01-07-2016 | On November 9, 2015 at 20:40 PST, Secondary Containment (Reactor Building) became inoperable due to pressure increasing above the Technical Specifications (TS) limit of -0.25 inches water gauge (inwg).
At the time of the event the Division 2 Reactor Building Heating, Ventilation and Air Conditioning System (HVAC) was controlling Secondary Containment differential pressure. Power supply E-E/S-299 then failed, causing Division 2 Secondary Containment Pressure controller to lose power. This resulted in the Division 2 Reactor Building Exhaust Fan flow being reduced, causing Secondary containment pressure to rise above TS limit of -0.25 inwg.
Operations personnel manually started the Division 2 SGT lead fan to restore negative pressure. The lead fan operated at max flow (due to the failure of E-E/S-299) resulting in the restoration of Secondary Containment pressure to within TS limits.
The Division 1 HVAC was manually started, allowing Operations personnel to manually secure the Division 2 SGT lead fan and maintain Secondary Containment pressure.
The direct cause for the loss of E-E/S-299 was due to an incorrect lug size installed in the fuse block during initial construction.
Current procedures are adequate to prevent a similar error.
26158 R6 NRC Form 366 (01-2014) APPROVED BY OMB: NO. 3150-0104 EXPIRES: 01/31/2017 Reported lessons learned are incorporated into the licensing process and fed back to industry.
Send comments regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by intemet e-mail to Inf000llects.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. |
---|
|
---|
Category:Letter
MONTHYEARGO2-24-004, License Amendment Request to Revise Emergency Plan2024-01-30030 January 2024 License Amendment Request to Revise Emergency Plan IR 05000397/20230042024-01-29029 January 2024 Integrated Inspection and Independent Spent Fuel Storage Installation Report 05000397/2023004 and 07200035/2023001 GO2-24-003, Relief Requests for the Columbia Generating Station Fifth Ten-Year Interval Inservice Testing2024-01-29029 January 2024 Relief Requests for the Columbia Generating Station Fifth Ten-Year Interval Inservice Testing ML24011A1522024-01-10010 January 2024 March 2024 Emergency Preparedness Exercise Inspection-Request for Information GO2-24-005, Docket No. 50-397 Supplement to Reply to a Notice of Violation; EA-21-1702024-01-0808 January 2024 Docket No. 50-397 Supplement to Reply to a Notice of Violation; EA-21-170 GO2-23-136, Guarantee of Payment of Deferred Premium2023-12-20020 December 2023 Guarantee of Payment of Deferred Premium GO2-23-135, Notice of Readiness for Supplemental Inspection2023-12-14014 December 2023 Notice of Readiness for Supplemental Inspection GO2-23-130, Reply to a Notice of Violation; EA-23-0542023-12-14014 December 2023 Reply to a Notice of Violation; EA-23-054 GO2-23-105, Licensing Basis Document Update and Biennial Commitment Change Report2023-12-12012 December 2023 Licensing Basis Document Update and Biennial Commitment Change Report ML23288A0002023-12-0707 December 2023 Issuance of Amendment No. 272 to Adopt TSTF-541, Revision 2, Add Exceptions to Surveillance Requirements for Valves and Dampers Locked in the Actuated Position GO2-23-107, Application to Revise Technical Specifications to Adopt TSTS-584, Eliminate Automatic RWCU System Isolation on SLC Initiation2023-12-0505 December 2023 Application to Revise Technical Specifications to Adopt TSTS-584, Eliminate Automatic RWCU System Isolation on SLC Initiation GO2-23-126, Docket No. 50-397 Voluntary Response to Regulatory Issue Summary 2023-012023-11-28028 November 2023 Docket No. 50-397 Voluntary Response to Regulatory Issue Summary 2023-01 GO2-23-121, Request for Exemption from Enhanced Weapons, Firearms Background Checks, and Security Event Notifications Implementation2023-11-27027 November 2023 Request for Exemption from Enhanced Weapons, Firearms Background Checks, and Security Event Notifications Implementation IR 05000397/20230122023-11-20020 November 2023 Commercial Grade Dedication Inspection Report 05000397/2023012 ML23311A2082023-11-0909 November 2023 Reassignment of U.S. Nuclear Regulatory Commission Branch Chief in the Division of Operating Reactor Licensing for Plant Licensing Branch IV IR 05000397/20230102023-11-0909 November 2023 Biennial Problem Identification and Resolution Inspection Report 05000397/2023010 IR 05000397/20230932023-11-0101 November 2023 Final Significance Determination of a White Finding, Notice of Violation and Follow-Up Assessment Letter; NRC Inspection Report 05000397/2023093 ML23299A2072023-10-26026 October 2023 Biennial Requalification Inspection Request for Information IR 05000397/20230032023-10-25025 October 2023 Integrated Inspection Report 05000397/2023003 IR 05000397/20230112023-10-0404 October 2023 License Renewal Phase 2 Report 05000397/2023011 IR 05000397/20234012023-09-11011 September 2023 Security Baseline Inspection Report 05000397/2023401 GO2-23-097, In-Service Inspection Summary Report for the Twenty-Sixth Refueling Outage (R26)2023-09-0606 September 2023 In-Service Inspection Summary Report for the Twenty-Sixth Refueling Outage (R26) ML24032A2182023-09-0101 September 2023 Information Request, Security IR 2024401 GO2-23-100, Technical Specification Section 5.6.4 Post Accident Monitoring Instrumentation 14-Day Report for Inoperable Suppression Pool Level Indication2023-08-31031 August 2023 Technical Specification Section 5.6.4 Post Accident Monitoring Instrumentation 14-Day Report for Inoperable Suppression Pool Level Indication GO2-23-056, Application to Revise Technical Specifications to Adopt TSTF-230, Add New Condition B to LCO 3.6.2.3, RHR Suppression Pool Cooling2023-08-29029 August 2023 Application to Revise Technical Specifications to Adopt TSTF-230, Add New Condition B to LCO 3.6.2.3, RHR Suppression Pool Cooling IR 05000397/20230052023-08-22022 August 2023 Updated Inspection Plan for Columbia Generating Station (Report 05000397/2023005) - Mid Year Letter IR 05000397/20230022023-08-0101 August 2023 Integrated Inspection Report 05000397/2023002 GO2-23-093, Supplement to Reply to a Notice of Violation: EA-21-1702023-07-27027 July 2023 Supplement to Reply to a Notice of Violation: EA-21-170 ML23206A2442023-07-25025 July 2023 Energy Northwest Columbia Generating Station, Response to Apparent Violation in NRC Inspection Report 05000397/2023092; EA-23-054 GO2-23-068, Notification of Completion of Commitments Required Prior to Entry Into the Period of Extended Operation2023-07-19019 July 2023 Notification of Completion of Commitments Required Prior to Entry Into the Period of Extended Operation GO2-23-090, Reply to a Notice of Violation2023-07-12012 July 2023 Reply to a Notice of Violation ML23143A1202023-06-27027 June 2023 Request Number 4ISI-11 to the American Society of Mechanical Engineers Boiler and Pressure Vessel Code Regarding Alternate Examination of Reactor Vessel Welds GO2-23-073, Notification of NPDES Permit Issuance2023-06-26026 June 2023 Notification of NPDES Permit Issuance ML23163A2502023-06-12012 June 2023 Summary of Changes and Analysis for Revision 41 of Plant Procedures Manual 13.8.1 Emergency Dose Projection System Operations GO2-23-072, Cycle 27 Core Operating Limits Report2023-06-0505 June 2023 Cycle 27 Core Operating Limits Report ML23157A2702023-06-0101 June 2023 4-2022-011 -022 Letter - OI Closure to Licensee IR 05000397/20230922023-06-0101 June 2023 NRC Inspection Report 05000397/2023092 and Preliminary White Finding IR 05000397/20230902023-06-0101 June 2023 Final Significance Determination of a White Finding, Notice of Violation and Follow-Up Assessment Letter; NRC Inspection Report 05000397/2023090 GO2-23-055, Independent Spent Fuel Storage Installation, 2022 Annual Radiological Environmental Operating Report2023-05-15015 May 2023 Independent Spent Fuel Storage Installation, 2022 Annual Radiological Environmental Operating Report IR 05000397/20230012023-05-0505 May 2023 Integrated Inspection Report 05000397/2023001 - April 26, 2023 GO2-23-006, License Amendment Request to Clean-Up Operating License and Appendix a Technical Specifications2023-05-0101 May 2023 License Amendment Request to Clean-Up Operating License and Appendix a Technical Specifications IR 05000397/20233012023-05-0101 May 2023 NRC Examination Report 05000397/2023301 GO2-23-053, 2022 Annual Environmental Operating Report2023-04-26026 April 2023 2022 Annual Environmental Operating Report GO2-23-057, 2022 Annual Radioactive Effluent Release Report2023-04-25025 April 2023 2022 Annual Radioactive Effluent Release Report ML23110A2642023-04-20020 April 2023 Request for Information License Renewal Phase 2 Inspection GO2-23-012, Application to Revise Technical Specifications to Adopt Tstf-541, Add Exceptions to Surveillance Requirements for Valves and Dampers Locked in the Actuated Position2023-03-27027 March 2023 Application to Revise Technical Specifications to Adopt Tstf-541, Add Exceptions to Surveillance Requirements for Valves and Dampers Locked in the Actuated Position GO2-23-041, Generation Station - Level of Financial Protection - Annual Reporting Requirement2023-03-15015 March 2023 Generation Station - Level of Financial Protection - Annual Reporting Requirement GO2-23-038, Plant Decommissioning Fund Status Report2023-03-15015 March 2023 Plant Decommissioning Fund Status Report ML23013A0812023-03-15015 March 2023 Issuance of Amendment No. 270 Revision to Technical Specifications to Adopt TSTF 505, Revision 2, Provide Risk-Informed Extended Completion Times-RITSTF Initiative 4B GO2-23-034, Report of Changes or Errors in Emergency Core Cooling System Loss of Coolant Accident Analysis Models Pursuant to 10 CFR 50.462023-03-13013 March 2023 Report of Changes or Errors in Emergency Core Cooling System Loss of Coolant Accident Analysis Models Pursuant to 10 CFR 50.46 2024-01-08
[Table view] Category:Licensee Event Report (LER)
MONTHYEAR05000397/LER-2017-0072017-11-30030 November 2017 Valve Closure Results in Momentary Increase in Secondary Containment Pressure, LER 17-007-00 for Columbia Generating Station Regarding Valve Closure Results in Momentary Increase in Secondary Containment Pressure 05000397/LER-2017-0062017-11-0909 November 2017 CONDITION PROHIBITED BY TECHNICAL SPECIFICATIONS DUE TO INCOMPLETE ACTION STATEMENT, LER 17-006-00 for Columbia Generating Station for Condition Prohibited by Technical Specifications Due to Incomplete Action Statement 05000397/LER-2017-0052017-11-0909 November 2017 Valve Closure Results in Momentary Increase in Secondary Containment Pressure, LER 17-005-00 for Columbia Generating Station Regarding Valve Closure Results in Momentary Increase in Secondary Containment Pressure 05000397/LER-2017-0042017-10-18018 October 2017 MANUAL REACTOR SCRAM DUE TO HIGH MAIN CONDENSER BACK PRESSURE, LER 17-004-00 for Columbia Generating Station Regarding Manual Reactor Scram Due to High Main Condenser Back Pressure 05000397/LER-2016-0022017-09-27027 September 2017 1 OF 3, LER 16-002-01 for Columbia Generating Station Regarding Valve Closure Results in Momentary Increase in Secondary Containment Pressure 05000397/LER-2016-0032017-08-29029 August 2017 Failure of Fan to Start Results in Momentary Increase in Secondary Containment Pressure, LER 16-003-01 for Columbia Regarding Failure of Fan to Start Results in Momentary Increase in Secondary Containment Pressure 05000397/LER-2017-0032017-08-24024 August 2017 Momentary loss of Secondary Containment due to Weather, LER 17-003-00 for Columbia Generating Station Regarding Momentary Loss of Secondary Containment due to Weather 05000397/LER-2017-0022017-07-10010 July 2017 Implementation of Enforcement Guidance Memorandum 11-003, Revision 3, LER 17-002-00 for Columbia Generating Station re Implementation of Enforcement Guidance Memorandum 11-003, Revision 3 05000397/LER-2016-0042017-06-0808 June 2017 1 OF 3, LER 16-004-01 for Columbia Generating Station Regarding Automatic Scram Due to Off-site Load Reject 05000397/LER-2017-0012017-03-20020 March 2017 Contactor Coil Failure Results in Tripping of HPCS Diesel Mixed Air Fan, LER 17-001-00 for Columbia Generating Station Regarding Contactor Coil Failure Results in Tripping of HPCS Diesel Mixed Air Fan 05000397/LER-2016-0052017-02-15015 February 2017 Leak in Minimum Flow Line Makes HPCS and Primary Containment Inoperable, LER 16-005-00 for Columbia Generating Station Regarding Leak in Minimum Flow Line Makes HPCS and Primary Containment Inoperable 05000397/LER-2016-0012016-05-24024 May 2016 MANUAL REACTOR SCRAM FOLLOWING LOSS OF REACTOR CLOSED COOLING, LER 16-001-00 for Columbia Regarding Manual Reactor Scram Following Loss of Reactor Closed Cooling 05000397/LER-2015-0072016-01-0707 January 2016 REACTOR BUILDING PRESSURE GREATER THAN TECHNICAL SPECIFICATIONS REQUIREMENT, LER 15-007-00 for Columbia Regarding Reactor Building Pressure Greater Than Technical Specifications Requirement 2017-09-27
[Table view] |
Plant Conditions
At the time of the event the plant was operating in Mode 1 at 100% power. The Division 1 Standby Gas Treatment (SGT) [BH] system was inoperable and unavailable due to annual system maintenance.
Event Description
On November 9, 2015 at 20:40 PST, Secondary Containment [NG] became inoperable as pressure increased above the -0.25 inches water gauge (inwg) required by Technical Specification (TS) Surveillance Requirement (SR) 3.6.4.1.1. This was due to failure of a power supply (E-E/S-299) [JX], which supplied power to the Secondary Containment Division 2 Pressure Controller (REA-DPIC-1B) [PDC]. Consequently, the Division 2 Reactor Building Exhaust Fan (REA-FN-1B) [FAN] dropped to minimum exhaust flow, and for approximately seven minutes, the Secondary Containment pressure rose above -0.25 inwg, which exceeded the TS limit.
High pressure alarms were received in the Control Room and Operators proceeded to manually start the safety related Division 2 Standby Gas Treatment [BH] lead fan (SGT-FN-1B2) [FAN] to restore negative pressure. The flow controller for this lead fan (SGT-DPIC-1B2) [PDC] also had failed as a result of the loss of power, causing its vortex damper (SGT-AD-1B2) [FAN] to remain fully open, resulting in the restoration of Secondary Containment pressure to within TS limits. The Division 1 Reactor Building Heating, Ventilation and Air Conditioning System (HVAC) [VA] was then placed in automatic mode, which maintained Secondary Containment pressure within TS limits, thus allowing Operators to manually secure SGT- FN-1B2.
During the event, there were no radioactive releases or other safety system malfunctions, other than the systems involved in the inoperability of Secondary Containment as affected by the electrical power supply failure.
Cause
Secondary Containment was lost when power supply E-E/S-299 failed. The direct cause for the loss of the power supply E-E/S-299 was an inappropriate lug size installed within the fuse block. The lug used was thicker than required for the fuse block connection and a tight mechanical connection in the lug landing area did not exist, which resulted in a loose fuse block termination. The station determined that the apparent cause of the event was a latent human performance error, in which an incorrectly sized lug was installed during initial construction. A review of the work history for E-E/S-299 showed that no work had been performed on this component after initial installation.
Immediate Corrective Action Operators manually started the Division 1 SGT lead fan to restore Secondary Containment pressure. The lead fan operated at max flow (due to the failure of E-E/S-299) resulting in the restoration of Secondary Containment pressure to within TS limits. Operators then placed Division 1 Reactor Building HVAC into automatic to maintain Secondary Containment pressure within TS limits.
A temporary alteration in support of maintenance was performed to provide temporary power while a new terminal block for E-E/S-299 was installed.
26158A R3 A condition report was initiated to document the potential degradation of critical power supplies and to ensure operability review of the potentially degraded components.
Additional Corrective Actions An extent of condition will be performed to inspect the terminations for critical power supplies located inside the Main Control Room and Remote Shutdown Room that were fused with the same style fuse block as E-E/S- 299.
Columbia currently has adequate barriers in place to prevent installation of an oversized lug. Guidance in Maintenance procedures prevents installation of an incorrectly sized lug; specifically, Maintenance procedures provide instructions on the correct way to terminate a lug connection, and instructions on terminal blocks and acceptable ways to install the terminations. Additionally, Quality Control hold points are utilized to independently verify correct installation, and Human Performance Error Prevention Tools such as pre-job briefs and procedure use/adherence are used in the field to reduce human performance errors.
Operating Experience and Previous Occurrences An extent of condition and cause review was performed for similar LERs. There have been multiple secondary containment events reported by Columbia, with several being weather-related events caused by improper tuning of the Reactor Building Outside Air differential pressure controllers. Specifically, LERs 2014-001-01 and 2013-007-01 were weather-related. LERs 2013-001-00, 2012-007-00, and 2012-003-00 describe Secondary Containment events not caused by weather. Other reported secondary containment event causes are not applicable to the current cause of an initial construction issue.
Assessment of Safety Consequences
This event resulted in an unplanned entry into LCO 3.6.4.1.A. Secondary containment pressure was greater than - 0.25 inwg for seven minutes. While the actual pressure was beyond the range allowed by Technical Specifications, the SGT system is designed to maintain Secondary Containment at a negative pressure with respect to atmosphere to minimize the release of airborne radioactive material during emergency operation.
During this event Division 2 SGT was utilized to restore Secondary Containment to TS required pressure of less than -0.25 inwg. There were no potential or actual safety consequences during this event.
This event was investigated as an event that could have prevented the fulfillment of the safety function of systems that are needed to control the release of radioactive material and mitigate the consequences of an accident, in conformance with reporting requirements in 10 CFR 50.73(a)(2)(v)(C) and 10 CFR 50.73(a)(2)(v)(D) as a result of the temporary loss of Secondary Containment. However, because it was demonstrated in this event that SGT had the ability to restore Secondary Containment pressure within the time frame allowed by the safety analysis, this event does not affect the NRC Performance Indicators. Columbia Generating Station (Columbia) reported this under Event Notification No. 51526.
Energy Industry Identification System Information Energy Industry Identification System information codes from IEEE Standards 805-1984 and 803-1983 are represented in brackets as [X] and poq throughout the body of the narrative.
26158A R3
|
---|
|
|
| | Reporting criterion |
---|
05000397/LER-2015-001 | Non-Conservative Compensatory Measure for Flooding Barriers | 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(v)(B), Loss of Safety Function - Remove Residual Heat 10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000397/LER-2015-003 | Implementation of Enforcement Guidance Memorandum (EGM) 11-003, Revision 2 | 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000397/LER-2015-004 | Unplanned Loss of 4.16KV Bus 7 Switchgear | 10 CFR 50.73(a)(2)(iv)(A), System Actuation | 05000397/LER-2015-005 | Reactor Pressure Vessel Level Indication Switch Failures | 10 CFR 50.73(a)(2)(v)(A), Loss of Safety Function - Shutdown the Reactor 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000397/LER-2015-006 | Postulated Multiple Spurious Operations Scenario That Could Adversely Impact Post-Fire Safe Shutdown | 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition | 05000397/LER-2015-007 | REACTOR BUILDING PRESSURE GREATER THAN TECHNICAL SPECIFICATIONS REQUIREMENT LER 15-007-00 for Columbia Regarding Reactor Building Pressure Greater Than Technical Specifications Requirement | 10 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material 10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident |
|