IR 05000457/2024090

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Final Significance Determination for 2b Auxiliary Feedwater Pump Diesel Engine Fuel Oil Dilution Issue - NRC Inspection Report 05000457/2024090
ML24107B089
Person / Time
Site: Braidwood Constellation icon.png
Issue date: 04/19/2024
From: Jason Kozal
NRC/RGN-III/DORS/EB1
To: Rhoades D
Constellation Energy Generation, Constellation Nuclear
References
EA-24-003 IR 2024090
Download: ML24107B089 (1)


Text

SUBJECT:

BRAIDWOOD STATION, UNIT 2 - FINAL SIGNIFICANCE DETERMINATION FOR THE 2B AUXILIARY FEEDWATER PUMP DIESEL ENGINE FUEL OIL DILUTION ISSUE - NRC INSPECTION REPORT 05000457/2024090

Dear David Rhoades:

This letter provides you the final significance determination of the preliminary Greater-than-Green finding discussed in the U.S. Nuclear Regulatory Commissions (NRC)

inspection report 05000457/2023011 dated January 24, 2024 (Agency Documents Access and Management System (ADAMS) Accession Number ML24022A100). The finding was associated with an apparent violation of Title 10 of the Code of Federal Regulations (10 CFR) Part 50, Appendix B, Criterion XVI, Corrective Actions, for failure to identify and correct a condition adverse to quality resulting in inoperability of the 2B auxiliary feedwater (AF) pump due to fuel oil dilution of the lubricating oil above the fault range for the pumps diesel engine. The final significance results were discussed with Adam Schuerman, Braidwood Site Vice President on April 19, 2024.

On February 26, 2024, Constellation Energy Generation, LLC (Constellation) provided supporting documentation (ML24057A302) to the NRC discussing the results of the full-scale testing performed on a similar diesel engine in December 2023. Additionally, at your request, a regulatory conference was held on March 7, 2024, to discuss your views on this issue. During the conference, your staff described the results of your full-scale testing, assessment of the significance of the finding, and the corrective actions taken to resolve the issue, including details regarding root cause evaluation of the finding. On March 18, 2024, Constellation provided additional information to address the open questions from the regulatory conference (ML24078A361). The NRCs independent review of the information you provided is detailed in the report.

Based on the NRCs observation of the full-scale testing, and independent review of the information provided at the regulatory conference and in your letters dated February 26, 2024, and March 18, 2024, the NRC has concluded that the test diesel engine was sufficiently similar to the 2B AF pump diesel engine, and therefore, the 2B AF pump diesel engine was likely functional for its 24-hour mission time at fuel oil dilution levels that would have been April 19, 2024 experienced due to this degraded condition. As such, the NRC has documented one finding of very low safety significance (Green) related to this issue in this report. This finding involved a violation of NRC requirements. We are treating this violation as a non-cited violation (NCV)

consistent with Section 2.3.2 of the Enforcement Policy.

If you contest the violation or the significance or severity of the violation documented in this inspection report, 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 2055-0001; with copies to the Regional Administrator, Region III; the Director, Office of Enforcement; and the NRC Resident Inspector at Braidwood Station.

If you disagree with a cross-cutting aspect assignment in this report, you should provide a response within 30 days of the date of this inspection report, with the basis for your disagreement, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with copies to the Regional Administrator, Region III; and the NRC Resident Inspector at Braidwood Station.

For administrative purposes, this letter is issued as NRC Inspection Report 05000457/2024090.

Accordingly, the apparent violation documented in NRC Inspection Report 05000457/2023011 (ML24022A100) is now designated as NCV 05000457/2023011-01.

This letter, its enclosure, and your response (if any) will be made available for public inspection and copying at http://www.nrc.gov/reading-rm/adams.html and at the NRC Public Document Room in accordance with Title 10 of the Code of Federal Regulations 2.390, Public Inspections, Exemptions, Requests for Withholding.

Sincerely, Jason W. Kozal, Director Division of Operation Reactor Safety Docket No. 05000457 License No. NPF-77

Enclosure:

As stated

Inspection Report

Docket Number:

05000457

License Number:

NPF-77

Report Number:

05000457/2024090

Enterprise Identifier:

I-2024-090-0000

Licensee:

Constellation Energy Generation, LLC

Facility:

Braidwood Station

Location:

Braceville, IL

Inspection Dates:

January 21, 2024 to April 19, 2024

Inspectors:

K. Barclay, Senior Reactor Inspector

C. Bickett, Senior Reactor Analyst

M. Gangewere, Reactor Inspector

J. Havertape, Senior Reactor Analyst

D. Kimble, Senior Project Engineer

L. Rodriguez, Senior Reactor Inspector

Approved By:

Karla K. Stoedter, Chief,

Engineering Branch 1

Division of Operating Reactor Safety

SUMMARY

The U.S. Nuclear Regulatory Commission (NRC) continued monitoring the licensees

performance by conducting a Final Determination Report at Braidwood Station, in accordance

with the Reactor Oversight Process. The Reactor Oversight Process is the NRCs program for

overseeing the safe operation of commercial nuclear power reactors. Refer to

https://www.nrc.gov/reactors/operating/oversight.html for more information.

List of Findings and Violations

Contamination of Auxiliary Feedwater (AF) Pump Diesel Engine Lubricating Oil

Cornerstone

Significance

Cross-Cutting

Aspect

Report

Section

Mitigating

Systems

Green

NCV 05000457/2023011-01

Closed

EA-24-003

[H.11] -

Challenge the

Unknown

71153

A self-revealed Green finding and associated non-cited violation (NCV) of 10 CFR 50,

Appendix B, Criterion XVI, Corrective Action, were identified for the licensees failure to

assure that conditions adverse to quality are promptly identified and corrected. Specifically, no

action was taken to identify and correct a deficiency associated with the 2B AF pumps diesel

engine after the licensee received the results from a May 19, 2023, lubricating oil sample on

June 1, 2023, and these results showed viscosity levels in the alert range. These facts were

later revealed on September 21, 2023, when the next regularly scheduled periodic oil sample

results for the 2B AF pumps diesel engine were received by the licensee from their oil

analysis vendor and showed lubricating oil viscosity values and the value for fuel oil

contamination within the lubricating oil to be beyond acceptable fault limits.

Additional Tracking Items

None.

INSPECTION SCOPES

Inspections were conducted using the appropriate portions of the inspection procedures (IPs) in

effect at the beginning of the inspection unless otherwise noted. Currently approved IPs with

their attached revision histories are located on the public website at http://www.nrc.gov/reading-

rm/doc-collections/insp-manual/inspection-procedure/index.html. Samples were declared

complete when the IP requirements most appropriate to the inspection activity were met

consistent with Inspection Manual Chapter (IMC) 2515, Light-Water Reactor Inspection

Program - Operations Phase. The inspectors reviewed selected procedures and records,

observed activities, and interviewed personnel to assess licensee performance and compliance

with Commission rules and regulations, license conditions, site procedures, and standards.

OTHER ACTIVITIES - BASELINE

71153 - Follow Up of Events and Notices of Enforcement Discretion

Event Follow up (IP Section 03.01) (1 Sample)

(1)

The inspectors reviewed and evaluated information provided by the licensee during a

March 7, 2024, Regulatory Conference to determine the final safety significance

associated with the following event:

The identification of fuel oil contamination in the 2B Auxiliary Feedwater (AF) Pump

diesel engine oil system as documented in NRC Integrated Inspection Report 05000456/2023004; 05000457/2023004 and NRC Inspection Report 05000457/2023011.

INSPECTION RESULTS

Contamination of Auxiliary Feedwater (AF) Pump Diesel Engine Lubricating Oil

Cornerstone

Significance

Cross-Cutting

Aspect

Report

Section

Mitigating

Systems

Green

NCV 05000457/2023011-01

Closed

EA-24-003

[H.11] -

Challenge the

Unknown

71153

A self-revealed Green finding and associated non-cited violation (NCV) of 10 CFR 50,

Appendix B, Criterion XVI, Corrective Action, were identified for the licensees failure to

assure that conditions adverse to quality are promptly identified and corrected. Specifically,

no action was taken to identify and correct a deficiency associated with the 2B AF pumps

diesel engine after the licensee received the results from a May 19, 2023, lubricating oil

sample on June 1, 2023, and these results showed viscosity levels in the alert range. These

facts were later revealed on September 21, 2023, when the next regularly scheduled periodic

oil sample results for the 2B AF pumps diesel engine were received by the licensee from

their oil analysis vendor and showed lubricating oil viscosity values and the value for fuel oil

contamination within the lubricating oil to be beyond acceptable fault limits.

Description:

During Braidwood Unit 2 Refueling Outage A2R23, which took place from April 24, 2023,

through May 13, 2023, the 2B AF pump underwent a substantial preventative maintenance

work window that included the replacement of all sixteen (16) fuel injectors on the pumps

diesel engine (prime mover). The fuel lines associated with all 16 fuel injectors were also

replaced with new lines. While the engine design has connections that support pressure

testing the fuel system following fuel line replacement, pressure testing was neither required

by the licensees maintenance instructions/procedures nor performed prior to return of the 2B

AF pump to service.

Following the completion of Braidwood Unit 2 Refueling Outage A2R23, the 2B AF pump was

run on May 19, 2023, for its normal quarterly surveillance in accordance with the stations

Inservice Testing (IST) Program. Oil sampling for analysis was performed as a normal part of

this surveillance routine. On June 1, 2023, the station received the results of the 2B AF

pumps diesel engine lubricating oil analysis from their offsite vendor. The oil sample results

indicated a viscosity of 12.6 centistokes (cSt) at 100 degC and 114.6 cSt at 40

degC. Licensee procedure MA-AA-716-230-1001, Oil Analysis Interpretation Guideline,

Attachment 49 for diesel engines like the 2B AF pump using Mobil Delvac 1640 lubricating oil,

placed both of these viscosity parameters outside of acceptable limits and within the Alert

Range. In addition, the fuel content parameter indicating the percentage of fuel oil

contamination measured within the lubricating oil was listed as N/R (Not Recorded) on the

report. In spite of these anomalies, the licensees review of the oil analysis results failed to

generate any additional actions or reviews. No corrective action program (CAP) issue report

(IR) was written to document the irregular results nor were any follow-up actions performed.

On September 1, 2023, the next quarterly IST surveillance on the 2B AF pump was

conducted. Again, oil sampling for analysis was performed as a normal part of this

surveillance routine. On September 21, 2023, the station received the results of the 2B AF

pumps diesel engine lubricating oil analysis from their offsite vendor. Viscosities of 5.7 cSt at

100 degC and 53.4 cSt at 40 degC were reported by the oil analysis vendor. In addition, a

fuel concentration of 17.0 percent was indicated as present within the lubricating oil. All of

these values were well outside of the fault range for the respective parameters. Per the

licensees MA-AA-716-230-1001 procedure, any oil analysis parameter in the fault range

would indicate an immediate need to protect the component from damage or possible failure

with continued operation.

Following receipt of the vendors oil analysis results on September 21, 2023, a confirmatory

sample was immediately taken from the 2B AF pumps diesel engine and sent off for analysis

with an expedited priority. On September 22, 2023, the station received the results of this

confirmatory oil sample from their vendor. Viscosities of 8.3 cSt at 100 degC and 52.4 cSt at

40 degC were reported, along with a fuel concentration of 18.2 percent indicated within the

lubricating oil. At this point, with the results of the confirmatory oil sample also well outside of

the fault range for all of these parameters, the licensee immediately declared the 2B AF pump

inoperable and entered an emergent repair work window to drain the 2B AF pumps

lubricating oil from the diesel engine, check the fuel system for leakage, perform necessary

repairs, and refill the diesel engine crank case with new oil. On September 23, 2023, the

licensee returned the 2B AF pump to service after changing the lubricating oil and repairing

leaking fuel line connections on two fuel injectors.

Corrective Actions: As part of the corrective actions for this issue, the licensee replaced the

engine's lubricating oil and identified fuel leaks on the 5L return line at the fuel injector

connection point and at both ends of the 2R return line (injector connection and fuel rail

connection points) were repaired. The 2B AF Pump was returned to service on

September 23, 2023, following completion of post-maintenance testing activities. A formal

root cause evaluation was chartered by station management on October 5, 2023.

Corrective Action References: IR 4703982; Degraded Oil in 2B Diesel-Driven Auxiliary

Feedwater (2AF01PB) Engine Crank Case; 09/21/2023

Performance Assessment:

Performance Deficiency: The licensee's failure to identify and correct conditions adverse to

quality, such as nonconformances and deficiencies, in accordance with 10 CFR 50,

Appendix B, Criterion XVI was a performance deficiency. Specifically, the licensee failed to

identify and correct a condition adverse to quality from June 1, 2023, to September 23, 2023,

when they received the results for a 2B AF pump diesel engine lubricating oil sample which

showed the viscosity levels in the alert range provided in licensee procedure

MA-AA-716-230-1001, Oil Analysis Interpretation Guideline. As a result, the 2B AF pumps

diesel engine lubricating oil continued to degrade due to fuel oil dilution until September 22,

2023, when the licensee declared the 2B AF pump inoperable due to receiving lubricating oil

sample results for the diesel engine which showed viscosity and fuel oil percentage levels in

the fault range specified in MA-AA-716-230-1001.

Screening: The inspectors determined the performance deficiency was more than minor

because it was associated with the Equipment Performance attribute of the Mitigating

Systems cornerstone and adversely affected the cornerstone objective to ensure the

availability, reliability, and capability of systems that respond to initiating events to prevent

undesirable consequences. Specifically, the inspectors concluded that licensees failure to

have taken any actions in response to the anomalies contained within the May 19, 2023,

lubricating oil sample results for the 2B AF Pumps diesel engine represented a significant

missed opportunity that resulted in adverse impact to the 2B AF Pumps availability and

reliability. The inspectors also compared the finding with the examples listed in IMC 0612,

Power Reactor Inspection Reports, Appendix E, Examples of Minor Issues. Example 4.f was

found to be similar in that a missed opportunity to have properly identified and/or corrected a

condition adverse to quality resulted in an adverse impact to the availability, reliability, and/or

capability of a mitigating system.

Significance: The inspectors assessed the significance of the finding using IMC 0609

Appendix AProperty "Inspection Manual Chapter" (as page type) with input value "NRC Inspection Manual 0609</br></br>Appendix A" contains invalid characters or is incomplete and therefore can cause unexpected results during a query or annotation process., The Significance Determination Process (SDP) for Findings At-Power.

The inspectors subsequently concluded that because the initial finding documented in

Inspection Report 05000457/2023011 could not be easily screened to be of very low safety

significance, a detailed risk evaluation was required. The time from the May 19, 2023,

lubricating oil sample that indicated that fuel oil was leaking into the 2B AF pumps diesel

engine lubricating oil to the point where the licensee completed their corrective actions on

September 23, 2023, led the inspectors to answer yes to Mitigating Systems Screening

Question A.3, Does the degraded condition represent a loss of the PRA function of one train

of a multi-train technical specification (TS) system for greater than its TS allowed outage

time?

In their letter dated February 26, 2024 (ADAMS Accession Number ML24057A302),

Constellation provided new information that they believed supported a final significance

determination of Green (very low safety significance) for the preliminary Greater-than-Green

finding discussed in NRC Inspection Report 05000457/2023011 (ML24022A100). During the

regulatory conference with the NRC on March 7, 2024, Constellation presented the

information described in their February 2024 response and acknowledged the violation as

documented in Inspection Report 05000457/2023011. In their letter dated March 18, 2024,

Constellation provided additional information to address the open questions from the

regulatory conference (ML24078A361). The NRCs assessment of the information provided

by Constellation is included below.

Full-Scale Testing Overview

To determine the effect of fuel oil dilution on performance of the 2B auxiliary feedwater (AF)

pump diesel engine, Constellation contracted a third-party vendor to perform full-scale testing

on a similar engine. The testing was performed at Southwest Research Institute in December

2023.

The contractor conducted a baseline run on the test diesel engine to demonstrate that the

test engine could operate reliably at the required loads for a cumulative 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> under

normal engine lube oil conditions. Data recorded during this test were used to generate a

baseline for each test parameter. Following the baseline test, the contractor performed a

diluted lube oil test to determine the impact of an elevated and increasing fuel oil

concentration in the engine lube oil on the test engines operation and performance. The

diluted lube oil test started at a concentration of approximately 14.2 percent fuel oil in the

lubrication oil. Fuel oil dilution was then slowly increased over 24.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> of runtime to a final

concentration of approximately 45.6 percent fuel oil, and lube oil samples were taken hourly

for analysis. The results of the diluted lube oil test were directly compared to the baseline

data to determine how the fuel oil contamination of the engine lube oil affected engine

performance. Additionally, following the diluted lube oil test, the test diesel engine was

shipped to Braidwood Station for disassembly and post-test inspections.

NRC inspectors were present at the facility to observe test setup and performance. The intent

of the NRC observation was to perform an independent assessment of the testing to inform

the final detailed risk assessment for the 2B AF pump fuel oil dilution issue.

Test Diesel Engine

Constellation obtained a similar diesel engine and provided the lube oil and fuel oil used for

the testing, which were identical to that used in the 2B AF pump engine. Both the test engine

and the 2B AF pump engine were the same make and model (Detroit Diesel Series

149). Though the test engine had 12 cylinders, and the 2B AF pump engine was a 16-cylinder

design, the individual cylinder packages were identical between the models, so both engines

had the same displacement per cylinder, cylinder bore, and stroke length. Both engines also

had a similar continuous rating per cylinder. The lubrication systems of both engines provided

nearly identical per-cylinder lube oil flow rates and had identical lube oil pressure regulator

settings. The following components, which could be affected by lube oil viscosity, were the

same on both engines: main bearings; crankshaft thrust bearings; connecting rod bearings;

camshaft bearings; cylinder heads; valve and injector operating mechanisms; piston skirts,

rings, and pins; cylinder liners; and front and rear crankshaft oil seals. Both the test engine

and the 2B AF pump engine had four turbochargers. Though they were different models

supplied by the same manufacturer, the turbochargers on both engines were of similar

construction. The turbochargers on both engines were supplied with lube oil, and at their

respective rated loads, operated at similar speeds.

While on-site at Southwest Research Institute, the NRC observed differences in

environmental conditions between the test engine and the 2B AF pump engine. Specifically,

the NRC noted differences in turbocharger insulation (test engine had none), ambient

temperature (lower for the test engine), and cooling water temperature (lower for the test

engine). These factors would result in increased lube oil and jacket water temperatures on

the 2B AF pump engine, which would increase jacket water cooler demand. During the

regulatory conference, Constellation stated that the 2B AF pump engine jacket water cooler

had sufficient margin to mitigate the heat loads resulting from higher ambient and air intake

temperatures. The NRC verified the condition of the 2B AF pump engine jacket water cooler

and noted that the cooler had two of 188 tubes plugged, which is below the limit for the

maximum cooling water temperature experienced during the exposure period of this

degraded condition. The NRC also noted that the 2B AF pump engine is equipped with an

intercooler, which would reduce air intake temperature. The test engine did not have an

intercooler.

Diesel Engine Failure Mechanisms

In reviewing the testing and supplementary information provided by Constellation, the NRC

evaluated the likelihood of the following three primary failure mechanisms related to fuel oil

dilution of the 2B AF pump diesel engine lube oil system:

Reduction of lube oil viscosity that reduces the load carrying capability of the

lubricated engine components.

High level in the lube oil sump, which could contact rotating engine components,

causing heating and aeration of the diluted lube oil.

Possible engine fire due to decreased flashpoint of the diluted lube oil.

Reduction in Lube Oil Viscosity

The NRC concluded that the 2B AF pump diesel engine was likely to function for its 24-hour

mission time even with reduced viscosity of the lube oil. The key considerations that

supported this conclusion were as follows:

The NRC reviewed the load profile for the test and verified that loading on the test engine

components during the diluted lube oil test exceeded the expected design basis loading on

the 2B AF pump engine during its 24-hour probabilistic risk assessment mission time. The

test engine was operated at loads approximately one to five percent higher than the

per-cylinder loads expected for the 2B AF pump engine. The NRC also noted that diesel

engine loading would be highest early in an event, when fuel oil dilution is lower (i.e., higher

lube oil viscosity) and would decrease as auxiliary feedwater flow was reduced later in the

event, with engine load being the lowest at the higher fuel oil dilution levels (i.e., lower lube oil

viscosity).

The NRC reviewed trend graphs of engine parameters and compared the results of the

diluted lube oil test to the baseline test. Of note, due to the increasing fuel oil concentration,

lube oil pressure decreased slowly over the duration of the diluted lube oil test to

approximately 47 psig, which was still within the manufacturer's normal range (45 - 70 psig)

and remained above the 2B AF pump engine trip point of 10 psig. Test engine lube oil

temperature during the diluted test slowly decreased throughout the test, likely due to

increased flow of the lube oil through the lube oil cooler due to the lower viscosity of the

mixture resulting from increased fuel oil concentration. Other parameters aligned with those

measured during the baseline testing.

The NRC evaluated the test diesel engine bearing inspections following the fuel oil dilution

test that revealed no signs of abnormal bearing wear. The NRC reviewed the lube oil sample

analysis results and verified that there was no increase in wear metal concentrations.

Additionally, there was no damage to other lubricated components, including the

turbochargers.

The NRC noted several concerns regarding fuel oil dilution levels that could have reduced the

applicability of the full-scale testing to the degraded condition associated with the 2B AF

pump diesel engine. Specifically, actual fuel oil dilution levels were lower than what was

specified in the test plan; American Society for Testing and Materials (ASTM) standards were

inappropriately applied in determining fuel oil concentration in the lube oil samples from the

testing; and inconsistent results from a September 1, 2023 oil sample from the 2B AF pump

engine indicating that as-found fuel oil dilution levels may have been significantly higher than

the initial fuel oil dilution level used for the testing.

Due to underestimation of residual oil in the engine, the fuel oil concentration started

about 4.5 percent lower than outlined in the test plan and reached an average of

about 45.6 percent versus the planned fuel oil concentration of 52.5 percent.

Constellation estimated that an additional six hours of test engine runtime would have

been needed to achieve the planned end fuel oil dilution of 52.5 percent. Given the

condition of the bearings post-test, as well as trended engine parameters, the NRC

concluded that this did not have a significant impact on the outcome of the test.

Regarding analysis of the oil samples from the diluted lube oil test, the standard that

the contractor initially used to determine fuel oil concentration was not accurate for the

grade of lube oil used during the test or for fuel oil concentrations greater than

12 percent. As a result, the contractor developed an alternate methodology for

determining accurate fuel oil concentrations using additive elemental concentrations.

The NRC determined this alternate methodology was reasonable.

Bureau Veritas, an oil analysis vendor, documented the viscosity of the September 1,

2023, 2B AF pump diesel engine oil sample as 5.7 centistokes (cSt) at 100 degrees

Celsius, with an associated fuel oil concentration of 17 percent. Based on a plot of

viscosity versus fuel oil concentration, the NRC was concerned that this viscosity

could correspond to a fuel oil concentration of about 30 percent, and therefore,

inquired as to whether the test results provided by Bureau Veritas were accurate since

it was the starting fuel oil dilution level for the full-scale testing. Following the

regulatory conference, Constellation provided the methods used by Bureau Veritas to

analyze the oil samples and concluded that the viscosity reading of 5.7 cSt was

anomalous. This conclusion is further supported by a confirmatory oil sample taken

from the 2B AF pump diesel engine on September 21, 2023, which showed a viscosity

of 8.3 cSt and 18.2 percent fuel oil dilution. Based on this information, the NRC

determined that Constellations conclusion was reasonable.

The NRC also noted that during the diluted lube oil test, the test diesel engine was started on

residual, undiluted lube oil from the baseline test (i.e., the contractor did not rotate the engine

to ensure that diluted lube oil was present in the lubricated components prior to the start of

the diluted lube oil run). In their response, Constellation noted that the 2B AF pump diesel

engine was started at least five times with diluted lube oil without any sign of degradation,

abnormal bearing wear, or increase in wear metals in the lube oil analyses. Constellation also

stated that this would not impact the results of the diluted lube oil test because hydrodynamic

conditions would be reached within a few seconds of engine start and well below the full

engine operating speed regardless of whether the start occurred on undiluted lube oil or lube

oil diluted to 18.2 percent fuel oil. Constellation also stated that turbocharger speeds and

bearing loads would still be relatively low and well below their peak values by the time the

diluted lube oil reached the applicable bearings; and diesel fuel oil is used as a lubricant in

other applications, albeit with a lower viscosity than lube oil. The NRC determined that

Constellations response to this question was reasonable.

High Level in the Engine Lube Oil Sump

Approximately 3.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> into the diluted lube oil test, a mixture of fuel oil and lube oil began to

leak from the crankshaft rear main lube oil seal. Constellation stated that leakage past the

test engine rear crankshaft seal was not due to seal damage or failure based on inspections

following the diluted lube oil testing. Leakage occurred due to both increasing level in the lube

oil sump as well as decreased viscosity of the lube oil due to fuel oil dilution. Constellation

also noted that this was an expected condition per the vendor manual.

The NRC questioned the design of the seal of the test engine versus the 2B AF pump engine,

and whether seal leakage would be affected by the different oil sump configurations. In their

response, Constellation stated that all Detroit Diesel Series 149 engines shared a common

block design, but with different block lengths to accommodate the required number of

cylinders. Constellation stated that the rear main seals on the plant and test engines are the

same design and share the same location on the engine block. Based on this information, the

NRC concluded that leakage from the crankshaft rear seal likely would have occurred on the

2B AF pump engine, even with the differences in oil sump configuration. The NRC

determined that this leakage would mitigate level in the lube oil sump sufficiently to prevent

significant heating and aeration/foaming of the lube oil. Aeration/foaming of the lube oil would

also be mitigated by anti-foaming additives in the lube oil. As such, the NRC concluded that

high level in the lube oil sump would likely have not impacted the functionality of the 2B AF

pump diesel engine during its 24-hour mission time.

Engine Fire

The NRC determined that Constellations test report did not address potential engine fire

concerns due to fuel oil dilution of the lube oil. Specifically, a review of operating experience

by the NRC team revealed a fire in an emergency diesel generator (EDG) turbocharger

following a fuel oil dilution event in 1984 at Surry Power Station.

Based on information presented at the regulatory conference, the NRC determined that there

are significant design and operational differences between the Surry EDG and the 2B AF

pump diesel engine that would limit the applicability of this operating experience to this

degraded condition. Most notably, the Surry EDG was an Electro-Motive Diesel (EMD) Series

645 engine that had a unique turbocharger design that was significantly different than that of

the 2B AF pump Detroit Diesel engine. The EMD turbocharger design exhibited lower margin

with respect to loss of lubrication, a vulnerability that was subsequently addressed by adding

a separate dedicated oil pump to pre-lubricate the turbocharger prior to startup and prevent

the turbocharger from seizing upon shutdown. The NRC also determined that the Surry EDG

experienced high fuel oil dilution concentration (about 40 percent) early in the run while under

heavy load (about 90 percent loading), whereas both the Braidwood test and 2B AF pump

diesel engines would experience the highest loads under the lowest fuel oil dilution

levels. EMD engines generally have a higher power per cylinder and as a result, have higher

exhaust temperatures which approach the reduced ignition temperature of the lube oil and

contribute to decreased viscosity of the oil.

Given the observed leakage of the fuel oil/lube oil mixture from the crankshaft rear seal, the

NRC also questioned the possibility of a consequential fire in the 2B AF pump room which

could impact the functionality of the pump during its 24-hour mission time. In their

supplemental response, Constellation stated that the risk of a fire caused by the fuel oil/lube

oil mixture leaking out of the rear main seal of the 2B AF pump diesel during a diluted lube oil

event was extremely low. Unlike the test diesel engine, the 2B AF pump diesel engine had a

rear housing with an opening that would direct any leakage from the rear main seal

downward and thus prevent contact with the hot surfaces of the engine, which were

insulated. Constellation identified one potential ignition source associated with the jacket

water heater and thermostat switch. This source was in solid conduit and the jacket water

heater was only energized during standby conditions. The NRC reviewed the supplemental

information provided by Constellation and determined that their assessment was

reasonable. Additionally, the NRC observed the rear main seal leakage during the diluted

lube oil testing and noted that even though the fuel oil/lube oil mixture spray contacted hot

surfaces of the engine, which were not insulated, no flashing or fire occurred.

Final Significance Determination

The NRC recognized there were significant uncertainties associated with the assumptions

used to support the preliminary detailed risk evaluation. Most notably, based on

best-available information available at the time of the preliminary evaluation, the NRC

assumed that fuel oil dilution of the diesel engine lube oil greater than 17 percent would fail

the function of the 2B AF pump.

Based on the full-scale testing and supplemental information provided by Constellation, as

discussed above, the NRC determined that the test diesel engine was sufficiently similar to

the 2B AF pump diesel engine. The NRC also determined that the testing provided

reasonable assurance that the 2B AF pump diesel engine would function for its 24-hour

mission time at the fuel oil dilution levels that would have been experienced due to this

degraded condition. The diesel engine selected for the full-scale testing was the same make

and model (Detroit Diesel Series 149) as the 2B AF pump diesel engine. Though the test

engine had 12 cylinders, and the 2B AF pump engine was a 16-cylinder design, the individual

cylinder packages were identical between the models, so both engines had the same

displacement per cylinder, cylinder bore, and stroke length. Major engine components which

could be affected by lube oil viscosity were the same on both engines and during the diluted

lube oil test, the test engine was operated at loads approximately one to five percent higher

than the per-cylinder loads expected for the 2B AF pump engine. As previously discussed,

the NRC also determined that the three failure mechanisms of concern, which were reduction

of lube oil viscosity, high level in the lube oil sump, and engine fire, were reasonably

addressed by Constellation. The NRC noted that these test results may not be applicable to

fuel oil dilution levels that fall outside of the ranges examined during this testing or to other

diesel engines given differences in design and operating parameters.

In the preliminary detailed risk evaluation, the NRC documented a second influential

assumption related to crediting the medium head FLEX pumps as a source of feedwater to

the steam generators during loss of secondary heat sink events. Specifically, the NRC did not

credit this strategy due to concerns with procedural adequacy, feasibility of the required

actions, and alternate strategies the operators may consider following declaration of

10 CFR 50.54(x). At the regulatory conference, Constellation stated that the full-scale testing

demonstrated that the 2B AF pump diesel engine would likely run longer than was initially

assumed, and that longer runtimes would provide significant benefits in operator response,

citing factors of lower decay heat, which would slow steam generator dryout, and availability

of additional resources to support FLEX deployment. While the NRC acknowledges that

these factors would aid operator response during an event, and that operators would continue

to take action to feed the steam generators in the event of a 2B AF pump failure, the NRC

determined that it would still be inappropriate to quantify the medium head FLEX strategy for

the same reasons documented in the preliminary detailed risk evaluation.

The NRC determined that evaluating the degraded condition of the 2B AF pump diesel

engine by failing the function of the pump in the Braidwood SPAR model (i.e., setting the

fail-to-run basic event to TRUE) or increasing the nominal failure probability of the 2B AF

pump over its baseline value is no longer a best estimate given the new information provided

by Constellation. As such, the NRC determined that the increase in core damage frequency

(CDF) due to this finding would be limited to the duration when the 2B AF pump diesel

engine was inoperable for repairs to correct the fuel oil dilution, which was 27 hours3.125e-4 days <br />0.0075 hours <br />4.464286e-5 weeks <br />1.02735e-5 months <br />

(September 22, 2023, at 1157 to September 23, 2023, at 1501).

Contributions from Internal Events

The NRC evaluated this issue using Systems Analysis Programs for Hands-On Evaluation

(SAPHIRE) version 8.2.9, and a test and limited use (TLU) version of the Braidwood SPAR

model created by Idaho National Laboratories (TLU3). SPAR model changes are the same as

those discussed in the preliminary detailed risk assessment. Using the Events and Conditions

Assessment (ECA) module of SAPHIRE, the NRC estimated the CDF from internal events

for an exposure period of 27 hours3.125e-4 days <br />0.0075 hours <br />4.464286e-5 weeks <br />1.02735e-5 months <br /> to be 3.8E-8/year. The dominant core damage sequence

for internal events was a dual loss of essential service water initiating event with failure of AF,

main feedwater, and failure to recover essential service water.

Contributions from External Events

Using the ECA module of SAPHIRE, the NRC estimated the CDF from seismic, high winds,

and tornado events to be 6.9E-9/year. Because the Braidwood SPAR model does not

evaluate fire risk, the NRC reviewed Constellations fire risk results for this issue. For an

exposure period of 27 hours3.125e-4 days <br />0.0075 hours <br />4.464286e-5 weeks <br />1.02735e-5 months <br />, the NRC estimated the CDF from fire to be approximately

8.9E-8/year.

Total CDF from Internal and External Events

Using an exposure period of 27 hours3.125e-4 days <br />0.0075 hours <br />4.464286e-5 weeks <br />1.02735e-5 months <br />, the NRC determined the total increase in risk from

both internal and external events due to this degraded condition was approximately

1.4E-7/year, or of very low safety significance (Green). The NRC did not provide credit for

feeding the steam generators from the refueling water storage tank via the medium head

FLEX pumps in this evaluation.

Sensitivity Evaluation

For this detailed risk assessment, the NRC assumed that the full-scale testing provided

reasonable assurance that the 2B AF pump diesel engine would function for its 24-hour

mission time. The NRC conducted a sensitivity analysis by setting the fail-to-run probability at

twice the nominal value. Though the exposure time in the preliminary detailed risk evaluation

was 127 days, the NRC used 114 days for this sensitivity evaluation. The NRC determined

this was more appropriate given the performance deficiency was related to 10 CFR 50

Appendix B, Criterion XVI, Corrective Action, and thus the start of deficient performance by

Constellation was on June 1, 2023, when lube oil sample results were received, and

Constellation first had the opportunity to identify the degraded condition. The NRC did not

credit steam generator feed from the refueling water storage tanks via the medium head

FLEX pumps in this analysis. The NRC determined that even at double the failure probability,

the total risk from both internal and external events was of very low safety significance

(Green).

Total Estimate of CDF from Internal and External Events

Best Estimate

Sensitivity

Internal Events

3.8E-8/year

2.9E-7/year

Seismic, High Winds, and Tornadoes

6.9E-9/year

1.1E-7/year

Fire Events

8.9E-8/year

3.1E-7/year

Total

1.4E-7/year

7.1E-7/year

Contributions from Large Early Release Frequency (LERF)

The SRAs evaluated LERF using the SPAR model and determined that the impact to LERF

was bounded by the increase in CDF.

Cross-Cutting Aspect: H.11 - Challenge the Unknown: Individuals stop when faced with

uncertain conditions. Risks are evaluated and managed before proceeding. Specifically, this

finding involved licensee individual(s) responsible for reviewing oil analysis results deciding to

accept unusual and anomalous test results, rather than stopping and alerting other applicable

parties and/or station management to the condition before proceeding on.

Enforcement:

Violation: Title 10 CFR Part 50, Appendix B, Criterion XVI, Corrective Actions, requires, 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, from June 1, 2023, to September 23, 2023, the licensee failed to

establish measures to assure that conditions adverse to quality are promptly identified and

corrected. Specifically, the licensee failed to identify and correct a deficiency associated with

the 2B AF Pumps diesel engine after they received the results from a May 19, 2023,

lubricating oil sample on June 1, 2023, indicating viscosity levels in the alert range.

Enforcement Action: This violation is being treated as a non-cited violation, consistent with

Section 2.3.2 of the Enforcement Policy.

EXIT MEETINGS AND DEBRIEFS

The inspectors verified no proprietary information was retained or documented in this report.

On June 5, 2024, the inspectors presented the Final Determination Report results to

Adam Schuerman and other members of the licensee staff.