01-14-2016 | On 1/9/2015 at 1255 CST with Unit 2 operating at 100 percent thermal power the Turbine Driven Auxiliary Feedwater ( TDAFW) pump was declared inoperable based on a causal investigation for a November 2014 surveillance test failure. The causal analysis identified that a design vulnerability existed which was the cause of both the November failure and a similar April 2014 failure. This vulnerability with the governor control system created a configuration within the software that had the potential for an expected trip signal to be recognized as a shutdown signal during the start sequence. Due to his condition, the TDAFW Pump could not be relied on to start for some plant conditions in the accident analysis for a Main Steam Line Break ( MSLB) such that a reasonable assurance of operability could no longer be supported. Other accident analysis conditions were found to be unaffected. The cause of the design error was missing information in the original design documentation which would have provided an opportunity to develop the design change correctly in 2011.
For corrective actions, a temporary modification was made to increase a timer setpoint to eliminate the design vulnerability. This modification will be made permanent through the design change process. Design documents will be revised to add missing information which led to the design vulnerability.
Supplement: A past operability review has been completed and the results are appended to this LER. |
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Category:Letter
MONTHYEARML24010A0032024-01-30030 January 2024 Exemption from Select Requirements of 10 CFR Part 73 - Security Notifications, Reports, and Recordkeeping and Suspicious Activity Reporting ML24026A0532024-01-30030 January 2024 Notification of an NRC Fire Protection Team Inspection- (Report 05000348/2024011, 05000364/2024011) and Request for Information IR 05000348/20230402024-01-24024 January 2024 95001 Supplemental Inspection Report 05000348/2023040 and Follow-Up Assessment Letter ML23341A2042024-01-12012 January 2024 Request for Additional Information Exemption Requests for Physical Barriers (EPID L-2023-LLE-0018 & L-2023-LLE-0021) NL-24-0011, Report of Changes to Emergency Plan and Summary of 50.54(q) Analysis2024-01-11011 January 2024 Report of Changes to Emergency Plan and Summary of 50.54(q) Analysis ML23345A1312024-01-0303 January 2024 Withholding Letter - SNC Fleet - Physical Barriers Exemption (L-2023-LLE-0018 and L-2023-LLE-0021) ML23346A2222023-12-22022 December 2023 Transmittal of Dam Inspection Report - Public NL-23-0901, 30-Day 10 CFR 21 Notification - Framatome Supplied Siemens Medium Voltage (Mv) Circuit Breakers2023-12-15015 December 2023 30-Day 10 CFR 21 Notification - Framatome Supplied Siemens Medium Voltage (Mv) Circuit Breakers NL-23-0908, Cycle 30 Core Operating Limits Report2023-12-13013 December 2023 Cycle 30 Core Operating Limits Report NL-23-0877, Request for Exemption from Security Event Notification Implementation2023-11-29029 November 2023 Request for Exemption from Security Event Notification Implementation ML23228A1432023-11-22022 November 2023 Issuance of Amendment Nos. 249 and 246 to Revise TS 3.6.3, Surveillance Requirement 3.6.3.5 to Eliminate Event-Based Testing of Containment Purge Valves with Resilient Seals NL-23-0825, Reply to Notice of Violation EA-23-080 and Readiness for 95001 Inspection2023-11-14014 November 2023 Reply to Notice of Violation EA-23-080 and Readiness for 95001 Inspection ML23318A0672023-10-31031 October 2023 1 to Updated Final Safety Analysis Report, Updated NFPA 805 Fire Protection Program Design Basis Document, Technical Specification Bases Changes, Technical Requirements Manual Changes, IR 05000348/20230032023-10-24024 October 2023 Integrated Inspection Report 05000348/2023003 and 05000364/2023003 IR 05000348/20230912023-10-19019 October 2023 Final Significance Determination of a White Finding and Notice of Violation and Assessment Followup Letter NRC Inspection Report 05000348/2023091 IR 05000348/20234022023-10-18018 October 2023 Security Baseline Inspection Report 05000348/2023402 and 05000364/2023402 IR 05000348/20234412023-10-12012 October 2023 Supplemental Inspection Report 05000348/2023441 and 05000364/2023441 and Follow-Up Assessment Letter (Cover Letter) ML23241B0212023-09-12012 September 2023 Review of Quality Assurance Topical Report NL-23-0739, Response to NRC Inspection Report and Preliminary White Finding2023-09-0808 September 2023 Response to NRC Inspection Report and Preliminary White Finding IR 05000348/20230902023-08-31031 August 2023 NRC Inspection Report 05000348/2023090 and Preliminary White Finding and Apparent Violation ML23164A1202023-08-30030 August 2023 Proposed Inservice Inspection Alternative FNP-ISI-ALT-05-05, Version 1.0, to the Requirements of the ASME Code ML23240A0012023-08-30030 August 2023 Correction to Issuance of Amendment Nos. 241, 242, 243, and 244 ML23235A2962023-08-24024 August 2023 Issuance of Amendment Nos. 247 and 244, Regarding License Amendment Request to Revise Technical Specification 3.6.5, Containment Air Temperature, (EPID L-2023-LLA-0116) (Emergency Circumstances) NL-23-0716, Response to Request for Additional Information Regarding Emergency License Amendment Request: Technical Specification 3.6.5, Containment Air Temperature, One-Time Temporary Change to Limit2023-08-23023 August 2023 Response to Request for Additional Information Regarding Emergency License Amendment Request: Technical Specification 3.6.5, Containment Air Temperature, One-Time Temporary Change to Limit NL-23-0713, Response to Request for Additional Information Regarding Emergency License Amendment Request: Technical Specification 3.6.5, Containment Air Temperature, One-Time Temporary Change to Limit2023-08-23023 August 2023 Response to Request for Additional Information Regarding Emergency License Amendment Request: Technical Specification 3.6.5, Containment Air Temperature, One-Time Temporary Change to Limit NL-23-0704, Emergency License Amendment Request: Technical Specification 3.6.5, Containment Air Temperature, One-Time Temporary Change to Limit2023-08-22022 August 2023 Emergency License Amendment Request: Technical Specification 3.6.5, Containment Air Temperature, One-Time Temporary Change to Limit IR 05000348/20330012023-08-14014 August 2023 NRC Operator License Examination Report 05000348/203301 and 05000364/2023302 NL-23-0658, Southern Nuclear Operating Company - Response to Request for Additional Information Regarding Quality Assurance Topical Report Submittal2023-08-11011 August 2023 Southern Nuclear Operating Company - Response to Request for Additional Information Regarding Quality Assurance Topical Report Submittal IR 05000348/20230022023-08-10010 August 2023 Integrated Inspection Report 05000348/2023002 and 05000364/2023002, and Apparent Violation ML23221A3062023-08-0909 August 2023 Notification of NRC Supplemental Inspection (95002) and Request for Information (Cover Letter) NL-23-0542, CFR 50.46 ECCS Evaluation Model Annual Report for 20222023-08-0909 August 2023 CFR 50.46 ECCS Evaluation Model Annual Report for 2022 NL-23-0624, Report of Changes to Emergency Plan and Summary of 50.54(q) Analysis2023-08-0404 August 2023 Report of Changes to Emergency Plan and Summary of 50.54(q) Analysis ML23202A1122023-08-0202 August 2023 Units, 1 and 2; and Vogtle Units 1 and 2 - Request to Use a Provision of a Later Edition of the American Society of Mechanical Engineers Boiler and Pressure Vessel Code, Section XI NL-23-0628, Readiness for Supplemental Inspection EA-22-1012023-07-26026 July 2023 Readiness for Supplemental Inspection EA-22-101 NL-23-0566, ISFSI and Edwin I. Hatch Nuclear Plant ISFSI - Registration of Spent Fuel Cask Use2023-07-13013 July 2023 ISFSI and Edwin I. Hatch Nuclear Plant ISFSI - Registration of Spent Fuel Cask Use NL-23-0555, Request for Exemption from Physical Barrier Requirement2023-07-0707 July 2023 Request for Exemption from Physical Barrier Requirement NL-23-0506, to Non-Voluntary License Amendment Request: Technical Specification Revision to Adopt WCAP-17661-P-A, Improved RAOC and CAOC Fq Surveillance Technical Specifications2023-07-0505 July 2023 to Non-Voluntary License Amendment Request: Technical Specification Revision to Adopt WCAP-17661-P-A, Improved RAOC and CAOC Fq Surveillance Technical Specifications ML23136B1542023-07-0303 July 2023 Issuance of Amendment Nos. 246 & 243, Regarding License Amendment Request to Revise Technical Specification 4.3, Fuel Storage, to Correct Tabulated Values from the Associated Spent Fuel Pool (SFP) Criticality Analysis IR 05000348/20230102023-06-29029 June 2023 Comprehensive Engineering Team Inspection (CETI) Baseline Inspection Report 05000348/2023010 and 05000364/2023010 NL-23-0444, Quality Assurance Topical Report Submittal2023-06-15015 June 2023 Quality Assurance Topical Report Submittal ML23164A2182023-06-14014 June 2023 Draft Safety Evaluation for License Amendment Request to Revise Technical Specification 4.3, Fuel Storage, to Correct Tabulated Values from the Associated SFP Criticality Analysis (EPID L-2022-LLA-0138) - Letter NL-23-0457, ISFSI, and Edwin I. Hatch Nuclear Plant, ISFSI - Registration of Spent Fuel Cask Use2023-06-12012 June 2023 ISFSI, and Edwin I. Hatch Nuclear Plant, ISFSI - Registration of Spent Fuel Cask Use NL-23-0449, National Pollutant Discharge Elimination System (NPDES) Permit Renewal Application2023-06-0202 June 2023 National Pollutant Discharge Elimination System (NPDES) Permit Renewal Application NL-23-0383, SNC Response to Regulatory Issue Summary 2023-01:Preparation And.2023-05-19019 May 2023 SNC Response to Regulatory Issue Summary 2023-01:Preparation And. NL-23-0372, Units 1 & 2, Joseph M. Farley Nuclear Plant - Units 1 & 2, Vogtle Electric Generating Plant - Units 1 & 2, Annual Radiological Environmental Operating Reports for 20222023-05-10010 May 2023 Units 1 & 2, Joseph M. Farley Nuclear Plant - Units 1 & 2, Vogtle Electric Generating Plant - Units 1 & 2, Annual Radiological Environmental Operating Reports for 2022 NL-23-0337, Response to Request for Additional Information Related to License Amendment Request to Revise the Frequency of Surveillance Requirement 3.6.3.52023-05-0505 May 2023 Response to Request for Additional Information Related to License Amendment Request to Revise the Frequency of Surveillance Requirement 3.6.3.5 IR 05000348/20234402023-05-0505 May 2023 Reissue Farley Units-Final Significance Determination for a Security-Related Greater than Green Finding, Nov and Assessment Followup LTR, IR 05000348/2023440 and 05000364/2023440 - Cover IR 05000348/20230012023-05-0404 May 2023 Integrated Inspection Report 05000348/2023001 and 05000364/2023001 NL-23-0295, Reply to a Notice of Violation; EA-22-1012023-05-0101 May 2023 Reply to a Notice of Violation; EA-22-101 NL-23-0310, Annual Non-Radiological Environmental Operating Reports and Annual Radioactive Effluent Release Reports for 20222023-04-25025 April 2023 Annual Non-Radiological Environmental Operating Reports and Annual Radioactive Effluent Release Reports for 2022 2024-01-30
[Table view] Category:Licensee Event Report (LER)
MONTHYEAR05000364/LER-2017-0052018-01-11011 January 2018 Power Range Nuclear Instrument Inoperable Due to Poor Connection of High Voltage Cable Connector, LER 17-005-00 for Joseph M. Farley Nuclear Plant, Unit 2, Regarding Power Range Nuclear Instrument Inoperable Due to Poor Connection of High Voltage Cable Connector 05000364/LER-2017-0042017-12-22022 December 2017 I OF 3, LER 17-004-00 for Joseph M. Farley Nuclear Plant, Unit 2 Regarding Turbine-Driven Auxiliary Feedwater Pump Steam Admission Valve Air Leak Resulted in a Condition Prohibited by Technical Specifications 05000364/LER-2017-0032017-12-20020 December 2017 Pressurizer Safety Valve Lift Pressure Outside of Technical Specifications Limits, LER 17-003-00 for Joseph M. Farley, Unit 2, Regarding Pressurizer Safety Valve Lift Pressure Outside of Technical Specifications Limits 05000364/LER-2017-0022017-12-19019 December 2017 Main Steam Safety Valve Lift Pressure Outside of Technical Specifications Limits, LER 17-002-00 for Joseph M. Farley, Unit 2, Regarding Main Steam Safety Valve Lift Pressure Outside of Technical Specifications Limits 05000364/LER-2017-0012017-08-21021 August 2017 2B Emergency Diesel Generator Rendered Inoperable Due to a Jacket Water Leak without Makeup Capability, LER 17-001-00 for Farley, Unit 2, Regarding 28 Emergency Diesel Generator Rendered Inoperable Due to a Jacket Water Leak without Makeup Capability 05000348/LER-2016-0072017-06-0707 June 2017 Plant Shutdown Required by Technical Specifications due to Inoperable Steam Flow Transmitters, LER 16-007-01 for Joseph M. Farley, Unit 1, Regarding Plant Shutdown Required by Technical Specifications due to Inoperable Steam Flow Transmitters 05000348/LER-2016-0092017-02-0202 February 2017 Tornado Missile Vulnerabilities Result in Condition Prohibited by Technical Specifications, LER 16-009-00 for Joseph M. Farley Nuclear Plant, Units 1 and 2 Regarding Tornado Missile Vulnerabilities Result in Condition Prohibited by Technical Specifications 05000348/LER-2016-0082017-01-23023 January 2017 Manual Reactor Trip Due to Generator Voltage Swings, LER 16-008-00 for Farley, Unit 1, Regarding Manual Reactor Trip Due to Generator Voltage Swings 05000348/LER-2016-0052016-12-28028 December 2016 Toxic Gas Event, LER 16-005-00 for Joseph M. Farley Nuclear Plant, Unit 1, Regarding Toxic Gas Event 05000348/LER-2016-0042016-12-19019 December 2016 Unapproved Environmental Qualification Material Caused Inoperability of One Containment Cooling Train, LER 16-004-00 for Joseph M. Farley Nuclear Plant, Unit 1, Regarding Unapproved Environmental Qualification Material Caused lnoperability of One Containment Cooling Train 05000348/LER-2016-0062016-12-19019 December 2016 Manual Reactor Trip due to Loss of Speed Control on 1A Steam Generator Feed Pump, LER 16-006-00 for Joseph M. Farley Nuclear Plant, Unit 1 Regarding Manual Reactor Trip due to Loss of Speed Control on 1A Steam Generator Feed Pump 05000348/LER-2016-0032016-12-12012 December 2016 Pressurizer Safety Valve Setpoint Pressure Outside of Technical Specification Tolerance Band, LER 16-003-00 for Farley, Unit 1, Regarding Pressurizer Safety Valve Setpoint Pressure Outside of Technical Specification Tolerance Band 05000348/LER-2016-0022016-11-30030 November 2016 Automatic Reactor Trip and Safety Injection Due to Closure of Main Steam Isolation Valve, LER 16-002-00 for Joseph M. Farley Nuclear Plant, Unit 1 Regarding Automatic Reactor Trip and Safety Injection Due to Closure of Main Steam Isolation Valve 05000348/LER-2016-0012016-06-0909 June 2016 Condition Prohibited by Technical Specifications Due to 600V Load Center Inoperable Longer than Allowed by Technical Specifications, LER 16-001-00 for Farley, Unit 1, Regarding Condition Prohibited by Technical Specifications Due to 600V Load Center Inoperable Longer than Allowed by Technical Specifications 05000364/LER-2015-0012016-01-13013 January 2016 Turbine Driven Auxiliary Feedwater Pump in a Condition Prohibited by Technical Specifications due ,to a Design Issue, LER 15-001-01 for Farley, Unit 2, Regarding Turbine Driven Auxiliary Feedwater Pump in a Condition Prohibited by Technical Specifications Due to a Design Issue NL-13-1525, Special Report 13-001-00 for Joseph M. Farley, Unit 2, Regarding Nonfunctional Radiation Monitor R-60B2013-07-26026 July 2013 Special Report 13-001-00 for Joseph M. Farley, Unit 2, Regarding Nonfunctional Radiation Monitor R-60B NL-11-2445, LER 11-S01-00 for Joseph M. Farley, Unit 1 Regarding Loss of Power to Security Systems2012-01-0909 January 2012 LER 11-S01-00 for Joseph M. Farley, Unit 1 Regarding Loss of Power to Security Systems NL-08-0756, Special Report 2008-002-00, Inoperable Radiation Monitor R-60B2008-05-0909 May 2008 Special Report 2008-002-00, Inoperable Radiation Monitor R-60B NL-08-0659, Special Report 2008-001-00, Inoperable Radiation Monitor R-29B2008-04-25025 April 2008 Special Report 2008-001-00, Inoperable Radiation Monitor R-29B NL-05-2234, Special Report No. 2005-001-00 for Joseph M. Farley Nuclear Plant - Unit 1 Re Inoperable Radiation Monitor R-60B2005-12-0606 December 2005 Special Report No. 2005-001-00 for Joseph M. Farley Nuclear Plant - Unit 1 Re Inoperable Radiation Monitor R-60B 2018-01-11
[Table view] |
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 (1--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. It 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.
2015 - 001 - Joseph M. Farley Nuclear Plant, Unit 2 05000-364 01
PLANT AND SYSTEM IDENTIFICATION
Westinghouse - Pressurized Water Reactor Energy Industry Identification Codes are identified in the text as [XX].
DESCRIPTION OF EVENT
On 1/9/2015 at 1255 CST with Unit 2 operating at 100 percent thermal power the Turbine Driven Auxiliary Feedwater (TDAFW) pump was declared inoperable based on a causal investigation for a November 2014 surveillance test failure. The causal analysis identified that a design vulnerability existed which was the cause of both the November failure and a similar April 2014 failure. It was determined that a reasonable assurance of operability could not be supported, and Technical Specification (TS) 3.7.5 Required Action B.1 was entered.
In April of 2010 during Refueling Outage 2R20, the Woodward 505 Digital Turbine Control System (DTCS) [65] was installed on the TDAFW pump, replacing the existing governor system. In November of 2011 during Refueling Outage 2R21, a vulnerability identified in 2011 led to a site-developed design change that added a second (parallel) start signal to the governor controller. The original start signal input to the Woodward 505 DTCS is from a steam admission valve limit switch, and could be delayed up to ten seconds after the demanded start as the valve stroked. The design change added a second start signal for redundancy which decreased the timing of start signals to the controller. This second start signal was directly tied to the handswitch and the automatic start signal. This modification removed the delay between the demand signal initiation and the Woodward 505 DTCS receiving the start signal input.
In 2014, the TDAFW pump failed to start on two separate occasions in April and November.
Investigations failed to identify the configuration setting design as the cause. On both occasions following troubleshooting and maintenance, the system successfully passed the surveillance tests.
Outside of these two failures, there were 58 successful starts during the period from the 2011 design change to January 2015.
In January 2015 during causal analysis for the November 2014 failure, a design vulnerability was identified with the governor control system which created a configuration within the controller software that had the potential for a normal and expected trip signal to be unexpectedly recognized as a shutdown signal during the start sequence. The result of this design deficiency was an intermittent failure mode linked to a timing relay such that if the turbine was in a specific configuration when the timer actuated at 10 seconds a shutdown signal would be generated. This failure mode is the most likely cause of the failure to start events during the April and November 2014 surveillances.
On 1/10/2015 a temporary modification was completed to increase the timer setpoint to eliminate the vulnerability. Post-modification testing and surveillance testing was completed satisfactorily and the TS 3.7.5 was exited on 1/10/2015 at 1806.
-NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION 11-2(115) zr 41 '
- F LICENSEE EVENT REPORT (LER)
CONTINUATION SHEET
APPROVED BY ON1B: NO. 3150.0104 EXPIRES: 10/31/2018 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 internet 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.
2015 - 001 - 05000-364 01
CAUSE OF EVENT
The cause of the design vulnerability in the system was the absence of any documented basis for a Magnetic Pick Up (MPU) override timer setting in the original design documentation. This basis would have provided the necessary information to develop the design change correctly in 2011.
REPORTABILITY ANALYSIS AND SAFETY ASSESSMENT
From November 18, 2011 through January 10, 2015 the TDAFW pump could not be relied on to start for some plant conditions in the accident analysis for a Main Steam Line Break (MSLB). Other accident analysis conditions were found to be unaffected. The TDAFW start is assumed to be affected when in mode 3 at lower steam generator pressures. Therefore, the Auxiliary Feed Water (AFW) system was not capable of performing its specified safety functions for MSLB and was inoperable for a period of time longer than allowed by Technical Specification (TS) 3.7.5. This is reportable as an operation or condition prohibited by TS per 10 CFR 50.73(a)(2)(i)(B).
During periods of time when a Motor Driven Auxiliary Feed Water (MDAFW) pump was taken out of service, with the TDAFW pump considered inoperable, the plant was inadvertently left with only a single AFW train in operation. The TS Bases and the MSLB accident analysis require availability of at least two of three AFW pumps for the AFW system to perform its safety function. Therefore this condition is also reportable per 10 CFR 50.73(a)(2)(v)(B) as condition that could have prevented the fulfillment of a safety function of a system needed to remove residual heat.
A past operability review is being finalized and the LEA will be supplemented if information in this LEA is affected.
CORRECTIVE ACTION
A temporary modification was completed to adjust the timer to eliminate the vulnerability. This modification will be made permanent through the design change process. Design documents will be revised to add missing information regarding the basis for a timer setting which led to the design issue.
ADDITIONAL INFORMATION
Other system affected: No systems other than those mentioned in this report were affected by this event.
Commitment Information: This report does not create any licensing commitments Previous Similar Events: None Reported lessons teamed 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 internet 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 20503.11a 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.
2015 - 001 - 05000-364 01
SUPPLEMENT
Based upon further analysis and completion of a past operability review, SNC has concluded that the design flaw in the governor control system would not have resulted in either a condition prohibited by TS or a loss of safety function. The analysis concluded that the TDAFW system would have performed its design basis functions in the case of an actual start demand. The design flaw introduced a vulnerability of the pump potentially failing to restart in short proximity to a first demand start for no more than one hour after the pump was secured. This conclusion is based on troubleshooting test data (recorder), surveillance testing data and start demands (i.e., 59 due to testing and 1 due to a lightning strike) since implementation of the governor controls design change, maintenance history on the steam admission valve, and response time testing.
There have been no occurrences in which the TDAFW pump failed to start on the first attempt including an actual loss of power event on Unit 2 in which an actual auto start was generated for the TDAFW pump. The pump successfully started during this event from a blackout signal and successfully ran until secured by operations The health and safety of the public was not adversely affected during the limited time that the vulnerability existed after a first demand start of the TDAFW pump because both trains of the Motor-Driven Auxiliary Feedwater System were always available during and after starting the TDAFW pump for surveillance or post-maintenance testing.