Semantic search

Jump to navigation Jump to search
 SiteStart dateTitleDescription
05000219/FIN-2008005-04Oyster Creek31 December 2008 23:59:59Failure of M1A Transformer Causes an Automatic Load Reject ScramAn unresolved item was identified to review Exelons root cause assessment and licensee event report (LER) regarding the failure of the M1A main transformer and subsequent load reject scram to determine whether a performance deficiency existed which contributed to the transformer failure. The inspectors plan to review Exelons evaluation after it is completed, which had not occurred by the end of this inspection period. At 2101, November 28, Oyster Creek experienced a generator trip due to an A-phase and B-phase differential relay actuation, which resulted in a reactor shutdown due to a load reject scram. All safety systems operated as expected during the scram. The grid disturbance report provided by Jersey Central Power & Light, combined with information from the Oyster Creek Digital Protective Relay System, differential voltage and current indication data, and dissolved gas in oil analysis indicated that the fault occurred on the B phase of the M1A Main Power Transformer. Exelon entered this issue into their corrective action program in condition report IR 850348. (URI 05000219/2008004-04: Failure of M1A Transformer Causes an Automatic Load Reject Scram
05000219/FIN-2009003-07Oyster Creek30 June 2009 23:59:59Ineffective Use of Operating Experience on Main Power Transformer Cooling SystemA self-revealing finding occurred when Exelon did not adequately evaluate operating experience (OE) regarding transformer cooling issues. Specifically, Exelon did not identify and correct a single point vulnerability (SPV) on the main transformers cooling system control circuitry. This resulted in a manual reactor scram in April 2009 when the M1A main power transformer lost all cooling and the cooling system could not be restored. This finding was determined not to be a violation of NRC requirements. Exelons corrective actions included modifying the cooling system control circuitry on theM1A and M1B main power transformer to address the SPV. This issue has been entered into Exelons corrective action program. The finding was more than minor in accordance with IMC 0612, Appendix B (Section1-3), Issue Screening, because it was associated with the equipment performance attribute of the initiating events cornerstone and affected the objective to limit the likelihood of those events that upset plant stability and challenge critical safety functions during power operation. In accordance with IMC 0609.04 (Table 4a), Phase 1 Initial Screen and Characterization of Findings, the finding was determined to be of very low safety significance (Green). The performance deficiency had a cross-cutting aspect in the area of problem identification and resolution, operating experience (IMC 0305, Aspect P.2(a)), because Exelon did not evaluate relevant internal and external OE to identify a SPV in the transformer cooling system
05000219/LER-2008-001Oyster CreekOyster Creek Generating Station www.exeloncorp.com
Route 9 South Nuclear
PO Box 388
Forked River, NJ 08731
10 CFR 50.73
January 21, 2009
RA-09-008
U. S. Nuclear Regulatory Commission
Attn: Document Control Desk
Washington, DC 20555 - 0001
Oyster Creek Nuclear Generating Station
Facility Operating License No. DPR-16
NRC Docket No. 50-219
Subject:ALicensee Event Report 2008-001-00, Automatic Reactor Shutdown
Caused By Main Transformer Failure
Enclosed is Licensee Event Report 2008-001-00, Automatic Reactor Shutdown Caused
By Main Transformer Failure. This event did not affect the health and safety of the
public or plant personnel. This event did not result in a safety system functional failure.
There are no new regulatory commitments made in this LER submittal.
If any further information or assistance is needed, please contact Richard Milos,
Regulatory 'Assurance at 609-971-4973.
Sincerely,
.S. Rausch
Vice President, Oyster Creek Nuclear Generating Station
Enclosure: NRC Form 366, LER 2008-001-00
cc:AAdministrator, USNRC Region I
USNRC Project Manager, Oyster Creek
USNRC Senior Resident Inspector, Oyster Creek
File No. 09035

NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION
(9-2007)
LICENSEE EVENT REPORT (LER)
(See reverse for required number of
digits/characters for each block)
1. FACILITY NAME
Oyster Creek, Unit 1
4. TITLE
APPROVED BY OMB: NO. 3150-0104 EXPIRES: 08/31/2010
Estimated burden per response to comply with this mandatory collection
request: 80 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 Internet
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
infnrmatinn nalpe.tinn
2. DOCKET NUMBER 3. PAGE
05000219 1 OF 3
Automatic Reactor Shutdown Caused By Main Transformer Failure
MANU- REPORTABLESYSTEM COMPONENT FACTURER TO EPIX N/A N/A N/A N/A
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.

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-2009-00325 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-2015-002Oyster Creek, Unit 1 05000219

On May 7, 2015 at 1727 hours, a Main Turbine Trip and subsequent Reactor Scram occurred from a trip of the Main Transformer Differential Lockout Relay, 86T. The Main Transformer Differential Lockout Relay, 86T is a protection function provided by Digital Protection Relay System "B" (DPRSS). The 86T trip signal was sensed and cleared, without operator action, in 17 milliseconds (ms) or 1 cycle prior to the 230KV output breakers opening. The results of extensive troubleshooting ruled out an actual fault in the Main Transformers or Iso-phase Sus, and determined that the Main Transformer Differential Relay actuation was a spurious trip, and not due to an actual degraded equipment condition.

  • ENS 51055 was submitted on May 7, 2015 as required by 10 CFR 50.72 (b)(2)(iv)(8). This issue is reportable under 10 CFR 50.73(a)(2)(iv)(A), any event or condition that resulted in manual or automatic actuation. of any of the systems listed in paragraph 10 CFR 50.73(a)(2)(iv)(8).
05000220/FIN-2012005-01Nine Mile Point31 December 2012 23:59:59Failure to Develop Adequate Inspection Requirements for Main Transformer Modification Results in Reactor ScramA self-revealing Green finding (FIN) was identified for Nine Mile Point Nuclear Station, LLC. (NMPNSs) failure to develop adequate inspection requirements for the Unit 1 main transformer replacement. As a result, improper configuration of the main transformer current transformers (CT) 11 and 12 bus bars went undetected. On October 29, 2012, the improper configuration of the CT bus bars combined with an electrical transient due to a lightning arrestor collapse in the 345kV switchyard resulted in a reactor scram. Following the scram, an investigation revealed the improper configuration of the CT bus bars. NMPNS took immediate corrective actions to correct the configuration of the CT 11 and 12 bus bars. NMPNS entered the issue into their corrective action program (CAP) as condition report (CR)-2012-009820. This finding is more than minor because it adversely affected the design control attribute of the Initiating Events Cornerstone and affected the cornerstone objective of limiting the likelihood of those events that upset plant stability and challenge critical safety functions during power operations. The finding was evaluated in accordance with IMC 0609.04, Initial Characterization of Findings, and Exhibit 1 of IMC 0609, Appendix A, The Significance Determination Process for Findings At-Power, issued June 19, 2012. The inspectors determined that this finding is of very low safety significance (Green) because while the performance deficiency caused a reactor scram, it did not result in the loss of mitigation equipment relied upon to transition the plant from the onset of the trip to a stable shutdown condition. The finding has a cross-cutting aspect in the area of human performance, work practices, because NMPNS did not ensure proper supervisory or management oversight of the Unit 1 main transformer replacement. Specifically, NMPNS failed to ensure proper oversight of the main transformer modification by not developing adequate inspection requirements, as required by NEP-DES-09, Engineering Specification.
05000220/LER-2012-004Nine Mile PointAutomatic Reactor Scram Due to a Generator Load Reject

On October 29, 2012 at 21:00:57 hours, Nine Mile Point Unit 1 (NMP1) experienced an unplanned, automatic, reactor scram due to a Turbine Trip from 100 percent power caused by activation of a generator lockout relay. The generator trip was an unexpected consequence and was initiated by a high fault current condition in the Scriba switchyard detected by both NMP I instantaneous ground directional overcurrent relays. A polarity wiring error within the generator step up transformer neutral ground current transformers (CTs) caused the relay protection circuits to actuate on the fault in the Scriba switchyard. This was not expected because the relay protection circuits were designed to detect a fault condition between the main generator and the station output breakers. The error was caused by less than adequate oversight by CENG personnel of transformer XF-TB01 testing with respect to unclear specificity of requirements for vendor performed testing and inadequate methods of verification for ensuring vendor compliance with engineering specifications.

This event is reportable in accordance with 10 CFR 50.73(a)(2)(iv)(A) as an actuation of the reactor protection system and an actuation of the high pressure coolant injection system while the reactor was critical.

Corrective actions include correcting the wiring of the CT circuits, verifying all the requirements in the engineering specification have been met, revising the associated electrical drawings, and revising engineering procedures to require the listing of critical attributes for equipment/components and to define testing criteria/verification methods to be performed when factory acceptance testing or modification functional testing cannot be performed to verify the functionality of equipment/components.

05000237/FIN-2008003-01Dresden30 June 2008 23:59:59Failure to Control Loose Materials in the Protected AreaThe inspectors identified a finding of very low safety significance with no associated violation of regulatory requirements for the licensees failure to control loose materials in the protected area. Specifically, on the morning of May 30, 2008, the inspectors identified loose materials that were tornado hazards in direct line of site to the Unit 2 and 3 main transformers and the Unit 3 reserve auxiliary transformer. High winds were forecast for that afternoon. Once notified, the licensee entered the issue into its corrective action program and removed the materials. The inspectors concluded that the finding was more than minor in accordance with IMC 0612, Power Reactor Inspection Reports, Appendix B, Issue Screening, issued on September 20, 2007, because, if left uncorrected, the finding would become a more significant safety concern. The finding is of very low safety significance because it did not contribute to both the likelihood of a reactor trip and the likelihood that mitigation equipment or functions will not be available
05000247/LER-2009-005Indian Point450 Broadway, GSB
P.O. Box 249
Buchanan, N.Y. 10511-0249Entergy Tel (914) 734-6700
J. E. Pollock
Site Vice President
NL-09-159
January 4, 2010
U.S. Nuclear Regulatory Commission
Attn: Document Control Desk
Mail Stop 0-P1-17
Washington, D.C. 20555-0001
SUBJECT:MLicensee Event Report # 2009-005-00, "Automatic Reactor Trip Due to a
Turbine-Generator Exciter Protective Trip Caused by a Loss of the
Generrex Power Supply Monitored Voltage Due to a High Resistance
Ground Connection"
Indian Point Unit No. 2
Docket No. 50-247
DPR-26
Dear Sir or Madam:
Pursuant to 10 CFR 50.73(a)(1), Entergy Nuclear Operations Inc. (ENO) hereby provides
Licensee Event Report (LER) 2009-005-00. The attached LER identifies an event where
the reactor was automatically tripped, which is reportable under 10 CFR
50.73(a)(2)(iv)(A) . As a result of the reactor trip, the Auxiliary Feedwater System was
actuated and the Main Steam Isolation Valves (MSIVs) were closed which is also
reportable under 10 CFR 50.73(a)(2)(iv)(A). This condition was recorded in the Entergy
Corrective Action Program as Condition Report CR-IP2-2009-04530.
There are no new commitments identified in this letter. Should you have any questions
regarding this submittal, please contact Mr. Robert Walpole, Manager, Licensing at
(914) 734-6710.
Sincerely,
-qrsuer-Pc,a
JEP/cbr
cc:MMr. Samuel J Collins, Regional Administrator, NRC Region I
NRC Resident Inspector's Office, Indian Point 2
Mr. Paul Eddy, New York State Public Service Commission
LEREvents@inpo.org
NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150-0104 EXPIRES: 8/31/2010
(9-2007)D•
Estimated burden per response to comply with this mandatory collection
request: 50 hours.DReported 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 internetLICENSEE EVENT REPORT (LER) 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.
1. FACILITY NAME: INDIAN POINT 2 2. DOCKET NUMBER 1 3. PAGE
05000-247 1TOF 5
4. TITLE: Automatic Reactor Trip Due to a Turbine-Generator Exciter Protective Trip Caused by a
Loss of the Generrex Power Supply Monitored Voltage Due to a High Resistance Ground
Connection

On November 02, 2009, an automatic reactor trip (RT) was initiated as a result of a turbine-generator protective trip (86P Lockout Relay). All control rods fully inserted and all required safety systems functioned properly.TThe Main Steam Isolation Valves (MSIVs) were closed after reports that one of the four turbine stop valves did not indicate fully closed.TThe plant was stabilized in hot standby with decay heat being removed by the Steam Generators (SG) via the Atmospheric Steam Dump Valves.TThe Emergency Diesel Generators did not start as of f site power remained available. The Auxiliary Feedwater System automatically started as expected due to SG low level from shrink effect.TThe direct cause was a high resistance connection on the common ground terminal between the Generrex power supplies and alarm cards.TThe cause of the event was a poor Original Equipment Manufacturer (OEM) design of the common ground wiring connections on the Generrex power supply distribution block.TCorrective actions included repairs to the Generrex power supply connection and installation of a second ground connection in the exciter cabinet.

T A Generrex system upgrade is planned for the refueling outage 19 in the spring of 2010 which includes upgrading to solid state power supplies and testing the ground wire.TThe event had no effect on public health and safety.

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.

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.

05000250/LER-2001-004Turkey Point1 OF 5

On October 15, 2001, Turkey Point Unit 3 was in Mode 6 (Refueling) with core reload in progress.

Contrary to Technical Specification (TS) requirements, fuel movement continued without an OPERABLE boration flow path as defined by TS 3.1.2.1. The condition was discovered on October 16, 2001. Although a boric acid transfer pump was OPERABLE and capable of supplying borated water to the Reactor Coolant System through an idle charging pump, the idle charging pump was not capable of being powered by an OPERABLE emergency power source, in verbatim compliance with TS 3.1.2.1. The emergency power source for the 3A Charging Pump is the 3A Emergency Diesel Generator (EDG). The 3A EDG was paralleled to the grid, rendering it inoperable.

The root causes of this event were inadequate procedures and misinterpretation of TS 3.1.2.1.

Because the emergency power source was available (even though inoperable), the safety significance and risk significance of the event were very low.

Corrective actions include revision of procedures, counseling of personnel involved, and retraining of operating personnel and other non-licensed plant staff.

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.(�

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.
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.

05000255/LER-1984-001, Responds to NRC Re Noncompliance Noted in IE Insp Rept 50-255/84-05.Corrective Actions Addressed in LER 84-001Palisades21 May 1984Responds to NRC Re Noncompliance Noted in IE Insp Rept 50-255/84-05.Corrective Actions Addressed in LER 84-001
05000259/FIN-2012004-03Browns Ferry30 September 2012 23:59:59Automatic Reactor Scram Due to Inadequate Testing of Current TransformerA self-revealing finding (FIN) was identified for the licensees failure to adequately test a Unit 3 main turbine generator current transformer (CT) as required by TVA-NQA-PLN89-A, Nuclear Quality Assurance Plan which resulted in the improper wiring of the CT. The licensee switched the CT leads to correct the input to the main transformer relay, adequately tested all other new Unit 3 relays, implemented a transition plan to incorporate the protective relay group into the nuclear organization, and planned post startup monitoring for the Unit 1 and 2 digital differential protective relays. The licensee entered this issue into their corrective action program as PER 558183. This finding was determined to be more than minor because it was associated with the Design Control attribute of the Initiating Events cornerstone and adversely affected the cornerstone objective to limit the likelihood of those events that upset plant stability. Specifically, the failure to adequately test a Unit 3 main turbine generator CT directly contributed to a reactor scram of Unit 3. The significance of the finding was evaluated using Phase 1 of the Significance Determination Process (SDP) in accordance with Inspection Manual Chapter 0609 Attachment 4 and was determined to be of very low safety significance (Green) because it did not contribute to both a reactor trip and the loss of mitigation equipment relied upon to transition the plant from the onset of the trip to a stable shutdown condition. The cause of this finding was directly related to the cross-cutting aspect of Supervisory and Management Oversight in the Work Practices component of the Human Performance area, because the supervisors failed to ensure proper procedure quality, procedure usage, worker qualification, and proper work preparation associated with the protective relay groups work activities such that nuclear safety was supported.
05000260/LER-2002-002Browns Ferry Nuclear Plant Unit 227 July 2002Automatic Scram resulting from Main Bank Transformer bushing fault

On July 27, 2002, a Unit 2 main generator trip, main turbine trip, and reactor scram occurred from 100% power.

All expected system responses were received, including the automatic opening of four safety-relief valves.

Actuation of primary containment isolation system groups 2, 3, 6, and 8 occurred due to the expected temporary lowering of reactor water level. This logic isolates shutdown cooling (if in service), isolates the reactor water cleanup system, isolates the normal reactor building ventilation, initiates the standby gas treatment and the control room emergency ventilation systems, and retracts traversing incore probes (if inserted). The normal heat rejection path for the reactor remained in service. Reactor water level was recovered to the normal operating range by the normal reactor water level control system. Neither the high pressure coolant injection nor reactor core isolation cooling systems were used during this event.

The generator tripped due to a ground fault on a main bank transformer bushing, which occurred due to thermal degradation of the paper insulation of the bushing's internal condenser. Corrective actions included replacement of all of the low-side bushings on the transformer and increased monitoring of generator neutral resistor voltage trends. All new bushings will be installed on Unit 2 and Unit 3 main bank transformers. TVA will re-evaluate the criteria used in determining bushing condenser replacement intervals, and the bushing maintenance practices will be revised accordingly.

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.
05000261/LER-2007-001Docket NumberReactor Trip Due to a Loose Wire in the Main Transformer Monitoring Circuitry

At 1116 hours EDT on May 15, 2007, with H. B. Robinson Steam Electric Plant (HBRSEP), Unit No. 2, in Mode 1 at approximately 84% power, a generator lockout signal tripped the main turbine- generator (TG:TA,TB), which resulted in a reactor trip.DThe generator lockout signal was caused by an electrical fault in the circuitry for the "C" phase main transformer (XFMR:EL) alarm panel.

The root cause of this event was the failure to crimp and inspect the tightness of the lug connecting the current transformer (CT) to the transformer alarm panel, which allowed the wire to disconnect and cause an AC electrical voltage from the "C" main transformer neutral bushing CT to be superimposed on the Train "A" DC system.DThe Train "A" motor-driven auxiliary feedwater (MDAFW) pump (P:BA) failed to start automatically, but it was started manually within about one minute after the reactor trip by an operator.DThe cause of the Train "A" MDAFW pump failure was subsequently determined to be a failure of the control switch (HS:BA), which prevented the automatic start signal.DThe equipment was repaired and the unit'was placed back on-line at about 1211 hours on May 17, 2007.DPlanned corrective actions include procedure changes to verify proper connections in the main transformer equipment during work on that equipment and replacement of the Train "B" MDAFW pump control switch during the next refueling outage.DThe condition described in this Licensee Event Report is reportable in accordance with 10 CFR 50.73(a)(2)(iv)(A), any event or condition that resulted in manual or automatic actuation of any of the systems listed in 10 CFR 50.73(a)(2)(iv)(B).

05000265/LER-2001-001Quad CitiesReactor Scram Due to Failure of Main Power Transformer

On August 2, 2001, at 0813 hours, lightning struck a 345 kV line that connected to the Quad Cities switchyard. This resulted in failure of the Unit 2 Main Power Transformer (MPT), an automatic reactor scram on Unit 2 and loss of normal offsite power to Unit 2. An Unusual Event was declared, the Unit 2 and 1/2 Emergency Diesel Generators started, and the Reactor Core Isolation Cooling system and the Safe Shutdown Makeup Pump were manually started to maintain reactor vessel level. The MPT fire was extinguished at 0845 hours and normal offsite power was restored to Unit 2 at 1047 hours.

The safety significance of this event was minimal. All safety systems operated as designed to shut the Unit 2 reactor down and maintain it in a safe shutdown condition. Offsite power was available to Unit 2 from the Unit 1 Reserve Auxiliary Transformer through the emergency bus crosstie throughout the event.

The root cause of the MPT failure was mechanical failure of the bus bar clamps due to original equipment manufacturer design and construction errors. The root cause of the loss of normal offsite power was age degradation in a Static Breaker Failure (SBF) relay.

The SBF relay was replaced and the preventive maintenance program has been upgraded concerning local breaker backup schemes. The MPT Specification Development Lessons Learned Review Checklist has been upgraded and a comprehensive transformer monitoring strategy will be implemented.

NRC FORM 3 6 6A (7-2 0 01 ) ���

05000266/FIN-2009006-01Point Beach31 March 2009 23:59:59Failure to Adequately Control High Winds/Tornado HazardsA finding of very low safety significance was identified by the inspectors for the licensees failure to maintain control over the proper storage and placement of materials, within the risk significant areas of the outdoors protected area, that were classified as high winds/tornado hazards in accordance with station procedures PC 99, Tornado Hazards Inspection Checklist, and NP 1.9.6, Plant Cleanliness and Storage. Specifically, these unsecured items were identified near the Unit 1 and Unit 2 main transformer lines, auxiliary transformers, and the G-03/G-04 emergency diesel generator building. Once notified, the licensee removed or secured the materials appropriately and entered the issue into its CAP. At the end of the inspection period, the licensee continued to perform a root cause evaluation and develop long-term corrective actions. The finding was determined to be more than minor because if left uncorrected, the loose items would become a more significant safety concern. The inspectors evaluated the finding using the Significance Determination Process in accordance with IMC 0609, Significance Determination Process, Attachment 0609.04, Phase 1 - Initial Screening and Characterization of Findings, dated January 10, 2008. The finding is of very low safety significance (Green) because it did not contribute to both the likelihood of a reactor trip and the likelihood that mitigation equipment or functions will not be available. Additionally, the inspectors determined that the finding had a cross-cutting aspect in the area of human performance, work practices component, because the licensee failed to ensure adequate supervisory and management oversight of the implementation and follow-through of the corrective actions from previous related issues (H.4(c))
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.

05000269/FIN-2008003-02Oconee30 June 2008 23:59:59AVR Maintenance Procedure Resulted in a Loss of Inventory While on Decay Heat RemovalOn April 15, 2008, Unit 1 experienced a generator lockout, which caused a loss of normal power through the back charged main transformer to main feeder bus (i.e., N breakers and generator output breakers PCB 21 and 20 opened). This caused a momentary loss of power to the LPI and low pressure service water (LPSW) pumps, and AP-26 (Loss of Decay Heat Removal) was entered by the operators. The main feeder bus (MFB) power was restored in 1.8 seconds via the slow transfer logic from the E breakers (as expected) and power to the LPI and LPSW pumps was restored (non-load shed). MFB re-energization should have re-energized motor control center (MCC) 1XP, but did not, as the alternate feeder breaker to 1XP tripped on high in-rush current. MCC 1XP supplies power to air operated valves 1HP-8 (Unit 1 Purification Demineralizer Inlet Isolation), 1HP-17 (1A Letdown Filter Inlet Isolation) and 1HP-18 (1B Letdown Filter Inlet Isolation). These valves closed due to the loss of power to each valves respective control solenoid valve, which isolated the letdown flow path. The valves should have reopened upon the restoration of power, but the loss of power to MCC 1XP prevented this from occurring. The isolation of the letdown flow path coupled with the LPI pump restart caused 1HP-43 (letdown line relief valve) to lift open as the relief valve now saw LPI pump discharge pressure. This resulted in a loss of RCS inventory to the Mixed Waste Holdup Tank (MWHUT) Operators initiated makeup to the LPI system from the borated water storage tank (BWST) by throttling 1LP-21 (BWST isolation) and 1LP-96 (LP Supply to Purification IX block) was closed to isolate LPI from the purification lineup per AP-26. This allowed 1HP-43 to shut and effectively stop the inventory loss. Specifically, RCS level dropped from 70 to 54 inches on LT-5 (approximately 2000 gallons of inventory was dumped to MWHUT). Level was restored to 79 inches on LT-5 approximately 30 minutes from initiation of the event. The generator lockout was a result of ongoing automatic voltage regulator (AVR) preventive maintenance, IP/0/B/2005/001, Main Generator Automatic Voltage Regulator Maintenance and Channel Transfer, where as part of the AVR procedure, the AVRs measuring unit board (part of each AVR channel) was replaced and powered up. Unrecognized by the procedure, this power up resulted in the actuation of the K31 relay in the AVR, which sends a lockout signal to the main generator. The root cause was determined to be a failure of procedure preparers and reviewers of IP/0/B/2005/001, to recognize the system interaction between the AVR trip circuitry and the backcharge power path. This issue is unresolved pending further NRC review of the licensees procedures, operator actions, and risk management associated with this event. This item is identified as URI 05000269/2008003-02, AVR Maintenance Procedure Resulted in a Loss of Inventory While on Decay Heat Removal. This issue is in the licensees corrective action program as PIP O-08-2056.
05000269/LER-2005-001Docket Number24 May 2005

On 5/24/2005, with three Oconee Units at 100% power in Mode 1, Oconee Operations and Engineering concluded that both Keowee Emergency Power Paths could be lost following certain single failures. An electrical contactor failed in the "Normal" supply to the cooling system of the Overhead Path Main Transformer. The "Back up" supply from the redundant Underground Path closed automatically. This line up would allow loss of both Emergency Power Paths on certain single failures. At 1350 hours TS 3.8.1 condition C was entered. The system was realigned and the TS condition was exited at 1540 hours. An investigation determined that the unacceptable alignment had existed since 0820 on 4/21/2005. Operations personnel found parts from the failed contactor on 5/3/2005, and notified their supervision but it was assumed the parts were from a different component with a known problem and did not take further action. The component failed primarily due to age and was replaced.

Root Causes are 1) the operability assessment failed to detect inadequate train separation, and 2) failure of the supervisor to verify his assumption.

On 07/18/2005, a corrective action revealed another single failure mode based on power alignment resulting from an original design deficiency. TS 3.8.1 condition C was entered briefly until the system was realigned and the condition exited. These events have no significance with respect to the health and safety of the public.

05000269/LER-2007-001Docket NumberDual Unit Trip from Jocassee Breaker Failure

On February 1 5 , 2007 at 1654 hours, a breaker failure occurred in the Jocassee Hydro Station switchyard, causing one phase to fault to ground.

The phase-to-ground fault was isolated at the Oconee 230 KV switchyard, but the resulting prolonged (less than 1 second) grid disturbance led to a trip of Oconee Units 1 and 2.,A wiring design error on the loss-of-excitation relays caused a generator lock-out, turbine trip, and bus transfer from normal to startup sources on Oconee Units 1 and 2. Both reactors were subsequently tripped by the reactor coolant pump power monitors, which correctly sensed the voltage transient and resultant power sag. Incorrect settings on the auxiliary switch fast contacts of the normal main feeder bus breakers caused a slow bus transfer of 4160 volt loads on Oconee Unit 1, leading to a loss of normal feedwater flow., This necessitated cooldown to Mode 4, which was accomplished by procedure with emergency feedwater and atmospheric dump valves., Unit 2 secondary systems performed as expected.

Appropriate post-trip reviews were performed and recovery actions completed per station procedures. Unit 2 was returned to power operation on February 18, 2007. 2007 and Unit 1 returned to service on February 23, This event is considered to have no significance with respect to the health and safety of the public.

05000271/LER-2004-00318 June 2004Automatic Reactor Scram due to a Main Generator Trip as a result of an Iso-Phase Bus Duct Two-Phase Electrical Fault

On 06/18/04 at 0640, with the plant at full power, a turbine load reject scram occurred due to a two phase electrical fault to ground on the 22 kV iso-phase bus. All safety systems responded as designed and the reactor was shutdown without incident. Off-site power transmission lines and station emergency power sources were available throughout the event. Arcing and heat generated during the fault damaged an area around the iso-phase bus ducts and Main Transformer low voltage bushings. The electrical faults disrupted an oil line flange between the Main Transformer oil conservator (expansion tank) and the "C" phase low voltage bushing box, and the leaking oil ignited. Fire suppression systems activated automatically. An Unusual Event was declared at 0650 for a fire lasting greater than 10 minutes. The VY fire brigade and local community fire departments declared the fire under control at 0717. At 1245, the Unusual Event was terminated. The electrical grounds that initiated the event were caused by loose material in the "B" iso-phase bus duct as a result of the failure of a flexible connector. The grounds raised the voltage on the "A" and "C" iso-phase busses contributing to the failure of the "A" phase surge arrester.

The root causes of the event were determined to be the result of a flexible connector fabrication deficiency and preventative maintenance not being performed on the surge arresters located in the Main Generator Potential Transformer (PT) Cabinet. There was no release of radioactivity, breach of secondary containment or personnel injury during this event.

05000271/LER-2005-001Reactor Trip Caused by an Electrical Insulator Failure in the 345 kV Switchyard due to a Manufacturing Defect

On July 25, 2005 at 1525, with the reactor at full power, a generator load reject trip and subsequent reactor trip occurred as a result of an electrical transient that originated in the 345 kV Switchyard. The electrical transient was due to a failure of the 345 kV Motor Operated Disconnect (MOD) Switch, T-1, "C" phase that was caused by the failure of an electrical insulator. An off-site laboratory performed an examination of the porcelain insulator revealing that the failure was caused by a manufacturing defect. The appropriate NRC 4-hour notifications were completed at 1735 in accordance with 10 CFR 50.72(b) as NRC Event Number 41868. This event is being reported as an LER pursuant to 10 CFR 50.73(a)(2)(iv)(A) as an event that resulted in the automatic actuation of systems listed within 10 CFR 50.73(a)(2)(iv)(B). Plant equipment and operator response to the event was as expected, and the reactor was shutdown with no complications. No release of radioactivity or personnel injury occurred as a result of this event. Therefore, this event did not increase the risk to the health and safety of the public.

0NRC FORM 366 (6-2004) PRINTED ON RECYCLED PAPER

05000271/LER-2010-001Vermont YankeeVermont Yankee Nuclear Power Station

On May 26, 2010, at approximately 1526 hours, a generator lockout and automatic reactor trip occurred on differential current between a current transformer (CT) installed in the newly commissioned switchyard and a CT installed in the plant. During startup, when the plant reached 72% power, both channels of the reactor protection system (RPS) actuated and all control rods inserted. Following the reactor trip reactor vessel level decreased causing primary containment isolation system (PCIS) actuation for groups 2, 3, 4, and 5.. All associated valves functioned correctly. Additionally, both trains of standby gas treatment system actuated.

Immediate plant actions included entering appropriate trip response procedures. The operators stabilized the plant and reset both RPS and PCIS. During RFO 28, Vermont Yankee (VY) and the Vermont Electric Power Company (VELCO) commissioned a new 345kV switchyard. The direct cause of the trip was that VELCO changed the CT ratio settings within the 345kV Switchyard and failed to communicate the new ratio setting to VY. As power was increased, the differential current caused by the difference in CT ratio settings resulted in the generator lockout. Corrective actions include adjustment of the VY CT to the correct settings and establishment of the necessary programmatic controls to preclude recurrence. This event is reportable as a licensee event report (LER) per 10CFR50.73(a)(2)(iv)(A) as an event or condition that resulted in actuation of the any of the systems listed in 10 CFR 50.73(a)(2)(iv)(B), which includes RPS and PCIS.

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.

05000272/LER-2010-002Automatic Reactor Trip Due to Main Power Transformer Bushing Failure

On July 7, 2010, at approximately 1118, an automatic reactor trip was initiated due to a turbine trip above 50% reactor power. The turbine trip was the result of the actuation of the regular and back-up phase B-C differential relays in the main generator protection scheme. This actuation was the result of an arc flash across the "B" phase main power transformer bushing following an inadvertent actuation of the transformer fire protection deluge system. The deluge system was actuated by one of the 18 air-pilot sprinkler heads that fused due to the transformer's heat, unusually high ambient temperatures, direct sunlight and restricted ventilation caused by concrete walls that surround three sides of the main power transformer "B" phase. Mist from the deluge system actuation rose above the main power transformer "B" phase bushing, driven by the transformer operating fans, heat rising from the transformer and the close proximity of the concrete wall enclosure, which resulted in the observed arc flash and bushing failure.

Corrective actions included replacing the main power transformer deluge system air-pilot sprinkler heads with sprinkler heads that have a higher temperature setpoint.

This report is being made in accordance with 10CFR50.73(a)(2)(iv)(A), "any event or condition that resulted in manual or automatic actuation of any of the systems listed in paragraph (a)(2)(iv)(B)....

05000275/FIN-2008004-04Diablo Canyon30 September 2008 23:59:59Unit 2 Main Transformer FireOn August 17, 2008, the inspectors responded to a declaration of a Notice of Unusual Event by PG&E following a fire in the Unit 2 main transformer. The inspectors reviewed operator actions taken in accordance with licensee procedures and reviewed unit and system indications to verify that actions and system responses were as expected. The inspectors were unable to complete a review of this event because the root cause investigation team had not completed its investigation. Therefore, an unresolved item will be opened and is planned to be closed in the fourth quarter of 2008. The inspectors will assess the details of review and adequacy of the root cause and any proposed corrective actions as part of the closeout of the unresolved item
05000275/FIN-2009004-02Diablo Canyon30 September 2009 23:59:59Failure to Perform Corrective Actions Resulted in an Unplanned TripA self-revealing finding was identified after Pacific Gas and Electric failed to implement planned corrective actions resulting in the loss of cooling to a main transformer, a rapid shutdown and a manual reactor trip of Unit 2. On June 30, 2009, cooling to a main transformer was lost because a fuse opened in the 480 volt power circuit due to loose terminal connections in the cooling control panel. Plant operators rapidly shut-down the unit from full power after transformer cooling was lost. A previous failure of transformer cooling due to loose terminal connections occurred on Unit 1, also resulting in a reactor trip. Corrective actions to prevent recurrence following the previous event included replacement of the main transformer terminations in the cooling control panels. Review of the work orders revealed that these corrective actions were not completed and the work documents were closed. While the failure to complete the corrective actions was a latent issue, the inspectors concluded that the licensee had a recent opportunity to identify the issue. Plant technicians implemented thermograph monitoring of main transformer cooling circuits and identified hot 480 volt power terminations in the Unit 2 main transformer cooling disconnect box in April 2009. These hot terminations should have prompted Pacific Gas and Electric to review internal operating experience related to main transformer cooling issues. The licensee entered this finding into corrective program as Notification 50260721. The inspectors concluded that the finding is greater than minor because it is associated with the equipment performance attribute of the initiating events cornerstone and adversely affected the cornerstone objective to limit the likelihood of those events that interrupt plant stability and challenge critical safety functions during shutdown as well as power operations. The inspectors determined the finding to have very low safety significance because the condition did not contribute to both the likelihood of a reactor trip and the unavailability of mitigation equipment or functions. This finding has a crosscutting aspect in the area of problem identification and resolution, associated with the operating - 3 - Enclosure experience component because Pacific Gas and Electric failed to perform an adequate internal operating experience review following the discovery of hot terminations on Unit 2 main transformer in April 2009 (P.2(a)
05000275/FIN-2009004-03Diablo Canyon30 September 2009 23:59:59Failure to Follow Emergency Operating Procedures Following a Reactor TripThe inspectors identified a noncited violation of Technical Specification 5.4.1.b, Emergency Operating Procedures, after plant operators failed to enter Emergency Operating Procedures E-0, Reactor Trip or Safety Injection, and E-0.1, Reactor Trip Response, following a Unit 2 reactor trip on June 30, 2009. Plant operators initiated a rapid load reduction from full power following loss of cooling to a main transformer bank. Plant operators manually tripped the reactor at about two percent power and proceeded to the procedure for placing the unit in cold shutdown. Plant operators did not perform the required steps in Emergency Operating Procedures E-0 and E-0.1 following the reactor trip. The inspectors concluded that the most significant contributor to the violation was less than adequate direction in the procedure used for rapid load reduction. The licensee entered this violation into the corrective action program as Notification 50262363. The finding is greater than minor because the failure of operations personnel to implement emergency operator procedures was associated with the mitigating - 4 - Enclosure systems cornerstone human performance attribute to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. The inspectors concluded the significance of this finding is of very low safety significance because the finding was not a design or qualification deficiency, did not result in loss of equipment operability or functionality, or screen as potentially risk significant due to a seismic, flooding, or severe weather initiating event. This finding had a crosscutting aspect in the area of human performance associated with the resource component because Pacific Gas and Electric did not have a complete rapid load reduction procedure (H.2(c)
05000278/LER-2009-001Control Rods Inoperable During Mode 2 Operations as a Result of Interferences

As a result of control rod interference monitoring testing performed by Operations personnel on 1/28/09, it was determined that three control rods were inoperable during the unit shutdown that was performed on 1/21/09. This testing determined that Control Rods 14-55, 18-55 and 42-55 could be inoperable for operational conditions involving time periods when reactor pressure is below 850 psig (Mode 2 operations). This occurrence is considered reportable as a common cause that resulted in the inoperability of three control rods for approximately 4.75 hours on 1/21/09 during Mode 2 unit operations. The common cause is related to control rod blade interferences with the fuel channel. There were no actual safety consequences associated with this event. Appropriate shutdown margin was maintained during this event. A control rod interference monitoring / testing program was established. Extent-of-condition testing was performed on Units 2 and 3. There were no .previous similar LERs identified.

NRC FORM 366 (9-2007) PRINTED ON RECYCLED PAPER 5

05000278/LER-2009-002Docket NumberInoperable 'A' Wide Range Neutron Monitor Results in Condition Prohibited by Technical Specifications

A condition prohibited by Technical Specifications (TS) occurred when Unit 3 entered Mode 2 operations for plant startup on 1/26/09 at 0900 hours. Specifically, the TS 3.0.4 requirements were not met to allow for an entry into a mode of applicability with the 'A' Wide Range Neutron Monitor inoperable. The cause of the inoperable 'A' WRNM was a result of inadequate human performance regarding a technical decision made during the outage (prior to 1/26/09 startup).

The technical decision allowed for entry into Mode 2 after an adjustment was was to the mean square voltage (MSV) component of the WRNM function resulting in the MSV being inaccurate for a small range of neutron flux while in Mode 2. Individuals involved with the event have been counseled regarding the importance of rigorous technical evaluations when making decisions that could affect TS equipment performance. WRNM adjustment procedures are also being upgraded. There were no actual safety consequences associated with this event. There were no previous similar LERs identified.

05000281/LER-2003-00125 January 2003On January 25, 2003 at 1414 hours with Unit 2 at 100% power, the reactor tripped due to turbine trip from a main generator trip. The main generator trip was due to Main Transformer and Generator Leads current differential lockout. The differential lockout resulted from a shorted main generator current transformer (CT) lead. Emergency systems functioned as required for the Unit 2 trip. At the time of the Unit 2 reactor trip, Unit 1 was off-line. Load shed occurred on the Unit 1 station service busses as designed. The Unit 1 'B' Main Feed Pump tripped, and since the Unit 1 'A' Main Feed Pump had previously been shut down, a start signal was initiated to both Unit 1 Motor Driven Auxiliary Feedwater Pumps (MDAFWPs) at approximately 1414 hours. The damaged CT leads were repaired. Inspection of like components on Units 1 and 2 was performed, and repairs made as necessary. The automatic actuation of the Unit 2 reactor trip, the actuation of Unit 2 Auxiliary Feedwater, and the automatic actuation of Unit 1 Auxiliary Feedwater are reportable in accordance with 10 CFR 50.73(a)(2)(iv)(A).
05000281/LER-2004-001Document Number1 February 2004Switchyard Device Failure Results in a Reactor Trip 05000

On May 21, 2004, at 2108 hours with Units 1 and 2 at 100% power, the Unit 2 main generator leads "A" phase Coupling Capacitor Voltage Transformer (CCVT) in the switchyard failed. The generator protective relays actuated, tripping the main generator, and resulting in trips of the turbine and reactor. Emergency systems functioned as required, including the Reactor Protection System (RPS) and Auxiliary Feedwater (AFW) System.

A Notification of Unusual Event was declared related to the switchyard CCVT failure. Unit 2 was stabilized at hot shutdown. The cause of the CCVT failure was age-related degradation. The failed CCVT was replaced. On May 22, 2004, following refill of the Emergency Condensate Storage Tank, an unisolable leak in a buried Unit 2 AFW recirculation line was discovered. The AFW system was declared inoperable. Further evaluations determined that the AFW system was capable of performing its intended function. The cause of the AFW piping leak was external galvanic corrosion of the buried carbon steel piping due to the failed corrosion protection. The recirculation line was rerouted. There were no significant safety consequences associated with this event. The automatic actuations of the RPS and the AFW are reportable pursuant to 10 CFR 50.73(a)(2)(iv)(A). The AFW leak is reportable pursuant to 10 CFR 50.73(a)(2)(i)(B) and 10 CFR 50.73(a)(2)(vii).

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/FIN-2015010-01Indian Point30 June 2015 23:59:59Failure to Correct a Degraded Condition of Fire Protection System Solenoid Valve SOV-230-1The inspectors identified a Green NCV of Condition 2.H of the Indian Point Unit 3 Facility Operating License DPR-64, Fire Protection Program, for failure to promptly identify, report, and correct a condition adverse to fire protection. Specifically, solenoid valve (SOV)-230-1, associated with the deluge valve for the 32 main transformer (MT), was documented to have opened during its 2-year deluge activation tests on April 7, 2011, April 2, 2013, and March 24, 2015, but did not close as designed after the deluge system actuated. This condition was not corrected, and recurred on May 9, 2015, when the deluge system actuated in response to a fire on the 31 MT. Entergy entered this issue into the corrective action program (CAP) (condition report (CR)-IP3-2015-02921), and determined a clogged orifice in the SOV pressure switch prevented the SOV from de-energizing and going closed. The performance deficiency was determined to be more than minor because it is associated with the Protection Against External Factors attribute of the Mitigating Systems cornerstone and adversely affected the cornerstones objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, water intrusion into the switchgear room can challenge the reliability of the safety-related electrical equipment required to respond to a reactor transient. The inspectors screened the finding for significance using the screening questions in IMC 0609, Appendix A, Exhibit 2, Mitigating Systems, and Exhibit 4, External Events, and determined that this performance deficiency required a Detailed Risk Evaluation because the potential existed for enough water leakage into the switchgear room to cause a loss of all safety-related power and station blackout (SBO) condition. The Detailed Risk Evaluation determined that this finding was of very low safety significance (Green) with an estimated increase in core damage frequency in the low E-7 per reactor year range (an increase of 1 in 10 million reactor years). The inspectors determined the finding had a cross-cutting aspect in the Human Performance cross-cutting area, Challenge the Unknown, because Entergy did not stop and fully explore an uncertain condition with SOV-230-1 when it failed to closed on three occasions since April 2011. Entergy replaced the SOV, but did not determine that the cause was a clogged pressure switch orifice until after the May 9, 2015, 31 MT fire event.
05000286/LER-2006-001Docket NumberI

On July 6, 2006, at 0352 hours an automatic reactor trip (RT) occurred as a result of a short circuit that occurred in the junction box of the Main Generator output phase 113' differential protection current transformer (CT).

The plant responded to the trip as designed. The Auxiliary Feed Water System (AFW) actuated and the AFW Pumps started as designed due to the Steam Generator (SG) shrink caused by the trip from 100% power. All plant systems operated normally with the exception 31 Main Boiler Feed Pump Recirculation Valve did not open due to a failed solenoid and the 32 Main Steam Line Trap was isolated due to having a minor steam leak. The root cause of this condition was determined to be design inadequacy in material application. The abrasive property of the conductor's insulation jacket was not evaluated for use in a continuous vibration environment. Corrective actions included repair of damaged cables, coaching of personnel on the lessons learned, process/procedure revisions to improve the considerations on material selection in the design process and training enhancements to address material considerations. This event had no effect on public health and safety.

05000286/LER-2007-002Indian PointAutomatic Reactor Trip Due to a Turbine-Generator Trip Caused by a Fault on the 31 Main Transformer Phase B High Voltage Bushing

On April 6,T 2007, at 1109 hours, an automatic reactor trip (RT) occurred due to a turbine-generator trip as a result of a fault on the 31 main transformer.T All control rods fully inserted and all required safety systems functioned properly.

T The plant was stabilized in hot standby with decay heat being removed by the main condenser.T There was no radiation release.T The Emergency Diesel Generators did not start as adequate offsite power remained available.T Two of three 138 kV offsite power substation feeders tripped as a result of the event.T The Auxiliary Feedwater System automatically started as expected due to Steam Generator low level from shrink effect.

T Control Room (CR) operators were notified of a fire at the 31 main transformer with the fire protection deluge system actuated.T The plant fire brigade responded to the fire and applied foam.

The fire brigade leader reported to the CR the fire was extinguished at 1121 hours.

The CR was notified at approximately 1140 hours that a visible explosion had previously occurred.T Based on the report of an explosion, the CR declared a Notice of Unusual Event (NUE) in accordance with the emergency plan which was terminated at 1254 hours.

The direct cause of the RT was due to the actuation of the 86P and 86BU relays that sensed a fault from the failure of 31 main transformer 345 kV phase B bushing.

T The most probable cause was a design weakness associated with the type bushing used in the Phase B bushing. Significant corrective actions included replacement of 31 main transformer, and inspection, repair and replacement of damaged components as required associated with the 32 main transformer, the unit auxiliary transformer, and high voltage components.T The event' had no effect on public health and safety.

05000286/LER-2009-006Indian PointAutomatic Reactor Trip Due to a Turbine-Generator Trip Caused by Actuation of the Generator Protection System Lockout Relay During a Severe Storm with Heavy Lightning

On August 10, 2009, during a severe thunderstorm, the Control Room received indication of a Turbine Trip and Reactor Trip initiated by the Generator Primary Lockout Relay (86P). All control rods fully inserted and all required safety systems functioned properly.T6.9 kV Bus 2 failed to auto transfer to 6.9 kV bus 5 resulting in the trip of the 34 Reactor Coolant Pump and de-energization of 480 volt safeguards Bus 2A.

Emergency Diesel Generator (EDG) 31 automatically started and re-energized 480 volt bus 2A.TThe plant was stabilized in hot standby with decay heat being removed by the main condenser.TThere was no radiation release.TEDG-32 and 33 remained in standby as of f site power remained available.

TThe Auxiliary Feedwater (AFW) System automatically started as expected due to Steam Generator low level from shrink effect.

T6.9kV Bus 2 was energized from 6.9 kV bus 5 via closure of 6.9 kV bus 2-5 tie Breaker. The direct cause was actuation of the Generator Primary Lockout Relay (86P) due to misoperation of relay 85L1/345 due to extraneous voltage induced on ground during a lightning strike.TThe root cause was the 345 kV Primary Pilot Wire System is susceptible to the maximum ground potential rise (GPR) based on the original design.

TThe susceptibility to GPR is due to 1) the calculated worst case GPR is higher than the insulating rating of the pilot wires, 2) The pilot wire system was not provided with equipment to protect against GPR. Corrective actions included inspection of 345 kV output feeder W96,Ttesting of pilot wire cables, calibration and testing of applicable protection system relays.TEnhancements will be implemented'to the Station Grounding Plan, and the 138 kV and 345 kV pilot wire systems replaced.TThe event had no effect on public health and safety.

05000286/LER-2012-004Indian PointAutomatic Reactor Trip as a Result of a Turbine-Generator Trip Due to a Loss of 345 kV Feeders W97 and W98 Caused by Storm Damage to Feeder Insulators

On October 29, 2012, an automatic reactor trip (RT) was initiated as a result of a main turbine-generator trip due to a trip of the Generator Primary and Backup Lockout relay 86P and 86BU on a direct trip from the Buchanan switchyard.T The Buchanan switchyard south ring bus was isolated from output feeder W96 as a result of faults on 345 kV feeders W97 and W98 causing the generator output breakers 1 and 3 to open initiating a direct trip signal from Buchanan.T 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 due to SG low level from shrink effect.TThe Emergency Diesel Generators did not start as offsite power remained available and stable.

TThe cause of the RT was the trip of generator output breakers 1 and 3 due to isolation of the south ring bus from output feeder W96.

T Generator output breakers 1 and 3 tripped as a result of a fault on feeders W97 and W98 due to Con Edison 345 kV feeder line insulator damage from the effects of superstorm Sandy. Corrective action was taken to repair 345 kV feeders W97 and W98 by Con Edison. The event had no effect on public health and safety.

NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION FACILITY NAME (1) DOCKET (2) 1 LER NUMBER (6) PAGE (3)

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.
05000293/LER-1997-004, Forwards LER 97-004-01, Loss of Preferred Off-Site Power & Oil Spill Due to Main Transformer Fault While Shut Down. Commitment Made by Util,ListedPilgrim14 April 1998Forwards LER 97-004-01, Loss of Preferred Off-Site Power & Oil Spill Due to Main Transformer Fault While Shut Down. Commitment Made by Util,Listed
05000293/LER-2001-006

On August 13, 2001, during a transient that began at 100 percent power, an automatic scram occurred at 49 percent reactor power. T The scram included automatic insertion of the control rods. T About 40 minutes after the scram, safety-related reactor water level instrumentation began to trend anomalously from actual water level and caused level instrumentation to be inoperable for approximately 36 minutes.

The root cause of the scram was concurrent trip of RPS channels "A" and "B".

Channel "A" tripped due to a loss of Bus "A" power resulting from a surveillance procedure error. T Channel "B" tripped due to high neutron flux resulting from a trip of both recirculation MG sets/pumps. T The root cause of the anomalous water level indication was unique hydraulic conditions that allowed water to drain from reference legs "A" and "B".

Corrective action taken included the replacement of a fuse in the recirculation MG set field circuit, and isolating the reference leg backfill system. T Corrective action planned includes revising the surveillance procedure, and evaluating options to preclude reference leg water draining. T The events posed no threat to public health and safety.