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05000263/LER-2017-006Monticello14 November 2017
12 January 2018
Loss of Reactor Protection System Scram Function During Main Steam Isolation Valve and Turbine Stop Valve Channel Functional Tests due to Use of a Test Fixture
LER 17-006-00 for Monticello Regarding Loss of Reactor Protection System Scram Function During Main Steam Isolation Valve and Turbine Stop Valve Channel Functional Tests Due to Use of a Test Fixture

On November 14, 2017, it was identified that the use of the Reactor Protection System (RPS) test fixture described in some operations procedures would result in the loss of two RPS reactor Scram functions. Technical Specification 3.3.1.1 requires that RPS Instrumentation for Table 3.3.1.1-1 Function 5, Main Steam Isolation Valve-Closure and Function 8, Turbine Stop Valve-Closure, remain operable. It was concluded that a closure of three of four Main Steam Lines or Turbine Stop Valves would not necessarily have resulted in a full Scram during testing depending on the combination of closed valves occurring during the bypass condition. Operations procedures were revised to incorporate the use of the test fixture in December, 2008 for the Turbine Stop Valve Closure Scram Test Procedure and February, 2009 for the Main Steam Isolation Valve Closure Scram Test Procedure. The operations procedures were inappropriately revised to allow use of the test fixture on all RPS functions to prevent a half Scram.

The operations procedures were quarantined until revisions were issued in December, 2017 that removed use of the test fixture.

05000306/LER-2017-003Prairie Island11 January 2018Both Containment SEa) Pump Control Switches in Pull-out in Mode 4
LER 17-003-00 for Prairie Island Nuclear Generating Plant, Unit 2 Regarding Both Containment Spray Pump Control Switches in Pull-Out in Mode 4

On November 12, 2017 at 2119, a Control Room board walkdown discovered that both of the Unit 2 Containment Spray Pump control switches had been left in pull-out, when operators transitioned Unit 2 from Mode 5 to Mode 4. With the control switches in pull-out, the pumps would not automatically start as required. Technical Specification (Tech Specs) 3.0.3 was entered as a result of not complying with Technical Specification 3.6.5, Containment Spray and Cooling systems, which required both trains of Containment Spray to be Operable while in Mode 4. This event is reportable under 10 CFR 50.73(a)(2)(i)(B), Condition Prohibited by Technical Specification and 10 CFR 50.73(a)(2)(v)(D), Event or Condition that Could Have Prevented Fulfillment of a Safety Function.

The root cause determined that Surveillance Procedure SP 2099, Unit 2 Main Steam Isolation Valve Logic Test, was not adequately designed to account for outage schedule variation. Contributing causes included that the Unit 2 Startup to Mode 4 procedure does not contain adequate process barriers such that plant configuration meets Technical Specification requirements for Mode 4 entry. Operations personnel failed to uphold standards for panel walkdown requirements.

Corrective actions include revising SP 2099, Unit 2 Main Steam Isolation Valve Logic Test to include steps to reposition Containment Spray Switches to the "as found" configuration and revise Unit 2 start-up procedure to add additional HOLD to have the Shift Manager perform Control Board Walkdown to verify equipment required in Mode 4 is aligned and Operable.

Develop and implement an operations improvement plan specifically targeted to improve Operator standards in the performance of Control Board Walkdowns.

05000364/LER-2017-004Farley
Joseph M. Farley Nuclear Plant. Unit 2
22 December 2017I OF 3
LER 17-004-00 for Joseph M. Farley Nuclear Plant, Unit 2 Regarding Turbine-Driven Auxiliary Feedwater Pump Steam Admission Valve Air Leak Resulted in a Condition Prohibited by Technical Specifications

On October 31, 2017, while in Mode 6 and at 0% power level, the Turbine-Driven Auxiliary Feedwater (TDAFW) pump B-Train steam admission valve from the 2C Steam Generator failed to meet Technical Specification ('I'S) Surveillance Requirement (SR) 3.7.5,5. This SR requires that the valve's associated air accumulator provide sufficient air to ensure operation of the TDAFW pump during a loss of power or other failure of the normal air supply.

During the performance of a flow scan analysis it was identified that the air-operated actuator piston was leaking by the actuator ' o-ring. Although the steam admission valve would stroke open, the 2-hour acceptance criteria could not be met. It is likely that the steam admission valve was inoperable longer than allowed by the Required Action Statement (7 days) following the spring 2016 refueling outage when it passed its last associated surveillance. Therefore, this condition is being reported in accordance with 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by TS.

Corrective actions included actuator repair during the outage and further evaluating the preventive maintenance frequency.

NRC FORM 386 (04.2017)

05000306/LER-2017-001Prairie Island2 May 2016
29 November 2017
23 Containment Fan Coil Unit Operability
LER 17-001-00 for Prairie Island, Unit 2, Regarding 23 Containment Fan Coil Unit Operability

From May 2, 2016 to May 6, 2016, when B Train 122 Control Room Chiller (CRC) was out-of-service (OOS) per Technical Specifications (Tech Specs) 3.7.11 Condition A, Unit 2 A Train 23 Containment Fan Coil Unit (FCU) was OOS. According to revision 41 of site procedure C18.1, "Engineered Safeguards Equipment Support Systems," Bus 16 load sequencer and Bus 121 were inoperable when 122 CRC was OOS. Bus 121 supports B Train Diesel Driven Cooling Water Pump and Unit 2 B Train containment cooling (22/24 FCUs). So both trains of containment FCUs were OOS at the same time for approximately 35.6 hours. This would have required entry into LCO 3.0.3 putting Unit 2 in MODE 3 within 7 hours, this did not occur. This event is reportable under 10 CFR 50.73(a)(2)(i)(B), Operation or Condition Prohibited by Tech Specs.

The cause was that the Senior Reactor operators failed to utilize Human Performance Tools (Verification/Validation and Procedure Use/Adherence) when assessing the Tech Specs impact to Unit 2 for applying LCO 3.0.6 when 122 CRC was taken OOS.

Corrective actions include independent assessment of shared system LCO's for each unit, revising the LCO database, established a standard for LCO 3.0.6 log entries, and revising the safety function determination program to be more user friendly.

05000482/LER-2017-003Wolf Creek7 September 2017
2 November 2017
ARV and MSSV Tornado Missile Vulnerabilities Result in Unanalyzed Condition
LER 17-003-00 for Wolf Creek Generating Station Regarding ARV and MSSV Tornado Missile Vulnerabilities Result in Unanalyzed Condition

On September 7, 2017, Wolf Creek Generating Station (WCGS) was in Mode 1 at 100 percent power. During evaluation of protection for safety-related equipment from the damaging effects of tornados, WCGS personnel determined that the non safety-related exhaust lines from safety-related atmospheric relief valves (ARVs) and main steam safety valves (MSSVs) could be crimped by tornado generated missiles. If these are crimped completely, these components may be unable to perform their safety functions. The ARVs and MSSVs were declared inoperable and Enforcement Guidance Memorandum (EGM) 15-002, "Enforcement Discretion for Tornado- Generated Missile Protection Noncompliance," Revision 1 was applied. Immediate compensatory measures consistent with EGM 15-002 were implemented within the time allowed by the applicable Technical Specification Limiting Condition(s) for Operation. The ARVs and MSSVs were subsequently declared operable but nonconforming. These tornado missile vulnerabilities existed since the original plant construction. Actions will be taken to establish compliance for these components either by a plant modification or employing a methodology for addressing tornado missile non-conformances.

On April 5, 2017, WCGS personnel provided a 10 CFR 50.72 notification in Event Notification (EN) 52666 concerning tornado missile protection issues known at that time. As stated in EGM 15-002, the NRC will exercise enforcement discretion for subsequent tornado missile 10 CFR 50.72 notifications. Therefore, no 10 CFR 50.72 notification was made for this condition.

05000483/LER-2017-002Callaway15 August 2017
13 October 2017
Inadequate Protection from Tornado Missiles Identified Due to Nonconforming Design
LER 17-002-00 for Callaway Plant, Unit 1, Regarding Inadequate Protection from Tornado Missiles Identified Due to Nonconforming Design

On August 15, 2017, Callaway Plant was in Mode 1 at 100 percent power. During evaluation of protection for safety-related equipment from the damaging effects of tornados, Callaway Plant personnel determined that the minimum-flow recirculation lines for the turbine-driven auxiliary feedwater pump (TDAFP) and both motor-driven auxiliary feedwater pumps (MDAFPs) could be damaged if a postulated tornado-generated missile were to penetrate the condensate storage tank (CST) valve house and strike the lines. In response, Operations declared all three auxiliary feedwater pumps inoperable.

Compensatory measures were implemented consistent with Enforcement Guidance Memorandum (EGM) 15-002, "Enforcement Discretion for Tornado-Generated Missile Protection Noncompliance." Upon completion of the initial compensatory measures, the TDAFP and MDAFPs were declared Operable but nonconforming.

Subsequent to the condition identified on August 15, 2017, continued investigation of tornado missile vulnerabilities led to discovery that the exposed steam exhaust stacks for the main steam safety valves and atmospheric steam dump valves, as well as the exposed vents for the diesel generator fuel oil storage and day tanks, were also susceptible to tornado missile damage to the extent that compliance with General Design Criterion 2 is not ensured. Compensatory measures were then promptly implemented for these conditions, as well, in accordance with EGM 15-002 such that the affected systems have been evaluated to be nonconforming but Operable.

It has been determined that the identified noncomformances are an original plant design legacy issue. Long-term resolution for establishing compliance is under development and will be completed within the time frame described in the EGM.

05000374/LER-2017-003Lasalle
LaSalle
11 February 2017
9 August 2017
High Pressure Core Spray System Inoperable due to Injection Valve Stem-Disc Separation
LER 17-003-01 for LaSalle County Station, Unit 2 Regarding High Pressure Core Spray System Inoperable due to Injection Valve Stem-Disc Separation

On February 11, 2017, Unit 2 was in Mode 5 for a planned refueling outage. While attempting to fill and vent the Unit 2 High Pressure Core Spray (HPCS) system, no flow was observed from the drywell vent valves or downstream of the HPCS injection valve. The HPCS system was already inoperable to support scheduled surveillances performed on February 8, 2017 in which the HPCS injection isolation valve had been cycled five times satisfactorily. Troubleshooting determined the cause of the valve malfunction was due to stem-disc separation. The valve internal components were replaced prior to restart of the unit from the refueling outage. The root cause of the valve failure was insufficient capacity of the shrink-fit stem collar, combined with multiple high-load cycles, which resulted in loosening and eventual shear failure of the wedge pin and threads.

This component failure is reported in accordance with 10 CFR 50.73(a)(2)(v)(D) as an event or condition that could have prevented fulfillment of the safety function of structures or system that are needed to mitigate the consequences of an accident. This condition could have prevented the HPCS system, a single train safety system, from performing its design function if the valve failure occurred during an actual demand. This component failure is also reported in accordance with 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by Technical Specifications (TS) 3.5.1 "ECCS - Operating," since the HPCS system could have been 1 inoperable for greater than the TS 3.5.1, Required Action B.2, Completion Time of 14 days to restore HPCS system to operable status. There were minimal safety consequences associated with the condition since HPCS was not required to be operable at the time of the failure, and other required emergency safety systems remained operable. There were no actual demands for Unit 2 LHPCS, other ECCS systems, or the reactor core isolation cooling (RCIC) system during this period.

- --- ------- - NRC FORM 366 (04-2017) - 01 003 2017

05000324/LER-2017-003Brunswick5 June 2017
3 August 2017
1 OF 4
LER 17-003-00 for Brunswick, Unit 2, Regarding Setpoint Drift in Main Steam Line Safety/Relief Valves Results in Three Valves Inoperable,

On June 5, 2017, BSEP received the results of testing of eleven main steam line safety relief valves (SRVs) removed from Unit 2 during the spring refueling outage. Three of the eleven valves were found to have as-found lift setpoints of their pilot valves outside the +/-3 percent tolerance required by Technical Specification (TS) 3.4.3.

One SRV was 9.1 percent high. One SRV was 8.6 percent high, and one SRV was 5.0 percent high. Evaluation determined that the elevated lift pressures in two valves resulted from corrosion bonding of the SRV pilot valves which raised the breakaway force needed to open the pilot. The third valve experienced steam erosion. This event had no adverse impact on nuclear safety. Although the SRV setpoint limits required by the TS were exceeded, the plant condition was bounded by the Brunswick Unit 2 Cycle 22 Reload Safety Analysis, demonstrating that the SRVs could have performed their safety function of limiting reactor vessel overpressure. TS 3.4.3 requires ten of the eleven installed SRVs to be operable. Since less than ten SRVs were operable, this event is being reported in accordance with 10 CFR 50.73(a)(2)(i)(B) for operation prohibited by the plant's TS. The SRV pilot valves were replaced with certified spares before the startup of Unit 2. A procedure was revised to reduce corrosion bonding by improving surface preparation of SRV pilot valve discs.

05000374/LER-2017-004LaSalle17 February 2017
14 July 2017
Two Main Steam Safety Relief Valves Failed Inservice Lift Inspection Pressure Test
LER 17-004-01 for LaSalle, Unit 2, Regarding Two Main Steam Safety Relief Valves Failed Inservice Lift Inspection Pressure Test

During the February 2017 Unit 2 refueling outage, two main steam safety relief valves (SRV) did not pass Technical Specification (TS) Surveillance Requirement 3.4.4.1 and Inservice Testing (1ST) Program lift pressure requirements. Both SRVs (2B21-F013C and 2B21-F013L) lifted below their expected lift pressures. On February 16, 2017, SRV 2B21-F013C was required to lift within plus or minus three percent of 1175 psi (i.e., 1175 psi plus or minus 35.2 psi), but actually lifted at 1131 psi. On February 17, 2017 SRV 2B21-F013L was required to lift within plus or minus three percent of 1195 psi (i.e., 1195 psi plus or minus 35.8 psi), but actually lifted at 1130 psi.

Multiple test failures are reportable under 10 CFR 50.73(a)(2)(i)(B) as an operation or condition prohibited by the plants Technical Specifications. Both SRVs lifted prior to their expected lift pressures, which is conservative in regards to maintaining reactor pressure vessel over-pressure limits. Both SRVs were replaced during the outage. A failure analysis was conducted; however, it did not identify a cause for the valves lifting below their expected lift set-points.

05000461/LER-2017-004Clinton12 May 2017
10 July 2017
Main Steam Isolation Valve Local Leak Rate Test Limit Exceeded During Refueling Outage
LER 17-004-00 For Clinton Power Station, Unit 1 Re: Main Steam Isolation Valve Local Leak Rate Test Limit Exceeded During Refueling Outage
During the Clinton Power Station (CPS) Refueling Outage (C1 R17) on May 12, 2017 at 0045 (CDT), CPS tested its Main Steam Isolation Valves (MSIV) and discovered the as-found leakage for main steam line (MSL) `D' exceeded the Technical Specifications (TS) 3.6.1.3, Primary Containment Isolation Valves, Surveillance Requirement (SR) 3.6.1.3.9 limit placed on an individual MSL and total leakage from all four MSLs. During Modes 1, 2, and 3, TS SR 3.6.1.3.9 requires MSIV leakage for a single MSL to be less than or equal to 100 standard cubic feet per hour (scfh) (47,195 standard cubic centimeters per minute (sccm)) and requires the combined leakage rate for all MSLs to be less than or equal to 200 scfh (94,390 sccm) when tested at 9 psig. The as-found leakage for the 'D' MSL was 53,921.61 sccm for the 'D' inboard MSIV (1 B21 F022D) and 59,698.8 sccm for the 'D' outboard MSIV (1B21F028D). The as-found combined min-path leakage for all four MSLs was 102,463 sccm. An event investigation determined the as found condition of MSIVs 1B21F022D and 1B21F028D did not reveal any damage, only normal wear indications. Thus, the apparent cause for the excessive leakage past all affected MSIVs is expected wear. Valves 1621F028A, 1B21F022D, and 1B21F028D were repaired so that as-left leakage values complied with limits established by TS SR 3.6.1.3.9. This event is reportable due to principle plant safety barriers being seriously degraded, under the provisions of 10 CFR 50.73(a)(2)(ii)(A) and a condition prohibited by TS under 10CFR50.73(a)(2)(i)(B).
05000260/LER-2017-004Browns Ferry8 May 2017
7 July 2017
Main Steam Relief Valves Lift Settings Outside of Technical Specifications Required Setpoints
LER 17-004-00 for Browns Ferry, Unit 2, Regarding Main Steam Relief Valves Lift Settings Outside of Technical Specifications Required Setpoints

On May 8, 2017, the Tennessee Valley Authority was presented with as-found testing results indicating that four of the thirteen Main Steam Relief Valves (MSRVs) from Browns Ferry Nuclear Plant, Unit 2, were outside the +/- 3 percent setpoint band required for their operability. Troubleshooting determined that three MSRVs exceeded their setpoints when their valve discs failed by corrosion bonding to their valve seats. The valve discs were previously platinum coated to prevent this, but the valve seat's rough Stellite surface caused the coating to delaminate. This was the first Unit 2 MSRV service interval to implement the improved surface treatment since a resolution to the delamination issue was identified in 2015. The valve which failed below its setpoint band was determined to have a faulty pilot spring.

These four MSRVs were found to have been inoperable for an indeterminate period of time between April 9, 2015, and February 25, 2017, and longer than permitted by Technical Specifications. The affected valves remained capable of maintaining reactor pressure within American Society of Mechanical Engineers code limits. Additionally, the valves' ability to open under remote-manual operation, activation through the Automatic Depressurization System, or MSRV Automatic Actuation Logics were not affected. The valves remained capable of performing their required safety function.

Corrective Actions were to replace all thirteen Unit 2 MSRV pilot valves with pilot valves which had the platinum coating applied in accordance with the revised procedure, and to analyze the pilot valves of the inoperable MSRVs.

The pilot spring was replaced inside the valve which failed below its specification.

05000366/LER-2017-004Edwin I Hatch Nuclear Plant Unit 230 June 20171 OF 3On June 30, 2017, Unit 2 was at 100 percent rated thermal power (RTP) when "as-found" testing results of the 3-stage main steam safety relief valves (SRVs) indicated two of the eleven Unit 2 SRVs experienced a setpoint drift during the previous operating cycle which resulted in their failure to meet the Technical Specification (TS) opening setpoint pressure of 1150 +/- 34 5 prig as required by TS Surveillance Requirement (SR) 3 4 3 1 The test results showed that two SRVs were slightly out of specification low due to setpoint drift The SRV pilots were disassembled and inspected while investigating the reason for the drift SNC has determined that the abutment gap closed pre-maturely The pre-mature abutment gap closure is most likely due to loose manufacturing tolerances leading to SRV setpoint drift NRC FORM 368 8:14-2017)
05000263/LER-2017-003Monticello20 April 2017
14 June 2017
Main Steam Isolation Valve Leakage Exceeds Technical Specification Limits
LER 17-003-00 for Monticello Regarding Main Steam Isolation Valve Leakage Exceeds Technical Specification Limits

On April 20, 2017 during outage 1R28 Local Leak Rate Testing (Appendix J), AO-2-86C, "13 Outboard Main Steam Isolation Valve," had an unacceptable as-found leak rate. The measured leakage rate was 187.8 standard cubic feet per hour (scfh) which exceeds the Monticello Nuclear Generating (MNGP) Technical Specification (TS) Surveillance Requirement (SR) 3.6.1.3.12 limit of 100 scfh.

AO-2-86C was declared inoperable and the valve was subsequently disassembled to make repairs.

The valve's stem, discs, upper/lower wedges, disc retainer, and wedge pin were replaced and retested.

The as-left leak rate after completion of the work was 2.64 scfh.

This component failure is reportable in accordance with 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by TS 3.6.1.3, "Primary Containment Isolation Valves," since AO-2-86C likely had been inoperable for greater than the TS 3.6.1.3, Required Action A.1, Completion Time of 8 hours to isolate a main steam line, and the Completion Time for TS 3.6.1.3, Required Action F, to be in Mode 3 in 12 hours and Mode 4 in 36 hours when the completion time of A.1 is not met. There were minimal safety consequences associated with the condition since the primary containment isolation function was maintained by the inboard valve.

05000293/LER-2016-010Pilgrim15 December 2016
14 June 2017
MSIV Inoperability Led to a Condition Prohibited by the Plant s Technical Specifications
LER 16-010-01 for Pilgrim Nuclear Power Station re MSIV Inoperability

On December 15, 2016, at 1500 (EST), with the reactor at approximately 22 percent power, the Main Steam Isolation Valves (MSIVs) 2C and 2D were discovered to have steam leaks while performing a steam tunnel walkdown. MSIV 2D, which had a body to bonnet steam leak, was declared inoperable and Technical Specifications (TS) Limiting Condition for Operation Action Statement (LCOAS) 3.7.A.2.b was entered at 1530 on December 15, 2016. Outboard MSIV 2D and inboard MSIV

  • 1D both were closed and deactivated to isolate Main Steam Line D. On December 16, 2016, at 1524 (EST) Operations entered TS LCOAS 3.7.A.2.b for outboard MSIV 2C. Actions were also taken to close and deactivate the inboard MSIV 1C, which included a controlled plant shutdown to reduce reactor pressure below the MSIV closure scram bypass setpoint.

Based on the evidence found, it was reasonable to conclude that the MSIV 2D valve body to bonnet steam leak and the MSIV 2C packing leak had likely started sometime prior to the event date and both were leaking for a period of time greater than that allowed by TS. Therefore, PNPS is making this submittal in accordance with 10 CFR 50.73(a)(2)(i)(B), any operation or condition prohibited by the plant's TS. In addition, PNPS closed the inboard MSIV 1C in accordance with TS LCOAS 3.7.A.2.b prior to going to Cold Shutdown. However, PNPS is also conservatively making this submittal in accordance with 10 CFR 50.73(a)(2)(i)(A), the completion of any nuclear plant shutdown required by the plant's TS.

The plant was placed in Cold Shutdown and both the outboard MSIV 2C and 2D were repaired and returned to service.

There was no impact to public health and safety from this condition.

05000263/LER-2017-002Monticello15 April 2017
13 June 2017
Main Steam Isolation Valve Closure Time Outside of Technical Specification Requirements
LER 17-002-00 for Monticello Nuclear Generating Plant Regarding Main Steam Isolation Valve Closure Time Outside of Technical Specification Requirements

On April 15, 2017 at approximately 10:56 am, with the plant at 0% power in Mode 4 (Shutdown), while performing a plant shutdown procedure the "D" outboard Main Steam Isolation Valve (MSIV), AO-2- 86D was functionally tested. The Monticello Nuclear Generating Plant (MNGP) Technical Specifications (TS) Surveillance Requirement (SR) 3.6.1.3.6 requires that the isolation time of each MSIV is > 3 seconds and ime was measured at approximately 40.7 seconds. The valve was declared inoperable and subsequently repaired. The failure was attributed to the air pack pilot valves.

This component failure is reportable in accordance with 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by TS 3.6.1.3 "Primary Containment Isolation Valves," since AO-2-86D may have been inoperable for greater than the TS 3.6.1.3, Required Action A.1, Completion Time of 8 hours to isolate a main steam line, and the Completion Time for TS 3.6.1.3, Required Action F, to be in Mode 3 in 12 hours and Mode 4 in 36 hours when the completion time of A.1 is not met. There were minimal safety consequences associated with the condition since the primary containment isolation function was maintained.

05000348/LER-2016-007Farley17 November 2016
7 June 2017
Plant Shutdown Required by Technical Specifications due to Inoperable Steam Flow Transmitters
LER 16-007-01 for Joseph M. Farley, Unit 1, Regarding Plant Shutdown Required by Technical Specifications due to Inoperable Steam Flow Transmitters

On 11/17/2016 at 1859 with Unit 1 in Mode 1 at 99 percent power, the plant initiated a shutdown in accordance with Limiting Condition for Operation (LCO) 3.0.3 for having no operable steam flow channels for the C Steam Generator (SG). The two steam flow channels did not meet acceptance criteria for Technical Specification (TS) 3.3.2. The shutdown was completed and the plant entered Mode 3 as required by LCO 3.0.3. This is reportable as a plant shutdown required by Technical Specifications in accordance with 10 CFR 50.73(a)(2)(i)(A). This is also reportable as an event or condition that could have prevented fulfillment of a Safety Function needed to mitigate the consequences of an accident, in accordance with 10 CFR 50.73(a)(2)(v)(D).

This condition was discovered during an engineering verification of beginning of cycle full power scaling values for steam flow normalization. New scaling data was calculated and the channels were rescaled and restored to operable status. The cause of this event has not yet been determined. A supplemental LER will be submitted upon the completion of the causal analysis, and the cause and corrective actions will be provided at that time.

05000293/LER-2017-005Pilgrim10 April 2017
7 June 2017
10 CFR 50, Appendix J, Option B, Leak Rate Criteria Exceeded
LER 17-005-00 for Pilgrim Regarding 10 CFR 50, Appendix J, Option B, Leak Rate Criteria Exceeded

On April 10, 2017, the Personnel Airlock, X-2, failed to meet local leak rate test acceptance criteria. This failure is reportable under 10 CFR 50.73(a)(2)(i)(B), any operation or condition which was prohibited by the plant's Technical Specifications.

On April 22, 2017, the High Pressure Coolant Injection System turbine exhaust line check valves both failed to meet local leak rate test acceptance criteria. The test volume for each valve could not be pressurized when flow was greater than 100 Standard Liters per Minute. Significant air flow was coming out of the test vent, indicating that each check valve was either degraded or not seated.

This failure resulted in the current Refueling Outage summation of Type B and Type C testing results exceeding the 10 CFR 50, Appendix J local leak rate test criteria limit of 0.6 La and the primary containment total leakage criteria limit of 1.0 La. This created an event that is reportable under 10 CFR 50.73(a)(2)(i)(B), any operation or condition which was prohibited by the plant's Technical Specifications,10 CFR 50.73(a)(2)(ii)(A), any event or condition that resulted in the condition of the nuclear power plant, including its principal safety barriers, being seriously degraded, 10 CFR 50.73(a)(2)(v)(C), any condition that could have prevented the fulfillment of a safety function of a system needed to control the release of radioactive material, and 10 CFR 50.73(a)(2)(v)(D), any condition that could have prevented the fulfillment of a safety function of a system needed to mitigate the consequences of an accident.

There was no impact to public health and safety from this condition.

05000254/LER-2017-002Quad Cities27 March 2017
26 May 2017
Four Main Steam Isolation Valves (MSIVs) Closure Times Exceeded
LER 17-002-00 for Quad Cities, Unit 1, Regarding Four Main Steam Isolation Valves (MSIVs) Closure Times Exceeded

On March 27, 2017, during refueling outage Q1R24 at 0840 hours, the Unit 1 Main Steam Isolation Valve (MSIV) as-found closure time test results indicated that four MSIVs failed to close within the required Technical Specification (TS) time of less than or equal to five seconds. The safety significance of this event was minimal.

The cause of three of the slow closure timing events was due to a less than optimal replacement frequency for the MSIV actuators, and the cause of the fourth slow closure timing event was due to a less than optimal replacement frequency for the MSIV springs.

Corrective actions included replacing the 1-0203-1B and 1-0203-1D MSIV actuators, replacing the springs on the 1-0203-2C MSIV, readjusting the as-left closure times on all four MSIVs and satisfactory retesting prior to startup. Follow-up corrective actions include replacing the 1-0203-2D MSIV actuator and changing the preventive maintenance frequency and description.

Since the MSIV slow closure times were due to degradation from less than optimal replacement frequencies, it is likely the degradation occurred over time since the last successful refueling outage testing and during power operations when the required TS 3.6.1.3, Primary Containment Isolation Valves was applicable. Therefore, this condition is being reported in accordance with 10 CFR 50.73(a)(2)(i)(B), which requires reporting of any operation or condition that was prohibited by the plant's TS.

05000316/LER-2017-001Cook23 March 2017
19 May 2017
1 OF 5
LER 17-001-00 for Cook, Unit 2 re Containment Hydrogen Skimmer Ventilation Fan #1 Inoperable Longer than Allowed by Technical Specifications

On March 23, 2017, at 0941, Eastern Daylight Time (EDT), with Unit 2 in Mode 1 at 100% power, the Unit 2 Containment CEQ Fan #1 Backdraft Damper opening force exceeded the Technical Specification (TS) Surveillance Requirement (SR) limit.

Maintenance was performed on the damper and operability of the Unit 2 CEQ Fan #1 was restored at 1724 EDT. A past operability evaluation was performed and determined that the condition likely existed since maintenance was performed to lubricate the damper on February 24, 2017. As a result, the Unit 2 CEQ Fan #1 was inoperable longer than allowed by TS. During this time, the Unit 2 CEQ Fan #2 was declared inoperable to perform surveillance testing on March 2, 2017, from 0938 Eastern Standard Time (EST) until 1326 EST. This resulted in both trains being inoperable simultaneously for a short period of time.

The cause of the elevated force required to open the Unit 2 CEQ Fan #1 Backdraft Damper was determined to be that the lubrication Preventive Maintenance (PM) work order instructions were not adequate and did not provide adequate Post-Maintenance Testing (PMT) instruction. Corrective action is to revise model work order tasks to provide additional details and appropriate PMT. The risk significance of this condition has been determined to not constitute a significant increase in risk.

This event is reportable in accordance with 10 CFR 50.73(a)(2)(i)(B) and 10 CFR 50.73(a)(2)(v)(D).

05000382/LER-2017-001Waterford8 March 2017
4 May 2017
1 of 5
LER 17-001-00 for Waterford, Unit 3 Regarding Both Trains of Emergency Core Cooling System Inoperable due to Inadvertently Performing Maintenance on Train 'B' Resulting in Event or Condition that Could Have Prevented Fulfillment of a Safety Function

On March 8, 2017, at 1627 CST, it was identified that Low Pressure Safety Injection (LPSI) train ‘B' was inoperable due to SI-135B, Reactor Coolant Loop 1 Shutdown Cooling Warmup Valve, being found open, which is not the required position. At the time of discovery, LPSI train ‘A' was inoperable for maintenance and the station was in compliance with Technical Specification (TS) 3.5.2 action ‘a' which requires that an inoperable LPSI train be restored within 7 days. The shift operating crew entered TS 3.5.2 action ‘c' due to both trains of the Emergency Core Cooling System being inoperable. Action ‘c' requires that with both LPSI trains inoperable, at least one train must be restored within one hour.

SI-135B was subsequently closed and tested to verify operability. TS 3.5.2 action 'c' was exited at 1705. The station remained in compliance with TS 3.5.2 action ‘a'.

It was determined that the SI-135B valve was opened inadvertently. It was planned to perform work on SI-135A, Reactor Coolant Loop 2 Shutdown Cooling Warmup Valve. The workers incorrectly began work on SI-135B and manually opened the valve. This was caused by personnel not performing proper component verification to validate that they were on the correct component, contrary to station procedures. Corrective actions are being performed to improve station work practices related to component verification.

05000298/LER-2017-002Cooper27 April 2017Valve Test Failures Result in Condition Prohibited by Technical Specifications and a Loss of Safety Function
LER 17-002-00 for Cooper Nuclear Station Regarding Valve Test Failures Result in Condition Prohibited by Technical Specifications and a Loss of Safety Function

In February and March 2017, three Main Steam Safety Relief Valve (SRV) body assemblies (main body and pilot assembly) and the remaining five SRV pilot assemblies were tested at National Technical Systems Laboratories (formerly Wyle Laboratories). These SRVs had been removed from Cooper Nuclear Station during Refueling Outage 29 in the Fall of 2016. One SRV pilot assembly failed the as-found lift pressure testing; another SRV pilot assembly was conservatively considered a failure due to lack of as-found lift pressure test data since it was inadvertently disassembled prior to performing the as-found lift pressure test.

There were two causes for the failures. One of the SRV pilot assemblies failed due to corrosion bonding; the other SRV pilot assembly failed due to a lack of a barrier to prevent inadvertent disassembly of the SRV pilot prior to testing.

Although the Technical Specifications limits related to the set point lift pressures of the SRV pilot valve assemblies were exceeded, an analysis indicates that the design basis pressures to ensure safety of the reactor vessel and its pressure related appurtenances were not challenged. Public safety was not at risk. Safety to plant personnel and plant equipment was not at risk.

05000341/LER-2017-002Fermi19 January 2017
16 March 2017
High Water Level Indications at Low Reactor Pressures Causes Some Functions of High Pressure Coolant Injection System and Reactor Core Isolation Cooling System to be Inoperable
LER 17-002-00 for Fermi 2 Regarding High Water Level Indications at Low Reactor Pressures Causes Some Functions of High Pressure Coolant Injection System and Reactor Core Isolation Cooling System to be Inoperable
On January 19, 2017, a condition was identified that impacted the operability of certain functions associated with the High Pressure Coolant Injection (HPCI) and Reactor Core Isolation Cooling (RCIC) systems under low reactor pressure conditions. HPCI and RCIC both have automatic and manual actuation functions to inject water into the reactor vessel. HPCI and RCIC also both have an automatic function (i.e. Level 8 trip signal) to prevent injection to the reactor vessel so that water does not reach the steam lines. This Level 8 trip signal comes from instrumentation that is calibrated to be most accurate at normal operating conditions. Under low reactor pressure conditions (i.e. below 600 psig), the high drywell pressure automatic actuation of HPCI and the manual initiation of both HPCI and RCIC are prevented by a Level 8 trip signal such that the affected HPCI and RCIC functions should be considered inoperable per Technical Specifications (TS). This can cause HPCI to also be considered inoperable, which could prevent the fulfillment of a safety function since HPCI is a single train system. Fermi 2 was at a pressure above 600 psig at the time of discovery and, therefore, the condition did not exist. However, a review of past operating conditions identified twelve instances in the past three years where the condition did exist. Based on an engineering analysis, the affected HPCI and RCIC functions are not required to perform a safety function at low reactor pressures; therefore, there was no adverse impact to public health and safety or to plant employees. There were no radiological releases. The cause of the event was an inconsistency between the Fermi 2 TS and the original design and licensing basis of the HPCI and RCIC systems. For corrective actions, Fermi 2 has submitted a license amendment request to clarify the TS.
05000333/LER-2017-001FitzPatrick14 January 2017
13 March 2017
Vent Line Socket Weld Failure
LER 17-001-00 for James A. Fitzpatrick Nuclear Power Plant RE: Vent Line Socket Weld Failure

Refueling Outage 22 commenced on January 14, 2017 at James A. FitzPatrick Nuclear Power Plant (JAF). With the plant in Mode 2 at 0613, the initial Drywell inspection identified a through wall leak on the 3/4 inch vent line off of the bonnet of the motor operated gate valve on the suction side of Reactor Water Recirculation Pump 'A'. This condition was determined to constitute Reactor Coolant Pressure Boundary (RCPB) leakage, which is prohibited by Technical Specification (TS) Limiting Condition for Operation (LCO) 3.4.4. The average reactor coolant temperature decreased to less than 212 degrees F and the plant was in Mode 4 at 1530 of the same day, which is within the applicable TS LCO 3.4.4 required completion time.

The condition of a through wall leak on the RCPB is reportable pursuant to 10 CFR 50.73(a)(2)(ii), as a condition of the nuclear plant, including its principle safety barriers, being seriously degraded.

05000341/LER-2017-001Fermi6 January 2017
6 March 2017
Loss of Reactor Protection System Scram Function During Main Steam Isolation Valve and Turbine Stop Valve Channel Functional Tests due to Use of a Test Box
LER 17-001-00 for Fermi 2 Regarding Loss of Reactor Protection System Scram Function During the Main Steam Isolation Valve and Turbine Stop Valve Channel Functional Tests due to Use of a Test Box

On January 6, 2017 an Operations Shift Engineer determined that use of the Reactor Protection System (RPS) test box described in station procedures would result in the loss of two RPS reactor scram functions. Technical Specification (TS) 3.3.1.1 requires that RPS instrumentation for Table 3.3.1.1-1 Function 5 for Main Steam Isolation Valves (MSIVs) and Table 3.3.1.1-1 Function 9 for Turbine Stop Valves (TSV) remain OPERABLE. Operations procedures were revised to incorporate the use of the test box in August of 2016.

Between September 22 and 23, 2016 the MSIV and TSV procedures were each performed one time using the test box. The failure to recognize the impact of the procedure revisions is considered a human performance error by engineering and operations personnel.

The procedures were corrected in January 2017 to remove the use of the RPS test box. Subsequently, on January 7 and 9, 2017, respectively, the procedures for the TSVs and the MSIVs were performed successfully.

05000346/LER-2016-008Davis Besse27 February 2017Application of Technical Specification for the Safety Features Actuation System Instrumentation
LER 16-008-01 for Davis-Besse Nuclear Power Station Unit 1 Regarding Application of Technical Specification for the Safety Features Actuation System Instrumentation

On June 30, 2016, at 0829, with the Davis-Besse Nuclear Power Station in Mode 1 and at approximately 100 percent power, a level transmitter for Safety Features Actuation System (SFAS) Channel 1 was declared inoperable for scheduled maintenance and Technical Specification (TS) Limiting Condition of Operation (LCO) 3.3.5 Condition A was entered. At 2342 hours a power supply in SFAS Channel 2 failed and a separate TS LCO 3.3.5 Condition A was entered. Upon recognition that two channels of SFAS were inoperable, TS LCO 3.3.5 Condition B was entered at 0245 and then exited at 0330 with the use of compensatory actions to restore SFAS Channel 1 operability. After further review, it was determined the compensatory actions could not be credited and TS LCO 3.3.5, Condition B was re- entered at 1325. SFAS Channel 1 was restored and declared operable at 1351 hours.

Causes of the event were the Shift Manager failed to initially recognize that TS LCO Conditions A and B had been met; followed by Station Personnel failing to effectively implement required processes. The root cause was that Station Management failed to recognize that a normalized deviation had occurred that resulted in TS noncompliance. Corrective Actions include specific refresher training to all applicable personnel, revising relevant documents, and developing an event Case Study for training purposes. This condition is being reported in accordance with 10 CFR 50.73(a)(2)(i)(B) as an operation or condition prohibited by the plant's Technical Specifications.

05000400/LER-2016-007Harris26 October 2016
9 February 2017
Containment Spray System Valve Actuation
LER 16-007-01 for Shearon Harris Unit 1, Regarding Containment Spray System Valve Actuation

On October 26, 2016, the Shearon Harris Nuclear Power Plant was in a planned refueling outage. Operations was in the process of restoring the containment spray system following maintenance. During this restoration process, operations started the 'B' containment spray pump with Refueling Water Storage Tank (RWST) level below 23.4 percent. As a result, the logic to initiate containment spray switchover to the containment sump was satisfied, opening the containment sump suction valve, which established a flowpath that allowed water to be transferred from the RWST to the containment sump. Operations secured the 'B' containment spray pump and re-closed the containment sump suction valve to restore the plant to the desired configuration. During the event, the containment spray system was aligned for recirculation of the spray pump discharge back to the RWST, so no water flowed through the spray header.

The primary cause of the event was a procedural deficiency. The procedure did not establish a physical barrier to prevent the containment sump valves from opening in Modes 5, 6 and defueled. The corrective actions include revising the procedure to remove power to the containment sump valves to prevent them from opening in Modes 5, 6 and defueled.

05000400/LER-2016-004Harris8 October 2016
7 December 2016
Reactor Trip and Safety Injection During Turbine Control Testing at Low Power
LER 16-004-00 for Shearon Harris, Unit 1, Regarding Reactor Trip and Safety Injection During Turbine Control Testing at Low Power

On October 8, 2016, the Shearon Harris Nuclear Power Plant was reducing power to enter a planned refueling outage (RFO-20). The plant was at approximately 8 percent power in Mode 1 when the unit experienced an unplanned reactor trip with a safety injection (SI) and main steam line isolation (MSLI). A malfunction of the turbine controller during turbine mechanical overspeed trip testing caused an excessive draw of steam flow from the Steam Generators (SGs). This caused the Engineering Safety Features Actuation System instruments to detect a valid change in SG pressure and initiate a rate compensated Low Steam Line Pressure signal. This signal initiated a SI and MSLI, which in turn initiated reactor trip, turbine trip, feedwater isolation, and closed the main steam isolation valves.

Degraded equipment within the turbine controller resulted in excessive opening of the governor valves; this was caused by an inadequate supply of hydraulic oil to meet the increased system demand during testing. Insufficient hydraulic accumulator capacity was available to support system demand. One accumulator was known to be out-of-service; a second was discovered post-event. Also, a hydraulic oil pressure switch used for turbine control was not functioning properly. The equipment deficiencies have been corrected.

Changes have been made to the testing procedure to validate at least four accumulators are in service prior to testing. The Power Operation (Mode 2 to Mode 1) procedure will also be revised to validate at least four accumulators are in service. A new calibration procedure will be implemented for the deficient oil pressure switch to ensure better quality control over verifying switch function.

05000331/LER-2016-003Duane Arnold18 October 2015
6 December 2016
Main Steam Isolation Valve Leakage Exceeded Technical Specification Limit
LER 16-003-00 for Duane Arnold Energy Center Regarding Main Steam Isolation Valve Leakage Exceeded Technical Specification Limit
On October 18, 2016, with the unit shutdown for a planned refueling outage (Mode 5, Refueling, 0% power), an evaluation of data from the scheduled Main Steam Line Isolation Valve (MSIV) (System Code SB) and Main Steam Line Drain valve penetration Local Leak Rate Testing (LLRT) determined the 'as found' maximum pathway leakage for the 'B' Inboard MSIV, CV-4415, and the Outboard Main Steam Line Drain valve, MO-4424, was in excess of the Technical Specification (TS) 3.6.1.3 leakage limit of 100 scfh for a single MSIV and 5 200 scfh for combined pathway leakage. The cause was determined to be a failure to perform periodic internal inspections of the MSIVs and a non-optimal valve design for the steam line drain application. Corrective actions included reworking CV-4415 to restore its leakage limit to below TS limits. Corrective actions are planned to replace MO-4424 with an optimal valve design. This event was of low safety significance had no impact on public health or safety. This event is reportable pursuant to 10CFR50.73(a)(2)(i)(B).
05000348/LER-2016-002Farley1 October 2016
30 November 2016
Automatic Reactor Trip and Safety Injection Due to Closure of Main Steam Isolation Valve
LER 16-002-00 for Joseph M. Farley Nuclear Plant, Unit 1 Regarding Automatic Reactor Trip and Safety Injection Due to Closure of Main Steam Isolation Valve

On 10/1/2016 at 0512 CDT with Unit 1 at 99 percent power the plant experienced a turbine trip and automatic reactor trip as a result of inadvertent closure of the 1 A Steam Generator Main Steam Isolation Valve (MSIV).

This caused a rapid pressure reduction in the remaining two Steam Generators' steam lines, resulting in a Safety Injection (SI). The 1 A MSIV closure was caused by failure of its test solenoid in conjunction with other air system leakage, which vented air pressure from the 1A MSIV actuator. An inadequate technical justification allowed the improper deactivation of the preventive maintenance (PM) task of the test solenoid valve in 2004. Decision making by control room personnel not to strictly adhere to an Annunciator Response Procedure was a contributing cause to the reactor trip being automatic versus manual, and led to the SI.

Following the reactor trip and SI the 1 A MSIV test solenoid was replaced and check valves on the 1 A MSIV steam line were tested and replaced. The technical justifications of a sample of previously extended or deleted PMs strategies will be reviewed and corrected. The PM for the Unit 1 solenoid will be reinstated.

Procedure use and adherence standards have been reinforced with Operations personnel, simulator just-in- time training was conducted for all crews, and further causal analysis is planned to investigate operations fundamental performance gaps. This event is reportable per 10 CFR 50.73(a)(2)(iv)(A) due to actuation of the reactor protection system, Emergency Core Cooling System (ECCS) injection into the Reactor Coolant System, and automatic actuation of the AFW system.

05000278/LER-2016-001Peach Bottom22 November 2016Leak in High Pressure Coolant Injection Drain Pipe Results in a Loss of Safety Function
LER 16-001-00 for Peach Bottom, Unit 3, Regarding Leak in High Pressure Coolant Injection Drain Pipe Results in a Loss of Safety Function

On 9/26/16, at approximately 1845 hours, investigation of a water leak on a 3/4" diameter drain line for the High Pressure Coolant Injection (HPCI) turbine determined there was a through-wall flaw resulting in a leak of approximately 2 drops per minute. The pipe is classified as ASME Code Class 2 exempt and operates above 200 degrees F. As a result, the HPCI system was declared inoperable. The flaw was the result of a liquid drop impingement erosion process caused by the flow characteristics upstream of the orifice. The pipe section was replaced and the HPCI system was declared operable on 9/28/16 at approximately 2102 hours.

There were no actual consequences as a result of the leak.

05000298/LER-2016-004Cooper25 September 2016
22 November 2016
Closure of Multiple Main Steam Isolation Valves due to High Flow Signal
LER 16-004-00 for Cooper Nuclear Station Regarding Closure of Multiple Main Steam Isolation Valves due to High Flow Signal

On September 24, 2016, at 20:40 hours, during reactor cooldown for Refueling Outage 29, Cooper Nuclear Station control room operators closed the inboard Main Steam Isolation Valves (MSIV) to minimize steam flow to control the reactor cooldown rate. Reactor pressure was controlled using the Main Steam Line Drains; and the condensate/feed system was available for reactor water level control.

On September 25, 2016, at 01:03 hours, while equalizing pressure across the MSIVs to below 200 psid, a differential pressure of 190 psid was established. Upon opening MS-AO-80A, a Group 1 isolation was immediately received due to a Main Steam Line high flow signal. The control room operators subsequently equalized pressure and successfully opened MS-AO-80A, as well as the remaining MSIVs, at 18:52 hours.

The cause of the event was insufficient procedure guidance exists regarding limitations on opening the MSIVs. To correct this, the applicable procedure has been revised to change the differential pressure limitations for opening MSIVs from 200 psid to 80 psid.

The safety significance of the event is low and did not pose a threat to the health and safety of the public.

05000219/LER-2016-005Oyster Creek19 September 2016
17 November 2016
Technical Specification Prohibited Condition Caused by One Electromatic Relief Valve Inoperable for Greater than Allowed Outage Time
LER 16-005-00 for Oyster Creek Nuclear Generating Station Regarding Technical Specification Prohibited Condition Caused by One Electromatic Relief Valve Inoperable for Greater than Allowed Outage Time

On September 19, 2016, after achieving Cold Shutdown for the 1R26 Refuel Outage, as found testing was performed on all five (5) Electromatic Relief Valves (EMRVs). The "E" EMRV did not open from the Main Control Room (MCR), and no change in indication was observed. Per the work activity, technicians were dispatched to the Drywell to verify that the valve did not move upon receiving an open signal from the MCR.

A cutout switch in the valve actuator was stuck in the open position, thereby preventing the solenoid from actuating to open the valve. The cutout switch did not operate as required due to, hinge pin washers not installed in the cutout switch assembly. Without the washers installed to the hinge pins interfered with the solenoid frame holes creating mechanical binding. Based on this information it is suspected that the "E" EMRV would have been inoperable for longer than Technical Specification Allowed Out of Service Time (AOT) of 24 hours. Testing and inspections were performed on all EMRVs prior to installation in the plant.

Therefore, this issue is reportable under 10 CFR 50.73(a)(2)(i)(B) as an Operation or Condition which was Prohibited by the plant's Technical Specifications.

05000346/LER-2016-009Davis Besse10 September 2016
9 November 2016
Reactor Trip due to Rainwater Intrusion and Auxiliary Feedwater Actuation on High Steam Generator Level
LER 16-009-00 for Davis-Besse Nuclear Power Station, Unit 1 Regarding Reactor Trip due to Rainwater Intrusion and Auxiliary Feedwater Actuation on High Steam Generator Level

On September 10, 2016, with the Davis-Besse Nuclear Power Station (DBNPS) operating at approximately 100 percent power, rainwater intrusion into the Main Generator Automatic Voltage Regulator (AVR) cabinet due to an open roof vent caused a lockout of the Main Generator, resulting in a trip of the Main Turbine and Reactor. Following the Reactor trip, the Steam Feedwater Rupture Control System (SFRCS) actuated due to high Steam Generator 1 level and initiated the Auxiliary Feedwater System. The most probable cause of the SFRCS actuation was a failed operational amplifier in the Integrated Control System (ICS), causing the ICS to not reduce Feedwater flow to Steam Generator 1 following the Reactor trip. , Completed corrective actions include closing the roof vents, sealing the top of the AVR cabinet, improved configuration control of the vents, and replacement of the failed ICS module. Scheduled corrective actions include presenting a case study to improve recognition of elevated risk issues, and review of the ICS by a multi-functional team to address system performance concerns.

This event is being reported pursuant to 10 CFR 50.73(a)(2)(iv)(A) as an event that resulted in automatic actuation of the Reactor Protection System, and an automatic actuation of the Auxiliary Feedwater System.