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 Start dateReporting criterionEvent description
05000353/LER-2016-0011 June 2016
27 July 2016
10 CFR 50.73(a)(2)(iv)(A), System ActuationA manual actuation of the reactor protection system (RPS) when the reactor was critical was initiated during Plant Process Computer (PPC) modification testing at power. A modification wiring design error caused an actuation of both reactor recirculation pump (RRP) trip relays when a circuit isolation switch was closed. The direct cause of the event was a circuit wiring design error implemented in the field that caused energization of the RRP adjustable speed drive (ASD) trip coils. The root cause of the event was a failure of station personnel to appropriately apply Technical Human Performance (THU) error prevention techniques to identify the design error and prevent its installation and testing as part of the modification. The isolation switch for the mis-wired circuit was opened to enable reset of the ASD trip coils. The 2A and 2B ASDs were returned to service. The corrective actions are to change the circuit design to correct the design error. The human performance aspects of the event will be addressed through several management actions that include reinforcement of proper standards and behaviors related to THU error techniques with station personnel.
05000353/LER-2014-00711 December 201410 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive MaterialA worker failed to verify that the inboard door was closed prior to opening the outboard door when traversing from the reactor enclosure to the refuel floor. The outboard door was closed in less than 10 seconds. This event resulted in a brief inoperability of reactor enclosure secondary containment integrity. The cause of the event was that the technician failed to use proper human performance fundamentals to make sure the blue light was off prior to proceeding and opening the second door in the airlock. The airlock doors were immediately closed to restore reactor enclosure secondary containment integrity. The workers involved were coached and lessons learned were communicated to the site.
05000353/LER-2014-0065 August 201410 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material

A worker failed to physically challenge the latch on the inboard reactor enclosure airlock door when traversing from the refuel floor into the reactor enclosure. The next worker to use the airlock opened the outboard door causing the inboard door to open due to differential pressure across the door. The outboard door was closed in less than 10 seconds. This event resulted in a brief inoperability of reactor enclosure secondary containment integrity.

The event was caused by a degraded airlock door self-closing feature on the inboard airlock door. A contributing cause was a worker failure to verify that the inboard airlock door was latched fully closed. The worker failed to properly use the self-check fundamental. The airlock doors were immediately closed to restore reactor enclosure secondary containment integrity and the degraded door self-closing feature was repaired. The worker was coached regarding use of the self-check fundamental. The lessons learned were communicated to the site.

05000353/LER-2014-00524 April 201410 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
One emergency core cooling system (ECCS) actuation instrumentation channel was determined to have been inoperable for a period that exceeded the Technical Specification (TS) action allowed completion time. The as-found setpoint exceeded the required limit during three consecutive 18-month calibration surveillance tests. The channel was one of two redundant high pressure coolant injection (HPCI) system suppression pool high level channels. The apparent cause of the event was a less than adequate review of the issue report that identified three setpoint drift events on a degraded HPCI level transmitter. The degraded HPCI suppression pool level transmitter was replaced. A Plant Engineering briefing was conducted to reinforce prompt and thorough evaluation of potential system operability and regulatory impacts of repetitive TS instrument recalibrations.
05000353/LER-2014-0044 April 201410 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material

Workers simultaneously opened both doors of a reactor enclosure personnel airlock when transporting material through the airlock. One worker opened the outboard airlock door before the inboard airlock door was properly closed and latched. Both doors were closed in less than 10 seconds. This event resulted in a brief inoperability of reactor enclosure secondary containment integrity. The event was caused by the workers' failure to verify the inboard airlock door was latched fully closed prior to opening the outboard airlock door.

The workers failed to properly use the self-check fundamental. The airlock doors were closed to restore reactor enclosure secondary containment integrity. The workers were coached regarding use of the self-check fundamental. The lessons learned were communicated to the site.

05000353/LER-2014-00320 March 201410 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material

Workers simultaneously opened both doors of a reactor enclosure personnel airlock when transporting equipment through the airlock. One worker opened the Unit 1 airlock door and the other worker opened the Unit 2 airlock door before the Unit 1 door was fully closed. Both doors were closed in less than 10 seconds. This event resulted in a brief inoperability of reactor enclosure secondary containment integrity.

The cause of the event was a worker deviated from the pre-job briefing instructions regarding one worker being responsible to open and close the airlock doors while the other workers were responsible for pushing the cart through the open door. When the worker deviated from the briefing instructions the worker did not adhere to the airlock door policy. This event was not prevented by the design of the reactor enclosure airlocks since there is no mechanical interlock and the door open indicating light does not prevent simultaneous opening of both airlock doors. The affected airlock doors were closed to restore reactor enclosure secondary containment integrity. The worker was coached regarding compliance with the responsibilities assigned at the pre-job brief and airlock door use. The lessons learned were communicated to the site.

05000353/LER-2014-0029 January 201410 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material

Two workers simultaneously opened both doors of a reactor enclosure personnel airlock when entering the airlock. One worker opened the inboard airlock door and the other worker opened the outboard airlock door. Both doors were closed in less than 10 seconds. This event resulted in a brief inoperability of reactor enclosure secondary containment integrity.

This event was not prevented by the design of the reactor enclosure airlocks. The affected airlock doors were closed to restore reactor enclosure secondary containment integrity.

05000353/LER-2014-00110 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive MaterialTwo workers simultaneously opened both doors of a reactor enclosure personnel airlock when entering the airlock at the same time. One worker opened the inboard airlock door and the other worker opened the outboard airlock door. Both doors were closed in less than 10 seconds. This event resulted in a brief inoperability of reactor enclosure secondary containment integrity. This event was not prevented by the design of the reactor enclosure airlocks. A modification is being evaluated for the airlock doors.
05000353/LER-2013-0023 September 201310 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material

Both airlock doors were opened simultaneously when moving equipment through a reactor enclosure airlock causing an unplanned inoperability of reactor enclosure secondary containment integrity.

This event was caused by a non-functional airlock door open indicating light not providing the correct door status. The non- functional door open indicating light magnetic switch has been replaced. A review was conducted and no other non-functional door open indicating lights were identified.

A periodic routine test of the airlock door open indicating lights will be implemented to identify non-functional door open indicating lights.

05000353/LER-2013-00116 April 201310 CFR 50.73(a)(2)(iv)(A), System Actuation

A valid manual actuation of the reactor protection system (RPS) occurred during a refueling outage with all control rods inserted.

The manual actuation of the RPS system was initiated when the mode switch was placed in the "Shutdown" position following an automatic actuation of RPS. The event was initiated by an unplanned automatic actuation of the turbine stop valve closed trip logic during an RPS surveillance test. The automatic RPS' system actuation was caused by a failure to follow the existing procedure change processes. A corrective action was completed which reinforced the requirements for partial procedure use and temporary procedure changes. The corrective action also established expectations for the review and approval of partial procedures and temporary procedure changes.

05000353/LER-2012-00110 May 201210 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

The Unit 2 Division 2 redundant reactivity control system was determined to be inoperable due to instrument signal drift on a reactor pressure vessel pressure channel. T An investigation determined that the channel was inoperable for a time longer than permitted by the Technical Specifications. T The apparent cause of the unplanned inoperability of the affected channel was a premature failure of the reactor pressure analog trip module (ATM) card.

The ATM card failure was most likely due to a failure of the U1- amplifier sub-component on the card. T The degraded card was replaced, calibrated and tested successfully. T The Daily Surveillance Log/OPCONS 1,2,3 RRCS channel check has been revised to ensure unacceptable RRCS channel signal drift will be identified and evaluated as required.

05000353/LER-2011-00530 May 201110 CFR 50.73(a)(2)(iv)(A), System Actuation

A manual actuation of the reactor protection syStem was performed following trips of both reactor recirculation pumps. The pumps tripped due to a failure of a main turbine first stage pressUre trip unit. The cause of the event was a loose wiper terminal on a trip unit potentiometer. The degraded trip unit was replaced and a preventive maintenance activity will be implemented for replacement of similar trip units.

(10.2010)

05000353/LER-2011-00410 CFR 50.73(a)(2)(iv)(A), System Actuation

An automatic actuation of the Unit 2 reactor protection system occurred due to an actuation of the turbine control valve fast closure logic. The actuation occurred during restoration from Maintenance on a main turbine control valve. The "Al" channel of turbine control valve fast closure logic was placed in the trip condition during the maintenance. The "Eil" channel tripped when the electrohydraulic control relayed emergency trip supply oil supply was restored to the control valve. The root cause of the event was a void in the electrohydraulic control relayed emergency trip supply oil supply line that resulted in a perturbation of the oil supply pressure at the adjacent control valve. A procedure will be developed and implemented to provide specific restoration steps for turbine control, stop, and combined intermediate valves.

NRC FORM 368 (10-2010) LICENSEE EVENT REPORT (LER) U.S. NUCLEAR REGULATORY COMMISSION

05000353/LER-2011-00323 May 201110 CFR 50.73(a)(2)(v), Loss of Safety Function
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications

The reactor core isolation cooling system was rendered inoperable due to valve seat leakage on two feedwater long path flush motor operated valves. The valves failed to fully close when long path flushing was secured during a refueling outage.

This was later detected during an investigation for a loss in main generator electrical output. The valve indicating lights indicated the valves were full closed. The cause of the event was degradation and design of the long-path recirculation valves. The corrective actions planned are valve in-body maintenance, diagnostic testing, a preventive maintenance scope revision, and long-path recirculation operating procedure revision. The valves were restored to the full closed position which restored the reactor core isolation cooling system and the primary containment isolation valve to operable. Main generator output increased to normal.

05000353/LER-2011-00225 February 201110 CFR 50.73(a)(2)(iv)(A), System ActuationA manual actuation of the reactor protection system was initiated following an automatic trip of both reactor recirculation pumps. The pumps tripped due to a main generator stator cooling water high temperature actuation which also resulted in an automatic main turbine electro-hydraulic control load set runback. The root cause of the event was a failure to properly control a degraded stator cooling water temperature control valve that required manual operator action in lieu of an automatic control function. The automatic temperature control valve was repaired. The "Adverse Condition Monitoring and Contingency Planning" and "Operational and Technical Decision Making Process" procedures will be revised regarding actions required to substitute a manual operator action for an automatic control function.
05000353/LER-2010-00129 April 201010 CFR 50.73(a)(2)(i)(B), Prohibited by Technical SpecificationsThe Hi-Hi radiation alarm setpoint for the process radiation monitor on the reactor enclosure cooling water system was discovered to be exceeding the Technical Specification allowable value during a review of completed surveillance test documentation. h The required grab samples were not collected during the affected period. h The condition was caused by a less than adequate technical human performance during revision of the surveillance test procedure in 2003. h The affected procedures have been revised to correct the error.
05000353/LER-2009-00224 May 200810 CFR 50.73(a)(2)(i)(B), Prohibited by Technical SpecificationsA condition prohibited by Technical Specifications was identified during a review of main turbine valve testing activities. h In 2008 there were three occasions when the main turbine bypass system was rendered inoperable. h The action to verify the minimum critical power ratio above the limit specified in the Core Operating Limits Report was not completed within one hour as required by Technical Specifications. h The condition prohibited by Technical Specifications was caused by inadequate site documentation for a critical design basis function. The Design Basis Document will be revised to include the design basis function of the stop valve load limit logic.
05000353/LER-2009-00131 March 200910 CFR 50.73(a)(2)(iv)(A), System ActuationA valid actuation of the D23 Emergency Diesel Generator bus undervoltage minimum actuation logic occurred following manual operator action to mitigate a bus overvoltage condition during emergency diesel generator testing. T The event was caused by a failure of the emergency diesel generator voltage regulator due to an intermittent failure of the #1 rectifier bank. T The emergency diesel generator voltage regulator was swapped to the #2 rectifier bank and the emergency diesel generator testing was successfully completed. T The #1 rectifier bank is scheduled for replacement. T Testing will be performed on the rectifier to confirm the cause of the failure was due to excessive forward voltage drop across the flyback diode.
05000353/LER-2008-0021 February 200810 CFR 50.73(a)(2)(iv)(A), System ActuationA valid automatic actuation of the reactor protection system occurred as a result of a phase-to-ground fault at the 2A Main Transformer low voltage (22 kV) bushing connection to the Iso- Phase bus. T The Main Generator neutral overvoltage relay actuated and tripped the generator protection lockout relays, which resulted in a Main Turbine trip. T The cause of the ground fault was overheating of the bolted connection between the Main Transformer bushing and the flexible links that connect the bushing to the Iso-Phase Bus. T The degraded bushings and flexible links were replaced. T The transformer maintenance procedure was revised to provide enhanced direction for assembly of the bolted connection.
05000353/LER-2008-00112 January 200810 CFR 50.73(a)(2)(iv)(A), System Actuation

A valid actuation of the D23 Emergency Diesel Generator bus undervoltage minimum actuation logic occurred following manual operator action to mitigate a bus overvoltage condition during emergency diesel generator post maintenance testing. The event was caused by a failure of the emergency diesel generator voltage regulator due to an intermittent failure of the #1 rectifier bank.

The emergency diesel generator voltage regulator was swapped to the #2 rectifier bank and the emergency diesel generator governor tuning was successfully completed. The #1 rectifier bank was replaced and a failure analysis was performed.

The failure was primarily caused by looseness at a bolted connection and corrosion at the rectifier flyback diode.

05000353/LER-1999-010, Forwards LER 99-010-00,re Manual Actuation of Esf.Main CR Ventilation Sys Was Placed in Chlorine Isolation Mode Due to Rept of Faint Odor of Chlorine in Unit 2 Reactor Encl16 September 1999
05000353/LER-1999-005, Forwards LER 99-005-00,re Actuation of Primary Containment & Reactor Vessel Isolation Control Sys,Esf.Fuse Failed Due to Mechanical Failure of Cold Solder Joint10 August 1999
05000353/LER-1999-004, Forwards LER 99-004-00 Re 990701 Discovery of Pressure Setpoint Drift of Thirteen Mss SRV Due to Corrosion Induced Bonding within SRVs23 July 1999
05000353/LER-1999-003, Forwards LER 99-003-00,re Bypass of RW Cleanup Leak Detection Sys Isolation Function on Three Separate Occasions.Bypass of Safety Function Was Caused by Inadequate Review & Approval of Change to Procedure7 July 1999
05000353/LER-1999-002, Forwards LER 99-002-00,automatic Actuations of Primary Containment & Reactor Vessel Isolation Control Sys & Other Common Plant ESF Due to Loss of Power to a Rps/Ups Power Distribution Panel on 99041918 May 1999
05000353/LER-1998-008, Forwards LER 98-008-00,reporting Condition Prohibited by Tech Specs & Condition That Alone Could Have Prevented Fulfillment of Safety Function of Sys Designed to Mitigate Release of Radioactive Matl7 January 1999
05000353/LER-1998-007, Forwards LER 98-007-00,reporting Condition Prohibited by TS, in That Remote Shutdown Panel Instrument Calibr Was Not within Required Frequency & Required Actions Were Not Taken. Event Occurred Due to Administrative Error3 September 1998
05000353/LER-1998-006, Forwards LER 98-006-00 Re Failure to Perform 4KV Emergency D24 Bus Undervoltage Channel Calibr Surveillance Test Prior to TS Due Date.Cause of 980726 Event Is Attributed to Personnel Error21 August 1998
05000353/LER-1998-005, Forwards LER 98-005-00,reporting Condition Prohibited by TS in That Surveillance Test Exceeded TS Surveillance Requirement Time Period & Applicable TS Action Had Not Been Met23 July 1998
05000353/LER-1998-004, Forwards LER 98-004-00,reporting Manual Actions Taken in Response to Plant Conditions,To Perform Secondary Containment Isolation,Sgts Initiation & RERS Initiation27 July 1998
05000353/LER-1998-003, Forwards LER 98-003-00 Re 980622 Inoperability of Main Condenser Offgas pre-treatment Radioactivity Monitor Skid Which Resulted from Incorrect Procedure22 July 1998
05000353/LER-1998-002, Forwards LER 98-002-00,reporting Actuation of Primary Containment & Reactor Vessel Isolation Control Sys,Occurring When Electromagnetic Interference Due to Component Testing Inducing Signal in Redundant Reactivity Control Sys C6 July 1998
05000353/LER-1998-001, Forwards LER 98-001-00 Re Discovery of Three Barksdale Model C9622-3-B Differential Pressure Switches Located on Main Turbine Relayed Emergency Trip Sys2 July 1998
05000353/LER-1997-010, Forwards LER 97-010-00,which Describes Condition Prohibited by TS in That Reflex Wire Specimen from Unit 2 Was Not Examined to Determine RPV Fluence IAW TS Surveillance Requirement 4.4.6.1.48 December 1997
05000353/LER-1997-009, Forwards LER 97-009-00,reporting Unit 2 Primary Containment & Reactor Vessel Isolation Control Sys Actuation That Resulting in RWCU Sys Isolation on 9708065 September 1997
05000353/LER-1997-008, Forwards LER 97-008-00,reporting Automatic Closure of Drywell Chilled Water Sys Primary Containment Isolation Valves Resulting from Relay Failure Associated W/Electrical Bus Overvoltage Condition on 97072625 August 1997
05000353/LER-1997-007, Forwards LER 97-007-00 Re Inoperability of HPCI Sys Single Train Safety Sys Due to Presence of Condensation in Steam Driven Turbine in Standby Condition23 July 1997
05000353/LER-1997-005, Forwards LER 97-005-00 Re Plant Transient Which Resulted in Exceeding Licensed Thermal Power by 2.4% on 9706057 July 1997
05000353/LER-1997-004, Forwards LER 97-004-00 Re Failure to Obtain Offgas Sys Grab Sample within TS Time Limit on 930316.Delayed Submittal of LER Is Due to Incorrect Assessment of Reportability at Time of Event7 July 1997
05000353/LER-1996-009, Forwards LER 96-009-00,documenting Event That Occurred at Limerick Generating Station,Unit 2 on 961224.LER Is Being Submitted Pursuant to Requirements of 10CFR50.73(a)(2)(iv)23 January 1997
05000353/LER-1996-008, Forwards LER 96-008-00 Which Documents Event That Occurred at Lgs,Unit 2 on 961214.Commitment Made within Ltr,Listed15 January 1997
05000353/LER-1995-009, Forwards LER 95-009 Concerning Pressure Setpoint Drift of Mss SRV Due to Corrosion Induced Bonding within Valves9 September 1995
05000353/LER-1995-005, Forwards LER 95-005 Re Blowing of Primary Conatinment & Rv Isolation Control Sys Fuse Due to Malfunctioning +20 Vdc Power Supply16 March 1995
05000353/LER-1995-004, Forwards LER 95-004 Re Engineered Safety Sys Actuation Due to Momentary Spurious Low Rv Water Level Isolation Signal16 March 1995
05000353/LER-1995-003, Forwards LER 95-003,reporting Automatic Closure of Four Unit 2 Drywell Chilled Water Sys Inboard Containment Isolation Valves Due to Inadvertent Loss of Power to Interposing Relay in Closure Circuit for Valves27 February 1995
05000353/LER-1993-00913 August 1993
05000352/LER-2017-00127 January 2017

Over a period of approximately one month, the OB Main Control Room (MCR) Heating, Ventilating and Air Conditioning (HVAC) system experienced four failures. Troubleshooting was completed for each of the failures and for three of the failures the cause was determined to be an intermittent dropout or chattering of the Loss of Offsite Power (LOOP) start relay for two fans (0B-V116 MCR Supply and OB-V121 MCR Return Fans). The fourth failure was due to a contactor in the Motor Control Center (MCC) for the OB-V116 MCR Supply Fan. On 11/29/16 the second failure occurred on the LOOP start relay for the OB-V116 MCR Supply fan. The investigation identified a manufacturing defect of the Agastat/Tyco ETR Relays in the lot of relays used for the recent preventative maintenance (PM) relay replacements. The relays were determined to be unreliable since the initial PM replacement on 10/19/16 until 12/5/16, when the quality issue was identified and relays from a different lot were installed. The B train of MCR HVAC was determined to be inoperable due to the relay issue for a period of 47 days, which is greater than the allowable Limiting Condition for Operation (LCO) action window of 7 days (per TS 3.7.2.a.1) for an inoperable Control Room Emergency Fresh Air System (CREFAS) train.

Therefore, this was a condition prohibited by Technical Specifications (TS).

05000352/LER-2016-00320 March 2016
18 May 2016
10 CFR 50.73(a)(2)(ii)(A), Seriously Degraded
10 CFR 50.73(a)(2)(i)(A), Completion of TS Shutdown
Reactor coolant system pressure boundary leakage was identified by a drywell leak inspection team during a planned shutdown for a Unit 1 refueling outage. This event resulted in a plant shutdown required by Technical Specifications. The Unit 1 'A' RHR Shutdown Cooling Return Check Valve equalizing line developed a crack at the toe of a weld due to high cyclic fatigue induced by vibration from the reactor recirculation system. The Unit 1 welds were reworked to EPRI 2x1 at select locations on the "A" and "B" RHR Shutdown Cooling Return check valve equalizing lines for HV-051-1F050A and 50B. The similar Unit 2 welds on equalizing lines for HV-051-2F050A and 50B will be examined and reinforced. The scope will be added into the next refueling outage (2R14) currently scheduled for April 2017.
05000352/LER-2016-00210 February 2016
11 April 2016
10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical SpecificationsThe Unit 1 Division 1 125 VDC Safeguard Battery was rendered inoperable due to installation of temporary seismic restraints that had not been approved for use. This historical issue was identified during a preventive maintenance activity to replace the battery. The investigation identified fifteen reportable events over a three year period. The cause was incomplete scoping of the engineering analysis performed to support battery cell replacements. The analysis did not include the impact of battery replacement activities on the battery rack. The battery cell rack support strategy was revised and a technical evaluation was performed for the seismic qualification of the battery rack during battery cell replacement. The battery cell replacement procedure (M-095-005) will be revised to address the updated technical evaluation and ensure seismic qualification of the battery rack is maintained during maintenance activities.
05000352/LER-2016-00125 January 2016
23 March 2016
10 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive MaterialUnit 1 reactor enclosure secondary containment integrity was briefly declared inoperable when both doors on a reactor enclosure 201' elevation pipe tunnel airlock were simultaneously opened. The cause of the event was a degraded closing mechanism on the airlock inboard door. The airlock doors were closed to restore reactor enclosure secondary containment integrity. The degraded inboard door closing mechanism was repaired.