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05000416/LER-2017-007Grand Gulf12 December 2017Engineered Safety Feature System Actuations due to the loss 01 Engineered Safety Features Transformer 11

At approximately 0918 hours on Tuesday, December 12, 2017, while operating in MODE 1 at approximately 18 percent power, the Grand Gulf Nuclear Station (GGNS) experienced a loss of the Engineered Safety Features (ESF) Transformer 11 which was powering the Division 1 ESF bus. Subsequently, the station experienced an automatic start of the Division 1 Emergency Diesel Generator and the partial isolation of the primary and secondary containment buildings. Both of these events were expectedand as designed. The direct cause of ESF actuations was the loss of ESF Transformer 11. The cause of the transformer loss is under investigation at this time and this licensee event , report will supplemented upon completion of GGNS's causal analysis.

Additionally, GGNS experiented an unrelated isolation of the Reactor Core Isolation Cooling System upon restoration of power. The isolation of the Reactor Core Isolatigh Cooling System did not result in a loss of safety function. The cause of this isolation is under investigation and will be documented in accordance with the.GGNS corrective action program.

This event is reportable to the NRC in accordanCe with 10 CFR 50.72(b)(3)(iv) and 10 CFR 50.73(a)(2)(iv)(A) as an event or condition resulting in a valid actuation of a ESF system.

Grand Gulf Nuclear Station, Unit 1 05000 416 .

NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0104 EXPIRES: 3/3112020 (4-2017) Reported lessons learned are incorporated into the licensing process and fed back to industry. Send comments regarding burden estimate to the Information Services Branch (T-2 so RkG,„ LICENSEE EVENT REPORT (LER)

  • r F43), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to y n4 CONTINUATION SHEET Infocollects.Resource@nrc.gov: and to the Desk Officer: Office of Information and .i: Regulatory Affairs, NEOB-10202. (3150-0104). Office of Management and Budoet, Washington, DC 20503: If a means used to impose an information collection does not c's, T
  • (See NUREG-1022, R.3 for instruction and guidance for completing this form display a currently valid OMB control number, the NRC may not conduct or sponsor. and a N*,......0, htto://vAmnrc.00virP-adiriq-rmidoc-collectionsinureosistaff/sr1022/r3A . person is not required to respond to, the information collection.

DESCRIPTION

At approximately 0918 hours on Tuesday, December 12, 2017, while operating in MODE 1 at approximately 18 percent power, the Grand Gulf Nuclear Station (GGNS) experienced a loss of the Engineered Safety Features (ESF) Transformer 11 (EB) which was powering the Division 1 ESF bus (EA): The transformer experienced an instantaneous ground resulting in a transformer lockout and loss of power to the ESF bus. Subsequently, the station experienced an automatic start of the Division 1 Emergency Diesel Generator (EK) and the partial isolation of the primary and secondary containment buildings. Both of the system actuations were expected responses to a loss of ESF bus and both systems responded as designed. The direct cause of ESF actuations was the loss of ESF Transformer 11.

Additionally, GGNS experienced an unrelated isolation of the Reactor Core Isolation Cooling System (BN) upon restoration of power. The' isolation of the. Reactor Core Isolation Cooling System did not result in a loss of safety function. The cause of this isolation is under investigation and will be documented in accordance with the GGNS corrective action program.

REPORTABI LITY

This event is reportable to the NRC in accordance with 10 CFR 50.72(b)(3)(iv)(A) and 10 CFR 50.73(a)(2)(iv)(A) as an event or condition resulting in a valid actuation of a ESF system.

The 10 CFR 50.72 reporting requirements were met with the completion of Emergency Notification System (ENS) Notificatibn 53115, at 1740 hpurs eastern standard time on December 12, 2017.

CAUSE

Direct Cause:

The direct cause of the ESF actuation was the loss of ESF Transformer 11 and the opening of the transformer feeder breaker due to an instantaneous ground.

Apparent Cause:

The most probable cause is a ground on one of the feeder cables to ESF Transformer 11.

However, the investigation and causal analysis is ongoing at this time and this licensee event report will be supplemented upon completion of the GGNS causal analysis.

NRC FORM

(6-2016) 366A U.S. NUCLEAR. REGULATORY COMMISSION LICENSEE. EVENT REPORT (LER)

  • CONTINUATION 'SHEET (See NUREG-1022, R.3 for instruction and guidance for completing this form htto://www.nrc.coWreadino-rm/doc-collectionsinureos/staff/sr1022/r3/) APPROVED BY OMB: NO. 3150-0104 EXPIRES: 3/3112020 Reported lessons learned are incorporated into the licensing process and fed back to industry. Send comments regarding burden estimate to the Information Services Branch (T-2 F43), U.S. Nuclear Regulatory Commission, Washington. DC 20555-0001, or by e-mail to Infoccillects.Resource@nrc.gov, and to the Desk Officer. Office of Information and Regulatory Affairs, NEOB-10202, (3150-0104), Office of Management and Budget, Washington. DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number. the NRC may not conduct or sponsor. and a person is not required to respond to, the information collection.

2. DOCKET 3. LER NUMBER 05000.416

CORRECTIVE ACTIONS

Spare Essential Transformer 21 was placed into service and normal power was restored.

The investigation and causal analysis is ongoing and this licensee event report will be supplemented upon completion of GGNS's causal analysis. The planned corrective actions will be included in the corrective action program and may be changed in accordance with the program.

  • .":

SAFETY SIGNIFICANCE

There were no nuclear safety consequences or radiological consequences as a result of this event.

No Technical Specification Safety Limits were violated. Upon the loss of Engineered Safety Feature Transformer 11 all required accident mitigation ESF components responded as designed.

The isolation of the Reactor Core Isolation Cooling System, although unexpected, did not adversely impact the plant's ability to respond to the event.

PREVIOUSLY SIMILAR EVENTS

Protective Relaying Circuitry on the "B" Main Transformer Transformer Wiring Entergy has reviewed the events listed in the licensee event reports (LER) documented above to determine if the corrective actions should have prevented the event documented in this LER.

Based on a preliminary evaluation it has been concluded the established corrective actions would not have prevent this event.

Entergy's investigation into the cause of this event and the development of corrective actions to preclude recurrence are ongoing. This section will be supplemented at the conclusion of this effort.

05000395/LER-2017-003Summer
Vc Summer - Unit 1
28 August 2017
26 October 2017
FAILED LIGHTNING ARRESTER ON MAIN TRANSFORMER CAUSES REACTOR TRIP
LER 17-003-00 For Virgil C. Summer Nuclear Station, Unit 1, Regarding Failed Lightning Arrester On Main Transformer Causes Reactor Trip

On August 28, 2017, at 0837, VCSNS Unit 1 automatically tripped due to a turbine trip. The turbine trip was caused by the Main Generator Differential Lockout due to a fault on the center phase, 230 kV lightning arrester, on the Main Transformer (XTF-1).

The plant trip response was normal. All control rods fully inserted. Balance of Plant (BOP) buses automatically transferred to their alternate power source, Emergency Auxiliary Transformers (XTF-31/32). Both Motor Driven (MD) Emergency Feedwater (EF) pumps and the Turbine Driven EF Pump started as designed.

The cause of this event was the failure of the center phase lightning arrester on XTF-1. The failed arrester, along with the other two lightning arresters that were in service on XTF-1 during the reactor trip, was replaced. The lightning arresters were sent to an independent lab, NEETRAC - Georgia Tech, for testing and evaluation.

The examination results indicate that the most probable cause of the arrester failure was an internal flashover of the metal oxide varistor blocks. The cause of the internal flashover is likely moisture ingress from the upper end seal.

05000382/LER-2017-002Waterford
Waterford Steam Electric Station, Unit 3
17 July 2017
18 September 2017
Automatic Reactor Scram due to the Failure of Fast Bus Transfer Relays to Automatically Transfer Station Loads to Off- Site Power on a Main Generator Trip
LER 17-002-00 for Waterford, Unit 3, Regarding Automatic Reactor Scram due to the Failure of Fast Bus Transfer Relays to Automatically Transfer Station Loads to Off-Site Power on a Main Generator Trip

On July 17, 2017, at 1606 CDT, Waterford 3 experienced an automatic reactor scram due to a loss of forced circulation, which was the result of a loss of off-site power to the safety and non-safety electrical busses. Prior to the scram, plant operators manually tripped the main turbine and generator due to overheating of the isophase bus duct due to the failure of a shunt assembly connection in the duct to Main Transformer 'B'. The automatic electrical bus transfer did not occur due to relay failures in the fast dead bus transfer system. Both 'A' and 'B' Emergency Diesel Generators started and loaded as designed to re-energize the 'A' and 'B' safety busses. The loss of off-site power caused a loss of both Main Feedwater pumps, resulting in an automatic actuation of the Emergency Feedwater system.

The Root Cause of this event was the design change procedure used for modifications to the fast dead bus transfer circuitry did not include guidance to detect the susceptibility of the relays to DC coil inductive kick. The faulty relays in the fast bus transfer circuit were replaced prior to plant startup.

An Unusual Event was declared at 1617 CDT due to loss of off-site power to safety buses for >15 minutes.

All required safety-related equipment responded as expected during this event.

05000373/LER-2017-003Lasalle
LaSalle
13 February 2017
14 April 2017
Automatic Reactor Scram due to Main Generator Trip on Differential Current During Back-Feed Operations
LER 17-003-00 for LaSalle County Station, Unit 1, Regarding Automatic Reactor Scram due to Main Generator Trip on Differential Current During Back-Feed Operations

On February 13, 2017, LaSalle County Station Unit 1 was in Mode 1 at 100 percent power and Unit 2 shut down for a planned refueling outage. At 2309 CST, a reactor scram signal was received on Unit 1 due to turbine control valves fast closure while the station was aligning back-feed operation to the Unit 2 main power transformer (MPT). The Unit 1 turbine trip was due to the main generator trip on differential current. The plant was placed in a stable condition with reactor pressure maintained by the turbine bypass valves and reactor water level controlled using feedwater. Unit 2 was unaffected by the event.

The root cause of the Unit 1 trip on differential current was a marginal generator differential relay design that was prone to responding to faults outside its zone of protection. Both units' 345 kV ring buses were connected together through the cross-tie bus, which allowed the Unit 1 generator to supply some of the electrical current that resulted in its differential circuit to create an unbalanced current that actuated the differential relay.

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), including reactor scram. There were no safety consequences associated with the event since RPS and other emergency safety systems functioned as designed.

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.

05000286/LER-2015-004Indian Point9 May 2015
14 September 2016
Automatic Reactor Trip Due to a Turbine-Generator Trip Caused by a Failure of the 31 Main Transformer
LER 15-004-01 for Indian Point Unit No. 3 Regarding Automatic Reactor Trip Due to a Turbine-Generator Trip Caused by a Failure of the 31 Main Transformer

On May 9, 2015, an automatic reactor trip (RT) occurred due to a Turbine-Generator trip as a result of a failure of the 31 Main Transformer (MT). 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 condenser. There was no radiation release. The emergency diesel generators did not start as offsite power remained available. The auxiliary feedwater system actuated as-expected due to steam generator low level from shrink effects. Control room operators received alarms on the fire detection panel of the activation of the 31 MT and curtain wall deluge valves. Report to operators that there was an explosion and fire on the 31 MT. The plant fire brigade responded to the fire. The 31 MT had failed. Due to collateral influence from the 31 MT failure, the deluge system for the 32 MT and Unit Auxiliary transformer had also activated. In accordance with the emergency plan a Notice of Unusual Event (NUE) was declared at 1801 hours, which was terminated at 21:04 hours. The direct cause was an internal fault of the A Phase high voltage winding in the upper portion of the transformer.

The root cause was vendor design/manufacturing deficiency that caused an internal failure that resulted in a fault on the A phase HV side of the transformer and the A phase HV voltage bushing. Key corrective actions included replacement of the 31 MT with a spare transformer, associated acceptance testing, repair of the isophase bus ducting for the 31 MT, inspections, cleaning, testing of the 32 MT, the Unit Auxiliary Transformer, high voltage components, isophase buses and main generator. A 4-year PM was prepared to perform Partial Discharge testing on the Unit 2, and Unit 3 MTs, Unit 2 and Unit 3 Auxiliary Transformers and the Unit 3 GT Auto Transformer The event had no significant effect on public health and safety.

FACILITY NAME (1) DOCKET (2) LER NUMBER (6) PAGE (3)

05000286/LER-2015-005Indian Point15 June 2015
14 September 2016
Automatic Reactor Trip Due to a Turbine-Generator Trip Caused by the Trip of 345kV Main Generator Output Breaker 3 due to a Failure of South Ring Bus 345kV Breaker 5
LER 15-005-01 for Indian Point 3 RE: Automatic Reactor Trip Due to a Turbine-Generator Trip Caused by the Trip of 345kV Main Generator output Breaker 3 due to a Failure of South Ring Bus 345kV Breaker 5
On June 15, 2015, an automatic reactor trip (RT) occurred due to a Main Turbine-Generator trip as a result of a direct generator trip from the Buchanan switchyard. 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 condenser. There was no radiation release. The emergency diesel generators did not start as offsite power remained available. The auxiliary feedwater system actuated as expected due to steam generator low level from shrink effect. Prior to the RT, Con Edison requested that Main Generator Output breaker 1 be opened to support removing 345kV feeder W97 from service for removal of a Mylar balloon on a 345kV conductor at the Millwood substation. After breaker 1 was opened, Main Generator Output breaker 3 opened initiating a direct generator trip signal due to a fault in South Ring Bus breaker 5. Direct cause of the RT was failure of 345kV breaker 5 due to an internal fault which activated protective relays that opened the remaining Main Generator Output breaker 3 which initiated a trip sequence that resulted in a RT. The root cause was Indian Point Energy Center did not provide formal notification of industry operating experience (OE) to Con Edison owner of breaker 5. The specific OE pertained to ITE Type GA breakers. Corrective actions include replacement of breaker 5. Procedure EN-0E-100 (OE Program) was revised to add a section describing how to initiate formal notification to external groups when OE related to components they own and/or control can affect generation. A new site procedure was issued (SMM-LI-126) to formalize the site process for notifying external groups of OE that can affect generation. The event had no effect on public health and safety.
05000416/LER-2016-002Grand Gulf29 March 2016Automatic Actuation of the Reactor Protection System due to 'B' Main Transformer Wiring

On March 29, 2016, at 1123 Central Daylight Time, Grand Gulf Nuclear Station was operating in Mode 1 and ascending in power at approximately 37% when an unplanned uncomplicated automatic reactor SCRAM occurred. A generator lockout was received due to a Main Transformer 'B' Differential Relay Trip which was followed by a turbine control valve fast closure, turbine trip, and reactor SCRAM. The Reactor Protection System and all other safety systems functioned as designed. The cause of the Main Transformer 'B' Differential Relay Trip was identified during forced outage investigation of the 'B' Main Transformer control cabinet. The high voltage current transformer wiring was incorrectly landed at the X1/X2 terminals instead of the X1/X3 terminals. This wiring configuration resulted in a turns ratio of 1000:5 instead of the designed 2200:5, causing relay actuation at a point lower than designed. The erroneous wiring configuration was corrected and all remaining wiring for the 'A', '6', and 'C' Main Transformer wiring was verified correct prior to startup from the forced outage. This event posed no threat to public health and safety.

APPROVED BY OMB: NO. 3150-0104 EXPIRES: 10/31/2018 Reported lessons learned are incorporated into the licensing process and fed back to industry. Send comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0104), Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may collection.

366A U.S. NUCLEAR REGULATORY COMMISSION

CONTINUATION SHEET

2. DOCKET 3. LER NUMBER 05000 416

PLANT CONDITIONS PRIOR TO THE EVENT

At the time of the event, Grand Gulf Nuclear Station (GGNS) Unit 1 was in Mode 1 and ascending in power at approximately 37% rated thermal power. All systems, structures and components that were necessary to mitigate, reduce the consequences of, or limit the safety implications of the event were available. No safety significant components were out of service.

DESCRIPTION

On March 29, 2016, Grand Gulf Nuclear Station (GGNS) was ascending in power for the unit startup following Refueling Outage 20 (RF 20). As reactor power reached approximately 37% rated thermal power, a generator lockout was received followed by a turbine control valve fast closure and turbine trip which resulted in an uncomplicated automatic reactor SCRAM. The generator lockout was the result of the Main Transformer 'B' Differential Relay Trip. The reactor protection system (RPS) (JC) and all safety systems functioned as designed and expected.

During the investigation, it was discovered inside the 'B' Main Transformer control cabinet that the high voltage current transformer (CT) (XCT) turns ratio wiring was incorrect. The CT wiring was connected in a manner that produced a turns ratio of 1000:5 versus the designed 2200:5. Due to this erroneous configuration the CT trip setpoint was lower than designed. Therefore, the CT and current differential relay actuation was not an equipment failure but an actual sensed actuation based on an incorrect wiring scheme. Work orders that involved working inside this panel during RF 20 were reviewed to determine when the wiring was altered. No work on CT wiring found incorrectly landed was intended to be performed during RF 20. Current Transformer ratio wiring work was not within the scope of the transformer rewiring project carried out during RF20. The most likely time the wiring was incorrectly removed and re-landed would have been during the post modification testing which was performed under a work order at the conclusion of the wiring project.

REPORTABILITY

This Licensee Event Report (LER) is being submitted pursuant to Title 10 Code of Federal Regulations (10 CFR) 50.73(a)(2)(iv)(A) for an automatic actuation of the RPS.

Telephonic notification was made to the U.S. Nuclear Regulatory Commission (NRC) Emergency Notification System on March 29, 2016, within 4 hours of the event pursuant to 10 CFR 50.72(b)(2)(iv)(B) and 10 CFR 50.72 (b)(3)(iv)(A) for a valid RPS actuation while the reactor was critical.

APPROVED BY OMB: NO. 3150-0104 - EXPIRES: 10/31/2018 Reported lessons learned are incorporated into the licensing process and fed back to industry. Send comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0104), Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may collection.

NRC FORM

366A U.S. NUCLEAR REGULATORY COMMISSION

CONTINUATION SHEET

CAUSE

2. DOCKET 3. LER NUMBER 05000 416 Direct Cause: The 'B' Main Transformer X21 CT wiring was incorrectly landed at X1/X2 terminals instead of the X1/X3 terminals. This changed the ratio of the 'B' Main Transformer Current Differential Relay from the designed 2200:5 to 1000:5, which resulted in a lower trip setting than designed for the 'B' Main Transformer Differential Overcurrent trip.

Cause 1: Vague or inadequate work instructions provided in the testing and troubleshooting work package.

Cause 2: Insufficient testing following completion of all work.

CORRECTIVE ACTIONS

The immediate corrective action was to correct the 'B' Main Transformer CT wiring and verify all other wiring in the 'A', 'B', and 'C' Main Transformer control cabinets was correct. No other issues with wiring was identified during this verification.

Two corrective actions to prevent reoccurrence were identified:

1. Revise procedure(s) to require lifted lead sheet use (or similar table with performer and verifier signatures) in all work instructions where wiring determinations and/or re-terminations are performed at GGNS.

2. Revise the Post Maintenance Testing procedure to include clear guidance from SOER 10-01 (as delineated in the Post Modification Testing and Special Instructions procedure) for transformer work.

SAFETY SIGNIFICANCE

The event posed no threat to the health and safety of the general public or to nuclear safety as RPS performed as designed. All safety systems responded as expected and Operator actions were in accordance with GGNS procedures. No Technical Specification safety limits were challenged or violated. Industrial safety was not challenged, and there was no potential or actual radiological release during the event.

PREVIOUS SIMILAR EVENTS

The Main Transformers were installed in April 2012 to support Extended Power Uprate (EPU). Since the installation, there have been three RPS SCRAMs on main turbine trips associated with CTs prior to this event. These are documented in LER-2012-008-00, LER-2013-01-00, and LER-2015-001-00.

APPROVED BY OMB: NO. 3150-0104 EXPIRES: 10/31/2018 Reported lessons learned are incorporated into the licensing process and fed back to industry. Send comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0104), Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may collection.

NRC FORM

366A U.S. NUCLEAR REGULATORY COMMISSION

CONTINUATION SHEET

2. DOCKET 3. LER NUMBER 05000 416 The cause of LER-2015-001-00 was not similar to the event being reported, and the corrective actions would not have prevented the March 29, 2016 reactor SCRAM.

The cause of LER-2012-008-00 and LER-2013-001-00 was inadequate workmanship and work instructions that did not specify the minimum cold clearance of 0.5 inch between the CT and the micarta plate bolts during installation. The corrective actions addressed revising procedures, testing notes, work instructions, and drawings to ensure the minimum 0.5 inch cold clearance is maintained. Although these two events were attributed to inadequate work instruction, the corrective actions would not have prevented the March 29, 2016 reactor SCRAM.

05000483/LER-2015-003Callaway21 January 2016Reactor Trip Caused by Transmission Line Fault
LER 15-003-01 for Callaway, Unit 1, Regarding Reactor Trip Caused by Transmission Line Fault

On August 11, 2015, at 01:39 Callaway plant tripped from 100% power due to an incorrect, automatic response to a transmission line fault on the Montgomery-Callaway 8 line by transformer bus differential relaying. This resulted in Reactor Protection System (RPS) and Auxiliary Feedwater System actuations. The plant response to the trip was as expected except for a problem encountered with Auxiliary Feedwater flow control valve ALHV0007 subsequent to the plant trip.

This event was caused by the inadvertent inclusion of jumpers in the current transformer (CT) circuits of the main transformers that were installed as part of Main Transformer Replacement Modification 09-0044 implemented in Refuel 19. Following the event, the inadvertently placed CT jumpers were removed and the plant was successfully restarted.

I The root cause of the incorrect main transformer CT wiring was that a drawing originally depicting the wiring configuration was not revised properly when it was converted from a generic Standardized Nuclear Unit Power Plant System (SNUPPS) I drawing (E-03MA02) to a Callaway-specific drawing (E-23MA02) in the 1983 timeframe. This eventually resulted in design I and testing errors during modification development.

Corrective actions include additional design, testing and job reviews, as well as reviews of similar drawings to identify and correct missing information.

05000483/LER-2015-004, Auxiliary Feedwater Control Valve Inoperable Due To Faulty Electronic Positioner CardCallaway11 August 2015Auxiliary Feedwater Control Valve Inoperable Due To Faulty Electronic Positioner Card

Between 11/18/2014 and 12/3/2014, the 'B' MDAFW train was inoperable due to an improperly functioning positioner card installed on the control valve in the AFW flow path to the 'D' steam generator, i.e., valve ALHV0005. The 'A' MDAFW train and the TDAFW train were inoperable for short durations at different times between 11/18/2014 and 12/3/2014, although neither of those redundant trains was inoperable at the same time. During the short windows of TDAFW unavailability, only a single MDAFW train was operable, resulting in a loss of safety function.

On 08/11/2015, an unexpected turbine trip / reactor trip occurred due to a latent design error in the current transformer (CT) wiring for the main transformers. The reactor trip was reported to the NRC in Event Notification 51308. While responding to the reactor trip, the 'B' train motor-driven auxiliary feedwater (MDAFW) flow control valve in the auxiliary feedwater (AFW) flow path to the `A' steam generator, i.e., valve ALHV0007, could not be manipulated from the main control room. It was determined that ALHV0007 would have performed its specified safety function; however, during the extent of condition review, it was determined that ALHV0005 was inoperable from 11/18/2014 until 12/3/2014. The 72-hour Completion Time of Condition C of Technical Specification 3.7.5 was exceeded from 11/18/2014 until a new positioner card was installed on ALHV0005 on 12/3/2014.

The direct cause of the ALHV0005 failure was a failure of a bridge rectifier on the valve's electronic positioner circuit card. This type of positioner card was also installed on ALHV0007. The root cause of the card failures was determined to be a vendor design deficiency. The defective positioner cards have been replaced and measures have been taken to remove defective spares from future plant use.

05000483/LER-2015-004Callaway11 August 2015Auxiliary Feedwater Control Valve Inoperable Due To Faulty Electronic Positioner Card

Between 11/18/2014 and 12/3/2014, the 'B' MDAFW train was inoperable due to an improperly functioning positioner card installed on the control valve in the AFW flow path to the 'D' steam generator, i.e., valve ALHV0005. The 'A' MDAFW train and the TDAFW train were inoperable for short durations at different times between 11/18/2014 and 12/3/2014, although neither of those redundant trains was inoperable at the same time. During the short windows of TDAFW unavailability, only a single MDAFW train was operable, resulting in a loss of safety function.

On 08/11/2015, an unexpected turbine trip / reactor trip occurred due to a latent design error in the current transformer (CT) wiring for the main transformers. The reactor trip was reported to the NRC in Event Notification 51308. While responding to the reactor trip, the 'B' train motor-driven auxiliary feedwater (MDAFW) flow control valve in the auxiliary feedwater (AFW) flow path to the `A' steam generator, i.e., valve ALHV0007, could not be manipulated from the main control room. It was determined that ALHV0007 would have performed its specified safety function; however, during the extent of condition review, it was determined that ALHV0005 was inoperable from 11/18/2014 until 12/3/2014. The 72-hour Completion Time of Condition C of Technical Specification 3.7.5 was exceeded from 11/18/2014 until a new positioner card was installed on ALHV0005 on 12/3/2014.

The direct cause of the ALHV0005 failure was a failure of a bridge rectifier on the valve's electronic positioner circuit card. This type of positioner card was also installed on ALHV0007. The root cause of the card failures was determined to be a vendor design deficiency. The defective positioner cards have been replaced and measures have been taken to remove defective spares from future plant use.

05000483/LER-2015-003, Reactor Trip Caused by Transmission Line FaultCallaway11 August 2015Reactor Trip Caused by Transmission Line Fault

On August 11, 2015, at 01:39 Callaway plant tripped from 100% power due to an incorrect, automatic response to a transmission line fault on the Montgomery-Callaway 8 line by transformer bus differential relaying. This resulted in Reactor Protection System (RPS) and Auxiliary Feedwater System actuations. The plant response to the trip was as expected except for a problem encountered with Auxiliary Feedwater flow control valve ALHV0007 subsequent to the plant trip.

This event was caused by the inadvertent inclusion of jumpers in the current transformer (CT) circuits of the main transformers that were installed as part of Main Transformer Replacement Modification 09-0044 implemented in Refuel 19. Following the event, the inadvertently placed CT jumpers were removed and the plant was successfully restarted.

The preliminary root cause of the incorrect main transformer CT wiring was failure to revise drawing E-23MA02, "Generation System - Three Line Metering & Relaying Diagram," which was missing information on connections to switchyard protective relays and included jumpers that were not supposed to be installed. Post-modification testing performed by System Relay Services did not detect the improper jumpers.

Corrective actions include additional design, testing and job reviews, as well as reviews of similar drawings to identify and correct missing information.

05000416/LER-2015-001Grand Gulf7 February 20151 of 5On Saturday, February 7, 2015, at 1856 hours Central Standard Time, with the plant at 100 percent thermal power, Grand Gulf Nuclear Station experienced an automatic actuation of the reactor protection system (RPS) and subsequent reactor SCRAM. The "B" main transformer differential trip caused a generator lockout. The generator lockout was followed by a turbine control valve fast closure (RPS SCRAM signal), turbine trip and reactor SCRAM. All control rods fully inserted and safety systems operated as designed. Eleven safety relief valves (SRVs) lifted to control pressure. Feedwater was manually secured to transfer to the startup level control mode. There were no emergency core cooling systems (ECCS) actuations required or initiated in response to this SCRAM. Turbine bypass valves opened to stabilize pressure causing reactor water level to fluctuate. Residual heat removal (RHR) group 2 and 3 containment isolation signals were received on low level 3. A hard ground was discovered on the non-safety protective circuitry between the current transformer and control cabinet on "B" main transformer. The faulted cables and other similar cables were determinated and alternate wiring and conduit was installed before placing the transformers back into service. The event posed no threat to public health and safety.
05000293/LER-2015-001Pilgrim27 January 2015Loss of 345KV Power Resulting in Automatic Reactor Scram During Winter Storm Juno

On Tuesday January 27, 2015, at 0402 hours, while in the process of lowering reactor power, with the reactor in the RUN mode at 52 percent core thermal power, Pilgrim Nuclear Power Station (PNPS) experienced a loss of 345KV power resulting in a load reject and an automatic reactor scram. The loss of 345KV power was due to faults from flashovers in the PNPS switchyard. All control rods fully inserted.

The Emergency Diesel Generators had been previously started and were powering safety-related buses A5 and A6. The plant stabilized in Hot Shutdown. At the time of the event a significant winter storm (Juno) was buffeting Southern New England.

The root cause of the event is that the design of the PNPS switchyard does not prevent flashover when impacted by certain weather conditions experienced during severe winter storms. A modification of the switchyard is planned to address the susceptibility of the PNPS switchyard to flashovers during severe winter storms.

This event posed no threat to public health and safety.

05000334/LER-2014-002Beaver Valley6 January 2014Beaver Valley Unit 1 Turbine Driven Auxiliary Feedwater Pump Governor Oscillations Result in Pump Trip

On January 6, 2014, the Beaver Valley Power Station (BVPS) Unit 1 tripped from full power due to a main transformer differential protection main unit generator trip as a result of a main unit transformer failure. All three Auxiliary Feedwater (AFW) pumps automatically started, as expected, due to lowering steam generator levels. The Turbine Driven Auxiliary Feedwater (TDAFW) pump ran for 1 hour and 49 minutes at which time the pump tripped due to governor oscillations. The TDAFW pump was declared inoperable. Subsequent investigation determined that the governor oscillations were due to a misadjusted governor needle valve that was last set during refueling outage 1R22 in October, 2013. Therefore the pump was inoperable from the time Mode 3 was entered on November 1, 2013 at 1006 hours. Technical Specifications (TS) require three trains of AFW to be operable in Modes 1 through 3. Entry into Mode 3 and operation with an inoperable pump, for longer than permitted by the TS, constitute conditions prohibited by TS. During this time each of the Motor Driven AFW pumps were rendered inoperable, separately, for maintenance and/or testing. This constitutes a condition that could have prevented the fulfillment of a Safety Function. The governor has been properly adjusted and the appropriate procedures will be revised.

This event is being reported under 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by Technical Specifications and under 10 CFR 50.73(a)(2)(v)(B) as a condition that could have prevented the fulfillment of a Safety Function - Remove Residual Heat.

05000334/LER-2013-003Beaver Valley5 November 2013Beaver Valley Unit 1 Turbine Trip and Subse uent Manual Reactor Trip due to 4KV Cable Fault

On November 5, 2013 at 1747 hours, Beaver Valley Power Station (BVPS) Unit 1 was operating at 47 percent power after the 1R22 Refueling Outage. The Unit 1 Control Room received multiple unexpected alarms. The Turbine/Generator tripped due to Unit Station Service Transformer (USST) "BV-TR-1C" differential protection relay actuation. This transformer was energized but not in service at the time. The reactor operator manually tripped the reactor due to multiple unexpected alarms. An automatic reactor trip signal was not generated due.to the fact that the reactor was operating at a power level less than the turbine trip - reactor trip setpoint of 49 percent power. The Steam Driven Auxiliary Feedwater (AFW) pump automatically started due to low level in the "C" Steam Generator. The "B" Motor Driven AFW pump was manually started to assist in maintaining steam generator levels. An Unusual Event was turbine building mezzanine. The cause of this event was determined to be a fault in the "B" 4KV bus supply cables from BV-TR-1C that resulted in an arc flash and subsequent fire. Corrective actions include planned replacement of the faulted supply cables and inspections of the remaining Unit 1 and Unit 2 4KV bus supply cables for signs of degradation and aging.

This event is being reported under 10 CFR 50.73(a)(2)(iv)(A) as a condition that resulted in the valid manual and automatic actuation of systems listed in (a)(2)(iv)(B) - (1) manual Reactor trip, (6) manual and automatic Auxiliary Feedwater pump start. A 10 CFR 50.72 notification was made at 1927 hours on November 5, 2013 to report entry into an Unusual Event, RPS Actuation and a Specified System, Auxiliary Feedwater actuation (EN 49505).

05000293/LER-2013-009Pilgrim14 October 2013Loss of Offsite Power and Reactor Scram

On Monday October 14, 2013 at 2121 hours (EDT), with the reactor critical at 100% core thermal power, the mode switch in RUN, and offsite power 345KV Line 342 out of service for a scheduled upgrade, a loss of offsite power (LOOP) occurred due to the loss of the second 345KV Line 355. All control rods fully inserted, main steam isolation valves closed on the loss of power to the reactor protection system, and the emergency diesel generators automatically started supplying power to both 4160V safety buses. Following the scram, reactor water level lowered to +12 inches initiating the Primary Containment Isolation System (Group II, Reactor Building Isolation System (RBIS); and Group VI - Reactor Water Cleanup System) automatically per design. A plant cool down commenced with reactor water level being maintained in the normal post-scram band of +12 inches to +45 inches utilizing the High Pressure Coolant Injection (HPCI) and Reactor Core Isolation Cooling (RCIC) systems.

The cause of Line 355 loss was due to a failure of an offsite substation tower support. The offsite tower was repaired and Line 355 was energized at 2023 hours on October 15, 2013.

These events posed no threat to public health and safety.

05000338/LER-2013-002North Anna11 October 2013Automatic Reactor Trip Following Actuation of the 1C Station Service Transformer Lockout Relay

On October 11, 2013, at 1319 hours with Unit 1 operating at 48 percent power (Mode 1), an automatic turbine trip and subsequent reactor trip occurred due to a lockout relay actuation for the 1C Station Service Transformer (1-EP-SST-1C). The lockout occurred simultaneously with the start of the 1C Condensate Pump (1-CN-P-1C). The direct cause of the 1-EP-SST-1C lockout is that current transformer terminal block shorting screws were left installed inside the 1- EP-BKR-15C2 breaker cubicle. The root cause of the event was less than adequate written instructions for documenting the installation and removal of the terminal block shorting screws.

All safety system responded as expected. The Auxiliary Feedwater Pumps actuated as designed following the reactor trip and provided makeup flow to the Steam Generators. 1-EP- SST-1C was inspected and no signs of damage or abnormal conditions were observed. At 1507 hours, a 4 hour report was made to the NRC in accordance with 10CFR50.72(b)(2)(iv)(B) for a Reactor Protection System (RPS) actuation and a 8 hour report in accordance with 10CFR50.72(b)(3)(iv)(A) for a Auxiliary Feedwater system actuation. The event is reportable pursuant to 10CFR50.73(a)(2)(iv)(A) for a condition that resulted in the automatic actuation of the RPS and AFW Systems. The health and safety of the public were not affected by the event.

05000247/LER-2013-003Indian Point3 July 2013Manual Reactor Trip Due to Decreasing Steam Generator Water Levels Due to Loss of Main Feedwater (FW) Flow Caused by a Loss of Instrument Air to the FW Regulating Valves

On July 3,'2013, operators initiated a manual reactor trip as a result of lowering steam generator (SG) levels due to the loss of feedwater (FW) from the trip of both main FW pumps. 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 automatically started as expected. Investigations determined the decreasing SG levels were due to a loss of main FW flow as a result of the closure of the FW regulating valves. The FW regulating valves closed due to a loss of instrument air (IA) pressure. The IA pressure was lost when a two inch copper IA tubing in the 22 Main Transformer moat separated at a soldered coupling. Prior to the event piping lines including the IA line buried in the main transformer moat were excavated and temporary supports installed. The apparent cause was poor legacy workmanship assembling the IA tubing coupling during original plant construction. The IA tubing was not fully inserted into the coupling resulting in reduced joint strength. Corrective actions included reassembly and soldering of the IA joint with full insertion, acoustic emission and snoop testing on repaired coupling.

Axial and thrust restraints were installed on the IA line in the moat. A caution was placed in the Buried Piping Program database associated with buried copper tubing identifying the potential for the separation of soldered joints when the line is excavated and the need for restraints or other contingencies to minimize the probability of a line separation.

The event had no effect on public health and safety.

05000293/LER-2013-003Pilgrim8 February 2013Loss of Off-Site Power Events Due to Winter Storm Nemo

On Friday February 8, 2013, at 2117 hours with the reactor initially at 85% core thermal power, Pilgrim Nuclear Power Station (PNPS) experienced a loss of off-site power (LOOP) resulting in a load reject and a reactor scram. All rods fully inserted and the Emergency Diesel Generators automatically started and powered safety-related buses A5 and A6. All other safety systems functioned as required.

The plant stabilized in Hot Shutdown. At the time of the event a significant winter storm (Nemo) was buffeting Southern New England. At 2200 hours PNPS in conjunction with the local grid operator determined off-site power sources were not reliable and efforts to restore off-site power were temporarily suspended. At 2200 hours, PNPS declared a Notification of Unusual Event. On February 10, at 1055 hours, one of two off-site power supplies was restored, all safety buses were powered from the startup transformer and the Unusual Event was exited. Later on February 10, at 1402 hours with the plant in Cold Shutdown, ice bridging on a startup transformer insulator caused its 345 KV supply breaker to open resulting in a second LOOP. Again the EDG's started and powered safety-related buses. All other safety systems functioned as required. Shutdown cooling was restored at 1426 hours.

On February 10, at 2020 hours, this occurrence was reported to the USNRC as documented in EN# 48739.

The severe winter storm which caused extensive generalized geographical damage to the electrical distribution network was root cause of the LOOP events.

These events posed no threat to public health and safety.

05000266/LER-2013-001Point Beach6 February 2013Loss of Offsite Power to Unit 1 Safeguards Buses

On February 6, 2013 at 1132 CST, an undervoltage condition occurred on Unit 1, 1A-05 and 1A-06 safety-related buses, which was caused by a loss of 1X-03 high voltage station auxiliary transformer (HVSAT). The four emergency diesel generators (EDGs) started. The GO1 and G03 EDGs loaded onto buses 1A-05 and 1A-06. Unit 2 maintained offsite power throughout the event.

Unexpected operation of the 1F89-112 circuit switcher resulted in de-energization of the 1X-03 transformer causing a low voltage condition, which started the standby EDGs. The opening of the circuit switcher did not cause a lockout of 1X-03. As a result, the automatic transfer to the redundant offsite power supply In the switchyard was not initiated, and G01 and G03 EDGs automatically loaded onto Unit 1 safety-related buses 1A-05 and 1A-06, once they had reached operating voltage and frequency.

This event is being reported pursuant to 10 CFR 50.73(a)(2)(iv)(A), any event or condition that resulted in a manual Dr automatic actuation of any of the systems listed in 10 CFR 50.73(a)(2)(iv)(B), including any event or condition that results in the actuation of the emergency AC electrical power system.

05000499/LER-2013-003South Texas7 January 2013Operational Mode Change Prohibited by Limiting Condition for Operation 3.0.4 with Limiting Conditions for Operation Unknowingly Not Met for Inoperable Essential Cooling Water Pump

With Essential Cooling Water (ECW) Pump 2B unknowingly inoperable, the plant staff was unaware that the associated Limiting Conditions of Operation (LCO) were not met when Unit 2 reached greater than 5% rated thermal power and entered Mode 1 on 01/07/2013 at 0053, in violation of LCO 3.0.4. This event is considered reportable under 10 CFR 50.73(a)(2)(i)(B).

On 01/06/2013 at 2100, just prior to the mode change, a temperature excursion began on the ECW Pump 2B lower motor bearing, which peaked below the alarm setpoint before returning to normal by 01/07/2013 at 0125.

This excursion was identified on 01/14/2013. Analysis of subsequent vibration data indicated a bearing defect with a step increase in vibration data. Without reasonable assurance that the pump would meet its mission time, ECW Pump 2B was declared inoperable on 01/15/2013 at 1200. Due to lack of any other abnormal temperature or vibration data available for the degraded condition, the pump is considered to have been inoperable since the start of the temperature excursion.

The bearing degradation was due to insufficient tolerance in the motor shaft endplay, as set during refurbishment.

Corrective actions are planned to specify this design parameter for subsequent refurbishments, and to increase endplay adjustment shim thickness in the affected ECW pump motors to reduce bearing wear.

05000271/LER-2011-002Vermont Yankee2 December 2011Inoperability of Both Emergency Diesel Generators due to a Lack of Adherence to Procedures

On December 2, 2011, with the plant at 100 percent power, Vermont Yankee (VY) was modifying the tagging lineup on the "B" Emergency Diesel Generator (EDG) that was out of service for scheduled maintenance.

During the tagging evolution, an operator mistakenly entered the "A" EDG room and tripped the "A" EDG fuel rack making the "A" EDG inoperable. This resulted in both EDGs being inoperable requiring entry into a 24 hour limiting condition for operation. This event is reported in accordance with 10CFR50.73(a)(2)(v)(D) as an event or condition that could have prevented the fulfillment of a safety function since both EDGs were inoperable.

The investigation determined that this event was caused by a lack of adherence to procedures that provide administrative controls over tagging evolutions and direct the use of human performance tools to prevent occurrence of this type of an event. The condition was immediately identified by operations personnel due to alarms received in the main control room and the "A" EDG was returned to operable status in two minutes.

There were other sources of AC power available and therefore, this event did not pose a threat to public health and safety.

05000440/LER-2011-003Perry18 October 2011Switchyard Configuration During Startup Results in Operation Prohibited by Technical Specifications

On October 18, 2011, at 0351 hours, the plant entered MODE 2 during plant startup. One of the two offsite power circuits required by Technical Specification (TS) 3.8.1, "AC Sources-Operating," was the delayed access circuit through the unit one auxiliary transformer. At 1619 hours, the manual disconnects for yard breakers S610 and S611 (isolation between offsite and onsite AC power distribution), were found to be open with danger tags installed. In this configuration, a TS Required Action was not performed within its designated Completion Time and a MODE change was made without satisfying the associated Limiting Condition for Operation (LCO). By 1730 hours, the danger tags were removed and the delayed access circuit was returned to OPERABLE status.

Switchyard equipment configuration, necessary to maintain reliable sources of offsite power, was not held to the same operational configuration standards required for plant controlled equipment, due to less than adequate policies governing the plant's switchyard configuration cognizance.

Corrective actions include completed and planned procedure revisions to ensure control room personnel are aware of switchyard configuration and training will be provided to appropriate plant personnel. The safety significance of this condition is considered to be small.

This event is being reported in accordance with 10 CFR 50.73(a)(2)(i)(B) as any operation or condition which was prohibited by the plant's Technical Specifications.

05000296/LER-2011-003Browns Ferry Nuclear Plant Unit 328 September 2011Automatic Reactor Scram Due to a Main Turbine Generator Load Reject

On September 28, 2011, at 0414 hours Central Daylight Time, Browns Ferry Nuclear Plant (BFN) Unit 3 automatically scrammed due to a main turbine generator load reject. Seven safety relief valves cycled due to the reactor pressure transient. All systems responded to the turbine trip as expected. No Emergency Core Cooling System or Reactor Core Isolation Cooling System reactor water level initiation set points were reached. Primary containment isolation and initiation signals for groups 2, 3, 6, and 8 were received as expected. Reactor water level was automatically controlled by the Feedwater System.

There were two root causes identified: 1) preventive maintenance instructions did not contain adequate inspection criteria for a generation risk sensitive component (debris screen) and 2) weaknesses within the welding program allowed multiple repetitive welds on trip sensitive equipment.

A corrective action to prevent recurrence is to verify installation of a non-welded debris screen in BFN Units 1, 2, and 3 isolated-phase bus A, B, and C ducts. Another corrective action to prevent recurrence is to revise procedure MMDP-10, Controlling Welding, Brazing, and Soldering Processes, to include controls that limit the number of attempts to repair the same weld area on plant equipment.

05000317/LER-2011-001Calvert Cliffs27 August 2011Reactor Trio Due to a Phase-to-Phase Short Circuit on Main Transformer

On August 27, 2011, at 2248 eastern daylight time, Unit 1 experienced an automatic reactor trip from 100 percent power. The Reactor Protective System actuated on loss of load. The loss of load occurred due to a phase-to-phase short circuit on the main transformer when main transformer lines were struck by dislodged Turbine Building siding caused by winds associated with Hurricane Irene. Immediately following the short circuit, 14 Containment Air Cooler stopped operating. Shortly after the plant trip occurred, 1A Emergency Diesel Generator was declared inoperable due to a shorted speed switch. The root cause analysis performed to address this event concluded that the Turbine Building Northwest corner siding was not installed per design during original construction. This resulted in a weaker siding connection to the Turbine Building structure, allowing the siding to come off in wind speeds less than design.

At Calvert Cliffs, there have been no recent similar events involving a reactor trip associated with severe weather. This event is being reported pursuant to 10 CFR 50.73(a)(2)(iv)(A) due to Reactor ProteCtive System actuation. Corrective actions include testing and inspection of the main transformer, replacement of B and C phase high line drops to the main transformer and inspection and repair of electrical connectors on the 1A Emergency Diesel Generator.

05000390/LER-2010-00314 November 2010Manual Reactor Trip Due to High Main Bank Transformer Temperature

At 06:45 Eastern Standard Time (EST) on 11/14/2010, Watts Bar Nuclear Plant, Unit 1 initiated a rapid load reduction in response to rising oil temperature in Main Bank Transformer 1A (MBT-1A). The high oil temperature in MBT-1A was attributed to a loss of forced-oil-air cooling due to a faulted motor starter which overloaded the control power transformer (CPT) that provided control power to the main bank cooling circuits. Loss of the CPT de-energized all six main bank coolers. Each main bank cooler has a circulating oil pump and four fans.

The load reduction rate was not sufficient to reverse the temperature rise, so a manual reactor trip was initiated at 06:52 EST to prevent exceeding the 80°C maximum oil temperature operating limit. Following the reactor/turbine trip the plant entered the appropriate shutdown procedures to stabilize the plant at Hot Standby Conditions. No overcooling transient occurred and no safety injection signals were initiated for this event.

The damaged components were replaced and additional corrective actions are being implemented to prevent recurrence. Corrective action included changes to the maintenance procedures and design changes to the main bank cooler circuits to eliminate single point vulnerabilities, to the extent practical.

This event is reportable as an LER in accordance with 10 CFR 50.73(a)(2)(iv).

05000247/LER-2010-009Indian Point7 November 2010Automatic Reactor Trip Due to a Turbine-Generator Trip Caused by a Fault of the 21 Main Transformer Phase B High Voltage Bushing

On November 7, 2010, an automatic reactor trip (RT) was initiated as a result of a turbine-generator trip due to actuation of the main generator primary and back-up lockout relays. All control rods fully inserted and all primary systems functioned per design except for the 138 kV Station Auxiliary Transformer tap changer. The plant was stabilized in hot standby with decay heat being removed by the main condenser (SG). Based on reports of two explosions an Alert was declared in accordance with the emergency plan which was terminated at 22:18 hours. There was no radiation release. The Emergency Diesel Generators did not start as offsite power remained available. The Auxiliary Feedwater System automatically started as expected due to SG low level from shrink effect. The direct cause of the RT was due to actuation of the 86P and 86BU relays that sensed a fault from the failure of 21 main transformer (MT) as a result of a low impedance fault of the 345 kV Phase B bushing. The root cause was an internal failure of the phase B bushing due to a vendor design/manufacturing deficiency.

Corrective actions include replacement and acceptance testing of the 21 MT, external visual inspections of the 22 MT HV bushings, Unit Auxiliary Transformer (UAT), Iso-phase bus and 345 kV feeder W95, testing of the 22 MT, UAT, Iso-phase bus and HV components. Damaged HV components were replaced. The bushings for the 21 and 22 MT were replaced with another manufacturers bushing. The event had no effect on public health and safety.

05000346/LER-2010-003Docket Number2 July 2010Auxiliary Feedwater Control Valve Inoperable Due to Inadequate Prioritization of DC System Ground

On July 17, 2010, with the Davis-Besse Nuclear Power Station in Mode 1 at approximately 100 percent power, the discharge control solenoid valve (FV6451) for Auxiliary Feedwater (AFW) Train 2 was found de-energized during surveillance testing. Evaluations completed August 16, 2010, determined the valve had been potentially de-energized and inoperable for 18 days due to a DC motor control center (MCC) ground resulting from a main transformer oil pump flow indicating switch stuck in the closed position. The ground fault induced a voltage greater than the design capacity of the position controller board for the valve.

The root cause of this event was determined to be a lack of program implementation by site organizations for finding DC system grounds, resulting in a mindset to inadequately prioritize ground indications. An unacceptable ground had been identified on DC MCC 2 on April 7, 2010, and it degraded into a hard ground on July 2, 2010, resulting in the failed AFW discharge valve (FV6451).

This issue is being reported per 10CFR50.73(a)(2)(i)(B) as an operation prohibited by Technical Specifications. One AFW train was affected, therefore, no loss of safety function occurred. Corrective Actions include clarifying program ownership, procedure improvements used to locate DC system grounds, and training on conservative assumptions and prioritization of DC system ground indications.

05000445/LER-2010-002Comanche Peak20 January 2010Loss of Automatic Initiation of Auxiliary Feedwater Upon Loss of Main Feedwater

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On January 20, 2010, Comanche Peak Nuclear Power Plant (CPNPP) Unit 1 was in Mode 3 during a planned outage and Unit 2 was in Mode 1 operating at 100% power. At 1827 hours, during review of an Oconee INPO OE report, parallels were discovered between the Oconee design and the CPNPP design. Further investigation determined that the required completion times for TS 3.3.2, Condition J, may not have been completed in the past when Units 1 and 2 were operating at low power with only one MFWP providing MFW flow.

The cause analysis of this event determined that the plant design and original operating philosophy was not compatible with the NRC's clarification of the intent of TS 3.3.2, Function 6.g. Corrective actions include the completion of procedure changes on Unit 1 to ensure compliance with TS. Since Unit 2 has been operating at 100% power with both MFW pumps in service since discovery of this condition, corresponding changes to the Unit 2 procedures will be completed prior to removing one MFW pump from service during the next shutdown of Unit 2 or prior to startup of Unit 2 from any event which results in an unplanned trip of Unit 2.

All times in this report are approximate and Central Standard Time unless noted otherwise.

05000445/LER-2010-0019 January 2010UNIT 1 TRIP DUE TO PRESSURE RELAY ACTUATION ON MAIN TRANSFORMER 01

On January 9, 2010, Comanche Peak Nuclear Power Plant (CPNPP) Unit 1 was in Mode 1 operating at 100% power. At 1028 hours, the Unit 1 Main Turbine tripped due to a pressure relay actuation on the Unit 1 Main Transformer 01 and the Main Turbine Trip caused an automatic reactor trip. All control rods fully inserted, and all Auxiliary Feedwater pumps started as expected as a result of the reactor trip. All systems responded normally during and following the event. Internal inspection of the transformer showed that the relay actuation resulted from an internal failure of the Main Transformer as a result of a phase to ground fault. The exact cause of the fault could not be and the other Main Transformer 02. On January 11, 2010, Unit 1 was synchronized to the grid at 0011 hours and reached a 640 megawatt output by 2100 hours. On January 19, 2010, a planned outage was taken on Unit 1 to install a spare transformer. Unit 1 was synchronized to the grid on January 21, 2010 at 2326 hours and reached 100% power the next day at 1341 hours.

All times in this report are approximate and are Central Standard Time unless noted otherwise.

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05000219/LER-2009-00325 April 2009Manual Reactor Shutdown Caused by Loss of Cooling to the Main Transformer

On April 25, 2009, with the unit at 100% power, loss of cooling to the Main Power Transformer M1A resulted in a manual plant scram. The loss of cooling was caused by a faulted cooling bank motor starter, resulting in the failure of the MIA auxiliary control power transformer and subsequent loss of control power for the remaining cooling bank motor starters. A reactor load reduction was commenced in accordance with the alarm response procedure to maintain MIA temperatures below the alarm set points. While reactor power was being reduced, transformer operation was limited to 30 minutes without forced cooling. Operations secured the power reduction and manually scrammed the reactor from 74% power in accordance with plant procedures. The post scram response was normal and the required notifications were made.

All safety systems operated as expected following the reactor scram.

There were no safety consequences impacting plant or public safety as a result of this event.

This event is being reported pursuant to 10CFR50.73(a)(2)(iv)(A) due to manual actuation of the reactor protection system.

05000219/LER-2009-0022 February 2009Failure to Take the Appropriate Tech Spec Action when Primary Containment Isolation Valve Became Inoperable

At 0955 on February 2, 2009, a Reactor Water Cleanup System heat exchanger outlet high temperature alarm and isolation signal was received. The Reactor Water Cleanup System inlet isolation valve (V-16-1), did isolate but the heat exchanger inlet isolation valve (V-16-14), failed to close in response to the system high temperature signal. The heat exchanger outlet high temperature isolation function was not a safety function and not a Tech .

Spec requirement. Later troubleshooting determined that a malfunctioning relay prevented V-16-14 isolation from the heat exchanger outlet high temperature signal. During troubleshooting on February 3, 2009, Operations determined that since V-16-14 was a primary containment isolation valve, this same malfunctioning relay would have also prevented that safety function and Tech Spec 3.5.A.3 applies. The Tech Spec required actions within four hours if a primary containment isolation valve became inoperable The relay problem was corrected and V-16-14 was returned to operable status at 1712 on February 3, 2009.

Based on the above, the four-hour.Tech Spec requirement was not achieved and this is being reported under 10 CFR 50.73(a)(2)(i)(B).

05000219/LER-2009-0011 February 2009Automatic Reactor Shutdown Caused by Main Transformer Failure

On February 1, 2009 the Oyster Creek Generating Station was operating at 100% reactor power, 661 Megawatts Electric (MWE). Oyster Creek had been online for 56 days following the 1F17 Forced Outage due to the M1A transformer failure on November 28, 2008.

At 2156 hours, Oyster Creek's main generator tripped due to the actuation of the 230kV bus section differential relay due to the failure of the MIA main power transformer. This caused a load reject SCRAM that automatically shut down the reactor. The transformer failure led to the declaration of an Unusual Event at 2211 hours, based on a fire lasting greater than 15 minutes affecting the M1A transformer. The fire was extinguished at 2227 hours and the Unusual Event was terminated at 2337 hours on February 1, 2009.

There were no nuclear safety consequences impacting plant or public safety as a result of this event.

This event is being reported pursuant to 10CFR50.73(a)(2)(iv)(A) due to the automatic reactor protection system actuation.

05000293/LER-2008-007Pilgrim20 December 2008. Momentary Loss of all 345kv Off-Site Power to the Startup Transformer from Switchyard Breaker Fault

On Saturday, December 20, 2008 at approximately 1045 hours and while 'n a Hot Shutdown condition from the previous day's reactor scram (Reference LER 2008-006-00), Pilgrim Station experienced a momentary loss of all 345kv off-site power to the Startup Transformer (SUT) X4. As a result, the following safety system automatic actuations occurred: Reactor Protection System (RPS) actuation (all control rods were previously inserted), start of both Emergency Diesel Generators (EDG) and loading of their respective emergency buses, actuation of Primary Containment Isolation Systems (PCIS) Groups I, II, VI and Reactor Building Ventilation. The High Pressure Coolant Injection (HPCI) System was placed in service for reactor pressure control, and Reactor Core Isolation Cooling (RCIC) System was placed in service for reactor level control. All plant systems functioned as designed and expected.

The direct cause of the momentary loss of all 345kv off-site power was a Phase B to ground fault on the switchyard Line 355 bus section (Bridgewater Station) which caused ACB-102 and ACB-103 breakers to trip. The ACB-103 breaker tripped because it received a remote transfer trip signal from Auburn Street Station owned by the transmission system operator, National Grid (NGRID). The ground fault was cleared by the ACB-102 breaker, and the Bridgewater Station breakers (the ACB-105 breaker was already open from the previous day's reactor scram), however, the ACB-103 breaker should not have tripped. Tripping of ACB-102 and ACB-103 resulted in a loss of the SUT and transferring of the safety busses to the EDGs.

Immediate corrective actions taken included a visual inspection for damage which was completed with satisfactory results and a successful carrier test was performed on the Line 342 to and from Pilgrim Station. Additionally, a ground overcurrent relay was reset at the Auburn Street Station. Corrective actions planned include working with local Transmission and Distribution Companies to review and reset line protection relays based on investigation results.

The event posed no threat to public health and safety.

05000323/LER-2008-001Docket Number16 August 2008Reactor Trip Due to Main Electrical Transformer Failure

On August 16, 2008, at 23:57 PDT, with Unit 2 in Mode 1 (Power Operation) at approximately 100 percent power, a main generator Unit Trip signal initiated a Reactor Trip due to the failure of the main electrical transformer "C" phase. On August 17, 2008, at 00:12 PDT, plant operators declared an Unusual Event (UE) due to an observed fire. at the "C" phase transformer. Plant operators made an Emergency Event Notification (EN 44419) in accordance with 10 CFR 50.72(a)(1)(i) at 00:37 PDT. Plant operators stabilized Unit 2 in Mode 3 (Hot Standby) and updated the UE that the fire was out at 02:02 PDT. At 07:38 PDT, EN 44419 was updated to specify 10 CFR 50.72(b)(3)(iv)(A) and 10 CFR 50.72(b)(3)(iv)(B).

This event was due to a catastrophic failure of the main electrical transformer "C" phase high voltage bushing. The event investigation will continue, however, this event is considered a random component failure based upon onsite inspections and vendor reviews performed.

Corrective actions include the "C" phase transformer replacement, electrical tests of transformers and bushings, oil analysis of transformers and bushings, installation of a bushing monitoring system, evaluation and replacement of equipment damaged as a result of the electrical failure, and review of industry and station operating experience regarding main transformer issues.

05000353/LER-2008-002Limerick1 February 2008Automatic Actuation Of The Reactor Protection System At PowerA valid automatic actuation of the reactor protection system occurred as a result of a phase-to-ground fault at the 2A Main Transformer low voltage (22 kV) bushing connection to the Iso- Phase bus. T The Main Generator neutral overvoltage relay actuated and tripped the generator protection lockout relays, which resulted in a Main Turbine trip. T The cause of the ground fault was overheating of the bolted connection between the Main Transformer bushing and the flexible links that connect the bushing to the Iso-Phase Bus. T The degraded bushings and flexible links were replaced. T The transformer maintenance procedure was revised to provide enhanced direction for assembly of the bolted connection.
05000416/LER-2008-00112 January 2008Manual Reactor SCRAM Due to Loss of Main Electrical Output Transformer Cooling

On January 12, 2008, at 1626 hours a manual reactor scram was initiated from 99 percent power due to loss of cooling to the Main Transformers. After the scram reactor water level decreased to Level 2 (-41.6 inches) and Reactor Core Isolation Cooling initiated. There were no inoperable structures, systems, or components at the start of the event that contributed to the event. The normal heat sink (main condenser) remained available and no Main Steam Safety Relief Valves actuations occurred during the event. All control rods fully inserted and all safety systems functioned as designed and responded properly.

The cause of this event was the loss of cooling to the Main Transformers caused by loss of Auxiliary Power to the Main Transformer cooling system. Inspection of the complete circuit for Main Transformer Auxiliary Power showed that the "B" phase power cables were found to be burned in two at the transfer switch panel. The cause of the "B" phase power cable failure is attributed to failure of an electrical compression connection on a lug connection. This particular cable and connection has been inservice since plant start-up. Potential root causes were determined to be use of a compression connection for high current applications versus the preferred crimp type connection and an inadequate preventive maintenance strategy to provide early detection. Corrective actions included an inspection of the power panel and replacement of all damaged cabling.

05000334/LER-2007-002Docket Number27 November 2007Undetected Loss of 138 kV 'A' Phase to System Station Service Transformer Leads to Condition Prohibited by Plant Technical Specification

During a non-routine walkdown of the offsite switchyard on 11/27/2007, a site construction supervisor discovered that the 'A' phase conductor on a Beaver Valley Power Station Unit No. 1 (BVPS-1) three phase 138 kV power line had broken off in the switchyard. This break occurred between the offsite feeder breaker and the line running onsite to the 'A' train System Station Service Transformer (SSST) located inside the site security fence. The station declared the `A' train offsite power circuit inoperable and entered BVPS-1 Technical Specification (TS) 3.8.1 Condition A for one of the two required offsite circuits inoperable. Subsequent evaluation concluded that the break on the 138 kV phase 'A' occurred on 11/01/2007 based upon review of offsite and onsite computer-based grid line information. Since the undetected SSST failure that occurred on 11/01/2007 was not restored within 72 hours as required by TS 3.8.1 Action A, this was a condition prohibited by plant Technical Specifications and is reportable pursuant to 10 CFR 50.73(a)(2)(i)(B).

The root cause of this event is knowledge-based error. Site personnel did not fully recognize the characteristics of the three legged WYE-G / WYE-G WYE-G secondary core form transformer design, leading to 'a surveillance procedure weakness in detecting power line failures. With this type of .

transformer, it is difficult to sense a phase loss through only voltage measurements, even under moderate loading conditions. If site personnel had known the characteristics of this type of transformer, adequate indication and surveillance acceptance criteria may have been provided to detect an open phase. The safety significance of this event was very low.

05000458/LER-2007-0024 May 2007Unplanned Manual Reactor Scram Due to Loss of Cooling on No. 2 Main Transformer

At 1256 CDT on May 4, 2007, an unplanned manual reactor scram was initiated following the loss of cooling on the No. 2 main transformer. Reactor power at the time of the scram was approximately 67 percent. Following the scram, reactor water level briefly decreased below Level 3 as expected, resulting in the automatic closure of two containment isolation valves in the suppression pool cleanup system. This isolation was confirmed to have occurred as designed. Control of reactor pressure and water level was promptly established. No emergency coolant injection ,system actuation was required.

This event is being reported in accordance with 10CFR50.73(a)(2)(iv)(A) as a condition that resulted in the unplanned manual actuation of the reactor protection system. The loss of cooling to the transformer resulted from an electrical fault in the cooling system control cabinet caused by rainwater intrusion. The cabinet was repaired and sealed, and preventative maintenance procedures are to be enhanced to prevent recurrence. The plant responded to the manual scram as expected, thus this event was of minimal safety significance. .

NRC FORM 366 (6-2004) PRINTED ON RECYCLED PAPER

05000416/LER-2007-001Grand Gulf11 April 2007Waterloo Road
P.O. Box 756Entergy Port Gibson, MS 39150
Tel 601 437 6299
Charles A. Bottemiller
Manager
Plant Licensing
GNRO-2007/00028
June 05, 2007
U.S. Nuclear Regulatory Commission
Attn: Document Control Desk
Washington, DC 20555-0001
Subject: LER 2007-001-00
Failure to Comply with Technical Specification 3.3.8.1- Function 1.b -
Loss of Voltage Time Delay
Grand Gulf Nuclear Station, Unit 1
Docket No. 50-416
License No. NPF-29
Dear Sir or Madam:
Attached is Licensee Event Report (LER) 2007-001-00 which is a final report.
This letter does not contain any commitments.
Yours truly,
CAB/MJL
attachment: LER 2007-001-00
cc: (See Next Page)
GNRO-2007/00028
June 05, 2007
cc:�NRC Senior Resident Inspector
Grand Gulf Nuclear Station
Port Gibson, MS 39150
U. S. Nuclear Regulatory Commission
ATTN: Dr. Bruce S. Mallet (w/2)
Regional Administrator, Region IV
611 Ryan Plaza Drive, Suite 400
Arlington, TX 76011-4005
U. S. Nuclear Regulatory Commission
ATTN: Mr. Bhalchandra Vaidya, NRR/DORL (w/2)
ATTN: ADDRESSEE ONLY
ATTN: U. S. Postal Delivery Address Only
Mail Stop OWFN/0-7D1A
Washington, DC 20555-0001
NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION
(6-2004)
LICENSEE EVENT REPORT (LER)
(See reverse for required number of
digits/characters for each block)
1. FACILITY NAME
Grand Gulf Nuclear Station, Unit 1
4. TITLE
APPROVED BY OMB: NO. 3150-0104 EXPIRES: 06/30/2007
Estimated burden per response to comply with this mandatory collection
request: 50 hours. Reported lessons learned are incorporated into the
licensing process and fed back to industry. Send comments regarding burden
estimate to the Records and FOIA/Privacy Service Branch (T-5 F52), U.S.
Nuclear Regulatory Commission, Washington, DC 20555-0001, or by intemet
e-mail to infocollects©nrc.gov, and to the Desk Officer, Office of Information
and Regulatory Affairs, NEOB-10202, (3150-0104), Office of Management and
Budget, Washington, DC 20503. If a means used to impose an information
collection does not display a currently valid OMB control number, the NRC may
not conduct or sponsor, and a person is not required to respond to, the
information collection.
2. DOCKET NUMBER 3. PAGE
05000 416 1 OF 5
Failure to Comply with Technical Specification 3.3.8.1- Function 1.b - Loss of Voltage Time Delay

On March 24, 2007 at 1221, it was discovered during Technical Specification surveillance testing that the Division 2 Emergency Bus 16AB (4.16 kV) feeder breaker 152-1611 from ESF (Engineered Safety Feature) Transformer 12 would open at a 0.35 second time delay upon receipt of a loss of voltage signal. This was contrary to its required Technical Specification 3.3.8.1 Function 1.b allowable value of >/=0.4 and delay.

Investigation revealed that the 4.16 kV Emergency Bus 15AA (Division 1) and 16AB (Division 2) loss of voltage protective time delay relays (15AA-162-1, 15AA-162-2, 16AB-162-1, and 16AB 162-2) were set such that their time delay (0.3 seconds) did not allow adequate surveillance testing of the Technical Specification 3.3.8.1 Function 1.b. Loss of Voltage - Time Delay Load Shedding and Sequencing System (LSSS) credited time delay devices (XA22-TD1 and XA22- TD2). The cause has been determined to be a failure to recognize in the original design documents for the ESF Division 1 (15AA) and Division 2 (16AB) Emergency Bus switchgear that the standard protective bus under-voltage device time delay (set at 0.3 second) relays could react faster than the Technical Specification 3.3.8.1 credited LSSS time delay devices.

05000260/LER-2007-001Browns Ferry11 January 2007Automatic Turbine Trip and Reactor Scram Due To Equipment Failure During Performance of the Main Generator Rheostat Test.On January 11, 2007, at 0818 hours Central Standard Time the Unit 2 reactor automatically scrammed on a turbine generator load reject signal during the performance of Operating Instruction 2-01-47, Main Generator Voltage Control Rheostat Test. Just prior to the reactor scram, with the main generator voltage regulator in the automatic mode, the operations personnel were in the process of performing a rheostat cleaning operation on the generator field voltage manual adjust rheostat (70P) by cycling the rheostat to its upper limit and back to zero. Following this step, per the 01 the voltage regulator was placed in the manual mode. After a short time delay, Unit 2 received a turbine trip and subsequent automatic reactor scram. The turbine trip and reactor scram resulted from the failure of a relay in the main generator voltage regulator. During the performance of 2-01-47, a contact on the regulator mode transfer relay (43A relay) in the auto/manual portion of the main generator voltage regulator control circuit failed. WA replaced the 43A relay in the main generator voltage regulator circuit.
05000400/LER-2006-00319 September 2006Automatic Reactor Trip Due to Generator Lockout Signal

At 09:59 EDT on September 19, 2006, with the reactor at 100 percent power, the reactor automatically tripped from a turbine trip due to a generator lockout signal. There was no inoperable equipment at the start of this event that contributed to this event. Safety systems functioned as required and operators responded in accordance with approved procedures.

Post trip discovery found that a ground fault protective relay module failure caused by self heating actuated the 86/G1A Main Generator Lockout Relay which initiated a turbine and reactor trip. Further investigation revealed that no module specific inspection requirements exist for the generator, main transformer and auxiliary transformer protective relay modules to detect self heating concerns.

Completed corrective actions include replacing the failed relay module for the main generator stator ground detection circuit. Additional corrective actions are to establish specific inspection requirements for the generator, main transformer and auxiliary transformer protective relays and to brief appropriate maintenance personnel.

05000341/LER-2006-002Docket Number06 15 2006 2006 - 002 - 00 07 26 2006 0500015 June 2006Automatic Reactor Shutdown Due To Main Unit Transformer Failure

On June 15, 2006, at 1053 hours EDT, a reactor scram occurred from 100% power as a result of a main turbine / generator trip due to an internal fault on main unit transformer 2B. A reactor scram occurred as designed from the turbine control valve fast closure signal. The reactor protection system performed as expected, and all rods were fully inserted into the core. Reactor water level reached a low of approximately 134 inches above top of active fuel and recovered to normal automatically without operator intervention. Subsequent to the event, the main steam isolation valves remained open and reactor water level was maintained in the normal band of 173 to 214 inches. Reactor water was supplied by the condensate and reactor feedwater systems, and the resultant reactor steam was sent to the condenser via the main turbine bypass lines. Pressure control was maintained by the turbine bypass valves. Reactor dome pressure peaked at about 1077 psig, and none of the safety relief valves lifted.

Reactor water Level 3 isolations occurred as expected. An internal fault to ground of the Z-phase of the high voltage transformer winding caused the transformer failure. The most probable cause of the internal fault is that two adjacent transformer oil coolers were taken out of service together and washed with cold water which caused the internal fault. Transformer 2B was isolated from the generator and the electrical system, and the plant was restarted at reduced power on June 18, 2006. The plant was subsequently shut down on July 8, 2006 for replacement of failed main unit transformer 2B and returned to 100% power on July 22, 2006.

05000412/LER-2006-00211 April 2006Entry into Technical Specification 3.0.3 Due to Inoperability of Both Trains of the Supplemental Leak Collection and Release System

On April 11, 2006, Beaver Valley Power Station (BVPS) Unit No. 2 declared both trains of the Supplemental Leak Collection and Release System (SLCRS) inoperable due to a loss of filtering capacity of the charcoal main filter banks. The charcoal main filter banks were sprayed with water after an inadvertent actuation of fire protection deluge valves. With the charcoal main filter banks wet, their filtering capacity was diminished and both trains were declared inoperable. At 0924 hours, Unit 2 entered the actions of Technical Specification (TS) 3.0.3. In accordance with the requirements of TS 3.0.3, actions to prepare for a plant shutdown began at 1020 hours and a shutdown of the plant was commenced at 1055 hours.

In parallel with the plant shutdown, a Notice of Enforcement Discretion (NOED) was prepared for presentation to the Nuclear Regulatory Commission (NRC). At 1520 hours, with reactor power at approximately 19 percent (%), the NOED was granted by the NRC for a period of 48 hours and the plant shutdown was terminated. The unit returned to 100% power on April 12, 2006, at 1455 hours.

The most probable cause of the event was a ground that actuated certain fire protection actuation relays.

This event is reportable in accordance with 10 CFR 50.73(a)(2)(i)(B) due to an entry into TS 3.0.3 for greater than one hour, 10 CFR 50.73(a)(2)(v)(C) as a condition that could have prevented the fulfillment of the safety function of a system designed to control the release of radioactive material, and 10 CFR 50.73(a)(2)(vii) as an event where a single cause resulted in the loss of two independent trains of SLCRS as required by TS 3.7.8.1. The plant risk associated with the inadvertent actuation of the fire protection deluge system is considered to be very low.

05000250/LER-2006-0058 March 2006Ground Test Devices Installed in Startup Transformer Output Breakers Cause Unit 3 EDGs to be InoperableOn March 8, 2006 at approximately 1553, a loss of power to the Unit 3 3A 4 kV electrical distribution bus occurred. The 3A emergency diesel generator (EDG) automatically started and restored power to the 3A auxiliary transformer, Operations personnel suspected the 3A EDG to be in droop mode, since EDG speed decreased as loads were applied to the bus, which required frequency adjustments. Maintenance personnel confirmed both Unit 3 EDGs were configured to operate in droop mode, since required jumpers were not installed when ground test devices (GTD) were installed in the startup transformer output breakers. The 3A and 3B EDGs were declared inoperable at approximately 0550 and declared operable at approximately 0615 after installation of the jumpers. The cause was determined to be the use of an incorrect plant procedure for grounding the startup transformers. Subsequent to the event, a modification was completed that eliminates the need to install jumpers in the Unit 3 startup transformer breaker cubicles when GTDs are installed. Procedure requirements will be established to help ensure the appropriate component-specific procedure is used for grounding startup transformers. As a result of degraded EDG output in droop mode, supported equipment performance capability was also degraded; however, valid assumptions for event and accident analyses were maintained. Assessment results show that no acceptance criteria or limits would be exceeded if any design basis events were to occur while the Unit 3 EDGs are in the droop mode of operation.
05000250/LER-2006-0048 March 2006Emergency Diesel Generator Automatic Actuation due to Loss of Power to a Vital Bus

On March 8, 2006 at approximately 1553, a loss of the Unit 3 3A 4 kV electrical distribution bus occurred during restoration of the 3C load center (LC) following outage maintenance. The 3A load sequencer performed bus load stripping and a loss of offsite power to the 3A bus occurred due to a degraded voltage 1 condition that was sensed on the 3C LC. This was caused by a misaligned auxiliary switch contact on the newly refurbished 3C 480V LC feeder breaker (30302). The 3A emergency diesel generator automatically started and restored power to the 3A bus; however, the 3C LC 4 kV supply breaker (3AA14) failed to close due inadequate contact wipe on normally closed relay contacts. Core cooling was reestablished at approximately 1600 utilizing the 3B residual heat removal (RHR) pump. The cause was vendor human error during breaker refurbishment of the 3C LC breakers (30302 and 3AA14) which went undetected by the vendor test and inspection programs and Turkey Point pre-installation checks. Corrective action includes:

For breaker 30302, the breaker refurbishment standard revised the final test and inspection procedure to record as left auxiliary switch contact configuration and compare it to the as found configuration (checks to be independently verified). For breaker 3AA14, the procurement specification and applicable receipt inspection procedure for HMA relays have been revised to verify adequate contact wipe by vendor and receipt inspection personnel, respectively. The increase in risk due to loss of core cooling is judged to be very small given the availability of the redundant RHR pump and power source, and the short period for restoration of cooling.

NRC FORM 966 (6-2004) PRINTED ON RECYCLED PAPER v.(�

05000325/LER-2005-005Telephone Number (Include Area Code)13 July 2005Automatic Reactor Protection System Actuation Due to No Load Disconnect Switch Failure

On July 13, 2005, at 0917 hours, Unit 1 received a Main Turbine trip followed by an automatic Reactor Protection System (RPS) actuation. The cause of the Main Turbine trip was the failure of the B phase of the Main Generator No Load Disconnect Switch (NLDS). Plant systems responded per design. All control rods fully inserted. An expected Reactor Pressure Vessel coolant level shrink resulted in the coolant level decreasing below the Reactor Vessel Water Level - Low Level 1 setpoint, which resulted in appropriate Primary Containment Isolation System (PCIS) isolations. Additionally, coolant level momentarily satisfied the Low Level 2 actuation logic requirements, at which point an additional PCIS isolation occurred and the High Pressure Coolant Injection (HPCI) system initiated but did not inject. Safety/Relief valves B, C, D, and E operated to control pressure. This condition is being reported in accordance with 10 CFR 50.73(a)(2)(iv)(A) as an event that resulted in valid actuation of systems listed in 10 CFR 50.73(a)(2)(iv)(B).

The root cause of this event is inadequate design and testing of the NLDS by the vendor; resulting in the and Unit 2 which replaced the NLDSs with removable bus bars.

05000251/LER-2005-00227 June 2005Revised Automatic Reactor Trip due to Turkey Point Unit 4 Main Transformer Failure

On June 27, 2005, at 0316, Turkey Point Unit 4 reactor was automatically tripped from 100% power Main Transformer. The transformer was recently installed during the refueling outage in Spring 2005.

The fault ruptured the transformer tank releasing oil and caused a fire that damaged the transformer and adjacent equipment. At 0327, an Unusual Event was declared based on the fire in the plant protected area lasting longer than 10 minutes. The site fire brigade responded and extinguished the fire. Offsite fire fighting assistance was requested, but was not used to extinguish the fire. The fire was extinguished and the Unusual Event was terminated at 0500. All plant systems functioned as designed during and after the event. The operating crew controlled and stabilized the plant, and therefore the health and Main Transformer failure was a failed manufacturing process employed by the vendor's supplier of the clamping ring. Corrective actions included replacement of the Main Transformer and repair/replacement of components damaged by the resultant fire.