05000482/LER-2008-003

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LER-2008-003, Manual Reactor Trip due to loss of Steam Generator Level
Docket Numbersequential Revmonth Day Year Year Month Day Yearnumber No. 05000
Event date: 03-17-2008
Report date: 05-13-2008
Reporting criterion: 10 CFR 50.73(a)(2)(iv), System Actuation

10 CFR 50.73(a)(2)(iv)(A), System Actuation
4822008003R00 - NRC Website

PLANT CONDITIONS PRIOR TO EVENT:

MODE — 1 Power — 100 Normal Operating Temperature and Pressure

BACKGROUND INFORMATION

The 4.16 KV station service buses PB03 and PB04 [EIIS Code: EA-BU] provide power to auxiliary plant loads such as the Heater Drain Pumps [EllS Code: SM-P], Condensate Pumps [EIIS Code: SD-P], Central Chiller Compressors [EIIS Code: KM-CMP], Startup Feed Pump [EIIS Code: SJ-P], and the Normal Charging Pump [EIIS Code: CB-P].

The station service buses normally receive power from the 13.8 KV service buses through their respective station service transformers, XPB03 and XPB04 [EIIS Code: EA-XFMR]. The bus-tie breaker between the two station service buses is normally open.

EVENT DESCRIPTION:

On March 17, 2008 at approximately 1:00 PM while operating at 100%, a manual reactor trip was initiated due to the loss of steam generator (S/G) level. All control rods fully inserted and all safety equipment performed as designed.

Auxiliary Feedwater automatic actuation occurred as required. The loss of S/G level was caused by the loss of the "B" Main Feedwater Pump [EIIS Code: SJ-P]. Subsequent to the trip, the Control Room received a report that a small wisp of smoke was seen coming from transformer XPB03. Electricians responded and noticed small puffs of smoke exiting the top of the secondary windings termination box of transformer XPB03. Troubleshooting determined that an AC line current protective relay had tripped. This specific relay senses overcurrent condition to the grounding resistors.

At the time of the failure, 4.16-kV busses PB03 and PB04 were cross-tied. The cross-tie had been established to allow scheduled testing on transformer XPB04. This condition results in all three Condensate pumps being supplied from the transformer XPB03. The plant trip was attributed to the failure of a secondary power cable from transformer XPB03 that resulted in the loss of all three condensate pumps subsequently losing all Feedwater Flow into the steam generators. Additionally, the loss of the buses PB03 and PB04 resulted in the loss of power to the Heater Drain Pumps, the Central Chiller Compressors, the Startup Feedwater Pump, and the Normal Charging Pump.

Transformer XPB03 had DOBLE testing performed on March 4, 2008 requiring the connections on the primary and secondary to be disconnected. The results of the transformer XPB03 DOBLE testing were satisfactory. There were no indications of transformer failure prior to DOBLE testing. Additional investigation into the equipment failure identified that a multi-conductor connector used to terminate the 1000 mcm cable to the secondary bushings was installed using the configuration for a 1500-2000 mcm cable size. Use of this configuration allowed the connector to bottom out before applying sufficient compression to the cable. The fit was snug, but not tight. The multi-cable conductor connector is designed to accommodate four ranges of cable size, from 4/0 to 2000 mcm. The specific cable size is marked on the inner saddle face that would be contacting the cable conductor(s).

In addition to being installed in the wrong configuration, the cross-tie arrangement of the busses was in place for approximately eleven hours. This condition resulted in a higher than normal current load being applied to the connection for an extended period of time. Together with the loose connection, the higher current caused overheating of the individual conductors and insulation resulting in a fault to ground.

BASIS FOR REPORTABILITY:

The reactor trip and subsequent actuation of Engineered Safety Features (ESF) described in this event is reportable per 10 CFR 50.73(a)(2)(iv)(A), which requires reporting of "Any event or condition that resulted in manual or automatic actuation of any of the systems listed in paragraph (a)(2)(iv)(B) of this section." Paragraph (B)(1) of 10 CFR 50.73(a)(2)(iv) includes "Reactor protection system (RPS) including: reactor scram or reactor trip" and "PWR auxiliary or emergency feedwater system.

ROOT CAUSE:

The cause of the XPB03 incident was human error. The multi-cable conductor connector was not properly installed after DOBLE testing. The connector saddle size was too large for the conductor causing a loose connection when torque was applied. With higher than normal connection resistance and current load due to busses PB03 and PB04 being cross-tied, the conductor insulation became overheated and resulted in a fault to ground.

CORRECTIVE ACTIONS:

Work Orders were issued to inspect the other transformers that had similar connectors. Thermography was performed on the other transformers and no other indications of overheating were found.

DOBLE testing was re-performed on transformer XPB03 and associated bushings. There was no damage to the transformer other than the bushings and cable that were previously identified.

Personnel error issues were handled within station procedures.

SAFETY SIGNIFICANCE:

The loss of transformer XPB03 indirectly caused the Wolf Creek Generating Station to be manually tripped from 100% power. The safety significance of this event is low. This event is bounded by the current licensing basis analysis as reported in WCGS Updated Safety Analysis Report (USAR) section 15.2.7, "Loss of Normal Feedwater Flow." There were no adverse effects on the reactor core, the reactor coolant system, or the main steam system, due to the auxiliary feedwater system's capacity to supply the necessary heat sink. All safety related equipment performed as designed and there were no adverse effects on the health and safety of the public.

OPERATING EXPERIENCE/PREVIOUS EVENTS:

None