ML13127A014
| ML13127A014 | |
| Person / Time | |
|---|---|
| Site: | Beaver Valley, Dresden, Davis Besse, Browns Ferry, Saint Lucie, Point Beach, Arkansas Nuclear, Columbia, Surry  |
| Issue date: | 05/03/2013 |
| From: | Horner T Engine Systems |
| To: | Office of Nuclear Reactor Regulation |
| References | |
| 49001 | |
| Download: ML13127A014 (10) | |
Text
05/03/2013 U.S. Nuclear Regulatory Commission OperationsCenter Event Report Page I Part 21 (PAR) Event# 49001 Rep Org: ENGINE SYSTEMS, INC Notification Date / Time: 05/03/2013 16:49 (EDT)
Supplier: ELECTRO-MOTIVE DIESEL Event Date / Time: 05/03/2013 (EDT)
Last Modification: 05/03/2013 Region: 1 Docket #:
City: ROCKY MOUNT Agreement State: Yes County: License #:
State: NC NRC Notified by: TOM HORNER Notifications: GORDON HUNEGS R1DO HQ Ops Officer: PETE SNYDER KATHLEEN O'DONOHUE R2DO Emergency Class: NON EMERGENCY ERIC DUNCAN R3DO 10 CFR Section: MARK HAIRE R4DO.,
21.21 (d)(3)(i) DEFECTS AND NONCOMPLIANCE PART 21 REACTORS EMAIL PART 21 REPORT - FUEL INJECTORS FAILED PRESSURE TEST The following is a summary of information received via fax:
"Engine Systems Inc. (ESI) began a 10CFR21 evaluation on 02/19/13 upon pressure leakage testing of three (3) fuel injectors, part number 40084720 (s/n 11K23136, 12K20318 & 12K20385), that were returned by TVA-Browns Ferry because they failed a pressure test at the site prior to installation in the engine. Another fuel injector was later returned by TVA (s/n 12K20330) for the same reason. On 3/11/13, ESI received a fuel injector (s/n 12H23003) from First Energy-Davis Besse because the injector failed their on-site pressure leakage test. The pressure test specifies applying 2000 psi to the fuel injector and verifying the pressure does not fall below 1500 psi after 30 seconds.
"TVA has been working with ESI to evaluate the reported deviation. ESI has also been working with EMD and EMD's fuel injector supplier to determine the cause of the injector leakage. All parties involved were not able to complete the deviation evaluation within the 60 day time period specified in 10CFR Part 21; therefore, TVA issued an interim report to the NRC about this issue on March 22, 2013 [NRC EN No. 48844]. This report is a follow-up to TVA's interim report.
"This evaluation was concluded on 05/02/13 and it was determined that this issue is a reportable defect as defined by 10CFR Part 21. The fuel injector pressure leakage has been attributed to debris that entered the injectors during assembly of the filter elements into the injector body at the manufacturer. A leaking or otherwise improperly functioning fuel injector could affect the load carrying capability of the diesel engine. Fuel dilution of the engine lubricating oil could also occur as a result of a leaking fuel injector. Either of these conditions could impact the operability of the diesel engine and thereby prevent the diesel generator from performing its safety related function."
05/03/2013 U.s. Nuclear Regulatory Commission OperationsCenter Event Report Paze 2 Part 21 (PAR) Event# 49001 The following licensees may potentially be affected: FP&L-St. Lucie, Energy Northwest-Columbia, Nextera-Point Beach, Exelon-Dresden, TVA-Browns Ferry, First Energy-Davis Besse, Dominion Va. Power-Surry, Entergy-ANO, and First Energy-Beaver Valley.
Received at: 05/03/2013 16:48 05-03-13;05:01PM; # 1/ 8 ESI ENGINE SYSTEMS, INC.
175 Freight Road Telephone: 252/977-2720 Rocky Mount, NC 27804 Fax: 252/446-1134 TELEFAX Date: May 3, 2013 Company: NRC Operations Center Fax Number: 301/816-5151 Verification No.: 301/816-5100
Reference:
Report No. 10CFR21-0109, Rev. 0 From: Tom Homer Page: 1 of 8 Dear Sir.
Following this cover is a copy of our report 10CFR21 -0109, Rev. 0, for a 10CFR21 reportable notification on EMD fuel injectors, part number 40084720 and 40099335.
A copy of this report will be mailed to the NRC Document Control Desk and to our affected nuclear customers.
Should you have questions, please let us know.
Sincerely, ENGINE SYSTEMS, INC.
Tom Homer Quality Assurance Manager Quality Performance With Pride
05-03-13;:05:01PM; # 2/ 8 ENGINE SYSTEMS, INC.
175 Freight Road, Rocky Mount, NC 27804 Telephone: 252/977-2720 Fax 252/446-1134 Report No. 10CFR21-0109 Rev. 0: 05/03/13 10CFR21 REPORTING OF DEFECTS AND NON-COMPLIANCE COMPONENT: EMD Fuel Injectors P/N 40084720 & 40099335 SYSTEM: Emergency Diesel Generator CONCLUSION: Reportable in Accordance With 10CFR21 Prepared By: Date: 5.'f//s S Engineering Manager Reviewed By: Date:__________
Quality Assurance Manager Quality Performance With Pride
05-03-13;05:01PM; # 3/ 8 Report No. 10CFR21-0109 Record of Revisions Page: 1 of 1 REV DATE PAGE DESCRIPTION 0 05/03/13 Initial issue.
05-03-13;05:01PM; # 4/ 8 Report No. IOCFR21 -0109 Revision: 0 Date: 05/03/13 Page: 1 of 5 Component:
EMD Fuel Injectors (P/N 40084720 & 40099335).
Summary; Engine Systems Inc. (ESI) began a 10CFR21 evaluation on 02/19/13 upon pressure leakage testing of three (3) fuel injectors, part number 40084720 (s/n 11 K23136, 12K20318 & 12K20385), that were returned by TVA-Browns Ferry because they failed a pressure test at the site prior to installation in the engine. Another fuel injector, was later returned by TVA (s/n 12K20330) for the same reason.
On 3/11/13, ESI received a fuel injector (s/n 12H23003) from First Energy-Davis Besse because the injector failed their on-site pressure leakage test. The pressure test specifies applying 2000 psi to the fuel injector and verifying the pressure does not fall below 1500 psi after 30 seconds.
TVA has been working with ESI to evaluate the reported deviation. ESI has also been working with EMD and EMD's fuel injector supplier to determine the cause of the injector leakage. All parties involved were not able to complete the deviation evaluation within the 60 day time period specified in 10CFR Part 21; therefore, TVA issued an interim report to the NRC about this issue on March 22, 2013. This report is a follow-up to TVA's interim report.
This evaluation was concluded on 05/02/13 and it was determined that this issue is a reportable defect as defined by 10CFR Part 21. The fuel injector pressure leakage has been attributed to debris that entered the injectors during assembly of the filter elements into the injector body at the manufacturer. A leaking or otherwise improperly functioning fuel injector could affect the load carrying capability of the diesel engine. Fuel dilution of the engine lubricating oil could also occur as a result of a leaking fuel injector. Either of these conditions could impact the operability of the diesel engine and thereby prevent the diesel generator from performing its safety related function Discussion:
The standard holding pressure and leakage test specified for the EMD fuel injectors requires applying 2000 psi to the fuel injector and verifying the pressure does not fall below 1500 psi after 30 seconds. This test is performed on an Injector Tester designed specifically for this purpose.
See Figure 1 below.
- .,*._injector Popping Test Stand Pump Lever Capr
\\PumP IClamping
"*'*,, ren~ch
"- Fuel Injector
. .s Figure 1: EMD Fuel Injector Tester
05-03-13;05:01PM; # 5/ 8 Report No. 10CFR21-0109 Revision: 0 Date: 05/03/13 Page: 2 of S ESI performed the pressure test on all of the returned injectors, results are summarized below.
Serial Number Part Number Customer Initial ESI Pressure Test Results 11 K23136 40084720 TVA-BF Leakage exceeded the allowable 12K20318 40084720 TVA-BF Leakage exceeded the allowable 12K20385 40084720 TVA-BF Leakage exceeded the allowable 121K20330 40084720 TVA-BF Leakage within the allowable 12H23003 140084720 Davis-Besse Excessive leakage, would not build up sufficient pressure to perform test The .three TVA injectors with excessive pressure leakage (11 K23136, 12K20318 & 12K20385) were sent to EMD's supplier, Interstate-McBee (I-M), for a failure investigation with ESI oversight.
The pressure test was repeated at I-M and this time all three TVA injectors passed, All of the fuel injectors were subjected to a disassembly inspection (either at I-M or ESI). Two P/N 40084720 fuel injectors (121K20404 & 13A23943) from a non-nuclear customer were also subjected to a disassembly inspection; these would not build up pressure during the pressure test (similar to the Davis-Besse injector). A typical cutaway view of the fuel injector is provided below for reference. A summary of the inspection findings are provided on the following page.
Follower Follower Spring Stop Pin Spring * . . lnjctor Stud Retainer
.- Filtr Cap
- "Gasket e"
- .....i+ *"" Filter Spr'ing Check Valve Cage valve apring 4l49W Valve Spring Seat Needle Valve Orifice
. Cut-away of EMD Fuel Injector
05-03-13;05:01PM; # 6/ 8 Report No. 10CFR21 -0109 Revision: 0 Date: 05/03/13 Page: 3of 5 Summary of Inspection Findings "TVAinjectors (S/N 12K20318,12K20385, & S/N 12K20330) o Non-metallic material was found along the plunger/bushing, spacer, check valve cage, valve spring cage, and the nozzle. The material was very small and difficult to see by the naked eye. Using a video microscope, the material was identified as small strands of fiber similar to nylon string. In some instances, the material was so small that it would disintegrate when moved around. A larger piece was found within injector s/n 121K20385, located in the nozzle oil passage.
" TVA injector (S/N 11 K23136) o This injector only had one trace strand of non-metallic material on the outside of the bushing. Unlike the other TVA injectors above, no material was found along the plunger/bushing, spacer, check valve cage, valve spring cage, or nozzle.
- Davis-Besse injector (S/N 12H23003) o Metallic material was found between the nozzle and the spring body cage and at the interior of the nozzle. The debris found in the nozzle was flattened at one end, indicating it was trapped between the nozzle tip and the needle valve preventing the needle valve from achieving a proper seal.
- Non-nuclear customer injectors (S/N 121<20404 & 13A23943) o Metallic material was found in both of the fuel injectors. The material was a very small strand of wire that resembled the wire mesh of the injector filter elements.
Parts of the wire were also flattened indicating that it was compressed between two surfaces, i.e. the needle valve and nozzle tip, which would prevent the needle valve from seating. S/N 13A23943 also contained a small piece of metallic material that resembled casting flash.
The testing performed during this evaluation demonstrated that the injector leakage resulting from non-metallic debris was different than leakage that occurred from metallic debris.
a The non-metallic debris causes only short term leakage and the debris will eventually pass through the injector without compromising overall operability; this occurred will all of the injectors returned by TVA. All injectors reportedly leaked during site pressure testing, one (1) of these passed the pressure test upon receipt testing at ESI and the others passed subsequent pressure testing. Inspection of these injectors determined some minor, non-metallic, debris (string like) was present; no metallic debris was found. These injectors were also able to build up sufficient pressure to perform the pressure test.
Fuel injectors with metallic debris exhibit significant leakage (the leakage is such that the injectors are not able to build sufficient pressure to enable the pressure leakage test to be performed). Even after multiple pressure test attempts, the condition is repeatable (the debris does not pass through the injector) and injector operability is compromised.
05-03-13;05:01PM; # 7/ 8 Report No. 10CFR21-0109 Revision: 0 Date: 05/03/13 Page: 40f5 Root cause evaluation:
It has been determined that the debris entered the fuel injectors during assembly of the filter elements into the injector body at the manufacturer. Inspection of the filter element storage container revealed an excess of metallic and nonmetallic contaminants. The metallic material resembled the wire like material found in the injector nozzles; this was determined to be pieces of the injector filter material (0.004" diameter wire). There was also nonmetallic material present in the container as well; this is suspected to originate from packaging materials.
Evaluation of previous shipments; Based on a review of pressure test results for fuel injector shipments since 2009, ESI has determined that the introduction of debris began with fuel injectors manufactured in May 2012 and only affects new fuel injectors. The test results for rebuilt fuel injectors did not indicate any changes had occurred. Rebuilt fuel injectors are not processed through the injector manufacturer (interstate-McBee); therefore, this substantiates the determination in the root cause evaluation section of this report that the debris entered the fuel injectors during assembly of the filter elements into the injector body at the manufacturer.
The fuel injector serial number contains the year and month of manufacture as follows:
- The l1n and 2 "ddigits represents the last 2 digits of the year (12 indicates 2012) a The 3 rd digit represents the month; A-M indicates Jan-Dec respectively (letter I is not used).
, Example: 12H2 3003 was manufactured in August 2012.
ESI has made shipments of new fuel injectors with 2012 serial numbers containing the "12B",
"12E", "12H" and "121,C prefix; indicating Feb, May, Aug & Oct 2012 manufacture. For conservatism, all fuel injectors with serial numbers beginning with "12" are considered suspect.
Affected Users:
A listing of customers that were shipped new EMD fuel injectors with 2012 serial numbers is provided below. Note: most serial numbers are not consecutive in the range list.
ESI Sales Part Customer C-of-C Order Number Customer P.Sel Number Range Date 3009576 40084720 FP&L-St. Lucie 0203198 12B20428 - 12B20603 4/10/2012 28 3009588 40084720 Energy Northwest-Columbia 00335326 12B20429 - 12B20602 2/13/2012 31 3009667 40099335 PGS Enrique-Almaraz N2012/032 12E20645 - 12E20668 8/21/2012 24 3009888 40084720 Nextera-Point Beach 020307153 12520432 - 12E20560 5/10/2012 13 3010118 40084720 Exelon-Dresden 703, rel. 12330 12E20504 & 12E20546 6/19/2012 2 3010164 40084720 TVA-Browns Ferry 424011 121120497 .121220563 7/1812012 21 3010214 40084720 First Energy-Davis Besse 42401210 12H22986 - 12H23267 10/2/2012 25 3010392 40084720 TVA-Browns Ferry 453328 121(20309 - 121(20547 11/12/2012 112 3010456 40084720 Dominion Va. Power-Surry 4500015328 12H22984 - 12H24171 10/12/2012 42 3010641 40084720 Entergy-ANO 10365519 12H22988 - 12H24122 12/10/2012 4 3010655 40084720 Nextera-Point Beach 02314687 12H22987 - 12H24140 12/7/2012 4 3010981 40084720 First Energy-Beaver Valley 45415892 12H22993 - 12H23268 3/12/2013 6
05-03-13;05:01PM; # S/8/
Report No. 10CFR21-0109 Revision: 0 Date; 05/03/13 Page: 5 of 5 Corrective Action:
Fuel injectors installed on engine:
There have not been any reported failures of installed fuel injectors. Affected users with installed fuel injectors having serial numbers beginning with "12" should continue to monitor the performance of the diesel engine during surveillance test runs. Routine lube oil sampling to detect fuel oil dilution is recommended as well as normal monitoring of cylinder temperatures during engine operation. A temperature differential between cylinders of more than +/- 200 'F could indicate a fuel injector problem and further evaluation to determine the actual cause would be necessary. Many engines are equipped with thermocouples in the exhaust manifold risers for measuring the exhaust gas temperature of each cylinder. For engines without installed thermocouples, an infrared or contact type temperature measuring device can be used (follow the manufacturer's operating instructions specific to the device utilized).
- Fuel injectors in inventory:
Affected users with fuel injectors having serial numbers beginning with "12" in their inventory should return these to ESI for evaluation to ensure they do not contain the suspect debris.
0 To prevent recurrence of this issue, the following is being implemented:
o The fuel injector manufacturer has implemented a work instruction to ensure cleanliness of the filter elements and the corresponding container in which the elements are placed prior to being issued for insertion into the fuel injector. This container will also be labeled to indicate that is has been through the cleanliness process.
o ESI will add an additional injector pressure test requirement for all EMD fuel injectors supplied on nuclear safety related sales orders. The additional test will be performed by ESI after calibration/performance testing is completed. This will be implemented for new and rebuilt fuel injectors as an additional verification of injector performance/operability prior to shipment to the customer,