrective action program (CAP) as action request 02047137.
The performance deficiency was more than minor because it was associated with the procedure quality attribute of the initiating events cornerstone and adversely affected the cornerstone objective to limit the likelihood of events that upset plant stability and challenge critical safety functions during power operations. Specifically, the work package associated with engineering modification package EC 246904 and work order 40063905 directed the technician to connect the current transformer (CT) lugs hand tight and did not require torqueing per the vendor specified torque value. The inspectors screened the significance of the finding using Manual Chapter 0609, Appendix A, Exhibit 1, Transient Initiators. The inspectors determined the finding was of very low safety significance (Green) because the finding did not result in a reactor trip and a loss of mitigation equipment relied upon to transition the plant to a stable shutdown condition. The finding was associated with a cross-cutting aspect in the resources component of the human performance area because the licensee failed to ensure an adequate work instruction document was available to support nuclear safety (H.1) (Section 4OA3).
Licensee-identified Violations A violation of very low safety significance that was identified by the licensee has been reviewed by the NRC. Corrective actions taken or planned by the licensee have been entered into the licensees CAP. This violation and corrective action tracking number is listed in Section 4OA7 of this report.
REPORT DETAILS
Summary of Plant Status
Unit 3 began this inspection period at 100 percent of Rated Thermal Power (RTP) where it remained through the end of this inspection period.
Unit 4 began this inspection period at 100 percent of RTP where it remained through the end of this inspection period.
REACTOR SAFETY
Cornerstones: Initiating Events, Mitigating Systems, Barrier Integrity
1R01 Adverse Weather Protection
Readiness for Impending Adverse Weather Conditions
a. Inspection Scope
During the week of August 24th, 2015 the inspectors reviewed the status of licensee actions in accordance with Administrative Procedure 0-ADM-116, Hurricane Season Readiness, and 0-ONOP-103.3, Severe Weather Preparations, in preparation for Tropical Storm Erika approaching the Florida peninsula. The inspectors verified actions were performed and special equipment was staged or available as directed by the procedure. The inspectors performed a walk down of the following equipment on both units that are exposed to outside weather conditions to identify any potential adverse conditions:
- Unit 3 and Unit 4 Turbine Buildings
- Unit 3 and Unit 4 Component Cooling Water Heat Exchanger areas
- Unit 3 and Unit 4 Emergency Diesel Generator (EDG) engine buildings
- Unit 3 and Unit 4 ICCW Systems and Structures
- Auxiliary Feed Water (AFW) System Area
- Switchyard area
b. Findings
No findings were identified.
1R04 Equipment Alignment
.1 Partial Equipment Walk Downs (Quarterly)
a. Inspection Scope
The inspectors conducted three partial alignment verifications of the safety-related systems listed below. These inspections included reviews using plant lineup procedures, operating procedures, and piping and instrumentation drawings, which were compared with observed equipment configurations to verify that the critical portions of the systems were correctly aligned to support operability. The inspectors also verified that the licensee had identified and resolved equipment alignment problems that could cause initiating events or impact the capability of mitigating systems or barriers by entering them into the CAP. Documents reviewed are listed in the Attachment. This inspection constitutes three samples.
b. Findings
No findings were identified.
.2 Equipment Alignment (Semi-annual)
a. Inspection Scope
The inspectors conducted a detailed review of the alignment and material condition of the AFW system to verify its capability to meet its design basis function while the A AFW pump was out of service for planned maintenance. The inspectors utilized licensee procedure 3-NOP-075 and 4-NOP-075, Auxiliary Feedwater System, and Drawings 5613-M-3075, Auxiliary Feedwater System, Sheets 1, 2, and 3, to verify the system alignment was correct. During the walk down, the inspectors verified, as appropriate, that: 1) valves were correctly positioned and did not exhibit leakage that would impact their function, 2) electrical power was available as required, 3) major portions of the system and components were correctly labeled, cooled, and ventilated, 4) hangers and supports appeared correctly installed and functional, 5) essential support systems were operational, 6) ancillary equipment or debris did not interfere with system performance, 7) tagging clearances were appropriate, and 8) valves were locked as required by the licensees locked valve program. Other items reviewed included the operator workaround list, temporary modification list, system health reports, system description, and open maintenance work orders. In addition, the inspectors reviewed the licensees CAP to ensure that the licensee was identifying and resolving associated equipment problems.
b. Findings
No findings were identified.
1R05 Fire Protection
.1 Fire Area Walk downs
a. Inspection Scope
The inspectors walked down the below mentioned six plant areas to evaluate conditions related to control of transient combustibles, ignition sources, material condition, and operational status of fire protection systems including fire barriers used to prevent fire damage and propagation. The inspectors reviewed these activities using provisions in the licensees procedure 0-ADM-016, Fire Protection Plan and 10 CFR Part 50, Appendix R. The inspectors routinely reviewed the licensees fire impairment lists and monitored the associated corrective actions for completion. The inspectors reviewed the action request report database to verify that fire protection problems were being identified and appropriately resolved in the CAP. The inspectors tours of the selected areas verified the fire protection equipment was installed as shown on the applicable fire plan drawings and appeared functional and ready for usage. This inspection constitutes six samples.
- Unit 3 South Electrical Penetration Room, Fire Zone 20
- Unit 3 Reactor Control Rod Equipment Room, Fire Zone 63
- Reactor Auxiliary Building Hallway, Fire Zone 58
- AFW Pump Area, Fire Zone 84
- Unit Auxiliary Transformer Area, Fire Zone 87
- Unit 4 Auxiliary Transformer Area, Zone 82
b. Findings
No findings were identified.
.2 Fire Protection - Drill Observation
a. Inspection Scope
On August 21, 2015, the inspectors observed an unannounced fire drill that took place within the station power block on the roof top above the control room. The drill was observed to evaluate the readiness of the plant fire brigade to fight fires. The inspectors verified the licensee staff identified deficiencies, openly discussed them in a self-critical manner at the drill debrief meeting and took appropriate corrective actions as required.
Specific attributes evaluated were:
- (1) proper wearing of fire protective gear and self-contained breathing apparatus;
- (2) proper use and layout of fire hoses;
- (3) employment of appropriate fire-fighting techniques;
- (4) sufficient fire-fighting equipment brought to the scene;
- (5) effectiveness of command and control;
- (6) search for victims and propagation of the fire into other plant areas;
- (7) smoke removal operations;
- (8) utilization of pre-planned strategies;
- (9) adherence to the pre-planned drill scenario; and
- (10) drill objectives. The inspectors also observed the operation of a fire hydrant and charging of fire hoses in the open lot area adjacent to Outside Machine Shop building. This inspection constitutes one sample.
b. Findings
No findings were identified.
1R06 Flood Protection Measures
a. Inspection Scope
The inspectors conducted walk downs of the following areas subject to internal flooding to ensure that flood protection measures were in accordance with design specifications. The inspectors reviewed the Turkey Point Updated Final Safety Analysis Report (UFSAR), Appendix 5F, Internal Plant Flooding, which discussed protection of areas containing safety-related equipment that could be affected by internal flooding.
Specific plant attributes that were verified included structural integrity, sealing of penetrations, sump pump configurations, and control of debris. Operability of sump systems, including alarms were also verified to be functional.
- Unit 3 and 4 4160 Volt Switchgear Rooms The inspectors performed an underground cable manhole inspection which included checking for accumulated water. The inspectors also performed cable inspections in accordance with WO 40344892 and drawing 5610-E-53, Tray, Conduit, and Grounding 18 foot elevation. The following areas were inspected and associated records reviewed:
- Manhole 403 and 734
b. Findings
No findings were identified.
1R07 Heat Sink Performance
a. Inspection Scope
The inspectors selected the 4A component cooling water heat exchanger to verify the licensee was performing periodic cleaning and testing following maintenance in accordance with associated procedures. The inspectors observed portions of the heat exchanger cleaning performed by the licensee under WO 40088995. The inspectors also verified the cleaning and inspection following maintenance was performed and properly documented in accordance with completed maintenance procedure 0-PMM-030.01, Component Cooling Water Heat Exchanger Cleaning and Inspection. The inspectors also reviewed completed licensee procedure 4-OSP-019.4, Component Cooling Water Heat Exchanger Performance Monitoring to ensure the heat exchanger was restored, leak tested, and returned to service with no deficiencies. The inspectors walked down portions of the cooling systems for integrity checks and to assess operational lineup and material condition.
b. Findings
No findings were identified.
1R11 Licensed Operator Requalification Program
Licensed Operator Requalification Biennial Inspection
a. Inspection Scope
The inspectors reviewed the facility operating history and associated documents in preparation for this inspection. During the week of August 31, 2015, the inspectors reviewed documentation, interviewed licensee personnel, and observed the administration of operating tests associated with the licensees operator requalification program. Each of the activities performed by the inspectors was done to assess the effectiveness of the facility licensee in implementing requalification requirements identified in 10 CFR Part 55, Operators Licenses. The evaluations were also performed to determine if the licensee effectively implemented operator requalification guidelines established in NUREG-1021, Operator Licensing Examination Standards for Power Reactors, and Inspection Procedure 71111.11, Licensed Operator Requalification Program. The inspectors also evaluated the licensees simulation facility for adequacy for use in operator licensing examinations using ANSI/ANS-3.5-1998, American National Standard for Nuclear Power Plant Simulators for use in Operator Training and Examination. The inspectors observed two crews during the performance of the operating tests. Documentation reviewed included Job Performance Measures (JPMs), simulator scenarios, licensee procedures, on-shift records, simulator modification request records, simulator performance test records, licensed operator qualification records, remediation plans, watch standing records, and medical records.
The records were inspected using the criteria listed in Inspection Procedure 71111.11.
Documents reviewed during the inspection are documented in the List of Documents Reviewed.
The sample is incomplete because the biennial written examination will not be administered until the fourth calendar quarter; therefore, the inspection of that examination will not occur until the fourth calendar quarter.
b. Findings
No findings were identified.
Resident Inspector Quarterly Review
.1 Simulator Observation
a. Inspection Scope
The inspectors performed the following inspection sample of a simulator observation and assessed licensed operator performance while training. The observations included procedural use and adherence, response to alarms, communications, command and control, and coordination and control of the reactor plant operations.
On July 27, 2015, the inspectors assessed licensed operator performance in the plant-specific simulator during a training evolution. The training scenario was started with the unit in Mode 1 at 100 percent of rated thermal power. The training scenario began with a turbine runback and a dropped control rod followed by a feedwater line break inside of containment and an anticipated transient without a scram (ATWS).
During the simulator observation, simulator board configurations were compared with actual plant control board configurations reflecting recent plant changes or modifications.
Specifically, the inspectors evaluated the following attributes related to operating crew performance and licensee evaluation:
- Clarity and formality of communication
- Ability to take timely action to safely control the unit
- Prioritization, interpretation, and verification of alarms
- Correct use and implementation of off-normal and emergency operating procedures and emergency plan implementing procedures
- Control board operation and manipulation, including high-risk operator actions
- Oversight and direction provided by shift supervisor, including ability to identify and implement appropriate TS actions and emergency plan classification and notification
- Crew overall performance and interactions
- Evaluators control of the scenario and post scenario evaluation of crew performance
b. Findings
No findings were identified.
.2 Control Room Observations
a. Inspection Scope
The inspectors performed daily assessments of licensed operators in the control room during their performance of routine operations. Observations included daily surveillance testing and log keeping, response to alarms, communications, shift turnovers, and coordination of plant activities. The observations were conducted to verify operator compliance with station operating guidelines, such as use of procedures, control and manipulation of components, and communications.
The inspectors also performed the following two focused control room observations during reactivity manipulations and mode changes. Observations were conducted to verify operator compliance with station operating protocols as described in licensee procedure OP-AA-100-100, Conduct of Operations. The inspectors focused on the following conduct of operations attributes as appropriate:
- Operator compliance and use of procedures
- Control board manipulations
- Communication between crew members
- Use and interpretation of plant instruments, indications, and alarms
- Use of human error prevention techniques
- Documentation of activities, including procedure place keeping and narrative logs
- Supervision of activities, including risk and reactivity management On July 29, 2015, the inspectors performed a focused observation on Unit 4 consisting of a reactor coolant system (RCS) primary water dilution per 0-OP-046, Enclosure 6, Chemical Volume Control System Boron Concentration Control. Specifically, the inspectors observed the reactor operators performing the pre-job brief per 0-ADM-200, 7, Planned Reactivity Manipulations for Maintaining Steady State Plant Conditions and verified the operators complied with the applicable procedure during the evolution.
On August 20, 2015, the inspectors performed a focused observation on Unit 3 during a periodic moderator temperature coefficient (MTC) surveillance test per procedure 3-OSP-040.12, MTC Testing. Specifically, the inspectors observed the reactor operators performing a pre-job briefing and verified operators complied with the applicable procedure during the evolution. The inspectors also observed the reactor operators return the plant to a normal line-up and condition per the applicable procedure following the evolution.
b. Findings
No findings were identified.
1R12 Maintenance Effectiveness
a. Inspection Scope
The inspectors reviewed the following equipment problem and periodic evaluation report to verify that the licensees maintenance efforts met the requirements of 10 CFR 50.65, Requirements for Monitoring the Effectiveness of Maintenance at Nuclear Power Plants, and licensee procedure ER-AA-100-2002, Maintenance Rule Program Administration.
The inspectors efforts focused on maintenance rule scoping, characterization of maintenance problems and failed components, risk significance, determination of a(1)classification, corrective actions, and the appropriateness of established performance goals and monitoring criteria. The inspectors also interviewed responsible engineers and observed some of the corrective maintenance activities. The inspectors verified that equipment problems were being identified and entered into the corrective action program. The inspectors used licensee maintenance rule data base, system health reports, and the corrective action program as sources of information on tracking and resolution of issues. This inspection includes two samples.
- AR 02024373, 3B emergency diesel generator output breaker malfunction
- Maintenance Rule (a)(3) Periodic Evaluation Report for 4/1/13 - 3/31/15
b. Findings
No findings were identified.
1R13 Maintenance Risk Assessments and Emergent Work Control
a. Inspection Scope
The inspectors completed in-office reviews and control room inspections of the licensees risk assessment of five emergent or planned maintenance activities. The inspectors verified the licensees risk assessment and risk management activities using the requirements of 10 CFR 50.65(a)(4); the recommendations of Nuclear Management and Resource Council 93-01, Industry Guidelines for Monitoring the Effectiveness of Maintenance at Nuclear Power Plants, Revision 3; and procedures 0-ADM-068, Work Week Management; WM-AA-1000, Work Activity Risk Management; and O-ADM-225, On Line Risk Assessment and Management. The inspectors also reviewed the effectiveness of the licensees contingency actions to mitigate increased risk resulting from the degraded equipment and the licensee assessment of aggregate risk using procedure OP-AA-104-1007, Online Aggregate Risk. The inspectors discussed the on-line risk monitor (OLRM) results with the control room operators and verified all applicable out-of-service equipment was included in the OLRM calculation. The inspectors evaluated the following five risk assessment samples during the inspection period:
- B Standby Steam Generator Feed Pump, MOV-3-536, PCV-3-455C, and the Diesel Driven Fire Pump OOS
b. Findings
No findings were identified.
1R15 Operability Determinations and Functionality Assessments
a. Inspection Scope
The inspectors evaluated the technical adequacy of the licensee evaluations to ensure that TS operability was properly justified and the subject component or system remained available such that no unrecognized increase in risk occurred for the five operability evaluations described in the ARs listed below. The inspectors reviewed applicable sections of the UFSAR to determine if the system or component remained available to perform its intended function. In addition, when applicable, the inspectors reviewed compensatory measures implemented to verify that the affected equipment remained capable of performing its intended design function. The inspectors also reviewed a sampling of condition reports to verify that the licensee was routinely identifying and correcting any deficiencies associated with operability evaluations. This inspection constitutes five samples.
- AR 02060004, 3A Emergency Diesel Generator Starting Air Compressor Breaker
- AR 02064084, 4160 Volt Switch Gear Room High Temperature Alarm
- AR 020577895, Unit 3 and Unit 4 Containment Building Air Lock Equalizing Valve
- AR 02054289, FT-3-496 As found valves outside acceptance criteria
- AR 02068741, 3A EDG Crankcase Lube Oil Leak
b. Findings
No findings were identified.
1R18 Plant Modifications
Permanent Plant Modifications
a. Inspection Scope
The inspectors reviewed a permanent plant modification to the Unit 3 component cooling water (CCW) system associated with adding a heat exchanger cooled by supplemental chilled water to assist CCW cooling during summer months. The modifications involved installation of welded connections, valves, instrumentation, a heat exchanger, and circulation pump. The inspectors reviewed the 10 CFR 50.59 screening and technical evaluation to verify that the modification had not affected system operability or availability. The inspectors reviewed associated plant drawings, design analyses, and UFSAR documents impacted by this modification and discussed the changes with licensee personnel to verify that the modifications were consistent with the work order and associated documents. The inspectors observed portions of the modification and surrounding area to determine if conditions resulted in any potential unsafe conditions not described in the engineering change documentation. Additionally, the inspectors reviewed and verified that any conditions associated with the modification were being identified and entered into the CAP. This inspection constitutes one sample.
b. Findings
No findings were identified.
1R19 Post Maintenance Testing
a. Inspection Scope
For the five post maintenance tests and associated WOs listed below, the inspectors reviewed the test procedures and either witnessed the testing or reviewed test records to determine whether the scope of testing adequately verified that the work performed was correctly completed and demonstrated that the affected equipment was operable. The inspectors verified that the requirements in licensee procedure 0-ADM-737, Post Maintenance Testing, were incorporated into the test requirements. The inspectors reviewed the following WOs consisting of five inspection samples:
- WO 40217022, 4B Emergency Diesel Generator Appendix R Emergency Light Replacement
- WO 40379383, 3B Charging Pump Coupling Repair
- WO 40356019, A Auxiliary Feedwater Pump Planned Maintenance
- WO 40379348, B Auxiliary Feedwater Pump Turbine Repair
- WO 40373467, 3A Emergency Diesel Generator Relay Replacement
b. Findings
No findings were identified.
1R22 Surveillance Testing
a. Inspection Scope
The inspectors either reviewed or observed the following six surveillance tests to verify that the tests met the TS requirements, the UFSAR description, the licensees procedural requirements, and demonstrated the systems were capable of performing their intended safety functions and operational readiness. In addition, the inspectors evaluated the effect of the testing activities on the plant to ensure that conditions were adequately addressed by the licensee staff and that after completion of the testing activities, equipment was returned to the status required for the system to perform its safety function. The inspectors verified that any surveillance deficiencies were documented in the licensees CAP. This inspection constitutes two surveillance test samples, three in-service testing (IST) samples, and one leak detection surveillance sample. The inspectors reviewed the following tests:
Surveillance Test:
- 3-OSP-028.6, Unit 3 Periodic Rod Control Exercise
- 4-OSP-023.1, 4B EDG Monthly Test In-Service Tests:
- 3-OSP-068.2, 3A Containment Spray Pump Test (IST)
- 3-OSP-055.1, Unit 3 Emergency Core Cooling System Valve Stroke Test
- 4-OSP-055.1, Unit 4 Emergency Core Cooling System Valve Stroke Test Reactor Coolant System Leak Detection Test:
- 3-OSP-041.1, Unit 3 Reactor Coolant System Leak Rate Calculation
b. Findings
No findings were identified.
Cornerstone: Emergency Preparedness
4OA1 Performance Indicator Verification (IP 71151)
Barrier Integrity Cornerstone
a. Inspection Scope
The inspectors reviewed licensee submittals for the Unit 3 and Unit 4 performance indicators (PI) listed below for the period July 1, 2014, through June 30, 2015, to verify the accuracy of the PI data reported during that period. Performance indicator definitions and guidance contained in NEI 99-02, Regulatory Assessment Performance Indicator Guideline, and licensee procedure 0-ADM-032, NRC Performance Indicators Turkey Point, were used to check the reporting for each data element. The inspectors checked operator logs, plant status reports, condition reports, system health reports, and PI data sheets to verify that the licensee had identified the required data, as applicable.
The inspectors interviewed licensee personnel associated with performance indicator data collection, evaluation, and distribution. This inspection constitutes two samples.
- Unit 3 Safety System Functional Failures
- Unit 4 Safety System Functional Failures
b. Findings
No findings were identified.
4OA2 Problem Identification and Resolution (IP 71152)
.1 Daily Review
a. Inspection Scope
As required by Inspection Procedure 71152, Identification and Resolution of Problems, and to help identify repetitive equipment failures or specific human performance issues for follow-up, the inspectors performed a screening of items entered daily into the licensees CAP. This review was accomplished by reviewing daily printed summaries of ARs and by reviewing the licensees electronic AR database. Additionally, RCS unidentified leakage was checked on a daily basis to verify no substantive or unexplained changes. Documents reviewed are listed in the Attachment.
b. Findings
No findings were identified.
.2 Annual Sample: 3B Emergency Diesel Generator Starting Circuit Relay Failures
a. Inspection Scope
The inspectors selected action request (AR) 02051897, 3B EDG Sequencer Relay Failure, and AR 02024373, 3B EDG frequency monitor relay (FMR) Relay Failure, for a more in-depth review of the circumstances and the corrective actions that followed.
The action request report was reviewed to ensure that an appropriate evaluation was performed and corrective actions were specified and prioritized in accordance with the licensees program. Other attributes checked included disposition of operability and resolution of the problem including cause determination, past operability determination, and corrective actions. The inspectors interviewed plant personnel and evaluated the condition report in accordance with the requirements of the licensees corrective actions process as specified in licensees procedures PI-AA-100-1008, Condition Evaluation, and PI-AA-104-1000, Corrective Action. This inspection constitutes one sample.
b. Findings and Observations
No inspector findings were identified. For AR 02024373, 3B EDG FMR Failure, the licensee determined that the apparent cause of the failure of the FMR was an age-related issue due to applying an inappropriate preventative maintenance (PM) strategy.
For AR 02051897, 3B EDG Sequencer Relay Failure, the licensee determined that the failure of the relay was due to an intermittent failure mode that was not predictable or preventable. The inspectors noted that the licensees evaluation for the FMR failure concluded that the FMRs had a 10 year replacement interval recommended by Electric Power Research Institute (EPRI) and had been installed since 1991. The inspectors also noted that the licensees evaluation for the Sequencer relay failure concluded that the Sequencer relay was designed for 200,000 cycles and had been cycled approximately 1200 times at the time of the failure.
Immediate corrective actions for these events included replacement of the 3B EDG FMR and Sequencer Relay and performing an extent of condition to determine other relays that did not have proper PM strategies implemented. The licensee determined the cause of the Sequencer relay failure was due to increased resistance between the metal plunger mechanism and brass sleeve. The licensee determined that the FMR failed when the set point drifted high and failed to pick-up when conditions required it to satisfy EDG 3B output breaker closure logic. The licensee also determined, through the extent of condition, that FMRs on the 3 other EDGs did not have the correct PM strategy applied and were installed since 1991. As a result of the extent of condition, the licensee replaced all EDG FMR relays on Unit 3.
4OA3 Follow-up of Events and Notice of Enforcement Discretion (IP 71153)
(Closed) Licensee Event Report (LER) 05000251/2015-002-00, Reactor Trip Resulting From Generator Differential Lockout On May 12, 2015, Turkey Point Nuclear Station experienced and unplanned reactor Trip from 80 percent rated thermal power. The reactor trip was due to a turbine trip caused by a generator differential lockout protection signal. The licensees root cause concluded that the event was due to the current transformer (CT) lugs not being torqued to the vendor recommended value of 5 foot-pounds. The reactor plant systems responded as designed and the operators stabilized the plant in Mode 3, Hot Standby, in accordance with station procedures. The licensee took corrective actions to install a temporary modification to disconnect the failed lug connection from the CT and torqued the other lugs to specification before returning the unit to Mode 1, Power Operation. The inspectors reviewed the LER to verify its accuracy, completeness, and associated corrective actions taken or planned. These activities constitute completion of one event follow-up inspection sample.
a. Inspection Scope
During the week of July 27, 2015, the inspectors reviewed the details of this LER. The inspectors reviewed the licensees root cause evaluation for this event documented in action request 02047137. The licensees root cause concluded that the root cause of the event was due to the CT lugs not being torqued to the vendor recommended value of 5 foot-pounds. The work instructions did not provide vendor specified torque information and relied upon skill of the craft to tighten the lug connections hand tight. Corrective actions included performing a root cause evaluation of the event and a revision to procedure 0-PME-090.03, Maintenance of Isophase Neutral Bus and Grounding Transformer Connection Assemblies, to include additional guidance on torqueing the lug assemblies.
b. Findings
Introduction:
A Green self-revealing finding was identified for the licensees failure to provide adequate instructions for performing work on the Unit 4 main generator protection control circuitry. As a result, the lugged connections on an installed current transformer lacked the appropriate tightness causing increased electrical resistance and ultimately catastrophic failure of a lug connection. The lug failure produced an open circuit condition on the current transformer causing the generator protection circuit to actuate. This resulted in a turbine trip and reactor trip.
Description:
In 2013, as part of an extended power uprate project, the licensee modified their Unit 4 turbine generator control circuit in accordance with engineering modification package EC 246904 and work order 40063905. On May 12, 2015, Unit 4 tripped from 80 percent power while performing power ascension to full power. The licensee determined that a work order document directed the technician to connect the CT lugs hand tight and did not require torqueing to the vendor torque specification of 5 foot-pounds. As a result, the CT lugged connections lacked the appropriate tightness causing increased electrical resistance, increased heat, catastrophic failure of the lug, and an open circuit condition. The open circuit on the current transformer caused the generator protection circuit to actuate resulting in a turbine trip and reactor trip.
The licensee entered this event into their corrective action program as action request 02047137 and conducted a root cause evaluation (RCE). The RCE determined that the vendor recommended torque value for the lugged connections was not used during the design modification or work order process. In addition, the RCE determined two contributing causes to be that;
- (1) Turkey Point had no periodic maintenance activity to periodically check the tightness of these connections, and
- (2) Operating experience was overlooked from the industry that identified similar events. Corrective actions included replacing the damaged lug and torqueing all the current transformer lug connections to the vendor recommended value. The RCE resulted in a revision being made to maintenance procedure 0-PME-090.03, Maintenance of Isophase Neutral Bus and Grounding Transformer Connection Assemblies, to include additional guidance on torqueing the lug assemblies.
Analysis:
The licensees failure to provide adequate instructions for performing work on the Unit 4 main generator protection control circuit was a performance deficiency.
Specifically, engineering modification package EC 246904 and work order 40063905 did not provide adequate instructions to torque the lugged connections on the current transformer terminals which caused a high electrical resistance condition on the terminal lugs. The inspectors determined that the performance deficiency was more than minor because it was associated with the procedure quality attribute of the initiating events cornerstone and adversely affected the cornerstone objective to limit the likelihood of events that upset plant stability and challenge critical safety functions during power operations. Specifically, the failure to have an adequate procedure for performing work on the main generator protection control circuit caused it to unexpectedly actuate resulting in a turbine trip and reactor trip. The inspectors determined the finding was of very low safety significance (Green) because the finding did not result in a reactor trip AND a loss of mitigation equipment relied upon to transition the plant to a stable shutdown condition. The finding was associated with a cross-cutting aspect in the resources component of the human performance area because the licensee failed to ensure an adequate work instruction document was available to support nuclear safety (H.1)
Enforcement:
This finding does not involve enforcement action because no violation of a regulatory requirement was identified. The licensee entered this issue into their corrective action program as AR 02047137. Because this finding does not involve a violation and is of very low safety significance, it is identified as FIN 05000251/2015003-01, Inadequate Work Instructions for Replacing Main Generator Current Transformers.
4OA6 Meetings
The resident inspectors presented the inspection results to Mr. Summers and other members of licensee management on October 15, 2015. The inspectors asked the licensee whether any of the material examined during the inspection should be considered proprietary information. The licensee did not identify any proprietary information.
4OA7 Licensee-identified Violations
The following violation of very low safety significance (Green) was identified by the licensee and is a violation of NRC requirements which meets the criteria of the NRC Enforcement Policy for being dispositioned as an NCV.
10 CFR 50, Appendix B, Criterion XVI, Corrective Action, required, in part, that measures shall be established to assure that conditions adverse to quality, such as failures, malfunctions, deficiencies, deviations, defective material and equipment, and nonconformances are promptly identified and corrected. Contrary to the above, after the licensee determined that the site had an inadequate relay PM program (AR 02053778),they failed to identify that the FMR for the 3B EDG needed a 10 year replacement PM.
As a result, during the monthly surveillance run of the 3B EDG, the 3B EDG was rendered inoperable when the 3B EDG output breaker failed to close due to the failure of the 3B EDG FMR. The FMR for the 3B EDG had been installed since 1991. A detailed risk evaluation was performed on this licensee identified violation and was determined to be of very low risk significance, i.e., < 1E-6 (Green). The dominant risk result was a grid-related Loss of Offsite Power where multiple EDGs fail and neither offsite power nor the EDGs are recovered. This violation was associated with the Mitigating Systems Cornerstone and determined to be of very low safety significance (Green) after performing a detailed risk evaluation in accordance with Manual Chapter 0609, Appendix A. The licensee entered this violation into their CAP as AR 02024373.
ATTACHMENT:
SUPPLEMENTARY INFORMATION
KEY POINTS OF CONTACT
Licensee Personnel
- F. Banks, Nuclear Oversight Manager
- C. Cashwell, Training Manager
- P. Czaya, Licensing Engineer
- C. Domingos, Plant General Manager
- T. Eck, Security Manager
- M. Guth, Licensing Manager
- O. Hanek, Licensing Engineer
- A. Katz, Projects Manager
- G. Melin, Assistant Operations Manager
- S. Mihalakea, Licensing
- K. Ohara, Emergency Preparedness Manager
- J. Pallin, Engineering Director
- D. Sluszka, Work Controls Manager
- B. Stamp, Operations Director
- T. Summers, Site Vice-President
- A. Carrasquillo, System Engineering Manager
- R. Hess, General Operations Training Supervisor
- M. Wilson, Operations Training Supervisor
- T. Ouret, Corporate Training
- T. Wendlen, Simulator Support
LIST OF ITEMS
OPENED, CLOSED AND DISCUSSED
Opened and Closed
- 05000251/2015003-01 FIN Inadequate Work Instructions for Replacing Main Generator Current Transformers (Section 4OA3)
Closed
- 05000251/2015-002-00 LER Reactor Trip Resulting From Generator Differential Lockout (Section 4OA3)