On June 28, 2016, the 3C Reactor Building Cooling Unit (RBCU) was discovered to be running in reverse when operating in the low speed mode and Technical Specification (TS) 3.6.5, Condition B, was entered (only low speed is applicable to TS operability). The RBCU was restored to operable on June 29, 2016. It was determined that the inoperability was caused by a wiring error (rolled leads) that occurred during the preceding outage. This provides firm evidence that the RBCU was inoperable from the time Mode 2 was entered (May 15, 2016) until RBCU operability was restored on June 29, 2016. This duration exceeds the 7.5 day cumulative Completion Time allowed by TS 3.6.5. During start-up from the outage, the plant entered Modes 2 and 1 with the RBCU inoperable, which is prohibited by TS 3.0.4. These conditions constitute plant operation prohibited by Technical Specifications and are reportable as an LER per 10 CFR 50.73(a)(2)(i)(B).
The cause was determined to be personnel error by the technicians' improper application of the configuration control process. The technicians received remedial training and a procedure change was initiated to enhance configuration control aspects in the maintenance procedure.
The safety function associated with TS 3.6.5 was available during the inoperability of the 3C RBCU. |
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Category:Letter
MONTHYEARML23304A1422024-02-0101 February 2024 Issuance of Environmental Scoping Summary Report Associated with the U.S. Nuclear Regulatory Commission Staffs Review of the Oconee Nuclear Station, Units 1, 2, & 3, Subsequent License Renewal Application ML24005A2492024-01-24024 January 2024 Exemption from Select Requirements of 10 CFR Part 73 (Security Notifications, Reports, and Recordkeeping and Suspicious Activity Reporting) IR 05000269/20243012024-01-11011 January 2024 Notification of Licensed Operator Initial Examination 05000269/2024301, 05000270/2024301, and 05000287/2024301 ML23331A7982023-12-14014 December 2023 Review of the Fall 2022 Steam Generator Tube Inspection Report (01R32) ML23262A9672023-12-13013 December 2023 Alternative to Use RR-22-0174, Risk-Informed Categorization and Treatment for Repair/Replacement Activities in Class 2 and 3 Systems Section XI, Division 1 IR 05000269/20230032023-11-14014 November 2023 Integrated Inspection Report 05000269/2023003, 05000270/2023003, and 05000287/2023003; and IR 07200040/2023001; and Exercise of Enforcement Discretion ML23317A3462023-11-14014 November 2023 Duke Fleet - Correction Letter to License Amendment Nos. 312 & 340 Issuance of Amendments Regarding the Adoption of Technical Specifications Task Force Traveler TSTF-554, Revision 1 ML23219A1402023-10-10010 October 2023 Audit Report Proposed Alternative to Use ASME Code Case N-752, Risk Informed Categorization and Treatment for Repair/Replacement Activities in Class 2 and 3 Systems XI, Division 1 ML23269A1102023-10-0606 October 2023 Letter to Steven Snider-Revised Schedule for the Environmental Review of the Oconee Nuclear Station, Unit 1, 2, and 3, Subsequent License Renewal Application ML23256A0882023-09-25025 September 2023 Issuance of Alternative to Steam Generator Welds ML23195A0782023-08-29029 August 2023 Issuance of Amendments Regarding the Adoption of Technical Specifications Task Force Traveler TSTF-554, Revision 1 IR 05000269/20230112023-08-25025 August 2023 Comprehensive Engineering Team Inspection Report 05000269/2023011 and 05000270/2023011 and 05000287/2023011 IR 05000269/20230052023-08-25025 August 2023 Updated Inspection Plan for Oconee Nuclear Station Units 1, 2 and 3 (Report 05000269/2023005, 05000270/2023005, and 05000287/2023005) IR 05000269/20230022023-07-28028 July 2023 Integrated Inspection Report 05000269/2023002, 05000270/2023002 and 05000287/2023002 ML23208A0972023-07-27027 July 2023 Subsequent License Renewal List of Threatened and Endangered Species That May Occur in Your Proposed Project Location or May Be Affected IR 05000269/20230102023-07-19019 July 2023 Biennial Problem Identification and Resolution Inspection Report 05000269/2023010 and 05000270/2023010 and 05000287/2023010 and Notice of Violation ML23178A0682023-07-0303 July 2023 Audit Plan Proposed Alternative to Use ASME Code Case N-752, Risk-Informed Categorization and Treatment for Repair/Replacement Activities in Class 2 & 3 Systems Section XI, Division 1 ML23132A2392023-06-0101 June 2023 Summary of the April 2023 Remote Environmental Audit Related to the Review of the Subsequent License Renewal Application ML23144A0192023-05-25025 May 2023 Review of the Spring 2022 Steam Generator Tube Inspection Report (O3R31) IR 05000269/20230012023-05-12012 May 2023 Integrated Inspection Report 05000269/2023001 and 05000270/2023001 and 05000287/2023001 ML23121A0552023-05-0303 May 2023 Acknowledgement of Withdrawal Request to Revise TS 5.5.2 Containment Leakage Rate Testing Program ML23118A0762023-05-0101 May 2023 Approval for Use of Specific Provision of a Later Edition of the American Society of Mechanical Engineers Boiler and Pressure Vessel Code, Section XI ML23117A0432023-04-20020 April 2023 Framatome, Inc., Part 21 Notification of Existence of a Defect ML23075A0732023-04-0505 April 2023 License Renewal Regulatory Audit Regarding the Environmental Review of the Subsequent License Renewal Application Supplement (EPID Number L-2021-SLE-0002) ML23045A1332023-03-15015 March 2023 Request for Scoping Comments Concerning the Supplemental Environmental Review of Oconee Nuclear Station, Units 1, 2, and 3, Subsequent License Renewal Application - Achp Letter ML23045A1402023-03-15015 March 2023 Request for Scoping Comments Concerning the Supplemental Environmental Review of Oconee Nuclear Station, Units 1, 2, and 3, Subsequent License Renewal Application - Shpo Letter ML23045A1432023-03-15015 March 2023 Request for Scoping Comments Concerning the Supplemental Environmental Review of Oconee Nuclear Station, Units 1, 2, and 3, Subsequent License Renewal Application - State Tribe Letter ML23069A1102023-03-10010 March 2023 Notification of Inspection and Request for Information for NRC Problem Identification and Resolution Inspection ML22332A4932023-03-10010 March 2023 William States Lee III 1 and 2 - Issuance of Amendments Regarding the Relocation of the Emergency Operations Facility ML23061A1772023-03-0303 March 2023 Notification of Oconee Nuclear Station Comprehensive Engineering Team Inspection - NRC Inspection Report 05000269/2023011, 05000270/2023011 and 05000287/2023011 IR 05000269/20220062023-03-0101 March 2023 Annual Assessment Letter for Oconee Nuclear Nuclear Station, Units 1, 2 and 3 (NRC Inspection Report 05000269/2022006, 05000270/2022006, and 05000287/2022006) ML23039A1632023-02-0808 February 2023 Requalification Program Inspection ML23037A0772023-02-0606 February 2023 402 Cyber Notification and RFI Letter Final IR 05000269/20220042023-02-0202 February 2023 Integrated Inspection Report 05000269 2022004 and 05000270/2022004 and 05000287/2022004 ML22363A3942023-01-12012 January 2023 Subsequent License Renewal Environmental Report Supplement - Proposed Review Schedule ML22356A0512022-12-14014 December 2022 Curtiss-Wright Nuclear Division, Letter Regarding Potential Efect in a Configuration of the 11/2 Inch Quick Disconnect Connector Cable Assemblies Supplied to Duke Energy (See Attached Spreadsheet) for a Total of 460 of Connectors Only Suppl ML22321A0492022-12-0808 December 2022 Issuance of Amendment Nos. 426, 428 and 427, Additional Mode Change Limitations Applicable to the Adoption of TSTF- 359, Revision 9, Increase Flexibility in Mode Restraints ML22329A1042022-11-29029 November 2022 Review of the Fall 2021 Steam Generator Tube Inspection Report ML22321A1582022-11-22022 November 2022 Summary of Conference Call Regarding the Fall 2022 Steam Generator Tube Inspections ML22096A0032022-11-18018 November 2022 McGuire Nuclear Station and Shearon Harris Nuclear Power Plant Authorization of RA-19-0352 Regarding Use of Alternative for RPV Head Closure Stud Examinations ML22256A2532022-11-14014 November 2022 Issuance of Amendments Regarding the Adoption of Technical Specifications Task Force Traveler TSTF-541, Rev. 2 IR 05000269/20220032022-11-0707 November 2022 Integrated Inspection Station 05000269/2022003 and 05000270/2022003 and 05000287/2022003 ML22301A0112022-11-0303 November 2022 Request for Withholding Information from Public Disclosure Regarding the SLR Application - September 2, 2022 ML22298A0752022-10-27027 October 2022 Request for Withholding Information from Public Disclosure Regarding the Subsequent License Renewal Application Duke Energy Letter Dated July 25, 2022 ML22264A0322022-10-20020 October 2022 _Request for Withholding Information from Public Disclosure Regarding the Subsequent License Renewal Application - Duke Energy Letter Dated July 8, 2022 IR 05000269/20220112022-09-26026 September 2022 NRC Inspection Report 05000269/2022011 and 05000270/2022011 and 05000287/2022011 ML22258A0302022-09-15015 September 2022 Evacuation Time Estimate Reports ML22222A0072022-09-14014 September 2022 Request for Withholding Information from Public Disclosure Regarding the Subsequent License Renewal Application ML22231B1362022-09-0101 September 2022 Review of the Draft Environmental Assessment and Findings of No Significant Impact for Catawba Nuclear Station, H.B. Robinson Steam Electric Plant, and Oconee Nuclear Station Independent Spent Fuel Storage Installation Decommissioning Fundi 2024-02-01
[Table view] Category:Licensee Event Report (LER)
MONTHYEAR05000287/LER-2017-0012017-09-20020 September 2017 Unit 3 Reactor Protection System Actuation - Reactor Trip due to Turbine Trip from Generator Lockout, LER 17-001-00 for Oconee Nuclear Station, Unit 3, Regarding Reactor Protection System Actuation - Reactor Trip due to Turbine Trip from Generator Lockout 05000287/LER-2016-0012016-08-26026 August 2016 1 of 3, LER 16-001-00 for Oconee, Unit 3, Regarding Reactor Building Cooling Unit Inoperability Exceeds Technical Specification Completion Time 05000269/LER-2016-0012016-05-0505 May 2016 1 of 3, LER 16-001-00 for Oconee Nuclear Station, Unit 1, Regarding RPS Actuation - Unit 1 Reactor Trip Initiated by a Generator Lockout/Turbine Trip ML11364A0462011-12-23023 December 2011 Special Report Per Technical Specification 5.6.6, Problem Investigation Process Nos.: 0-11-13855, 0-11-14092 ML12006A1922011-12-19019 December 2011 LER 11-03-001 for Oconee, Units 1, 2, and 3 Regarding Inoperability of the Standby Shutdown Facility Diesel Generator ML0932902002009-11-18018 November 2009 10 CFR 71.95 Report of Non-Compliance with Certificate of Compliance USA/9319/B(U)F-96, Revision, for the Model No. MAP-12/MAP-13 Package ML0534104592005-12-0101 December 2005 Special Report Per Selected Licensee Commitment 16.9.9, Problem Investigation Process No.: O-05-7215 for Oconee Regarding the Inoperability of the Station Auxiliary Service Water (Asw) System and the Stand-by Shutdown Facility (Ssf) Asw Sys ML0426503832004-09-0909 September 2004 LER 04-02-001 for Oconee Nuclear Station Re Main Steam Line Break Mitigation Design/Analysis Deficiency ML0313204452003-04-24024 April 2003 LER 03-S01-00 for Oconee, Units 1, 2 & 3 Re Security Access Revoked for Falsification of Criminal Record ML0232303392002-11-12012 November 2002 LER 02-S02-00 for Oconee Nuclear Station Regarding Uncontrolled Safeguards Information ML0215802872002-05-28028 May 2002 LER 2002-02-00 Re Potential for Fire to Indirectly Damage Mitigation Component for Oconee Nuclear Station Unit 1 ML0211201432002-04-0909 April 2002 LER 02-01-00 for Oconee Nuclear Station Unit 1 Re Security Access Revoked for Falsification of Criminal Record 2017-09-20
[Table view] |
Background
TS 3.6.5, "Reactor Building Spray and Cooling Systems" credits a combination of Reactor Building Cooling Units (RBCUs) and Reactor Building Spray (RBS) to ensure the reactor building remains below its design pressure and temperature in post-accident conditions. This event is reportable because the discovered rolled leads provides firm evidence that the 3C RBCU was inoperable for a duration that exceeded the TS allowed Completion Time. The inoperability also existed during plant start-up such that the plant entered the TS 3.6.5 modes of applicability without meeting the Limiting Condition for Operation (LCO). These conditions constitute operation prohibited by TS and are reportable per 10 CFR 50.73(a)(2)(i)(B).
The RBCU and RBS systems [BK] are Engineered Safeguards systems. They are designed to ensure that post-accident heat removal capability can be attained to limit and maintain the post-accident conditions to less than the containment design values.
The RBS system consists of two separate trains of equal capacity, each capable of meeting the design basis.
The RBCU system consists of three RBCU trains. Each cooling train is equipped with cooling coils, and a fan driven by a two-speed electric motor. During normal unit operation, typically two reactor building cooling trains operating at low or high speed cool the containment atmosphere. The third train is usually on standby. Upon receipt of an emergency signal, any operating trains will automatically trip, then all trains will start in low speed after a 3 minute delay. Low speed operation during post-accident conditions prevents motor overload from the higher density atmosphere. Analysis results of RBCU train performance for post-accident conditions supports that any combination of two trains can provide 100% of the required cooling capacity during the post-accident conditions.
EVENT DESCRIPTION
On June 28, 2016, a Unit 3 Reactor Building entry was made to investigate anomalies in the RBCU inlet temperature readings. Specifically, the inlet temperature to the 3C RBCU were reading low.
Maintenance and Engineering determined that the 3C RBCU fan was running in the reverse direction in low speed. Based on this discovery, the 3C RBCU was declared inoperable and Condition B of TS 3.6.5 was entered (a 7 day Completion Time).
An onsite investigation team determined that, during the preceding outage, the RBCU motor control center (MCC) contactor leads were inadvertently "rolled" during routine maintenance. The rolled leads created an incorrect order of the electrical phase connections to the motor, which changed the rotational direction of the motor. The terminations were corrected and the fan was observed and tested to verify proper operation. TS 3.6.5 was exited on June 29, 2016.
The determination that the error (rolled leads) occurred during the outage constitutes firm evidence that the RBCU was inoperable while the plant was operating in Mode 2 or higher for approximately 45 days before the condition was corrected. The maximum Completion Time allowed by TS 3.6.5 for one inoperable RBCU is 7 days, after which Condition D would be entered. Condition D allows an additional 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> to be in Mode 3.
Also, because TS 3.0.4 is applicable to TS 3.6.5 for Unit 3, entry into a Mode of applicability for TS 3.6.5 without meeting the LCO is prohibited.
Therefore, entering a Mode of applicability (Modes 2 and 1) with the 3C RBCU inoperable is prohibited by TS 3.0.4, and the span of a 45 day inoperability is prohibited by TS 3.6.5.
During the 45 day span, the other two RBCU trains remained operable. Also both RBS trains remained operable, except for two occasions when a RBS train was declared inoperable to facilitate pump and valve testing. The duration of each RBS inoperability was less than the 24-hr Completion Time allowed by TS 3.6.5, Condition C which applies to the inoperability of one RBS train and one RBCU train.
CAUSAL FACTORS
The cause is attributed to human error in the technician's improper application of the configuration control process.
A contributing factor was that a recent change to the maintenance procedure for this activity did not integrate the maintenance standard for configuration control.
CORRECTIVE ACTIONS
Immediate The 3C RBCU terminations were restored and returned to service.
Result of Cause Analysis 1. The technicians involved received remedial training/counseling from supervision.
2. A procedure change has been initiated to enhance configuration control for the lifted lead aspects in the maintenance procedure for this activity.
SAFETY ANALYSIS
A probabilistic risk assessment (PRA) evaluation was conducted for the period of RBCU inoperability to determine the significance of this event. The Oconee PRA model credits the 3A, 3B and 3C RCBUs to operate on low speed for containment heat removal. The analysis considered internal events, high winds, flood and fire risk. Due to the multiple failures of other equipment that must occur in order for an 3C RBCU failure to be of any consequence, the PRA analysis determined that the increase in core damage and large early release frequencies due to a failure of 3C RBCU are negligible. Therefore, the risk impact associated with this event report is well below any risk significance threshold.
ADDITIONAL INFORMATION
Similar events for the preceding three year period:
the improper positioning of an electrical sliding link. No other LERs were found to be caused by similar personnel errors.
Energy Industry Identification System (EIIS) codes are identified in the text as [XX].