Semantic search

Jump to navigation Jump to search
 Start dateReporting criterionEvent description
05000285/LER-2017-00113 March 2017
11 May 2017
On March 13, 2017 at 16:00 hours, an unattended opening into a room classified as a vital area was identified by Security management. The unattended opening was created when a physical barrier was removed during decommissioning work within a vital area. The cause was determined to be an inadequate procedure(s) such that this action was not recognized by station personnel as a potential breach of a vital area pathway, therefore no compensatory measures were initiated prior to main steam discharge piping elbow removal. Upon recognition, the appropriate compensatory measures were implemented and a one hour report of Reportable Safeguards Events under 10 CFR 73.71(b)(1) and 10 CFR 73.71 Appendix G Section I (EN 52609) was submitted to the NRC.
05000285/LER-2016-00322 June 2016
22 August 2016
10 CFR 50.73(a)(2)(iv)(A), System ActuationAn automatic turbine trip occurred resulting in an automatic Reactor Protective System (RPS) actuation from mode 1 at 100% power due to loss of turbine load at 0841 Central Daylight Time on June 22, 2016. System actuation and responses were as designed. There were no Safety Systems inoperable that contributed to this event. The trip occurred during Post Modification Testing activities on the turbine Emergency Trip System (ETS) pressure loop trip. Engineering failed to identify and disable the transmitter deviation based trip. The differences between the substituted input values selected for testing and the output of the signal selector block were sufficient to trigger the two transmitters-in-deviation trip for the ETS loop.
05000285/LER-2016-00210 May 2016
7 July 2016
10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On May 10, 2016, at 1138 Central Daylight Time (CDT), during scheduled maintenance, an unanalyzed condition was discovered as a result of maintenance on Shutdown Cooling Heat Exchanger valves. This condition could have led to the inability of the Component Cooling Water (CCW) system to perform its design function of providing a cooling medium for the Containment atmosphere under Loss Of Coolant Accident (LOCA) conditions.

As part of the maintenance, HCV-484, Shutdown Heat Exchanger AC-4A CCW Outlet Valve, and HCV-481, Shutdown Cooling Heat Exchanger AC-4B CCW Inlet Valve, were open. Under these conditions, with the assumed single failure loss of DC control power and accident condition of a LOCA, CCW would be allowed to flow through both shutdown cooling heat exchangers, bypassing a portion of the flow to the Containment Cooling Units. These conditions are not assumed under plant design basis calculations, and therefore placed the plant in an unanalyzed condition. Both HCV-484 and HCV-481 were returned to service and the condition no longer exists.

05000285/LER-2016-00110 February 2016
8 April 2016
10 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On February 10, 2016 Fort Calhoun Station became aware of a part 10 CFR 21.21 notification from Canberra Industries, Inc. for purchase orders related to Radiation Monitoring (RM) equipment. An investigation identified Time Delay Relay (PO 185167) had been installed in RM-052 Containment and Auxiliary Building Stack Gaseous Swing Radiation Monitor since July 23, 2013. During the period since installation conditions existed such that the maximum number of Technical Specification required radiation monitors allowed out of service was exceeded for periods in excess of the Limiting Condition of Operation.

On 03/1 9/1 6 the Time Delay Relay was replaced with a qualified part (WO 578335) and all necessary surveillance testing completed satisfactorily restoring RM-052 to an operable condition.

NM FORM 366 (11-2015) APPROVED BY OMB: NO. 3160.0104 EXPIRES: 1013112016 comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (1--.5 F53), U.S. Nuclear Regulatory Commissbn, Washington, DC 20555-0001, or by Internet email to NEOB.10202, (31504104), Office of Management and Budget Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection,

05000285/LER-2015-00621 October 201510 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition

On October 21, 2015, at 1315 Central Daylight Time (CDT), while conducting design reviews, it was discovered that the isolation function, when transferring control from the Main Control Room to the Alternate Shutdown Panel (Al-185) for pressurizer backup heater bank 4, had been identified as a potential circuit failure.

The pressurizer backup heater bank 4 control circuit isolation vulnerability is a latent issue that originated in modification MR-FC-82-066 which installed the control circuit isolation for the pressurizer backup heater bank 4 in 1983. There have been missed opportunities to identify and correct the issue since 1982, however, it was not identified until CR 2015-12195 on October 21, 2015.

The vulnerability has been added to the pre-existing NFPA 805 Fire Protection compensatory measure for Fire Area 41, the Cable Spreading Room. Fire Area 42, the Main Control Room, is continuously staffed which has been credited as the compensatory measure. Additional actions will be implemented by the corrective action program.

05000285/LER-2015-00521 July 201510 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On July 20, 2015, an increase in reactor coolant system leak rate required station personnel to manually trip the reactor. The walkdown on July 21 determined that the location was the result of a middle seal cartridge inlet pressure tap through-wall crack. The piping is a class 1 pressure boundary.

A design weakness resulted in the vibrations from RC-3A combined with the cantilevered pipe load causing cyclical stresses on the toe of a weld on the seal inlet pressure pipe tap. These stresses initiated a fatigue crack at the toe of the weld on the piping which subsequently propagated inward and progressed through the pipe wall causing the failure.

The seal package for the reactor coolant pump was replaced with a spare unit.

resi-1. A "f

  • C tnn nA.4 AN
05000285/LER-2015-0045 June 201510 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On June 5, 2015, at approximately 1330 Central Daylight Time (CDT), during startup HCV-1107A (Steam Generator (SG) RC-2A Auxiliary Feedwater (AFW) Inlet Valve) was declared inoperable when it failed to move during testing. During the investigation HCV-1108A (SG RC-2B AFW Inlet Valve) was found to hesitate during operation. The valve sealing materials had been replaced during the refueling outage with materials that were not appropriate for the service conditions.

A cause determination determined that the original valve specification for HCV-1107A was not appropriate for the plant application.

HCV-1107A and HCV-1108A were repaired using the original materials. An operability evaluation was completed for use of the original materials for one operating cycle. An engineering solution to the issue will be completed prior to startup from the next refueling outage.

05000285/LER-2015-00316 April 201510 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

During design basis reconstitution of the Containment Spray (CS) system, it was discovered that the CS piping inside containment and the containment liner have higher stresses during a postulated Main Steam Line Break (MSLB) or Loss of Coolant Accident (LOCA) than previously analyzed. The preliminary analysis concluded that both CS piping trains inside containment and the containment liner failed to meet the operability requirements of American Society of Mechanical Engineers (ASME) Section III Appendix F without implementing compensatory measures.

A cause analysis was performed and determined that thermal expansion was never considered for the containment riser supports. This is a flaw in the original design of the CS header and rings inside containment.

An operability evaluation was completed in support of plant operation. The operability evaluation conclude that the piping and pipe supports of the CS System as well as the Containment liner are capable of performing their intended safety functions per the operability criteria of ASME BPVC Section III Appendix F following modifications completed under Engineering Change (EC) 65926. Additional evaluation determined that only one pipe support exceeded the code allowable stresses. Final corrective action to fully qualify the CS system will be completed under the stations corrective action program.

05000285/LER-2015-0022 April 201510 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

During a review of station procedures a station operator determined that during the performance of OP-ST-AFW- 3009, "Auxiliary Feedwater Pump FW-6, Recirculation Valve, and Check Valve Tests," the restoration steps momentarily crosstie Main Feedwater (not safety related) with Auxiliary Feedwater system (safety related).

During AFW system restoration a flowpath from the discharge of both the steam driven AFW pump (FW-10) and electric AFW pump (FW-6) is established to main feedwater. At the time of discovery the test was not being performed, however, the test had been performed during the last operating cycle.

The assessment and application of separation requirements in the associated procedures did not identify the cross tie methods and impacts due to reviewers not understanding piping class separation requirements.

AFW procedures were reviewed to ensure that other AFW procedures allow inappropriate lineups. Four (4) procedures were identified that aligned AFW in a similar manner. The use of the affected procedures has been administratively restricted until they can be corrected.

05000285/LER-2015-001, Inadequate Design of High Energy Line Break Barriers30 September 201310 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition
05000285/LER-2015-00130 September 201310 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition

On January 28, 2015, following a station initiated review of operability evaluations, it was determined that a penetration with inadequate jet impingement protection had been previously identified as part of station extent of condition reviews and constituted an unanalyzed condition, but, had not been reported as required. This issue was discovered during an extent of condition review of high energy line break issues that the station initiated due to previously identified concerns. This issue and the other issues identified during the extent of condition review were corrected prior to plant heatup.

The Shift Manager that approved the operability evaluation believed that the reportability aspect of the penetration had been previously reported to the NRC and that no further report was required. The Shift Manager did not confirm that the reportability had been completed under another LER.

These issues were discovered during the Electrical Environmental Qualification Program Reconstitution Project. The deficiencies were discovered during extent of condition reviews. The deficiencies were properly remediated prior to plant startup in December 2013.

05000285/LER-2014-0071 January 1111 JL10 CFR 50.73(a)(2)(iv)(A), System Actuation

On December 17, 2014, at 1014 Central Standard Time (CST), the Fort Calhoun Station (FCS) reactor tripped due to a loss of load signal from the main turbine. The loss of load signal actuates the reactor protective system (RPS) which tripped the plant. The trip of the turbine was caused by a spurious actuation of a relay on the station unit auxiliary transformer that normally provides power to 4160 VAC bus 1A2.

The root cause was that FCS had not ensured that an identified single point vulnerability for T1A-2 transformer was eliminated or had an adequate mitigating strategy.

The control cabinet sealing was improved to reduce moisture from the interior of the cabinet. The relay that caused the trip was removed from the trip circuit. The station will modify the control circuits to eliminate the single point vulnerability in the transformer control cabinets.

05000285/LER-2014-00616 September 201410 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

During an NRC inspection on September 16, 2014, it was discovered that the calibration procedure for Radiation Monitor (RM) - 091A/B uses a source that is above 1 Roentgen per hour (R/hr). This does not meet the technical specification requirement for calibration at least one decade below 1 R/hr. 1 R/hr is the lower limit of detection of the high range detector for the RM-091 instruments. Calibration at least one decade below 1 R/hr is not possible.

The most likely cause of the event is that a typographical error was introduced into license amendment request (LAR) during review process in 1993 and was not corrected prior to submittal to NRC.

A LAR (LIC-14-0122) was submitted to the NRC to correct the technical specification error.

05000285/LER-2014-00527 June 201410 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On Friday, June 27, 2014, during performance of a valve exercise test it was discovered that test swagelock plug was missing between the containment penetration and the associated outboard isolation valve. Technicians discovered the test swagelock plug resting on a nearby junction box and not in place on the containment penetration. The technicians immediately notified the Auxiliary Building Operator who was assisting with the surveillance test. Operations shift supervision were notified and operations declared containment inoperable per Technical Specification and entered a 1 hour limiting condition for operation (LCO) to restore containment integrity. The shift manager directed the technicians to reinstall the test swagelock plug on the containment penetration. At that point, operations declared containment operable and exited the associated Technical Specification LCO.

Maintenance personnel exhibited weak Human Performance tool Independent Verification usage. Station personnel completed the Containment Integrity checklists prior to all containment isolation boundary maintenance and/or LLRTs being completed.

Containment integrity was restored.

05000285/LER-2014-00424 April 201410 CFR 50.73(a)(2)(v), Loss of Safety Function
10 CFR 50.73(a)(2)(vii), Common Cause Inoperability
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications
10 CFR 50.73(a)(2)(ix)(A), Prevented Safety Function in Multiple System

On April 24, 2014, during a review of previous conditions affecting equipment qualification it was identified that the environmental qualification of Namco EA180 series limit switches were not being properly maintained per vendor requirements. This condition was not verbally reported at the time of discovery as the condition was identified and resolved while the plant was in an extended shutdown.

A cause evaluation was completed and determined that technical requirements from the vendor manual for maintaining environmental qualification of the Namco EA180 series limit switches were not captured in the applicable plant procedure.

The applicable plant procedure has been revised to include vendor information for maintaining environmental qualification of the limit switches. The limit switch top cover gasket and screw assemblies for all environmentally qualified Namco EA180 series limit switches were replaced and torqued in accordance with vendor requirements.

05000285/LER-2014-00317 March 201410 CFR 50.73(a)(2)(iv)(A), System Actuation

On March 17, 2014, at 12:02 Central Daylight Time (CDT), a turbine trip and subsequent reactor trip occurred while operating at nominal 100 percent power. Maintenance was in progress on the main generator stator cooling system when system inventory was lost resulting in an automatic turbine trip due to low system pressure.

Immediate response by operations personnel included implementing procedure emergency operating procedure (EOP) -00, Standard Post Trip Actions, and subsequent entry into procedure EOP-01, Reactor Trip Recovery.

Based on plant system response this is considered an uncomplicated trip.

The station determined that the root cause of the plant trip was that operational risk was not effectively identified or mitigated by individuals throughout the organization.

The leak was isolated shortly after the trip by fully removing the probe and closing the isolation valve. Fort Calhoun Station will be implementing the Exelon risk management procedure, WC-AA-104, Integrated Risk Management. This procedure provides direction consistent with industry best practices, and requires individual review of each category of risk identification and mitigation.

05000285/LER-2014-00210 CFR 50.73(a)(2)(iv)(A), System Actuation

After reaching criticality on January 12, 2014, the control room attempted to reduce power ascension rate while at zero percent power by inserting Group 4 CEAs. All Group 4 CEAs inserted with the exception of control rod RC-10-41, which failed to move. Group 4 was inserted further until a 10 inches deviation existed between RC-10-41 and the remaining Group 4 CEAs. Power continued to slowly rise and the Control Room conservatively decided to manually trip the reactor with the existing deviation.

On January 12, 2014, at 0323 the reactor was manually tripped due to reactor power rising with RC-10- 41 deviation. Control room entered EOP-00, Standard Post Trip Actions, and exited AOP-2. All CEAs inserted into the reactor as expected following the trip.

Troubleshooting determined that the rectifier for RC-10-41 had failed.

The failed CEDM rectifier and associated fuses for RC-10-41 were replaced.

Additional review of the rectifier failure is being performed and any significant findings will be addressed in a supplement to this LER if needed.

05000285/LER-2014-0018 January 201410 CFR 50.73(a)(2)(i)(A), Completion of TS Shutdown

At approximately 2230 Central Standard Time (CST), on January 8, 2014, CW-14C, Traveling Screen Sluice Gate, motor operator shaft was found damaged (bent) by Operations personnel. At 2330 CST a large block of ice buildup was observed on top of the sluice gate caused by a pinhole leak in the backwash piping located directly above the CW-14C gate. At 0250 CST, January 9, 2014, Operations unsuccessfully attempted manual closing of CW-14C. At 0315 CST the station entered TS 2.0.1(1) due to all raw water (RW) pumps being declared inoperable. At 0518 CST the station commenced a reactor shutdown. At 0900 CST the station completed the reactor shutdown.

The root cause was determined to be that CW-14C MOV torque setting was at a value that allowed the stem to be bent.

CW-14C was lowered and then verified closed by divers. The flooding strategy for the Intake Structure was met at 0350 CST on January 10, 2014. RW Pumps AC-10A, AC-10B, AC-10C and AC-10D were declared operable and TS 2.0.1(1) was exited.

05000285/LER-2013-00330 January 201310 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition
10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident

At approximately 1721 Central Standard Time, on January 30, 2013, during hydraulic evaluations for the alternate hot leg injection project, Design Engineering determined that design basis calculations indicated that the high pressure safety injection (HPSI) pumps would operate in a run-out condition under worst case design basis accident conditions. Previous changes to the operation of the HPSI pumps and the containment spray pumps have resulted in an increase in the injection phase time and an increase in HPSI pump flow during the accident. This could have resulted in the HPSI pumps operating in run-out for longer than the one hour manufacturer's recommended time limit.

A preliminary causal analysis identified that the station failed to obtain vendor technical information on HPSI pump performance in a 10 CFR 50, Appendix B, Quality Assurance validated format. An analysis of HPSI pump performance during the injection phase will be performed and design or procedural actions to prevent HPSI pump operation in the extended flow region and to ensure that sufficient net positive suction head is available will be taken.

05000285/LER-2013-00225 January 201310 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On January 25, 2013, while developing the modification to replace a portion of the Chemical and Volume Control System (CVCS) piping in containment, it was identified that the original piping supports had no calculations of record. When the calculations for the replacement piping were completed using the original support configuration, an overstress condition of the new piping was identified that directly related to the old piping. This condition would have made the original piping susceptible to failure during a seismic event. Portions of the Class 1 charging and letdown lines were affected. The plant was shutdown and defueled at the time of discovery.

The causal analysis determined that station construction project management failed to ensure that initial construction procedures for design and installation of small bore piping systems and supports were in compliance with USA Standard B31.7, Nuclear Power Piping.

Fort Calhoun Station will analyze and modify the supports as required to conform to the piping load requirements of the various operational Modes prior to entering that Mode.

05000285/LER-2013-00121 December 2012

On January 15, 2013, while reviewing a previous condition report, it was identified that a previous operability determination (OD) completed for General Electric (GE) model HFA relays was incorrect in that it did not appear to fully address the condition of the mounting screws that required torqueing. The seismic test results stated that the GE HFA relays passed the seismic testing, but the relays required two screws to be torqued to 5 foot-pounds. This condition of the additional required torqueing was initially entered into the corrective action program on December 21, 2012.

Currently, approximately 136 relays, that provide various indication and control functions in systems such as high pressure safety injection, charging, containment ventilation, and the emergency diesel generator, have been identified as potentially affected. Relay replacement/torqueing is in progress. A cause analysis is in progress, the results of which will be published in a supplement to this LER.

05000285/LER-2012-00521 February 201210 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On February 21, 2012, during a review of Fort Calhoun Station surveillance procedures, it was identified that the Emergency Diesel Generator (EDG) fuel oil transfer pumps have not been tested in accordance with the requirements of Technical Specifications (TSs). The inadequate testing was caused by a procedure change made in 1990 that removed the required monthly test of the automatic low level start feature of the fuel oil transfer pumps. There is reasonable assurance that the EDGs and fuel transfer pumps would function as required as the low level switches are calibrated on a refueling frequency.

The apparent cause of this event is a lack of technical rigor in the procedure change process employed in 1990s.

Corrective actions have been developed to revise the EDG surveillances to include fuel oil transfer pump surveillance testing.

05000285/LER-2012-00429 March 201210 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications
10 CFR 50.73(a)(2)(ix)(A), Prevented Safety Function in Multiple System

While investigating industry operating experience, it was determined that Fort Calhoun Station is subject to similar conditions where Static "0" Ring pressure switches with certain housing styles exhibit a setpoint shift when exposed to a change in temperature if the switch body is not vented. Fort Calhoun Station pressure switches that provide signals for high containment pressure to the reactor protection system and engineered safeguards actuation circuitry may have this configuration. The impact of the potential drift was evaluated and it was initially determined that neither reactor protection system nor the engineered safeguard circuitry may actuate at the required containment pressure of 5 psig. A subsequent evaluation of actual data concluded that safety analysis limits were not exceeded. However, two Technical Specification limits were not protected by the calibration procedure nominal trip setpoint when applying the additional uncertainty.

The Apparent Cause was determined to be poor vendor documentation which led to Engineering personnel to improperly interpret and apply the information contained in the Static "0" Ring vendor manual. Corrective actions were initiated to remove the vent caps, revise the affected calculations to the temperature correction factor and drift.

Additional actions to revise and re-perform surveillance testing were initiated.

05000285/LER-2012-00312 March 201210 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition

A non-conservative error was identified in the input calculation for post-LOCA cooling flow (post-RAS (recirculation actuation signal)). The calculation used an incorrect (non-conservative) input for LPSI pump performance. The associated procedure (EOP/AOP Attachment 11) as written does not provide adequate direction during the Alternate Hot Leg Injection mode of operation. Therefore, the procedural guidance may not ensure the completion of the safety function of providing adequate core cooling during the Alternate Hot Leg Injection mode of operation under a worst case scenario.

The apparent cause was identified to be inadequate use of vendor oversight when design information was transmitted to the vendor. The analysis also identified a contributing cause of inadequate review of the calculation provided by the vendor during the owner acceptance process. Procedural requirements to conduct peer reviews prior to transmitting design information to vendors and contractors preparing safety-related calculations have been incorporated into the governing procedures. Additional corrective actions will revise the deficient calculation and procedure.

05000285/LER-2012-0022 March 201210 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On May 1, 2012, with Fort Calhoun Station (FCS) defueled, Event Notification (EN) 47884 initially reported that during a review of environmental qualification records for containment building electrical penetration feed-through subassemblies, Omaha Public Power District (OPPD) identified six that may not provide an adequate seal during worst-case design-basis accident conditions as required due to failure of the Teflon in the connectors. OPPD updated the EN June 26, 2012, to include the inboard and outboard seals of the penetration, which contain Teflon and updated it again July 17, 2012, to include the containment sump outlet valve submarine hull enclosures and the containment personnel airlock. The initial LER submittal, dated May 1, 2012 did not contain this updated information.

OPPD performed causal analyses to determine why Teflon was used at Fort Calhoun as a containment integrity seal and insulation on power and control cabling to environmentally qualified components. These analyses determined that a lack of managerial and technical oversight allowed Teflon and Teflon like materials to be used in containment penetration applications.

The Fundamental Performance Deficiencies are addressing the managerial and technical oversight causes.

OPPD is replacing all containment penetrations where Teflon is used as sealant or conductor insulation and is capping unused penetrations prior to core reload.

05000285/LER-2010-00623 December 201010 CFR 50.73(a)(2)(iv)(A), System Actuation

Fort Calhoun Station was operating at full power (nominal 100 percent). The station was preparing a scaffolding for an upcoming outage when on December 23, 2010, at 1050 Central Standard Time (CST), a reactor trip occurred. The operators entered Emergency Operating Procedure (EOP) 00, "Standard Post Trip Actions." The main steam and feedwater systems operated normally. All control rods inserted fully.

The apparent cause of the turbine and subsequent reactor trip was the inadvertent actuation, caused by bumping, and sticking of one of four turbine moisture separator high water level turbine trip switches while reactor power was above 15 percent. The root cause was insufficient performance monitoring of the moisture separator high level trip mercury switches which resulted in degraded performance and increased risk for susceptibility to binding.

Following the initial determination of the erroneous moisture separator high level trip signal, immediate actions included: halting all work near the moisture separator sensing lines and level switches, posting the affected areas as "Protected Equipment," and initiating a stop work action for all ongoing scaffold work within the turbine building. The I moisture separator level switches and logic will be replaced during the 2011 refueling outage.

05000285/LER-2008-00110 CFR 50.73(a)(2)(iv)(A), System Actuation

The plant was operating at a reduced power level (nominal 85 percent) due to turbine control system problems. The station was preparing a troubleshooting plan when on March 15, 2008, at 0833 CDT, a reactor trip occurred. The operators entered Emergency Operating Procedure (EOP) 00 "Standard Post Trip Actions." The main steam and feedwater system operated normally. All control rods inserted fully. I The apparent cause of the reactor trip was the failure of a circuit board in the EHC control system resulting in the closure of turbine control valves CV-1 and CV-3. Closure of these valves results in a pre- emptive trip of the reactor due to the loss of load. The root cause of the circuit board failure was an improperly adjusted potentiometer, which resulted in a long term overcurrent condition to one of the transformers on the affected circuit board. The overcurrent condition resulted in the failure of the affected transformer.

The failed circuit board was replaced. The output of the affected potentiometer was verified to be correctly adjusted. Post maintenance testing was performed on the EHC system to ensure its reliability.

05000285/LER-2007-00210 CFR 50.73(a)(2)(vii), Common Cause Inoperability

On January 25, 2007, the 4160 volt circuit breaker for raw water (RW) pump AC-10B closed on demand, but the auxiliary contacts did not actuate. The failure was determined to be a broken mechanical linkage rod. The rod was replaced. The failure was determined to be due to cyclic fatigue. A visual inspection of the other three RW pump circuit breakers, performed at that time, did not reveal any similar damage. AC-10B was returned to service. On February 8, 2007, a similar event occurred where the circuit breaker for RW pump AC-10C closed on demand, but its auxiliary contact switch did not actuate. Again, the failure was determined to be the same mechanical linkage rod.

The root cause of this failure was that the processes involving the identification of critical interface/operating configurations when specifying material procurement requirements failed to identify the usage of a test flag as a critical constraint.

The mechanical linkages of RW pumps AC-10C, A and D were rebuilt with rods having less than 1000 cycles of operation (the limit established for linkage operability). All other affected circuit breakers having more that 1000 cycles of operation have been rebuilt with rods having fewer than 1000 cycles of operation. A replacement strategy for the mechanical linkages is being developed. Implementation of this strategy will be controlled by the corrective action system.

05000285/LER-2007-00110 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

r On February 1, 2007, a station employee, who was cleaning, identified that all four manual steam isolation valves for RM 064 were closed. RM-064 is the post-accident main steam line radiation monitor. Investigation determined that RM-064 had most probably been isolated since November 29, 2006. This condition is in violation of the Fort Calhoun Station technical specifications.

The root cause of this event was that a procedure was written assuming its performance prior to completing the main steam system valve lineup. The procedural guidance closed the isolation valves which is contrary to the previously completed main steam system valve lineup.

The isolation valves were opened and the appropriate procedures will be corrected.

05000285/LER-2006-00810 CFR 50.73(a)(2)(v)(B), Loss of Safety Function - Remove Residual Heat

On November 27, 2006, Fort Calhoun Station (FCS) was in Mode 4, cold shutdown, with shutdown cooling (SDC) in service. Reactor coolant system (RCS) temperature was approximately 119F and RCS pressure was approximately 233 pounds per square inch absolute (psia). Reactor Coolant Pumps RC-3A and RC-3B were in service. The pressurizer had maximum heaters and spray flow in service. RC-3B and RC-3A were secured at 1327 central standard time (CST) and 1330 CST, respectively, which reduced the spray flow to the pressurizer. As a result, RCS pressure rose to greater than 250 psia and initiated closure of shutdown cooling isolation valves, HCV-347 and HCV-348. The crew immediately recognized the loss of SDC condition and entered the appropriate abnormal operating procedure. The crew secured the running low pressure safety injection (LPSI) pumps, secured all pressurizer heaters and initiated auxiliary spray to lower RCS pressure.

When RCS pressure was less than 250 psia, the crew restored the SDC system to operation.

The root cause of this event was determined to be a mismatch between procedural guidance and crew experience.

The SDC system was returned to operation. Operator training and appropriate procedures are being revised.

05000285/LER-2006-00510 October 200610 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

At 1500 CDT, on October 10, 2006, while performing maintenance on one of two installed containment spray header valves (HCV-345), personnel determined that the HCV-345 valve disk had been installed incorrectly during the previous refueling outage. HCV-345 is a vee-ball valve. Actual valve position was found to be nearly the opposite of the remote indication. The resulting effect would be that an accident signal to open HCV-345 would have the valve 20 percent open instead of 100 percent open (or 80 percent open instead of closed during normal operations). A single failure of the other containment spray header valve would have resulted in substantially reduced containment spray flow.

The maintenance procedure allowed for the flexibility of performing selected portions of the procedure without providing adequate annotations to identify risk-important steps that could impact final valve alignment. A test to verify flow and isolation capabilities after the valve was installed in the system is impractical to perform. The procedure used to conduct the maintenance was relied upon to ensure proper valve operation without detailed acceptance criteria or verifications. This resulted in the post maintenance test process failing to identify the problem.

The valve was repaired and verified to be in its correct operating position. Maintenance procedures are being rewritten to preclude this from occurring again.

05000285/LER-2003-00312 September 200310 CFR 50.73(a)(2)(iv), System Actuation

During a reactor shutdown in preparation for a refueling outage, the power reduction was stopped because the operators were unable to maintain the axial shape index (ASI) within the expected band. In order to minimize the operational challenge, management provided two reactor trip criteria. At 2037, with the power reduction close to a nominal 15 percent power, it was noted that ASI might not be maintained within the required margin if the shutdown continued. At 2055 on September 12, 2003, Operations determined that a reactor trip was required because one of management's reactor trip criteria was about to be met. The reactor operators were directed to trip the reactor using the manual pushbutton. A four (4) hour non-emergency report was made to the NRC Operations Center at 0010 CDT on September 13, 2003, pursuant to 10 CFR 50.72(b)(2)(iv). This report is being made pursuant to 10 CFR 50.73(a)(2)(iv).

No formally approved written guidance was provided to the operator and therefore this event is reportable.

Management failed to recognize that a manual trip of the reactor without a change to the shutdown procedure would be reportable.

Appropriate procedural revisions to allow the flexibility in plant procedures to allow a manual reactor trip from power levels greater than 2 percent are being processed.

05000285/LER-2003-00110 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

During the week of March 3, 2003 an evaluation to determine the adequacy of the Fort Calhoun Station (FCS) boric acid program was conducted. As part of the evaluation, one of the evaluation team members requested information on the re-sults of the VT-2.ihs-pe-clieins'on the loCiver portion of the reactor vessel. A review of the inspection results indicated that the VT-2 examination had not been accomplished which is not in compliance with Section XI of the ASME Boiler and Pressure Vessel Code as required by Technical Specification section 3.3.1.a.

The most probable cause of this event is lack of procedural guidance, caused by poor human factors in the FCS procedure that is used to inspect the rest of the reactor coolant system. There appears to have been a mind set among individuals that the room housing the reactor vessel was then, and had always been, inaccessible because of radiological dose considerations. Further, there appears to be a mind set that "inaccessible" because of radiological dose considerations is equivalent to "inaccessible" as defined in the code.

FCS will perform the examination as required by the code if the relief request submitted for processing prior to the 2003 refueling outage is delayed or denied.

05000285/LER-2002-00410 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition

During a review of the Fort Calhoun Station (FCS) Appendix R "Safe Shutdown Analysis" and "Functional Requirements and Component Selection Calculation," it was determined that a fire in either Corridor 4 (Fire Area 6) or the East Switchgear Room (Fire Area 36A) could affect the operation of the charging pump credited by these analyses. In either of these fire scenarios, the two remaining charging pumps are considered lost to the fire event since power supplies or power cables for these pumps are located in the respective fire areas.

The root cause of this condition is that plant procedures did not adequately document a manual operator action credited in response to a fire as documented in the "Safe Shutdown Analysis." FCS had previously identified this concern generically, and had placed it in the stations corrective action system.

A fire watch was stationed in the affected areas when the problem was determined to exist on December 19, 2002. The appropriate fire protection analyses and procedures will be corrected in accordance with the station's corrective action program.

05000285/LER-2002-00310 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition

During a self assessment Fort Calhoun Station completed a review of cable separation for components in Fire Area 30 (Containment), an issue was identified with the configuration of the pressurizer level transmitter signal cables. After an exhaustive review of documentation, a containment entry was made to confirm actual cable configuration. During the containment entry, pressurizer level transmitter cable separation was determined not to comply with Appendix R separation requirements.

The root cause of this condition is a failure to recognize and fully apply the separation requirements for cables in conduits as required by 10 CFR 50 Appendix R.

The problem of cable separation will be corrected by a modification in accordance with Appendix R as directed by the corrective action system.

05000285/LER-2002-00210 CFR 50.73(a)(2)(vii), Common Cause Inoperability

An inspection found that the quarterly full flow tests on the Auxiliary Feedwater (AFW) system pumps inappropriately took credit for manual operator action to isolate the full flow test line in the event that AFW flow was needed for an accident. Eliminating this unapproved credit rendered both trains of the AFW system inoperable for the length of the test. This test had been performed in this manner since about 1993. A review found that other procedures credited using manual operator actions for automatic actions. During part of a test of the Emergency Core Cooling System (ECCS), the pump recirculation line was isolated for a short period of time. During this time, had an accident signal started the ECCS pumps with plant greater than injection pressure the pumps would have run at shutoff head until the operator took action to restore the minimum flow path.

The Fort Calhoun Station (FCS) review of NRC Information Notice (IN) 97-78 incorrectly assumed that the NRC had approved crediting manual operator actions to maintain the pump operable when a violation on a related AFW issue was closed in an NRC Inspection Report. FCS reviewers assumed that IN 97-78 requirements were being met by administrative control of manual operator actions. This resulted in a less than adequate review.

Plant procedures have been corrected to implement the appropriate guidance and appropriate personnel have been trained.

-2001)

05000285/LER-1998-003, Re Individual Leaving High Radiation Area (HRA) Door Unlocked & Uncontrolled While in Hra. LER 98-003-00 Retracted23 June 1998
05000285/LER-1997-003, Forwards Assessments Containing OPPD Internal Findings & Recommendations Re Extraction Steam Line Rupture Event That Occurred on 970421.Commitments Made by Util Re LER-97-003, Also Encl4 June 1997
05000285/LER-1996-005, Informs That Util Now Plans to Complete Final Review & Approval of Reconstructed Analysis by 970217 Re Extension of Commitment Date for CA in LER 96-00531 January 1997
05000285/LER-1996-003, Forwards LER 96-003 Dtd 961107,per 10CFR50.73(a)(2)(v) & 10CFR50.73(a)(2)(ii).Event Was Reportable & Previous Decision to Withdraw Associated Event Notification Has Been Reversed7 November 1996
05000285/LER-1995-003, Forwards LER 95-003 Re Manual Reactor Trips Due to Water Leakage Into RCP Lube Oil12 June 1995
05000285/LER-1994-010, Updates Status of Corrective Action Described in LER 94-010, Rev 1,dtd 950331 Re Mod of CR Air Conditioners at Fcs. Advises That Second CR Air Conditioner Will Be Operational by 950427 Instead of 950415,as Originally Scheduled13 April 1995
05000285/LER-1994-007, Submits Updated Status of LER 94-007 Corrective Actions13 March 1995
05000285/LER-1993-020, Forwards LER 93-020-01.Rev Corrects & Clarifies Details Re Actions & Observations of Control Room Crew During Event16 February 1994
05000285/LER-1992-031, Updates Status of Corrective Action in LER 92-031,Rev 1,dtd 930226 Re Installation of Fire Pump Backpressure Control Valve.Schedule for Resolution of Item Revised from 930901 to 9401311 September 1993
05000285/LER-1992-026, Requests Extension Until 920306 to Complete Comprehensive Licensed Operator Medical Exam Procedure,Per LER 92-0267 February 1992
05000285/LER-1992-018, Updates Status of Corrective Actions in LER 92-018 Re Replacement of Carbon Steel Fasteners in Boric Acid Sys. Current Carbon Steel Fasteners Will Perform Satisfactorily Until Scheduled Replacement18 November 1993
05000285/LER-1992-016, Revises Commitment to AEC Safety Guide 1 (Reg Guide 1.1), Contained in Section 6.2 of Updated Sar.Commitment Covers Method of Calculating Available Net Positive Suction Head for Containment Spray Sys Per LER 92-01618 September 1992
05000285/LER-1991-011, Revises Completion Date for Corrective Actions to Address LER 91-11.Util Contracted w/ABB/C-E to Perform Uncertainty Analysis for Thermal Margin/Low Power Inputs & Associated Calculational Hardware.Efforts to Be Completed by 9323 December 1992
05000285/LER-1991-009, Corrected Ltr Forwarding LER 91-009-00.Memo Stationery Inadvertently Used Instead of Letterhead Stationery for Cover Ltr4 June 1991