On April 27, 2016, with Millstone Power Station Unit 2 (MPS2) in MODE 1 at 100% power, plant personnel inadvertently left the door to the turbine driven auxiliary feed purnp room open. This condition existed for less than one hour.. The door is a high energy line break ( HELB) barrier. With the door open there is no HELB protection for the motor driven auxiliary feedwater ( AFW) pumps thus potentially rendering both trains of AFW inoperable.
The cause is human performance error. The door is conspicuously labeled on each side that it is a HELB boundary door and must be closed except for entry and exit from the room. Corrective actions are being taken in accordance with the station's corrective action program.
This condition is being reported pursuant to 10 CFR 50.73(a)(2)(v) as any event or condition that alone could have prevented the fulfillment of the safety function of structures or systems that are needed to: (B) remove residual heat; and (D) mitigate the consequences of an accident. |
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Category:Letter
MONTHYEARML24030A7522024-01-30030 January 2024 Technical Specification Bases Pages IR 05000336/20234022024-01-30030 January 2024 Security Baseline Inspection Report 05000336/2023402 and 05000423/2023402 (Cover Letter Only) ML23341A0172024-01-12012 January 2024 Issuance of Amendment No. 288 Revision to Applicability Term for Reactor Coolant System Heatup and Cooldown Pressure-Temperature Limitations Figures IR 05000336/20234402024-01-11011 January 2024 Special Inspection Report 05000336/2023440 and 05000423/2023440 (Cover Letter Only) ML24004A1052024-01-0404 January 2024 Request for Information for a Biennial Problem Identification and Resolution Inspection; Inspection Report 05000336/2024010 & 05000423/2024010 ML23361A0942023-12-21021 December 2023 Response to Request for Additional Information Regarding Proposed License Amendment Request to Revise Technical Specifications for Reactor Core Safety Limits, Fuel Assemblies and Core Operating Limits Report . ML23361A0312023-12-20020 December 2023 Intent to Pursue Subsequent License Renewal ML23283A3052023-12-20020 December 2023 Review of Appendix F to DOM-NAF2, Qualification of the Framatome ORFEO-GAIA and ORFEO-NMGRID CHF Correlations in the Dominion Energy VIPRE-D Computer Code (EPID L-2022-LLT-0003) (Nonproprietary) ML23352A0202023-12-18018 December 2023 Senior Reactor and Reactor Operator Initial License Examinations ML23334A2242023-11-30030 November 2023 Request for Exemption from Enhanced Weapons Firearms Background Checks, and Security Event Notifications Implementation ML23324A4222023-11-20020 November 2023 Reactor Vessel Internals Inspections Aging Management Program Submittal Related to License Renewal Commitment 13 ML23324A4302023-11-20020 November 2023 Alloy 600 Aging Management Program Submittal Related to License Renewal Commitment 15 ML23317A2702023-11-13013 November 2023 Core Operating Limits Report, Cycle 23 IR 05000336/20230032023-11-0606 November 2023 Integrated Inspection Report 05000336/2023003 and 05000423/2023003 ML23298A1652023-10-26026 October 2023 Requalification Program Inspection IR 05000336/20234202023-10-0404 October 2023 Security Inspection Report 05000336/2023420 and 05000423/2023420 ML23230A0502023-10-0202 October 2023 5 of the Quality Assurance Topical Report - Review of Program Changes ML23226A0052023-09-26026 September 2023 Issuance of Amendment No. 287 Supplement to Spent Fuel Pool Criticality Safety Analysis IR 05000245/20230012023-09-19019 September 2023 Safstor Inspection Report 05000245/2023001 IR 05000336/20230102023-09-0808 September 2023 Commercial Grade Dedication Report 05000336/2023010 and 05000423/2023010 IR 05000336/20230052023-08-31031 August 2023 Updated Inspection Plan for Millstone Power Station, Units 2 and 3 (Report 05000336/2023005 and 05000423/2023005) ML23242A0142023-08-30030 August 2023 Operator Licensing Examination Approval ML23248A2132023-08-30030 August 2023 Response to Request for Additional Information Regarding Proposed License Amendment Request to Revise the Applicability Term for Reactor Coolant System Heatup and Cooldown Pressure-Temperature. ML23223A0552023-08-18018 August 2023 Request for Withholding Information from Public Disclosure for License Amendment Request to Revise Technical Specifications for Reactor Core Safety Limits, Fuel Assemblies, and COLR Related to Framatome Gaia Fuel ML23223A0482023-08-18018 August 2023 Request for Withholding Information from Public Disclosure for License Amendment Request to Use Framatome Small Break and Realistic Large Break LOCA Evaluation Methodologies for Establishing COLR Limits IR 05000336/20230022023-08-0909 August 2023 Integrated Inspection Report 05000336/2023002 and 05000423/2023002 ML23188A0432023-07-31031 July 2023 Authorization and Safety Evaluation for Alternative Request No. IR-04-11 ML23188A0202023-07-26026 July 2023 Closeout of Generic Letter 2004-02, Potential Impact of Debris Blockage on Emergency Recirculation During Design Basis Accidents at Pressurized-Water Reactors ML23207A1102023-07-26026 July 2023 NRC Regulatory Issues Summary 2023-01 Preparation and Scheduling of Operator Licensing Examinations ML23208A0922023-07-26026 July 2023 Request for Approval of Appendix F of Fleet Report DOM-NAF-2-P Qualification of Framatome ORFEO-GAIA and OORFE-NMGRID CHF Correlations in the Dominion Energy Vipre-D Computer Code Response IR 05000336/20234012023-07-17017 July 2023 Material Control and Accounting Program Inspection Report 05000336/2023401 and 05000423/2023401 - (Cover Letter Only) ML23175A0052023-07-12012 July 2023 Alternative Request P-07 for Pump Periodic Verification Testing Program for Containment Recirculation Spray System Pumps ML23193A8562023-06-28028 June 2023 Submittal of Updates to the Final Safety Analysis Reports ML23178A1682023-06-26026 June 2023 2022 Annual Report of Emergency Core Cooling System (ECCS) Model Changes Pursuant to the Requirements of 10 CFR 50.46 ML23153A1732023-06-16016 June 2023 Correction to Amendment Nos. 346 & 286 Millstone, 294 & 277 North Anna, 311 & 311 Surry, and 225 Summer to Revise Technical Specifications to Adopt TSTF-554,Rev Reactor Coolant Leakage Requirement ML23151A0742023-06-12012 June 2023 Review of the Spring 2022 Steam Generator Tube Inspection Report ML23159A2202023-06-0808 June 2023 Associated Independent Spent Fuel Storage Installation Revision to Emergence Plan - Report of Changes IR 07200047/20234012023-06-0808 June 2023 NRC Independent Spent Fuel Storage Installation Security Inspection Report No. 07200047/2023401 2024-01-04
[Table view] Category:Licensee Event Report (LER)
MONTHYEAR05000423/LER-2019-0012020-02-13013 February 2020 LER 2019-001-00 for Millstone Power Station Unit 3 Regarding Plant Shutdown Required by Technical Specifications, Emergency Diesel Generator Exceeded Allowed Outage Time 05000458/LER-2017-0092017-11-13013 November 2017 Potential Loss of Safety Function of Secondary Containment due to Unsecured Personnel Door, LER 17-009-00 for River Bend, Unit 1 Regarding Potential Loss of Safety Function of Secondary Containment due to Unsecured Personnel Door 05000483/LER-2017-0012017-08-15015 August 2017 Violation of Technical Specification 3.7.9 Due to Ultimate Heat Sink (UHS) Cooling Tower Train Inoperability, LER 17-001-00 for Callaway, Unit 1, Regarding Violation of Technical Specification 3.7.9 Due to Ultimate Heat Sink (UHS) Cooling Tower Train Inoperability 05000286/LER-2017-0022017-08-0909 August 2017 Manual Isolation of Chemical and Volume Control System Normal Letdown to Stop a Valve Leak Resulted in an Exceedance of Technical Specification 3.4.9 Condition A Limit for Pressurizer Level, LER 17-002-00 for Indian Point, Unit 3 re Manual Isolation of Chemical and Volume Control System Normal letdown to Stop a Valve Leak Resulted in an Exceedance of Technical Specification 3.4.9 Condition A Limit for Pressurizer Level 05000423/LER-2017-0012017-03-20020 March 2017 Loss of Safety Function - Secondary Containment, LER 17-001-00 for Millstone, Unit 3 Regarding Loss of Safety Function - Secondary Containment 05000336/LER-2016-0022016-09-20020 September 2016 Manual Reactor Trip Due to Loss of Two Circulating Water Pumps, LER 16-002-00 for Millstone Power Station Unit 2 Regarding Manual Reactor Trip Due Loss Of Two Circulating Water Pumps 05000423/LER-2016-0052016-08-0909 August 2016 Technical Specification Required Shutdown and Manual Reactor Trip Due to Steam Generator Level Oscillation, LER 16-005-00 for Millstone Power Station Unit 3 RE: Technical Specification Required Shutdown and Manual Reactor Trip Due to Steam Generator Level Oscillation 05000423/LER-2016-0042016-07-13013 July 2016 Manual Reactor Trip Due to Low Hydrogen Gas Pressure In Main Generator, LER 16-004-00 for Millstone Power Station Unit 3 RE: Manual Reactor Trip Due to Low Hydrogen Gas Pressure In Main Generator 05000336/LER-2016-0012016-06-27027 June 2016 Turbine Driven Auxiliary Feedwater Putnp Room HELB Door Left Open, LER 16-001-00 for Millstone Power Station Unit 2 RE: Turbine Driven Auxiliary Feedwater Pump Room HELB Door Left Open 05000423/LER-2016-0032016-06-0808 June 2016 Loss of Safety Function- Supplementary Leak Collection and Release System, LER 16-003-00 for Millstone Power Station, Unit 3, Regarding Loss of Safety Function-Supplementary Leak Collection and Release System 05000423/LER-2016-0022016-03-23023 March 2016 Feedwater Isolation Signal Defeated Due to Wiring Error, LER 16-002-00 for Millstone Power Station Unit 3 Regarding Feedwater Isolation Signal Defeated Due to Wiring Error 05000423/LER-2016-0012016-03-16016 March 2016 Automatic Reactor Trip on Reactor Coolant System Low Flow Due to Loss of 'B' Reactor Coolant Pump, LER 16-001-00 for Millstone Power Station Unit 3, Regarding Automatic Reactor Trip on Reactor Coolant System Low Flow Due to Loss of 'B' Reactor Coolant Pump 05000336/LER-2015-0032016-01-0707 January 2016 Valid Actuation of the Reactor Protection System, LER 15-003-00 for Millstone, Unit 2, Regarding Valid Actuation of the Reactor Protection System ML0925900552009-09-0808 September 2009 Special Report for Seismic Instrumentation ML0719302812007-04-11011 April 2007 Final ASP Analysis- Millstone (LER 336/06-002) ML0622802402006-08-0808 August 2006 Special Report for Inoperable Radiation Monitor 2020-02-13
[Table view] |
Reported lessons learned are incorporated into the licensing process and fed back to industry.
Send comments regarding burden estimate to the FOIA, Pnvacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by intemet e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0104), Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
1. EVENT DESCRIPTION
On April 27, 2016, with Millstone Power Station Unit 2 (MPS2) in MODE 1 at 100% power, plant personnel inadvertently left the door to the turbine driven auxiliary feedwater (TDAFW) pump room open. Upon discovery the door was closed. Door access records indicate the door could not have been open for more than 57 minutes. The door is a high energy line break (HELB) barrier. With the door open there is no HELB protection for the motor driven auxiliary feedwater (AFW) pumps thus potentially rendering both trains of AFW inoperable.
This event is being reported pursuant to 10 CFR 50.73(a)(2)(v) as any event or condition that alone could have prevented the fulfillment of the safety function of structures or systems that are needed to: (B) remove residual heat; and (D) mitigate the consequences of an accident.
Background Information:
The auxiliary feedwater system (AFWS) is designed to provide feedwater for the removal of sensible and decay heat, and to cool the primary system to 300 degrees F in case the main condensate and steam generator (SG) feed pumps are inoperative due to loss of normal electric power sources.
In order to perform its safety-related function, assuming a single failure, the AFWS is comprised of two full capacity subsystems. One subsystem consists of two motor driven AFW pumps that are automatically connected to the diesel generators in the event of a loss of offsite power. The second subsystem consists of one turbine-driven pump that is independent of AC power and may be started by operator action.
The AFW pumps are located in two separate pump rooms at elevation 1 foot 6 inches in the MPS2 Turbine Building. Access to the first room which houses the two motor driven AFW pumps is by stairs leading down from the ground floor at elevation 14 feet 6 inches. The enclosure over the pump room stairwell serves as a protective barrier against direct water streams into the pump room due to a possible overhead pipe failure. The second room which houses the TDAFW pump is a vault physically separated from the motor driven AFW pump room by a reinforced concrete wall. The only access means to this room is through a water-tight fire door. This door is also the HELB barrier between the motor driven AFW pumps and the TDAFW pump room.
2. CAUSE
The cause is human performance error. The door is conspicuously labeled on each side that it is a HELB boundary door and must be closed except for entry and exit from the room.
3. ASSESSMENT OF SAFETY CONSEQUENCES
The consequences of this event were not safety significant. This condition existed for approximately one hour. In the unlikely event that a HELB occurred in the TDAFW pump room during the short time the HELB barrier was breached, it is possible that the main feedwater pumps, the condensate pumps and both trains of AFW would not be available to maintain the core and reactor coolant system (RCS) heat removal safety functions. In this scenario, both SG levels would decrease. The existing loss of all feedwater Emergency Operating Procedure (EOP) guidance would direct the operators to establish once through cooling when SG wide range levels dropped to 70 inches. This once through cooling EOP strategy utilizes the pressurizer power operated relief valves to depressurize the RCS and the charging and high pressure safety injection pumps to maintain the RCS inventory and core heat removal safety functions. Since using Reported lessons learned are incorporated into the licensing process and fed back to industry.
Send comments regarding burden estimate to the FOIA, Pnvacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by intemet e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0104), Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
4. CORRECTIVE ACTION
This was a human performance problem and was addressed in accordance with appropriate policies.
Corrective actions are being taken in accordance with the station's corrective action program.
5. PREVIOUS OCCURRENCES
MPS2 LER 2013-002-00, Turbine Driven Auxiliary Feedwater Pump HELB Door Left Open During Surveillance Test.
6. Energy Industry Identification System (EIIS) codes