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 Start dateReporting criterionEvent description
05000390/LER-2001-00310 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On September 29, 2001, a blockage in an instrument sense line was discovered. A review of computer trend data for the Watts Bar Unit 1 #4 steam generator pressure transmitter loop, determined the channel may not have performed its design function, and thus had been inoperable without being placed in the "trip" position for about 8 hours and 40 minutes longer than the 6 hour period allowed by the ESFAS technical specifications.

Although the channel had been providing the correct pressure value to the ESFAS system and the control room, the blockage had slowed the time response to pressure changes beyond the time assumed in the FSAR.

The other two channels which were part of the two out of three logic circuit were operable during the time period to provide the required signal to the ESFAS system.

The clearing of the blockage corrected the immediate cause, and recurrence control actions included : Back filling of a sampling of the main steam pressure and flow transmitters during the upcoming refueling outage, and providing information to Operations and Engineering on this event and symptoms of a sense line blockage.

05000390/LER-2001-00419 December 200110 CFR 50.73(a)(2)(iv)(A), System ActuationOn December 19, 2001, an invalid AMSAC signal was initiated that resulted in a turbine/reactor trip. The unit was operating at 100% power at the time of the event and work was in process for the placement of a clearance (tagout) to support the implementation of a design change to the control instrumentation for the Turbine Driven Auxiliary Feedwater (TDAFW) pump. The clearance activities opened the breakers which supply power to the instrumentation. The loss of power to the instruments resulted in an invalid steam generator (SG) lo lo level (12%) signal and satisfied the logic (3 out of 4 SGs less than 12% level) for the initiation of an AMSAC signal. All control rods inserted properly and the Auxiliary Feedwater (AFW) system started, as required, in response to the AMSAC signal and the reactor trip. The cause of the event was inadequate interface requirements in the planning and scheduling of trip sensitive activities along with inadequate implementation of the clearance preparation process. The corrective actions included the review of open on-line clearances, development of a standard for the tagging of low voltage equipment, establishment of a formal process which reviews plant work activities for trip sensitive actions, counseling of involved personnel, training on the lessons learned from the event, identification and labeling of trip sensitive breakers, development of an instruction to define the expectations for independent review and to provide controls for the operation and tagging of low voltage breakers.
05000390/LER-2002-001

On March 1, 2002 at approximately 0258 hours, with Watts Bar Unit 1 in Mode 6 (Refueling) and RCS temperature at 100 degrees F, while attempting to realign the RHR system from RWST supply to RCS loop operation, operators isolated the common suction to the Residual Heat Removal (RHR) pumps on two occasions over a three minute span. At the time of the event, operators were performing full flow testing of ECCS lines in conjunction with reactor cavity fill.

The crew had not been briefed during shift turnover of other work activities which removed power from a rack which provided a permissive pressure switch signal to two valves which required manipulation during the realignment. The root cause of this event was inadequate work review and scheduling coupled with less than expected transfer of information, pre-job brief, and response to an emergent operating condition. Corrective actions to include: Counsel/coach individuals/groups involved, include this event in training, refine the scheduling and planning process by which work activities are tied to specific plant conditions or milestones and impacts are evaluated based on plant conditions and scheduled activities. (Voluntary Report)

05000390/LER-2002-002

On March 7, 2002, while the plant was in Mode 6, an on-shift senior reactor operator discovered two inspection covers missing from the guard pipe which encapsulates the Unit 1 four inch Auxiliary Feedwater Pump Turbine (AFWPT) steam supply line where this line passes through the Unit 1 Auxiliary Building elevation 692.0 penetration room and enters into the AFWPT room. The guard pipe is used as a barrier to isolate a steam leak in case of a steam supply line rupture and vent steam into the AFWPT room where redundant temperature sensors will initiate isolation by closure of redundant valves located in the south main steam valve vault room. This guard pipe was installed primarily to prevent unacceptable damage to essential equipment located in the auxiliary building. The encapsulation serves to restrain the pipe thus preventing pipe whip and confines the steam jet. Upon initial evaluation, it was postulated that a circumferential rupture at the 90° elbow (near the area where these inspection covers were found missing), could have resulted in potentially unacceptable impact on environmental qualification of safety related equipment needed to mitigate the event. In addition to the missing covers, a penetration seal was found to be inappropriately installed in the mechanical sleeve which connects the guard pipe to the AFWPT room which may have delayed automatic isolation of the postulated rupture of the steam supply line. However, since that time, TVA has performed an extensive evaluation and determined that equipment required to mitigate the event would perform required functions.

This LER is being provided as a voluntary report.

The cause of the condition has not been identified. The condition appears to have existed since prior to initial fuel load in November of 1995. Corrective actions included fabrication and replacement of the pipe covers, removal of the penetration seal, and a confirmation review of similar configurations in the plant.

05000390/LER-2002-00313 July 200210 CFR 50.73(a)(2)(iv)(A), System Actuation

On July 13, 2002, at approximately 1622 EDT, while the plant was in Mode 1, at 100% power, Watts Bar Unit 1 experienced an automatic turbine/reactor trip when a C-Phase Main Transformer differential relay actuated This occurred because a bolted cable splice associated with a C-phase current transformer (CT) came into contact with the CT junction box; thereby shorting the differential relay protection circuit to ground.

The apparent factors contributing to this short circuit condition include temperature, cable splice material, vibration, and configuration of the splice inside the junction box.

All control rods inserted properly in response to the reactor trip. The Auxiliary Feedwater (AFW) System actuated in response to the trip, as designed. Plant response was in accordance with design with no complications. Operations shift personnel performance was in accordance with applicable procedures.

Subject to confirmatory laboratory testing, the root cause of this event was determined to be inadequate work instructions that allowed lower temperature rated tape to be used on a cable replacement and/or inadequate application of splice material. Corrective actions include revision and training on TVA's engineering and maintenance procedures for high temperature jacketing material, laboratory analysis of damaged splices, and reinspection and taping of similar vulnerable cable splices.

05000390/LER-2002-00410 CFR 50.73(a)(2)(iv)(A), System ActuationWhile operating at 100% power on September 21, 2002, Watts Bar Unit 1 experienced a momentary loss of the 161 kV offsite power feed to Common Station Service Transformer (CSST) D. WBN's two offsite power supplies are fed from a remote switchyard located at the Watts Bar hydroelectric plant. The affected offsite power source through CSST D is the primary power source for 6900V Shutdown Boards 1B-B and 2B-B. The partial loss of offsite power was caused by the inadvertent manual operation of a breaker at the hydroelectric plant switchyard. The opening of the breaker occurred at 11:00:20 (EDT) and the breaker was reset to provide offsite power at 11:00:34 (EDT). 0 Due to this event, and the loss of the primary feed to the shutdown boards, a valid engineered safety function (ESF) actuation occurred which started all four of the standby diesel generators (DGs), along with, as designed, the 1B-B Motor Driven Auxiliary Feedwater (AFW) Pump and the Turbine Driven AFW Pump. The DGs provided power to the affected Shutdown Boards and other required blackout loads during the event.
05000390/LER-2002-00527 September 2002

At 0824 EDT on September 27, 2002, Watts Bar Nuclear Plant (WBN) Unit 1 was operating at 100% power when 6.9 kV shutdown logic board panel 1A-A load stripping relay actuated. At 0842 EDT, the 6.9 kV shutdown logic board panel 1B-B load stripping relay actuated. These actuations occurred due to a loss of both offsite power lines which resulted in an automatic start and loading of both trains of Emergency Diesel Generators. At 0852 EDT, WBN declared a notification of unusual event (NOUE) due to the loss of both offsite power sources which resulted from a fire at the Watts Bar Hydroelectric Generating Plant (WBH). The WBN fire brigade was dispatched to fight the fire and remained there until the fire was extinguished. Since the brigade remained at the fire location and callout of additional brigade staffing took greater than two hours, 10 CFR 50.54(x) was invoked to address this departure from the minimum fire brigade staffing requirement of the WBN Fire Protection Report. WBN remained at 100% power with all four emergency diesel generators operating throughout the event. Offsite power was restored using an interim offsite configuration from Sequoyah and Rockwood lines. TVA evaluated and determined this configuration to be a Generic Letter (GL) 91-18 non-conforming condition that supports functionality and operability of both 161 kV preferred power sources per GDC 17. Condition D of LCO 3.8.1 was exited at 0125 EDT on September 28, 2002, when the first qualified offsite source was returned to service. WBN remained in Condition A of LCO 3.8.1 until the second qualified offsite source was returned to service at 0300 EDT. The NOUE was exited at 0308 EDT on September 28, 2002.

F RN1 "-2001

05000390/LER-2003-00110 CFR 50.73(a)(2)(iv)(A), System Actuation

On March 10, 2003, at 0012 Eastern Standard Time, with Watts Bar 1 at 100 percent power, a Generator Backup Relay unexpectedly actuated causing an automatic turbine/reactor trip. The relay actuated due to a ground fault caused by a broken o-ring in the C phase main transformer's high side bushing capacitance tap connector. Plant safety equipment performed as designed which included the auto-start of the auxiliary feedwater system.

The root cause of this event was inadequate preventive maintenance procedure. Corrective actions include repairing the connector, revising preventative maintenance (PM) procedures, and a design change to the affected single point vulnerability relay scheme.

05000390/LER-2003-00210 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On May 21, 2003, WBN Unit 1 was operating at 100 percent reactor power. At approximately 2153 EDT, the WBN operators were alerted to potential instrument channel III trouble when control room alarms were received. � This equipment provides channel III process instrumentation of the engineered safety features actuation subsystem portion of the Reactor Protection System. The operators were able to clear the alarms and plant continued operation. However, throughout the early morning of May 22, 2003, alarms indicating the same trouble continued.

Maintenance personnel performed troubleshooting and identified that a faulty power distribution panel located within Reactor Protection Set Channel III, Panel 1-R-9 was the source of the problem. The faulty power distribution panel was replaced and Panel 1-R-9 was returned to service.

Throughout this event, the operators did not identify Panel 1-R-9 as inoperable since after clearing the alarms, plant parameters were within range (with an exception of entry into LCO 3.4.1 "RCS Pressure, Temperature, and Flow DNB Limits due to reactor coolant pressure less than 2214 for a short period) and plant operation continued. � However, it was concluded after the event that the panel should have been declared inoperable and Technical Specifications actions completed within the 6 hour time requirements. This event is being reported under 10 CFR 50.73 (a)(2)(i)(B) as operation prohibited plant technical specifications.

The cause for this event was that there was no specific guidance to assist the operators In diagnosing a panel malfunction of the sort that would also affect operability of the Reactor Protection System panel. � Corrective actions include the development of an Abnormal Operating Procedure to address panel malfunctions. Additionally, the initial maintenance troubleshooting activities identified the problem to be in the data link handler portion of the rack which would not affect operability.

05000390/LER-2003-00310 CFR 50.73(a)(2)(iv)(A), System Actuation

On August 25, 2003, Watts Bar (WBN) Unit 1 was operating at 100 percent power when there was an operation of the 2 out of 3 logic for the Sudden Pressure Relays (SPRs) for Main Transformer Bank 1C. The actuation of the relays resulted in a turbine trip and a subsequent reactor trip at approximately 0945 EDT. All control rods inserted as required and the safety systems actuated as designed including the motor and turbine driven pumps for the Auxiliary Feedwater (AFW) System. AFW pump 1B-8 was available but not operable at the time of the trip due to work on an associated penetration room cooler. The pump started as required. There was no loss of safety function. Unit 1 was stabilized in Mode 3.

The immediate cause of the trip was the actuation of the SPRs which were initiated by a worker bumping into the junction box that houses the relays in the switchyard. Subsequent to this, it was identified that the design of the SPA configuration was sensitive to actuation when force was applied to the relay housing junction box.

Corrective actions include a modification to improve the vibration isolation of the SPRs and the installation of a permanent protective barrier fence with access gate around each of the four SPRs, pipe, hydraulic hose, junction box, and support installations to prevent accidental impact during normal plant operations. Trip hazard signs have been placed on the fence barrier.

ARC FORM 355 (7.200 r) i NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION

05000390/LER-2003-00510 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material

On October 3, 2003, Watts Bar Nuclear Plant Unit 1 was in Mode 6 during a refueling outage with core re-load in progress. At 1516 hrs (EDT), main control room personnel became aware that an activity involved with an upcoming test had inappropriately placed the B-Train Auxiliary Building Gas Treatment System (ABGTS) Exhaust Fan 460v breaker in the OPEN position. An operator was immediately dispatched and the breaker was closed at 1521 hrs, restoring the train to OPERABLE status. The opening of this breaker at about 1324 hrs caused the B ABGTS train to be INOPERABLE at a time when the A-train ABGTS was available to start but technically inoperable due to an unavailable emergency power supply (2A-A Emergency Diesel Generator). The ABGTS system is required for the mitigation of a postulated fuel handling accident. The immediate cause of the event was human error by a shift test director who did not realize the A-Train ABGTS was inoperable when he directed opening the subject breaker in support of equipment alignments for the upcoming test. Corrective actions include counseling of involved individuals on their awareness of plant conditions and need for adequate communications and adding a separate item to the Outage Schedule for preliminary alignments for 18 Month Blackout tests.

The safety significance of this event was low. � in an actual FHA, performance of site emergency procedures would have detected and quickly restored ABGTS Train B. Further, with off site power available, ABGTS Train A would have immediately responded to an event. Dose consequences assuming loss of all ABGTS were determined to remain with regulatory limits.

NRC FORM 368 (7

  • 200il
05000390/LER-2003-00610 CFR 50.73(a)(2)(i)

On October 21, 2003, WBN Unit I was returning to service after completion of the Cycle 5 refueling outage. The unit was in Mode 1 at approximately 36% reactor power, when it was established that 6.9KV Shutdown Board breaker, 1-BKR-72-10, was not connected and was not capable of supplying power to the Containment Spray System (CSS) Pump 1B-B. In accordance with LCO 3.6.6, "CSS," Pump 1B-9 is required to be operable In Mode 4.

The restoration of the breaker should have been performed in accordance with Section 5.2.8 of General Operating (GO) Instruction 1, "Unit Startup from Cold Shutdown to Hot Standby," and verified in accordance with Step 6 of Appendix B, 'Wade 5-to-Mode 4 Review and Approval," of GO-1. Due to the CSS pump not being operable as the unit transitioned from Mode 5 to Mode i, the mode change restrictions of LCO 3.0.4 were not met. The total time CSS Pump 1B-B was inoperable was approximately 113.6 hours. Considering this, Action A of LCO 3.6.6, "CSS," requires that an inoperable CSS train be restored within 72 hours. When this action is not met, Action C.1 requires that the Unit be in Mode 3 in 6 hours. Neither of these actions were met. The failure to comply with the requirements of LCO 3.0.4 and LCO 3.6.6 is being reported as a violation of the Technical Specifications in accordance with 10 CFR 50.73 (a)(2)(i)(B).

NRC FORM 26t3 (7.2001)

05000390/LER-2006-002

On January 27, 2006, engineering personnel identified a scenario involving a potential loss of cooling water to the Chemical and Volume Control System (CVCS) Seal Water Heat Exchanger during an Appendix R fire event. The scenario involves a loss of Component Cooling System (CCS) flow to the Seal Water Heat Exchanger due to fire damage. The loss of CCS flow results in a potential high suction temperature on the running CVCS Centrifugal Charging Pump (CCP) causing a loss of adequate suction head. During an Appendix R fire event, CCP suction is aligned to the Refueling Water Storage Tank (RWST), normal charging and letdown are isolated and the only makeup flow to Reactor COolant System (RCS) is via the Reactor Coolant Pump (RCP) seal injection flow path. If the Seal Water Heat Exchanger cooling is lost, the CCP recirculation flow and RCP seal return flow are not being cooled. The outlet of the heat exchanger combines with cool water from the RWST. The net result is that the CCP suction temperature could reach saturation temperature leading to pump cavitation. The temperature increase could be h gh enough to potentially damage both the CCP and the RCP seals, which would result in increased seal leakage and a potential loss of RCS inventory.

The cause of this event is a latent error in the WBN Fire Safe Shutdown Analysis. The original analysis did not evaluate the ramifications of not protecting cooling water flow to the CVCS Seal Water Heat Exchanger. Corrective actions include: 1) posting of roving fire watches in the areas affected, 2) procedure revisions to provide operator actions and 3) to issue a design change to reroute andor protect the identified vulnerable cables.

0NRC FORM 366 (6-2004) PRINTED ON REC"CLED PAPER

05000390/LER-2006-00510 CFR 50.73(a)(2)(iv), System Actuation

On July 31, 2006, at approximately 12:13 EDT, the control room unexpectedly received an exciter field overcurrent alarm, followed immediately thereafter ( An event team was assembled subsequent to the plant trip. The most likely cause was determined to be in the main generator automatic excitation control circuitry. Corrective action taken was to retum the plant to service while monitoring several input and output signals associated with the automatic controls so that any subsequent events could be captured and analyzed. The excitation system would also be operated in TEST mode instead of AUTOMATIC to preclude the possibility of an additional plant trip.

Since restarting the plant, there have been several instances where the output of the Maximum Excitation Limiter (MXL) circuit board in the automatic excitation control circuitry has changed significantly (+14 volts dc to -15 volts dc) with no corresponding change on any of the inputs. Had the automatic circuit been in service, the MXL output change would have driven the excitation controls into a loss of the exciter field which was the case during the plant trip. Based on this data, during the current refueling outage, the MXL circuit board will be removed to determine if a discreet component on the device has failed and an inspection performed of the interface wiring to the MXL circuit board to determine if degraded wiring caused the failure.

As a result of the plant trip, the actuation of the Reactor Protection and the Auxiliary Feedwater Systems were reported in accordance with 10 CFR 50.72(b)(2)(iv) and 10 CFR 50.72(b)(3)(iv), respectively. This event is also being reported as this Licensee Event Report in accordance with 10 CFR 50.73 (a)(2)(iv).

05000390/LER-2008-00120 March 200810 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications
Jumpers installed near the beginning of the Cycle 8 refueling outage to block automatic actuation of Safety Injection (Auto SI) had not been removed when Mode 4 was achieved at 0020 EDT on March 20, 2008, or when Mode 3 was entered at 0100 EDT on March 21, 2008. At 0913 EDT on March 21, 2008, plant personnel identified that the jumpers installed during the outage had not been removed. The Auto SI function is required in Modes 1, 2, 3, and 4 per Function 1.b of Table 3.3.2-1 of LCO 3.3.2. Since both trains of Auto SI actuation instrumentation were inoperable, LCO 3.0.3 was entered until jumpers were removed at 0958 EDT. At 2133 EDT on March 21, 2008, it was identified that the Auto SI function was still inoperable because the Auto SI function had not been reset. The reactor trip breakers were cycled to reset Auto SI and LCO 3.0.3 exited at 2206 EDT. Safety consequences of this event were not significant for the existing plant conditions. The cause assessment for the event identified an inadequate General Operating (GO) Instruction and an inadequate Instrument Maintenance Instruction (IMI). The corrective actions include revisions to selected GOs, the IMI, and establishment of a jumper tracking program.
05000390/LER-2008-0037 August 200810 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

NRC Inspection Report 05000390 identified in a noncited violation (NCV) that WA started Watts Bar Nuclear Plant (WBN) Unit 1 since initial plant startup without an operable channel of auxiliary feedwater (AFW) automatic start on a trip of all main feedwater pumps as required by Technical Specification (TS) 3.3.2 Function 6.e. The NCV finding was determined to be of very low safety significance because the finding did not represent an actual loss of safety function of a single train for greater than its TS allowed outage time since other initiation signals were available to automatically start the auxiliary feedwater pumps if needed.

With this inspection report, NRC clarified that the instrumentation channels must not only be capable of transmitting a trip signal, but must also reflect the actual operating condition of the main feedwater pump.

WA has submitted a TS change to permit operation without the AFW autostart on trip of all main feedwater pumps until a main feedwater pump is actually providing feedwater flow to the steam generators. Until operation in accordance with the revised TS is approved, WA will startup using all three AFW pumps, which will eliminate the need for the autostart, since the signal would be to start the pumps that are already running.

05000390/LER-2008-00420 September 200810 CFR 50.73(a)(2)(iv)(A), System Actuation

During normal plant operation on September 20, 2008, unexpected annunciator alarms were received in the control room indicating an automatic reactor trip based on a loss of electrical load. Subsequently, the control room was informed by a Nuclear Assistant Unit Operator that he had tripped open the Exciter Field Breaker, leading to the turbine trip and successive reactor trip.

The cause of this event has been determined to be human performance error in that the NAUO failed to recognize the need to utilize error reduction techniques when opening the exciter field breaker cabinet door. Corrective action has been taken to add the applicable information to operator requalification programs.

As a result of the plant trip, the actuation of the Reactor Protection and the Auxiliary Feedwater Systems were reported in accordance with 10 CFR 50.72(b)(2)(iv)(B) and 10 CFR 50.72(b)(3)(iv)(A), respectively, as ENS notification 44506. This event is also being reported as this Licensee Event Report in accordance with 10 CFR 50.73(a)(2)(iv)(A).

05000390/LER-2008-00529 October 200810 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On October 29, 2008, a discrepancy in the setpoint of the particulate channel of the radiation monitor being credited for meeting Technical Specification (TS) 3.4.15 was identified and the appropriate Limiting Condition for Operation (LCO) was entered. On October 14, the radiation monitor had been calibrated to a setpoint that was no longer within the specified tolerance as a result of a design change. From October 14 to October 29, the Reactor Coolant System Leakage Detection System had been inoperable due to this incorrect setpoint. Consequently, WBN had been operating in a condition prohibited by Technical Specifications.

The cause of this event was determined to be a human performance error during the preparation of design change impact forms. An insufficient level of Question, Validate, and Verify (QV&V) was used, and self-checking was flawed by a wrong assumption regarding design change scope. The setpoint was corrected October 30.

05000390/LER-2009-00127 May 200910 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On 5/27/09, TVA identified that the Watts Bar Nuclear Plant (WBN) Unit 1 Auxiliary Building (AB) Gas Treatment System (ABGTS) pressure test surveillance instruction was inadequate, as closed nonsafety related dampers could mask leakage through credited safety related dampers in the AB Secondary Containment Enclosure (ABSCE).

AB General Ventilation manipulation to place WBN in a known tested condition created a pressure differential that caused failure of temporary ABSCE boundary doors installed to facilitate Unit 2 construction. WBN entered LCO 3.7.12 Condition B for 2 trains of ABGTS inoperable. WA repaired the boundary, and the LCO Condition was exited in approximately 3.5 hours.

Subsequently, WA retested ABGTS, and both trains were verified as operable. From initial licensing until 5/27/09, WBN operated in noncompliance with TS because of the inadequate surveillance instruction.

On 6/27/09, another AB General Ventilation manipulation created a pressure differential that caused the temporary doors to fail once again. One temporary door and a permanent steel door are now closed to ensure boundary operability.

Failures of the temporary doors were due to an inadequate design and insufficient interim actions after the first event to prevent another failure. This event is reported in accordance with 10 CFR 50.73 (a)(2)(i)(B) and (a)(2)(v)(C) and (D).

05000390/LER-2011-0019 May 201110 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On May 9, 2011 at 15:17 Eastern Standard Time (EST) with Watts Bar Nuclear Plant, Unit 1 in Mode 5, and the Reactor Coolant System (RCS) in a near water solid condition, the licensed operator started Safety Injection Pump 1A-A (SIP 1A-A) to fill and vent the Cold Leg Accumulators (CLAs) in accordance with System Operating Instruction SOI- 63.01. Following startup of SIP 1A-A, RCS pressure immediately began to rise and reached a maximum pressure of 328 psig before the operators secured the pump. The RCS pressure transient during this event did not exceed the Cold Overpressure Mitigation System (COMS) setpoint. The unexpected pressure transient was due to improper alignment of the Safety Injection System (SIS) when used to fill and vent the CLAs. Specifically, SIP 1A-A Crosstie Valve (1-FCV-63-152) was opened when it should have been closed. Misalignment of the SIS was due to a failure to follow procedures for a temporary clearance lift.

LCO 3.4.12 was not met because a SIP was capable of injecting into the RCS in Mode 5, which is reportable as a condition prohibited by Technical Specifications in accordance with 10 CFR 50.73(a)(2)(i)(B).

05000390/LER-2011-00222 June 200910 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

While performing Surveillance Instruction 1-SI-67-1 on June 22, 2009, TVA discovered that both Primary Essential Raw Cooling Water (ERCW) Supply Valve (2-FCV-67-66) and Backup ERCW Supply Valve (2-FCV-67-68) to the 2A-A Emergency Diesel Generator heat exchangers were open. Under normal operating conditions, 2-FCV-67-66 is open and 2-FCV-67-68 is closed. With both supply valves open, the system was not properly aligned, and ERCW supply headers 1A and 2B were cross-connected. This misalignment caused the ERCW system to be inoperable in accordance with Technical Specifications (TS) Limiting Condition for Operation (LCO) 3.7.8 and the system could not meet surveillance requirement (SR) 3.7.8.1, to verify valves are in the correct position. With both ERCW trains inoperable, the plant entered LCO 3.0.3. Valve 2-FCV-67-68 was closed immediately upon discovery, and the plant exited LCO 3.0.3. Evaluation of the system alignment indicates that there was no loss of safety function, but because of the incorrect alignment, the ERCW system was inoperable for over nine hours, and Watts Bar failed to be in mode 3 within seven hours as required by LCO 3.0.3.

This event is reported as a condition prohibited by TS under 10 CFR 50.73(a)(2)(i)(B) because the plant was in LCO 3.0.3 for a period longer than allowed by TS.

05000390/LER-2012-00310 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications0
05000390/LER-2012-00410 CFR 50.73(a)(2)(iv)(A), System Actuation
10 CFR 50.73(a)(2)(v), Loss of Safety Function
05000390/LER-2012-00516 October 201210 CFR 50.73(a)(2)(iv)(A), System Actuation

On October 16, 2012, at 2330 EDT, Watts Bar Nuclear Plant (WBN-1) licensed operators attempted a manual fast transfer of the 1B-B 6.9kV Shutdown Board (SDBD) from the normal feeder breaker to the alternate feeder breaker. The transfer was not successful, resulting in the automatic start of the four Emergency Diesel Generators (EDGs). After the 1B-B 6.9kV SDBD de-energized and the loads were shed, the alternate feeder breaker closed and re-energized the 1B-B 6.9kV SDBD. The loads supplied by the 1B-B 6.9kV SDBD were subsequently reconnected, and required tests were successfully completed to ensure operability of the 1B-B 6.9kV SDBD.

At the time of the event, WBN-1 was in MODE 5 following a refueling outage. Operations personnel promptly entered the appropriate response procedure and re-established power to required loads. Required safety systems functioned as designed. This condition did not adversely affect the safe operation of the plant or the health and safety of the public.

The cause of this event was that plant operators did not ensure the alternate feeder breaker hand-switch was held firmly in the "closed" position while initiating the fast board transfer.

This report is being submitted in accordance with 10 CFR 50.73(a)(2)(iv)(A), a condition that resulted in automatic actuation of the EDGs.

05000390/LER-2013-0016 February 2013
  • On July 28, 2009, the Tennessee Valley Authority (TVA) identified latent design input inconsistencies in hydrological computer modeling used for probable maximum flood (PMF) calculations.

The root causes of the condition were an organizational behavior which allowed the latent input inconsistencies to go undetected and management failure to provide oversight of the impact of river system changes on the calculated value of the PMF. The corrective actions to prevent recurrence are to procedurally require a Flood Protection Program, develop formal Flood Protection Program Management Implementing Procedure(s) and Design Standards/Guides, create a formal documented risk management process for all engineering products, formalize the elements of engineering technical rigor, and implement an upper tier integrated risk management process.

Upon discovery, TVA implemented both immediate and interim corrective actions to ensure the Fort Loudoun, Cherokee, Tellico and Watts Bar dams would not overtop during an assumed PMF event.

05000390/LER-2013-0023 May 201310 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material
10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident

On May 2, 2013 at 0845, B-train Emergency Gas Treatment System (EGTS) was removed from service for planned maintenance and Operations declared Technical Specification (TS) Limiting Condition for Operation (LCO) 3.6.9 not met and entered Condition A for one EGTS train inoperable. On May 3, 2013 at 0111, the Main Control Room was notified that the A-A Auxiliary Air Compressor Air Dryer was not purging due to failure of the Auxiliary Control Air System (ACAS) A-A dryer central timing unit. Operations declared A-train ACAS and supported Technical Specification systems inoperable, including A-train EGTS.

WBN operations entered LCO 3.0.3 due to the inoperability of two trains of EGTS and began preparations to initiate an orderly shutdown within one hour. Operations initiated actions to restore B-train EGTS to standby in accordance with System Operating Instruction (S01)-65.02, Emergency Gas Treatment System. At 0155, B-train EGTS was declared operable and the actions of LCO 3.0.3 exited. No action was taken to reduce reactor power while in LCO 3.0.3.

The A-A Auxiliary Air Compressor Air Dryer central timing unit motor was replaced. The apparent cause of this event was that there were missed opportunities to identify the need for replacement preventive maintenance (PM) for the central timing unit. Change requests have been initiated for periodic replacement of the ACAS dryer central timing unit. Components in other systems which could be subject to the same failure mechanism will be reviewed and PM activities initiated as necessary.

05000390/LER-2014-00110 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On January 24, 2014, 1525 Eastern Standard Time (EST) with Watts Bar Nuclear (WBN) Unit 1 at 100 percent rated thermal power, two Train A Motor Driven Auxiliary Feedwater (AFW) Pump Level Control Valves (LCV) failed open due to loss of air. The valves 1-LCV-3-156-A and 1-LCV-3-164-A failed open following removal of the backup nitrogen control system. Upon investigation two essential air isolation valves 0-ISV-32-371 and 0-ISV-32-373, which are normally open to supply essential air from the Auxiliary Compressed Air System (ACAS) to motor driven AFW LCVs, were found closed.

Valves 0-ISV-32-371 and 0-ISV-32-373 were immediately opened which restored essential air to 1-LCV-3-156-A and 1-LCV-3-164-A. Technical Specification (TS) Limiting Condition for Operation (LCO) 3.7.5 was entered at 1525 on January 24, 2014 when Train A Motor Driven AFW was declared inoperable. Upon restoration of air to LCVs, TS LCO 3.7.5 was exited at 1612 on January, 24, 2014.

The cause of this event was that valves 0-ISV-32-371 and 0-ISV-32-373 were closed as part of work order activities and Operations personnel failed to restore the valves to their normal open position.

05000390/LER-2014-00211 February 201410 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition

On February 11, 2014, Watts Bar Nuclear Plant (WBN) engineering and operations personnel discovered that non- conservative operator manual action times were credited in Appendix R analyses. Preliminary Westinghouse transient analysis calculations of WBN Unit 1 fire protection features revealed that there was less time than previously credited to perform certain operator manual actions to prevent pressurizer overfill during certain Appendix R fire scenarios. The Westinghouse analysis assumes the time required to isolate the normal charging path, secure the second charging pump and isolate the emergency charging path is approximately 12.5 minutes. Watts Bar Unit 1 procedures are non- conservative in that they allow these actions to be completed in 18 minutes.

The Tennessee Valley Authority (TVA) has verified that potentially impacted Appendix R equipment remains functional; however, a compensatory fire watch has been established for the affected areas until plant modifications are completed.

This event was caused by an error in a fire protection program design calculation prior to commercial operation of Unit 1.

Modifications to address this issue will be completed during the Fall 2015 refueling outage.

05000390/LER-2014-00313 July 201410 CFR 50.73(a)(2)(iv)(A), System Actuation

On July 13, 2014 at 1937 (EDT), Watts Bar Nuclear Plant operators manually tripped the Unit 1 reactor due to automatic isolation of all low pressure feedwater heaters. Concurrent with the reactor trip, the Auxiliary Feedwater system actuated as designed.

All Control and Shutdown rods fully inserted. All safety systems responded as designed and the unit was stabilized in Mode 3, with decay heat removal via Auxiliary Feedwater, steam dumps and the main condenser, with the station in a normal shutdown electrical alignment.

The need to manually trip the reactor was determined to be the result of two separate age related failures associated with the control scheme of the #7 Heater Drain Tank (HDT). The root cause of these failures was that replacement preventative maintenance (PM) tasks did not exist for these components. The components in question were replaced and corrective actions have been developed to generate replacement PMs for both components. In addition, replacement PMs will be developed for similar critical components of the Secondary Systems based on EPRI Guidance.

05000390/LER-2015-00121 February 201510 CFR 50.73(a)(2)(iv)(A), System Actuation

reactor was manually tripped by control room operators due to a decreasing main condenser vacuum. Subsequent to the reactor trip, the Auxiliary Feedwater system actuated. Control and Shutdown rods fully inserted into the reactor core, and safety systems responded as designed. The unit was stabilized in Mode 3, with decay heat removal via Auxiliary Feedwater and the Steam Generator Atmospheric Dump Valves. The Main Steam Isolation Valves were closed and remained closed during the event.

Tennessee Valley Authority (TVA) has determined that the decreasing condenser vacuum was due to a failure of an expansion joint boot seal in the "C" zone of the main condenser. This seal functions as the expansion joint between the condenser and low pressure turbines. The failure of the seal was due to a non-optimal vulcanization process and inadequate overlap in a joint splice, which significantly weakened the seal and allowed seal water to permeate the seal, further weakening the joint. The failed main condenser boot seal was replaced with a new boot seal on the "C" zone of the condenser. As a preventative measure, the boot seals on the "A" and "B" zones were also replaced.

05000390/LER-2016-00112 January 2016
9 March 2016
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On January 12, 2016, at 1645 Eastern Standard Time (EST), Watts Bar Nuclear Plant (WBN) Maintenance personnel were performing a 92 day Channel Operational Test for radiation monitor 1-RM-90-106A, Lower Containment Atmosphere Particulate Radiation Monitor, and found the mode switch in the "DIFF" position, which was not expected.

The surveillance was stopped and an investigation was conducted. It was determined that the design requires the mode switch to be in the "INT" position to be operable. The mode selector switch was placed in the "INT" position and the surveillance was completed. The radiation monitor was restored to OPERABLE status at 1743 EST on January 12, 2016.

Placing the mode selector switch in the "DIFF" position resulted in 1-RM-90-106A being INOPERABLE due to the loss of alarm function of the monitor. Investigation determined that the switch had been repositioned on December 8, 2015.

Because the containment particulate radiation monitor was inoperable for a period of time greater than permitted by Technical Specification 3.4.15, this condition is reportable as an operation or condition prohibited by Technical Specifications per 10 CFR 50.73(a)(2)(i)(B). During the time the monitor was inoperable, other means of leak detection (e.g., containment pocket sump level indication, reactor coolant system inventory balance) remained available.

05000390/LER-2016-0025 March 2016
4 May 2016
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On March 5, 2016, at 1512 Eastern Standard Time (EST), Watts Bar Nuclear Plant (WBN) Unit 1 entered Technical Specification (TS) 3.6.3, Containment Isolation Valves, Condition A for a containment isolation valve being inoperable.

During a containment walkdown, leakage was found on valve 1-FCV-61-122, Glycol Cooled Floor Return Header Isolation and the valve was declared inoperable. TS 3.6.3 Condition A requires that a penetration flow path with one containment isolation valve inoperable to be isolated by use of at least one closed and de-activated automatic valve, closed manual valve, blind flange, or check valve with flow through the valve within 4 hours. The penetration associated with this containment isolation valve was not isolated until 2113 EST on March 5, 2016. The cause of this event was operations staff misunderstanding the applicability of the Note associated with TS 3.6.3, which allows administrative controls under certain conditions.

Because the action specified by TS 3.6.3 was not completed within four hours, this condition is reportable as an operation or condition prohibited by TS per 10 CFR 50.73(a)(2)(i)(B).

05000390/LER-2016-00311 March 2016
10 May 2016
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On March 11, 2016, Watts Bar Nuclear Plant (WBN) Unit 1 concluded that a condition prohibited by Technical Specification (TS) Limiting Condition for Operation (LCO) 3.5.2, ECCS - Operating, had occurred during recent performances of TS Surveillance Requirement (SR) 3.5.2.3. Due to inadequacies with gas quantification methodologies for Safety Injection (SI) and Residual Heat Removal (RHR) system discharge piping, the ability to meet TS SR 3.5.2.3 could not be demonstrated, which is required in accordance with TVA's response to NRC Generic Letter 2008-01, "Managing Gas Accumulation In Emergency Core Cooling, Decay Heat Removal, and Containment Spray Systems." This condition existed from March 2012 to December 2015. In a subsequent analysis, WBN determined that the worst case gas accumulation in SI and RHR discharge piping would not have affected the ability of the SI and RHR systems from performing their safety functions. However, because the required actions of TS LCO 3.5.2 were not taken within the required times, WBN was in a condition prohibited by Technical Specifications.

TVA is reporting this issue pursuant to 10 CFR 50.73(a)(2)(i)(B).

05000390/LER-2016-00422 March 2016
23 May 2016
10 CFR 50.73(a)(2)(iv)(A), System Actuation

On March 22, 2016, at 1131 Eastern Daylight Time, the Watts Bar Nuclear Plant Unit 1 (WBN1) reactor tripped due to the actuation of the Over Temperature Delta Temperature bistables. Concurrent with the reactor trip, the Auxiliary Feedwater system actuated. All control rods inserted upon the reactor trip and safety systems functioned as expected.

An investigation into the cause of the trip determined that a failure of a Valve Position Limit up/down counter circuit card in the Analog Electro-Hydraulic Turbine Control System resulted in the closure of the turbine high pressure governor valves, resulting in an automatic reactor trip and turbine trip on WBN1. The failed card was replaced and WBN Unit 1 was returned to service.

This event is being reported pursuant to 10 CFR 50.73(a)(2)(iv)(A).

05000390/LER-2016-00522 October 2015
13 May 2016
10 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material
10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident

On March 14, 2016, Watts Bar Nuclear Plant (WBN) Unit 1 determined through engineering analysis that both trains of emergency gas treatment system (EGTS) were inoperable for 8 minutes, 10 seconds during preoperational testing of Unit 2 EGTS. The inoperability of A and B trains of Unit 1 EGTS took place on October 22, 2015, while Unit 1 was in Mode 1 and two trains of EGTS were required to be operable in accordance with technical specification (TS) limiting condition for operation (LCO) 3.6.9, "Emergency Gas Treatment System (EGTS)." At the time of the event, Unit 2 was in "no Mode," prior to initial fuel loading.

This condition is being reported pursuant to 10 CFR 50.73(a)(2)(v)(C) and 10 CFR 50.73(a)(2)(v)(D), "Event or Condition That Could Have Prevented Fulfilment of a Safety Function.

05000390/LER-2016-00613 May 2016
30 June 2016
10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On May 13, 2016, Watts Bar Nuclear Plant Unit 1 (WBN1) determined that a condition prohibited by Technical Specifications had previously occurred. During the Fall 2015 WBN1 outage, maintenance performed on the 1B-B centrifugal charging pump (CCP) room cooling fan introduced a condition that resulted in a subsequent bearing failure of the room cooling fan on December 4, 2015. This condition would have prevented the 1B-B CCP pump from performing its specified function for its designed mission time. Based on the reduced reliability of the fan, the 1B-B CCP was considered to be inoperable from October 7, 2015 until the fan was repaired and returned to service on December 6, 2015. During this time period, there were several short time periods when the 1A-A CCP was inoperable.

An investigation into the cause of the failure was completed on April 21, 2016. The cause of the fan bearing failure was an undersized fan shaft, resulting in the 1B-B CCP fan having excess shaft to bearing clearance which caused the bearing inner ring to loosen from the eccentric locking collar. These excessive clearances allowed the fan bearing inner ring to slide on the shaft. The sliding rotation of the inner ring on the shaft resulted in excessive heat being generated within the bearing leading to catastrophic failure.

This event is being reported pursuant to 10 CFR 50.73(a)(2)(i)(B) and 10 CFR 50.73(a)(2)(v)(D).

05000390/LER-2016-0075 November 2015
20 June 2016
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On April 21, 2016, Watts Bar Nuclear Plant (WBN) Unit 1 concluded that a condition prohibited by Technical Specification (TS) Limiting Condition for Operation (LCO) 3.1.8, Rod Position Indication, had occurred during the dropped rod event on November 05, 2015. The Surveillance Requirement for TS 3.1.8 states that each Analog Rod Position Indication, (ARPI), agrees within 12 steps of the group demand position for the full indicated range of rod travel.

Since the ARPI was indicating correctly for the dropped rod and was verified by diverse indications, it was considered operable. However, the Bases for TS 3.1.8 states that for the position indication to be operable, the Rod Position Indication System indicates within 12 steps of the step counter demand position as required by TS 3.1.5, Rod Group Alignment Limits. In the case of a dropped control rod, the Rod Position for the affected rod would not be within 12 steps of the demand counter. Since WBN Unit 1 at the time of the dropped rod was in a mode of applicability, the above conditions would have been met warranting entry into TS 3.1.8 Condition A. Because the actions of TS 3.1.8 were not taken within the required times, WBN Unit 1 was in a condition prohibited by TS.

TVA is reporting this issue pursuant to 10 CFR 50.73(a)(2)(i)(B).

05000390/LER-2016-00817 May 2016
15 July 2016
10 CFR 50.73(a)(2)(iv)(A), System Actuation

On May 17, 2016, at 1630 hours while restoring from a plant modification related to installation of new protective relays designed to detect open phase conditions on the 6.9kV shutdown boards, the feeder breakers for the 6.9kV Shutdown Board 1B-B tripped resulting in a loss of bus voltage. The feeder breakers tripped due to actuation of the loss of voltage relays in the shutdown board protective relay trip logic circuit resulting in separation of offsite power from the 6.9kV Shutdown Board 1B-B. The 1B-B emergency diesel generator did not auto start during this event because it was out of service due to planned maintenance.

In response to the loss of power on the 6.9kV Shutdown Board 1B-B, the operators immediately entered Abnormal Operating Instruction, 0-A01-43.02, Loss of Unit 1 Train B Shutdown Boards, and manually started emergency diesel generators 1A-A, 2A-A, and 2B-B. All equipment operated properly. The emergency diesel generators were not required to be paralleled to their respective boards because offsite power was available.

Offsite power was restored to the 6.9kV Shutdown Board 1B-B at 1802 hours on May 17, 2016. Event Notification 51940 was issued May 17, 2016. This event is being reported pursuant to 10 CFR 50.73(a)(2)(iv)(A).

05000390/LER-2016-00921 November 2015
15 July 2016
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On November 21, 2015, Watts Bar Nuclear Unit 1 (WBN1) operations personnel did not conduct a surveillance of the Train B Essential Raw Cooling Water (ERCW) supply inboard containment isolation valve, which represented the late date for this surveillance. WBN1 personnel recognized the potential for this surveillance to go late on November 15, 2015, and therefore the provisions of Technical Specification (TS) Surveillance Requirement 3.0.3 could not be applied. Failure to complete the surveillance required entering TS Limiting Condition for Operation (LCO) 3.6.3 and completing Required Action A.1, but the required action to isolate the affected penetration flowpath was not performed until January 30, 2016. This condition was not recognized as reportable until May 18, 2016.

This supplement clarifies the reportable event and reconciles event dates.

05000390/LER-2016-0108 June 2016
8 August 2016
10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition

At 1526 Eastern Daylight Time on 6/8/2016, a determination was made involving the potential impact of a tornado on the Emergency Diesel Generators (EDGs). The EDGs are required to be operable to provide power to ensure that acceptable fuel design limits, reactor coolant system pressure boundary limits, and containment integrity are not exceeded during abnormal transients. Further, the EDGs are designed with a crankcase pressure trip (setpoint of 1 inch water), which is bypassed following an emergency start. Engineering has determined that a tornado could potentially cause actuation of the crankcase pressure trip due to a low barometric condition. If an emergency start signal has NOT previously occurred, then during a tornado, actuation of the crankcase pressure trip would energize the shutdown relay causing an EDG lockout condition. The EDG lockout condition prevents subsequent EDG starts (normal or emergency) until operators manually reset the lockout condition locally at the EDG. This condition could potentially affect all four EDGs simultaneously.

A compensatory measure has been established, that upon notification of a Tornado Warning, the EDGs would be 'emergency started' and run during the time the Tornado Warning was in effect. This action bypasses the crankcase pressure trip function and allows the EDGs to perform their required safety function.

05000390/LER-2016-0113 August 2016
9 December 2016
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On August 3, 2016, Watts Bar Nuclear Plant Unit 1 (WBN1) determined that a condition prohibited by Technical Specifications (TS) had occurred.

During maintenance of the 1B-B centrifugal charging pump (CCP) room cooler, the bearing was found in a degraded condition requiring repair. This fan is required to support Operability of the 1B-B CCP. Based on the inability of the CCP to meet its calculated mission time of 10 days, the 1B-B CCP was considered to be inoperable from July 24, 2016 until restoration of the 1B-B CCP room cooler on August 5, 2016. This represents a condition prohibited by Technical Specifications due to the 1 B-B CCP being inoperable for greater than its allowed outage time. This event is being reported pursuant to 10 CFR 50.73(a)(2)(i)(B).

The cause of the bearing degradation and fan failure was over tensioning the fan belts due to a 2011 revision to a maintenance procedure which improperly removed the established method for belt tensioning. This method had been added to the procedure in 1995 as an action to prevent recurrence of a similar over tensioning event.

The 1B-B CCP room cooler had been rebuilt in December 2015 after a similar bearing failure had occurred as reported in LER 390/2016-006.

05000390/LER-2017-00110 November 2016
14 February 2017
10 CFR 50.73(a)(2)(vii), Common Cause Inoperability

On November 10, 2016, Watts Bar Nuclear Plant personnel identified a failure of the non-reverse clutch key on Emergency Raw Cooling Water (ERCW) motor B-A. While performing a lubrication work order, it was discovered that the clutch key was sheared. Subsequent investigation identified that other clutch key failures had occurred in the recent past. The non-reverse clutch prevents the ERCW pump from rotating in the reverse direction after pump trip, which could cause the motor to develop a higher than normal in-rush current if the motor was subsequently started, such as following an accident.

Based on the potential common mode failure of the non-reverse clutch, immediate corrective actions were put in place to ensure that the safety function of the ERCW pumps to start following an accident would not be impaired. The cause of the failure is under investigation.

05000390/LER-2017-00224 December 2016
22 February 2017
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical SpecificationsOn December 24, 2016, Watts Bar Nuclear Plant (WBN) personnel identified that a clearance associated with a containment purge valve, 1-FCV-30-17, had been incorrectly hung. The clearance was intended to pull fuses to close and de-energize this valve in support of local leak rate testing. The incorrect fuses were removed, and the valve remained energized for about 24 hours while local leak rate testing was performed on the associated containment penetration. The clearance error was discovered when operations personnel attempted to replace the fuses for valve 1-FCV-30-17. The cause of the error was determined to be a human performance error. This has been determined to be a condition prohibited by Technical Specification 3.6.3, Limiting Condition for Operation, Condition A, because the penetration was inoperable for longer than the four hour required action time.
05000390/LER-2017-0034 January 2017
3 March 2017
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On January 4, 2017 at 1010 Eastern Standard Time (EST), Watts Bar Nuclear Plant Operations personnel declared Essential Raw Cooling Water (ERCW) strainer flush valve 2-FCV-67-9B inoperable due to having a through-wall leak.

The valve was replaced and the ERCW strainer was returned to service on January 5, 2017 at 0952 EST. This event is reportable because the valve had had a through-wall leak since January 31, 2016 and had not been declared inoperable. With a through-wall leak, a flaw evaluation is required to be performed to demonstrate the through-wall leak was stable. The failure to perform an adequate operability evaluation allowed the valve to remain in service for a period of time longer than allowed by Technical Specification (TS) 3.7.8, Essential Raw Cooling Water, Limiting Condition for Operation (LCO) Condition A. This represents a condition prohibited by the TS. Subsequent analysis of the valve demonstrated that it remained structurally sound with the leak, and would not have impacted the operability of the ERCW system.

The cause of the failure to perform an adequate operability evaluation has been determined to be human performance errors on the part of both operations and engineering personnel. Additional training of operations and engineering personnel is planned as corrective action to address the potential for recurrence of this issue.

05000390/LER-2017-00431 August 201710 CFR 50.73(a)(2)(iv)(A), System Actuation

On May 2, 2017, at 1945 Eastern Daylight Time (EDT) and on May 4, 2017 at 1710 EDT, Watts Bar Nuclear (WBN) Plant Unit 1 reactor was manually tripped due to a failure of the Reactor Coolant Pump (RCP) Board 1C normal feeder breaker to close during the planned power transfer to unit power following plant startup. Concurrent with each reactor trip, the Auxiliary Feedwater system actuated as designed. All control and shutdown rods fully inserted. All safety systems responded as designed for both events.

For the first event. the cause was incorrectly attributed to a high resistance contact resulting in the normal feeder breaker failing to close. In the investigation following the second event, a relay associated with the RCP Board 1C control circuit was found incorrectly configured due to a human performance issue, which resulted in a standing trip signal on the RCP normal feeder breaker. To prevent recurrence, procedures will be revised to address material control of pretested components.

05000390/LER-2017-00510 May 2017
10 July 2017
10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On May 10, 2017, at 0907 Eastern Daylight Time (EDT), Watts Bar Nuclear Plant (WBN) Unit 1 operations personnel discovered the 1B-B Safety Injection pump discharge isolation valve (1-ISV-63-527) closed. Technical Specification (TS) 3.5.2, ECCS - Operating, Condition A was immediately entered for one or more trains of the Emergency Core Cooling System (ECCS) inoperable. TS 3.5.2 Condition A was exited at 0913 EDT when 1-ISV-63-527 was opened.

Investigation determined that the 1 B-B SI pump discharge isolation valve had been closed prior to Unit 1 entering Mode 3 on April 26, 2017, representing a condition prohibited by TS. During this time period, the 1A-A SI pump was inoperable for 21 minutes, representing a condition that could have prevented fulfillment of a safety function.

The cause of the mispositioned valve was the result of an individual failing to follow procedure use and adherence requirements during the performance of Emergency Diesel Generator (EDG) Blackout testing. The safety injection pump discharge valve was closed to support the test but was not reopened following the testing. Corrective actions for this event include personal accountability actions, revision of the EDG blackout procedures to ensure the SI pump discharge valves are reopened, and additional station focus on procedure use, particularly use of Not Applicable (N/A) in performing procedures.

05000390/LER-2017-0061 June 2017
31 July 2017
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

On June 1, 2017, at 1550 Eastern Daylight Time (EDT), Watts Bar Nuclear Plant (WBN) Unit 1 operations personnel declared one of its two required offsite power sources to be inoperable in accordance with Technical Specification (TS) 3.8.1, Condition A. One of the poles for this power source was found cracked and not able to meet its structural load requirements for wind or icing. The pole was replaced and the line returned to service on June 2, 2017.

This crack was determined to have been caused by an earlier line failure on May 27, 2017 when adjacent poles fell during a thunder storm, which also caused the plant to enter TS 3.8.1, Condition A. Based on evidence demonstrating that the pole with the crack had not met requirements from May 27, 2017 until replaced on June 2, 2017, a condition prohibited by Technical Specification 3.8.1 occurred because the line was not functional for a period longer than the allowed outage time.

The cause for failure to repair the pole with the crack following the May 27, 2017 event was that it was covered by vegetation, and was not discovered until June 1, 2017. Corrective actions to address this issue included investigation of the offsite power source support structures and replacement of degraded offsite power line poles to maintain high reliability of offsite power

05000390/LER-2017-0079 June 2017
8 August 2017
10 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material
10 CFR 50.73(a)(2)(v), Loss of Safety Function

On June 9, 2017. Watts Bar Nuclear Plant (WBN) personnel determined that the reporting requirements of 10 CFR 50.72(b)(3)(v) and 10 CFR 50.73(a)(2)(v), as clarified by guidance in NUREG-1022, Revision 3. were being incorrectly applied for certain events associated with single train safety systems. When events occurred that resulted in these systems not meeting Technical Specification (TS) Limiting Conditions for Operation (LCO). the short duration of these events relative to their required action completion time, coupled with prompt return to allowable values, were not considered a loss of safety function by Operations and Licensing personnel. As a result, multiple potential loss of safety function events were not reported as required. These events were related to Refueling Water Storage Tank (RVVST) level, Containment and Shield Building pressure, and Control Room Envelope integrity.

A review of these events indicate, when considering the actual system capability and the response of equipment and personnel. a loss of safety function capability impacting public health and safety did not occur for events associated with the RWST, Containment. Shield Building, or Control Room. Corrective actions include briefing personnel on the regulatory impact of these events, and the importance of the control room boundary.

.._ _ NRr, FORM Kri 2017:

05000390/LER-2017-00814 August 201710 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material
10 CFR 50.73(a)(2)(v), Loss of Safety Function

On June 15, 2017, at 1219 Eastern Daylight Time (EDT), Technical Specification (TS) Limiting Condition for Operation (LCO) 3.6.15 Condition B was entered for Watts Bar Nuclear Plant (WBN) Unit 1 annulus pressure not within limits, resulting in Shield Building inoperability. At 1221 EDT, the WBN Unit 1 annulus pressure returned to normal, the Shield Building was declared operable, and LCO 3.6.15 Condition B was exited. Because the shield building is a non-redundant safety system, operation outside of TS allowable limits represents an event that could have prevented fulfillment of a safety function.

The temporary loss of the Shield Building resulted from a loss of pressure control in the Auxiliary Building caused by a loss of Auxiliary Building General Ventilation due to a spurious cross zone fire alarm. The Auxiliary Building Gas Treatment System was started to maintain Auxiliary Building pressure within limits and the non-safety related Annulus Auxiliary Building ventilation supply fans were replaced.

05000390/LER-2017-00910 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition
10 CFR 50.73(a)(2)(v)(B), Loss of Safety Function - Remove Residual Heat
10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident
10 CFR 50.73(a)(2)(ii)

On July 12, 2017, at 1238 Eastern Daylight Time (EDT), Watts Bar Nuclear Plant (WBN) determined that a preliminary analysis shows adequate Essential Raw Cooling Water (ERCW) flow may not be available during dual unit limiting design basis conditions of one unit in Hot Shutdown on Residual Heat Removal (RHR) cooling when the other unit experiences a Loss of Coolant Accident (LOCA). Based on preliminary analysis, during a Unit 1 LOCA, Unit 1 receives adequate flow when following existing procedural guidance. However, Unit 2 may not receive adequate flow to meet cool-down requirements with design basis maximum temperatures. During a Unit 2 LOCA, however, current procedural guidance is not adequate to ensure the proper system alignment to establish correct ERCW Component Cooling Water (CCS) Heat Exchanger A and B flow rates for either unit's cool down requirements.

At the time of the event, Unit 2 had been shutdown for an extended period of time such that the flow delivered by ERCW was adequate to serve both Unit 1 in a LOCA and Unit 2 in Mode 4 or 5. Immediate corrective actions included procedure changes to ensure adequate ERCW flow for all possible plant situations in both units. The causes of this issue are a failure to address cross train elements of the ERCW system in the design analysis and a failure to address procedural impacts when the plant transitioned to dual unit operation. The procedure errors were corrected.