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 SiteStart dateTitleDescription
05000280/LER-2019-002Surry4 February 2020LER 2019-002-00 for Surry Power Station Unit 1, Items Non-Conforming to Design for Tornado Missile Protection
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.

05000286/LER-2017-004Indian Point3 November 2017
20 December 2017
Reactor Trip Due to Main Generator Loss of Field
LER 17-004-00 for Indian Point Unit 3, Regarding Reactor Trip Due to Main Generator Loss of Field

On November 3, 2017, at 2022 hours, with reactor power at 100 percent, Indian Point Unit 3 experienced an automatic reactor trip on a turbine trip, which was in response to a main generator trip. The main generator trip was initiated by actuation of the Generator Protection System due to a main generator loss of field.

All control rods fully inserted and all required safety systems functioned properly. The plant was stabilized in hot standby with decay heat being removed by the main condenser. The Auxiliary Feedwater System (AFWS) automatically started as expected on steam generator low level to provide feedwater flow to the steam generators. The plant was stabilized in hot standby with decay heat being removed by the main condenser. The direct cause of the loss of main generator field was a failed Thyristor Firing Module drawer which affected proper operation of the redundant Thyristor Firing Module drawer. The root cause was determined to be that the Automatic Voltage Regulator (AVR) Firing Module power supplies have a latent design vulnerability where shared common output nodes are not isolated after a failure. A plant modification is proposed that will eliminate the condition by electrically isolating the AVR Firing Module power supplies upon failure.

This event had no effect on the public health and safety. The event was reported to the Nuclear Regulatory Commission (NRC) on November 3, 2017 under 10 CFR 50.72(b)(2)(iv)(B) and 50.72(b)(3)(iv)(A) as an event that resulted in the automatic actuation of the Reactor Protection System when the reactor is critical and a valid actuation of the AFWS.

05000364/LER-2017-002Farley19 December 2017Main Steam Safety Valve Lift Pressure Outside of Technical Specifications Limits
LER 17-002-00 for Joseph M. Farley, Unit 2, Regarding Main Steam Safety Valve Lift Pressure Outside of Technical Specifications Limits

On November 1, 2017, while in Mode 6 and at 0% power level, one of the C Loop Main Steam Safety Valves (MSSV) as-found lift pressure did not meet the acceptance criteria of +/- 3% of the setpoint (1129 psig) as required by Technical Specifications (TS) Surveillance Requirement (SR) 3.7.1.1. The MSSV lifted at 1171 psig which is 9 psig outside of its acceptance range of 1096 to 1162 psig and 3.72°o above its setpoint. The apparent cause of exceeding the MSSV upper acceptance limit is degradation of the valve spring and/or valve spindle compression screw. The as-found settings remained within analytical bounds; therefore, operation of the facility in this condition had no impact on the health and safety of the public.

TS Limiting Condition for Operation (LCO) 3.7.1, IvISSVs, requires five MSSVs per steam generator to be operable in Modes 1, 2, and 3. Since the failure affected the lift pressure over a period of time, it is assumed that the C Loop MSSV was inoperable for a time greater than allowed by TS. Therefore, this occurrence is considered reportable per 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by TS.

The C Loop MSSV was replaced on November 5, 2017, while in Mode 5.

05000346/LER-2017-002Davis Besse13 September 2017
27 November 2017
Auxiliary Feed Water Pump Turbine Bearing Damaged due to Improperly Marked Lubricating Oil Sight Glass
LER 17-002-00 For Davis-Besse Nuclear Power Station, Unit 1, Regarding Auxiliary Feed Water Pump Turbine Bearing Damaged due to Improperly Marked Lubricating Oil Sight Glass

On September 13, 2017, with the Davis-Besse Nuclear Power Station operating at approximately 100 percent power, Auxiliary Feed Water (AFW) Pump Turbine 1 experienced high inboard bearing temperature during performance of quarterly Surveillance Testing. The turbine was tripped, and disassembly revealed damage to the journal bearing. The bearirig was replaced, and following successful post maintenance testing, AFW Train 1 was declared Operable on September 16. The cause of the bearing damage was an improperly marked oil sight glass, which allowed operation with improper bearing lubrication. The improper markings were due to the maintenance work instruction for replacing the sight glass not including dimensions or guidance for setting required operational bands.

On September 26, 2017, it was identified that low inboard bearing oil level had likely existed since completion of the previous quarterly surveillance test on June 21, when an oil sample was taken following testing but the bearing was not refilled due to the improperly marked sight glass. This issue is being reported in accordance with 10 CFR 50.73(a)(2)(v)(B) as a condition that could have prevented the fulfillment of the safety function, and in accordance with 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by Technical Specifications.

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.

05000387/LER-2017-005Susquehanna8 June 2017
4 October 2017
Automatic Reactor Protection System Trip on High Neutron Flux
LER 17-005-01 for Susquehanna, Unit 1 Regarding Automatic Reactor Protection System Trip on High Neutron Flux

On June 8, 2017 at 1527 hours, the reactor automatically scrammed due to a loss of Main Turbine- Electro-Hydraulic Control (EHC) logic power causing a high neutron flux, Reactor Protection System (RPS) trip. The safety systems operated as expected. Secondary Containment differential pressure lowered to 0" WG due to a trip of the normal operation of the Reactor Building Ventilation system. The differential pressure was restored by the initiation of Standby Gas Treatment System.

The scram was caused directly by a DC+ (direct current, positive) test lead (Maxi Grabber) that inadvertently contacted with the grounding screw, causing a short and momentary loss of EHC logic power.

Immediate action was taken to validate that there was no damage to the +30 VDC (volts DC) EHC logic.

The root cause for this event is an insufficient focus on the High Risk Activity of adjusting the EHC power supply, and inadequate risk mitigating actions for that activity.

The condition is being reported in accordance with 10 CFR 50.73(a)(2)(iv)(A) as an event that resulted in an automatic actuation of the RPS, including reactor scram. Although no safety system functional failure occurred, this event is also reportable pursuant to 10CFR 50.73(a)(2)(v)(C) as a condition that could have prevented fulfillment of a safety function. There were no actual, or potential consequences to the health and safety of the public as a result of this event.

I

05000311/LER-2016-002Salem4 February 2016
7 September 2017
Automatic Reactor Trip due to Main Turbine Trip
LER 16-002-01 for Salem, Unit 2, Regarding Automatic Reactor Trip Due to Main Turbine Trip

On 2/4/16 at 11:21, Salem Unit 2 automatically tripped from approximately 74% power. Power had been reduced at the beginning of dayshift to support a 500 KV transmission line outage. The reactor trip was due to a Main Turbine trip caused by a Main Generator Protection signal initiated by a main generator automatic voltage regulator (AVR) volts/hertz over excitation protection relay. All emergency core cooling systems and emergency safeguards feature systems functioned as expected. As found calibration data for the generator protection logic relay were found out of specification low. An evaluation determined the cause of the generator protection relay trip was poor manufacturing quality and/or shipping damage to an adjusting rheostat.

This report is being made in accordance with 10 CFR 50.73 (aX2Xiv)(A), "Any event or condition that resulted in manual or automatic actuation of any of the systems listed in paragraph (a)(2)(iv)(B)," specifically automatic actuation of the Reactor Protection System and the Auxiliary Feedwater System for this event.

05000247/LER-2017-001Indian Point6 February 2017
22 August 2017
Manual Reactor Trip Due to Decreasing Steam Generator Levels Caused By Main Boiler Feedwater Pump Turbine Low Pressure Governor Valves Failed Closed
LER 17-001-00 for Indian Point, Unit 2 Regarding Manual Reactor Trip Due to Decreasing Steam Generator Levels Caused By Main Boiler Feedwater Pump Turbine Low Pressure Governor Valves Failed Closed

On June 26, 2017, Operations commenced a downpower from 100 percent to 93 percent reactor power to support performance of the Main Turbine Stop and Control Valve Test. With reactor power at 94 percent, the 22 Main Boiler Feed Pump Turbine (MBFPT) speed control trouble alarm annunciated coincident with pump speed swings of 800 revolutions per minute (rpm). The operators ceased the downpower and placed the 22 Main Boiler Feedwater Pump (MBFP) in Manual speed control to control the rpm swings. This was unsuccessful, and the rpm swings continued. The 22 MBFPT low pressure (LP) governor valves were observed to be cycling from full-closed to full-open. The decision was made to take local pneumatic control of the 22 MBFP to stabilize pump speed. Two minutes after establishing local pneumatic control, the LP governor valves went to full closed. With the rapid reduction in 22 MBFP speed, the pump was no longer delivering feedwater flow to the SGs. An automatic main turbine runback signal should have been generated on a low speed signal; however, there was no turbine runback actuation. In response, the operators commenced a manual runback to reduce main turbine load, but the decreasing SG levels reached 15 percent, and at 1531 hours a manual reactor trip was initiated.

All control rods fully inserted and all required safety systems functioned properly. The plant was stabilized in hot standby with decay heat being removed by the main condenser. The direct cause of the reactor trip was that the shoulder screws used on the 22 MBFPT LP governor valve servomotor linkage had backed out and detached. This caused the LP governor valves to fail closed, shutting off the turbine steam supply. This event had no effect on the public health and safety. The event was reported to the Nuclear Regulatory Commission (NRC) on June 26, 2017 under 10 CFR 50.72(b)(2)(iv)(B), 50.72(b)(2)(xi), and 50.72(b)(3)(iv)(A).

05000458/LER-2017-007River Bend
River Bend Station — Unit 1 05000-458
21 August 2017Automatic Reactor Scram due to Failure of Main Generator Voltage Regulator Mode Transfer Relay
LER 17-007-00 for River Bend Station - Unit 1 Regarding Automatic Reactor Scram due to Failure of Main Generator Voltage Regulator Mode Transfer Relay
On June 23, 2017, at 10:18 PM CDT, an unanticipated reactor scram occurred during scheduled testing of the main turbine generator. The plant was operating at 100 percent power at the time, and no safety-related equipment was out of service. A reactor recirculation system flow control valve runback occurred as designed, and the recirculation pumps properly downshifted to slow speed. The main feedwater system responded properly to control reactor water level. The scram signal was initiated by the closure of the main turbine control valves, which was an automatic response to a trip of the main generator. The associated steam pressure increase following turbine valve closure resulted in the actuation of 12 main steam safety-relief valves. A reactor water level 3 signal was received, as expected, following the turbine trip and reactor scram and was promptly restored to the normal reactor water level band. The non-safety related turbine building chillers tripped as a result of the electrical transient caused by the generator trip. One area served by that cooling system is the reactor water cleanup (RWCU) system heat exchanger room. Approximately 20 minutes after the scram, the temperature in that room exceeded the trip setpoint of the area temperature monitors, resulting in the automatic closure of the primary containment isolation valves for the RWCU system.
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

05000373/LER-2017-006Lasalle
LaSalle
17 May 2017
14 July 2017
Low Pressure Core Spray Inoperable due to Minimum Flow Valve Failure in Closed Position
LER 17-006-00 for LaSalle, Unit 1, Regarding Low Pressure Core Spray Inoperable due to Minimum Flow Valve Failure in Closed Position

On May 17, 2017 at 0908 CDT, during Unit 1 full-power operations, operators received an unexpected alarm for the Low Pressure Core Spray (LPCS) pump injection high flow and automatic closure of the LPCS minimum flow valve (1E21-F011). Inspections indicated the flow switch that actively controls the LPCS minimum flow valve had a faulty diaphragm which allowed for water intrusion into the device. There were no impacts on plant operations. The required actions of Technical Specifications 3.5.1, "ECCS - Operating" and TS 3.3.5.1, "Emergency Core Cooling System (ECCS) Instrumentation" were entered. The switch was replaced and LPCS system tested, which allowed full restoration of the system on May 17, 2017 at 18:45 CDT.

This condition could have prevented the LPCS system from performing its design function. This condition is reportable 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 systems that are needed to mitigate the consequences of an accident. There was minimal safety consequences associated with the condition since other emergency safety systems remained operable.

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.

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.

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.

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.

05000285/LER-2017-001Fort Calhoun13 March 2017
11 May 2017
Unprotected Vital Area Barrier Due to Maintenance
LER 17-001-00 for Fort Calhoun Station, Unit 1, Regarding Unprotected Vital Area Barrier Due to Maintenance
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.
05000458/LER-2017-003River Bend10 March 2017
9 May 2017
Manual Reactor Scram Initiated in Response to Increase in Steam Pressure During Steam Leak Troubleshooting
LER 17-003-00 for River Bend Station, Unit 1, Regarding Manual Reactor Scram Initiated in Response to Increase in Steam Pressure During Steam Leak Troubleshooting

On March 10, 2017, at approximately 7:14 a.m. CST, the reactor operator manually actuated a reactor scram in response to an abnormal increase in steam pressure. Reactor power was approximately 15 percent at the time. The turbine generator had been synchronized to the grid at 5:13 a.m. on March 10, and was being closely monitored by engineers and operators since a major modification to the turbine electro-hydraulic control (EHC) system had been installed during the recent refueling outage.

Approximately 45 minutes prior to the manual scram, a main control room alarm actuated indicating a problem with the EHC system.

A few minutes later, it was reported from the turbine building that there was a steam leak in the area of the EHC steam pressure transmitters. Shortly thereafter, reactor pressure began to increase with no demand signal present, at which time the reactor operator initiated the scram. The main feedwater system remained in service, and reactor water level control performed normally as designed. No reactor safety-relief valves actuated. The main turbine bypass valves did not open following the shutdown, and engineering review determined this condition was consistent with the response to the abnormal configuration of the EHC system pressure transmitters created by efforts to isolate the leak locally. Approximately five minutes after the scram, the outboard main steam isolation valves were manually closed to limit the reactor cooldown rate. This event resulted from the incorrect installation of a new compression fitting in the steam pressure instrumentation tubing for the main turbine control system. This event is being reported in accordance with 10 CFR 50.73(a)(2)(iv)(A) as a manual actuation of the reactor protection system.

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.

05000334/LER-2017-001Beaver Valley3 February 2017
18 April 2017
Inadequate Tornado Missile Protection Identified Due to Non-Conforming Design Conditions
LER 17-001-00 for Beaver Valley Power Station, Unit Nos. 1 and 2 Regarding Inadequate Tornado Missile Protection Identified Due to Nonconforming Design Conditions

In order to address the concerns outlined in NRC Regulatory Issue Summary (RIS) 2015-06 "TORNADO MISSILE PROTECTION", an evaluation of tornado missile vulnerabilities and their potential impact on Technical Specification (TS) plant equipment was conducted. This evaluation concluded that the following Structures, Systems, and Components (SSCs) are potentially vulnerable to tornado generated missiles:

The steam discharge flow paths to atmosphere of the Beaver Valley Power Station Unit 1 (BV-1) and Unit 2 (BV-2) Main Steam Safety Valves (MSSVs) (reference TS 3.7.1) are potentially vulnerable to tornado generated missiles.

The steam discharge flow paths to atmosphere of the BV-1 and BV-2 Atmospheric Dump Valves (ADVs) (reference TS 3.7.4) are potentially vulnerable to tornado generated missiles.

On February 23, 2017, the BV-1 and BV-2 TS required MSSVs and ADVs were declared inoperable and Enforcement Guidance Memorandum (EGM) 15-002 Rev 1 "Enforcement Discretion for Tornado-Generated Missile Protection Noncompliance," was applied. Compensatory measures were implemented within the time allowed by the applicable Limiting Condition(s) for Operation and the associated systems were then declared Operable but nonconforming.

The apparent cause of this issue was a lack of clarity during the original design and licensing of the plants that led to inadequate understanding of the tornado missile protection regulatory requirements.

In addition, as part of the evaluation of tornado missile vulnerabilities, two BV-2 tornado missile barrier doors were found to be open. Specifically, Auxiliary Building door (A-35-5A) was found open and Fuel Building door (F-66-3), was found to be partially open. These doors were then closed and latched.

Actions will be taken to establish compliance for the MSSVs and ADVs either by plant modification or by employing a methodology for addressing tornado missile noncompliance for the MSSVs and the ADVs.

These conditions (as applicable) were reported to the NRC on February 23, 2017 in Event Notification (EN) number 52571 under 10 CFR 50.72(b)(3)(ii)(B) and 10 CFR 50.72(b)(3)(v)(A).

05000374/LER-2017-001Lasalle
LaSalle
23 January 2017
24 March 2017
Manual Reactor Scram due to Turbine-Generator Run-Back Caused by Stem-Disc Separation in Stator Water Cooling Heat Exchanger Inlet Valve
LER 17-001-00 for LaSalle County, Unit 2 Regarding Manual Reactor Scram due to Turbine-Generator Run-Back Caused by Stem-Disc Separation in Stator Water Cooling Heat Exchanger Inlet Valve

On January 23, 2017, operators initiated a manual scram of the LaSalle County Station Unit 2 reactor as a result of observing a generator run-back due to a generator stator winding cooling (GC) system malfunction. Initial troubleshooting identified the most likely cause was plugging in the 'A' GC heat exchanger, based on inspection of the GC system flow-path components. The GC system was realigned to the 'B' heat exchanger until inspections could be performed in the upcoming refueling outage, and the unit was re-started on January 24, 2017.

Further inspections of the GC components were performed while the unit was shut down for a planned refueling outage. These inspections determined the cause of the GC system failure was stem-disc separation in the 'A' GC heat exchanger inlet valve. The valve was repaired during the refueling outage.

This event is reportable in accordance with 10 CFR 50.73(a)(2)(iv)(A) as an event or condition that resulted in manual or automatic actuation of the Reactor Protection System (RPS). There were no safety consequences associated with the event since there was no loss of safety function, and the RPS functioned as designed.

05000354/LER-2016-003Hope Creek22 October 2016
8 March 2017
As-Found Values for Safety Relief Valve Lift Set Points Exceed Technical Specification Allowable Limit
LER 16-003-001 for Hope Creek Generating Station Unit 1 Regarding As-Found Values for Safety Relief Valve Lift Set Points Exceed Technical Specification Allowable Limit

On October 22, 2016, Hope Creek Generating Station (HCGS) received results that the 'as-found' set-point tests for safety relief valve (SRV) pilot stage assemblies had exceeded the lift setting tolerance prescribed in Technical Specification (TS) 3.4.2.1. The TS requires the SRV lift settings to be within +/- 3% of the nominal set-point value.

During the twentieth refueling outage (H1R20), all fourteen SRV pilot stage assemblies were removed for testing at an offsite facility. Between October 22 and October 28, 2016, HCGS received the test results for all fourteen of the SRV pilot valve assemblies. A total of ten of the fourteen SRV pilot stage assemblies experienced set-point drift outside of the TS 3.4.2.1 specified values. All of the valves failing to meet the limits were Target Rock Model 7567F two-stage SRVs. This is a condition reportable under 10 CFR 50.73(a)(2)(i)(B) as an Operation or Condition Prohibited by Technical Specifications.

The cause of the set-point drift for the ten SRV pilot stage assemblies is attributed to corrosion bonding between the pilot disc and seating surfaces, which is consistent with industry experience. This conclusion is based on previous cause evaluations and the repetitive nature of this condition at HCGS and within the BWR industry.

05000461/LER-2016-010Clinton14 October 2016
6 March 2017
1 OF 3
LER 16-010-01 for Clinton Power Station, Unit 1 RE: Failure to Complete Technical Specification Required Actions within the Completion Time Resulted in a Condition Prohibited by Technical Specifications

On October 14, 2016, Clinton Power Station (CPS) determined subsequent to the 3rd Quarter NRC Exit Meeting that a condition prohibited by Technical Specification (TS) 3.7.6, "Main Turbine Bypass System," had occurred associated with a failure to complete a TS Required Action within the associated Completion Time.

Specifically, testing of Main Steam Turbine Bypass Valve (TBV) Numbers 4, 5, and 6 was not performed within the required test' interval and the TBVs were appropriately declared inoperable as required by TS Surveillance Requirement.(SR) 3.0.1.

Thermal Limit penalties were applied as required by Limiting Condition for Operation (LCO) 3.7.6. A Surveillance Frequency Change was processed in accordance with TS Program 5.5.16, "Surveillance Frequency Control Program," in June 2016 to change the Frequency for SR 3.7.6.1 from 31 days to 12 months. TBVs 5 and 6 were subsequently declared OPERABLE and the thermal limit penalties removed without performing the required SR 3.7.6.1, contrary to TS SR 3.0.1 Bases.

The apparent cause of this event was determined to be that no specific requirement exists in either plant procedures or industry guidance which prohibits declaring a component or system OPERABLE based solely on an extension of the required surveillance test interval. Corrective actions include testing the valves with an alternate method and completing administrative procedure changes. This event is reportable under 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by TS.

05000247/LER-2016-002Indian Point7 March 2016
28 February 2017
Automatic Actuation of Emergency Diesel Generators (EDGs) Due to 480 VAC Bus Undervoltage Condition and Loss of Residual Heat Removal (RHR) While in Cold Shutdown
LER 16-002-01 for Indian Point, Unit 2 Regarding Automatic Actuation of Emergency Diesel Generators (EDGs) Due to 480 VAC Bus Undervoltage Condition and Loss of Residual Heat Removal (RHR) While in Cold Shutdown

On March 7, 2016, while performing set-up activities for 2-PT-R084C, "23 EDG 8 Hour Load Test," the normal supply breaker to 480 Volt AC Bus (ED) 3A tripped on overcurrent. This caused 480 Volt AC Buses 3A and 6A to de-energize since, as part of the test set-up activities, the tie breaker (3AT6A) between Buses 3A and 6A was closed and the normal supply breaker for Bus 6A was opened. This resulted in a loss of both 21 and 22 Residual Heat Removal (RHR) (BP) pumps. As 'designed, all Emergency Diesel Generators (EDGs) (EK) received automatic initiation signals to start. All required 480 Volt AC buses automatically re-energized by design, with the exception of Bus 3A, which had an overcurrent lockout. Operators manually started 22 RHR pump to restore RHR cooling.

However, prior to restoring the normal supply power to Bus 3A, 23 EDG tripped on overcurrent which resulted in a second loss of RIM event. The cause for the Bus 3A supply breaker tripping was inadequate procedural guidance resulting in excessive loads being energized on Buses 3A and 6A. The direct cause for 23 EDG tripping was cracked solder joints on the automatic voltage regulator (AVR). Corrective actions included revising 2-PT-R084C and replacing the voltage regulator. The event had no effect on public health and safety.

05000348/LER-2016-005Farley1 November 2016
28 December 2016
Toxic Gas Event
LER 16-005-00 for Joseph M. Farley Nuclear Plant, Unit 1, Regarding Toxic Gas Event

On 11/1/2016 at 1743, Farley declared an Alert based on ammonia levels on the radiation side of the Auxiliary Building in the Recycle Evaporator room. The declaration was based on toxic gas emergency action level (EAL) HA3 which states, "Release of toxic, asphyxiant, or flammable gases within or contiguous to a VITAL AREA which jeopardizes operation of systems required to maintain safe operations or establish or maintain safe shutdown." The source was identified as a failed valve in Auxiliary Steam supply to the Recycle Evaporator system, which had previously been abandoned in place. The ammonia leak was subsequently isolated. Ammonia levels were reduced and the event was terminated at 2340 on 11/1/2016. The failure was determined to be due to ammonia- copper interaction in the brass valve material.

This report is being submitted under 10 CFR 50.73(a)(2)(x) for an event that hampered site personnel in performance of duties necessary for operation of the power plant due to a toxic gas release.

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).
05000281/LER-2016-001Surry9 October 2016
2 December 2016
Unit 2 Reactor Trip due to Generator Differential Lockout
LER 16-001-00 for Surry Power Station, Unit 2, Regarding Reactor Trip Due to Generator Differential Lockout

On October 9, 2016 at 0254 hours, with Unit 1 and Unit 2 at 100 percent power, Unit 2 experienced an automatic reactor trip initiated by a turbine trip due to generator differential lockout relay actuation. At the time of the trip, high wind and heavy rain conditions existed due to the effects of Hurricane Matthew. All three auxiliary feedwater pumps automatically started on low-low steam generator water level as expected. All plant systems functioned as required, and Unit 2 was stabilized at hot shutdown. The trip response was not affected by any previously inoperable systems, structures, or components.

The direct cause of the generator differential lockout was an electrical ground overcurrent initiated by water accumulation in the "A" phase of the "A" station service transformer leads termination enclosure. Affected electrical enclosures were drained, the system was tested, and modifications to the enclosures to prevent recurrence of water intrusion were completed prior to returning Unit 2 to power operation on October 13, 2016.

This report is being submitted pursuant to 10CFR50.73(a)(2)(iv)(A) as an event that resulted in the automatic actuation of the Reactor Protection System' and the Auxiliary Feedwater System.

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.

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.

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.