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05000395/LER-2015-002Summer9 April 20151 OF 4

A past operability review determined that HVAC System Mechanical Water Chiller (X11X0001A) had been non-functional during the month of July 2013 due to a vulnerability with component operation resulting in a low oil level condition. The event impacts the operability requirements of the Chilled Water (VU) System and the area room coolers the system supports per TS 3/4.7.9, "Area Temperature Monitoring.

On September 25, 2013, XHX0001A tripped on low oil level following surveillance testing. The "Circuit 2 Low Oil Level" fault occurred due to the compressor oil level dropping below the low oil level indicator switch set point for 60 seconds which initiates shutdown of the component. The cause was low superheat, causing liquid floodback to the compressor and a low evaporator heat load that was insufficient to promote proper oil return in the evaporator. The chiller unit was intermittently operated as the only chiller on the "A" VU train in July 2013. Due to this vulnerable condition the non-functional chiller impacted the operability of the "A" train components served by the "A" train VU system.

On April 9, 2015, the station determined this event was reportable and is being submitted in accordance with 10 CFR 50.73(a)(2)(i)(B).

05000400/LER-2015-002Harris4 April 2015Breakers to the 'A' and 'B' Train Control Room Normal Intake Isolation Damper Motor Actuators Tripped Open

On April 4, 2015, Harris Nuclear Plant was shut down for a scheduled refueling outage in mode 5 and was performing the Remote Shutdown System Operability test. Following transfer back to the Main Control Board, the supply breakers to the normal air intake isolation dampers' motor actuators both independently tripped due to high instantaneous current from the attempted direction reversal of their respective motor actuators.

These trips caused both dampers to be in the partially open position, rendering the Control Room Envelope (CRE) boundary inoperable. The apparent cause of this event is that the HMCP model breaker/starter combination installed by a Design Change is more sensitive to peak current spikes than the original EF3 model breakers. The contributing cause associated with this event was that industry operating experience (OE) was not adequately reviewed to identify existing OE on the need to raise the trip setting on HMCP model breakers. Immediate corrective action was taken to manually close the dampers and restore integrity of the CRE boundary. The corrective action taken to address the breaker sensitivity observed was that the trip settings for the impacted HMCP model breakers installed by the Design Change were revised to add margin to the trip settings.

05000454/LER-2013-001Byron17 September 2013Failed Surveillance Test of A Train Control Room Emergency Filtration SystemAt 1140 hours on September 17, 2013, with Byron Station Unit 1 operating in Mode 1 at 100 percent power, a charcoal filter sample was drawn from the A Train Control Room Emergency Filtration System (CREFS). On September 26, 2013, Engineering was notified by the testing vendor that the methyl iodide penetration test performed on the charcoal filter sample had failed. Accordingly, it was concluded that the A Train CREFS had actually been inoperable since September 17, 2013, when the sample was originally removed from the filter unit. Operators were notified, and the A Train CREFS was declared inoperable in accordance with Byron Technical Specification (TS) 3.7.10, on September 26, 2013, at 0645 hours. The charcoal filter was replaced and retested satisfactorily. The A Train CREFS was declared operable on September 27, 2013, at 2057 hours. Since the condition existed for longer than allowed by TS 3.7.10, Required Action (A.1), i.e., for more than 7 days, this is a reportable condition per 10 CFR 50.73 (a)(2)(i)(B) as any event or condition that was prohibited by Technical Specifications. The cause of the unsatisfactory sample test result is that the applicable charcoal banks had reached their end of life.
05000395/LER-2013-003Summer25 June 2013TRIP SETPOINT RENDERS CHILLER AND CONTROL ROOM EMERGENCY FILTRATION INOPERABLE

On June 25, 2013 with the plant in Mode 1, the "A" Chiller (XHX0001A) shut down during a fast bus transfer of its 7.2 kV bus power supply due to the tripping of two molded case circuit breakers (MCCBs) located on the "A" Chiller skid. The "A" Chiller was running prior to a planned fast transfer of its 7.2 kV bus power supply from the normal power source (115kV) to the alternate source (230kV). Troubleshooting found both compressor motor MCCBs in the tripped condition.

The instantaneous trip calibration of the MCCBs was designed to trip the breakers with an incoming current greater than the nominal value of 2000A, and a current greater than this magnitude was experienced during this event. Trips of the MCCBs require local operator action to restart the chiller. A subsequent restart attempt resulted in both compressor motors not starting. The "A" Chiller has peen considered to be inoperable since being placed into service August 5, 2011 due to the inability of the chiller to respond to Engineered Safety Features (ESF) sequencer demand following a grid perturbation similar to the bus voltage transient that occurred with a "fast transfer" scenario. The Chilled Water System is an attendant cooling water system that supports the Control Room Emergency Filtration System (CREFS). VCSNS Technical Specifications (TS) 3.7.6 requires two trains of CREFS to be operable while in Mode one through four.

The MCCBs on the Chiller skid have been adjusted to trip at higher amperage. The instantaneous trip setting for the MCCBs has been changed from 2000A to an instantaneous trip range of 3063A to 3938A.

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05000354/LER-2009-006Docket Number2 December 2009Post-fire Safe Shutdown Analysis Error

On December 2, 2009, during a review of the post-fire safe shutdown analysis, it was noted that conditions existed whereby the requirements of the Hope Creek (HC) fire protection program (BTP CMEB 9.5-1) for the required degree of separation for redundant safe shutdown trains were not met. Contrary to the Updated Final Safety Analysis Report (UFSAR) Section 9A, a postulated fire in either of the reactor building fire areas (RB1 or RB2) could have tripped, and prevented the start of both chilled water pumps, thus causing a loss of HVAC to several areas. The loss of the HVAC system is due to a logic system interrelationship that the post-fire safe shutdown analysis does not specifically address. This is a condition that has existed since the initial post-fire safe shutdown analysis was performed.

In accordance with the example provided in NUREG 1022 (Rev. 2), this event is reportable under 10CFR50.73(a)(2)(ii)(B) as an unanalyzed condition that significantly degraded plant safety. An 8-hour NRC ENS notification was made in accordance with 10CFR50.72(b)(3)(ii)(B) on 12/02/09 (event number 45536).

. . .

At the time, HC was at 100% power. Carreotive actions were initiated to establish immediate compensatory - fire watches until the fire response procedures were revised. The post-fire safe shutdown analysis is being revised to identify the manual actions needed to address the logic interrelationships.

05000325/LER-2008-00419 June 2008Control Room Emergency Ventilation (CREV) Subsystems Inoperable Due to Failure to Isolate

On June 19, 2008, at 1641 hours Eastern Daylight Time (EDT), the Control Room authorized post-maintenance testing following replacement of solenoid valves affecting the Control Room Emergency Ventilation (CREV) subsystem. This test inputs a simulated high radiation signal into the logic for the Control Building ventilation system to ensure that the CREV subsystem automatically aligns to the radiation/smoke protection mode. At 1735 hours, during performance of this test, the 2D Control Building exhaust fan damper failed to close and the associated Control Building exhaust fan failed to trip as expected. The affected functions of the CREV system are to provide isolation, positive pressurization, and emergency filtration of the Control Room in the event of high radiation or smoke intrusion into the Control Building.

Because BSEP has a shared Control Room, both Unit 1 and Unit 2 immediately entered TS Limiting Condition of Operation (LCO) 3.7.3, "Control Room Emergency Ventilation (CREV) System," Required Action B.1 for two CREV subsystems inoperable (i.e., be in Mode 3 within 12 hours). At 1910 hours, the 2A CREV subsystem was manually placed in the radiation/smoke protection mode restoring the subsystem to operable status, and LCO 3.7.3, Required Action B.1, was exited. No reactor power reduction took place on either unit as a result of the LCO entry.

An exact root cause for this event has not been determined. The select cause of this event was determined to be failure to identify appropriate Preventive Maintenance (PM) routes for the CREV system components. The corrective action to prevent recurrence is to develop PM tasks for the Control Building ventilation system dampers, actuators, limit switches, and relays.

05000354/LER-2008-002Docket Number22 April 2008BLOWN lE INVERTER MAIN FUSE WITH ONE EMERGENCY DIESEL GENERATOR INOPERABLE CAUSES LOSS OF CONTROL ROOM EMERGENCY FILTRATION LOSS OF SAFETY FUNCTION

On April 22, 2008, the CD481 1 E Safety Related Inverter Main Power input fuse failed. This failure combined with the `D' Emergency Diesel Generator being in a maintenance outage caused both trains of the Control Room Emergency Filtration (CREF) system to be INOPERABLE. This constituted an entry into Technical Specification (TS) 3.0.3. and a loss of the control room emergency filtration function in the event of a Loss of Offsite Power (LOOP).

An eight-hour notification was made for this event under the provisions of 10CFR50.72(b)(3)(v)(D).

A prompt investigation and an equipment apparent cause evaluation were conducted. The apparent cause of this event was a spurious misfire of Silicon Controlled Rectifiers (SCR's) in the inverter or static switch section. This caused a 1/2 cycle (or less) short circuit failure of the main input 600-amp DC fuse.

Corrective actions included replacing the blown fuse in CD-481 and checking the voltage output for stability before restoring to normal power.

05000354/LER-2005-00528 June 2005'A' Control Room Emergency Filtration (CREF) Train Inoperable For Greater Than Allowed Outage Time

On June 28, 2005, a review of logs associated the operation of the 'A' CREF train identified that in January 2005 and February 2005 that the 'A' CREF train was inoperable for greater than the Hope Creek Technical Specification 3.7.2 allowed outage time of 7-days. As discussed in LER 354/05-007-00, the 'B' CREF train was inoperable from January 2005 to June 2005. With both trains of CREF inoperable for greater than one hour the requirement of TS 3.0.3 was also exceeded.

The cause of the inoperability of the 'A' CREF train was the entrainment of air in the chilled water train following maintenance on the evaporator. The entrainment of air in the system was due to inadequate filling and venting of the chilled water train. Procedure HC.OP-SO.GJ-0001, "Control Area Chilled Water System Operation," was revised on April 1, 2005 to improve the venting process for the control room chilled water system and the 'A' CREF train was returned to a fully operable status on June 3, 2005.

This event is being reported in accordance with 10CFR50.73(a)(2)(i)(B) as a, "condition which was prohibited by the plant's technical specifications? RC FORM 366 (6-2004)

05000354/LER-2004-005Docket Number17 May 2004Hope Creek Generating Station 05000354 1 OF 3

On May 20, 2004, a Technical Specification Action Statement (TSAS) was entered due to degraded performance of the BK400 chiller, a component of the Control Room Emergency Filtration system (CREF). The TSAS was exited later the same day following repair of the chiller. Prior to May 20, 2004, the BK400 chiller had been out of service between May 9 and May 15 for maintenance. A portion of the maintenance activity was the replacement of the guide vane pivot arm. While trouble shooting the problem on May 20, 2004, it was discovered that the chiller guide vane pivot arm was slipping on the drive shaft. Based on this information, the BK400 chiller was determined to not have been capable of performing its design function when it was returned to service on May 15, 2004. Therefore, the BK400 chiller was inoperable from May 9 to May 20 which exceeds the 7 day allowed outage time of TS 3.7.2 Action a.

The cause of the slippage was determined to be setscrews that were not fully engaged. The immediate corrective action was to "dimple" the shaft and tighten the setscrews.

This event is being reported in accordance with 10CFR50.73 (a) (2) (i) (B).

05000424/LER-2004-00222 April 2004CLOSURE OF CONTROL ROOM AIR DAMPER RESULTS IN TECH. SPEC. NON-COMPLIANCE

On the morning of April 22, 2004, a shift turnover walkdown was in progress in the Unit 1 control room. At 0540 EDT, the Unit Shift Supervisor (USS) found the Control Room Normal HVAC Outside Air Damper, AHV-12153, closed. The pressure differential between control room air and the outside atmosphere was checked and found to be zero. This condition stops flow past the control room air intake radioactive gas monitors, rendering them inoperable. After verifying that there was no valid reason for maintaining AHV-12153 closed, it was re-opened, restoring the control room differential pressure. It was determined that AHV-12153 was closed the previous day, during switchgear maintenance. Because the Technical Specifications (TS) require the control room emergency filtration system (CREFS) to be placed in the emergency operating mode if the control room air intake radioactive gas monitors are inoperable for more than one hour, and this was not done, the units operated in a condition prohibited by the TS.

An investigation found that maintenance was performed on de-energized switchgear, exercising a cell switch which closed the outside air damper. Therefore, the cause of this event was a failure of the work planning process to recognize the impact of the planned maintenance. Changes to this process are in progress.

05000354/LER-2004-001Hope Creek12 January 2004Manual Reactor Scram following Isolation of Primary Containment Instrument Gas (PCIG)

On January 12, 2004, at 1015 hours during the performance of 18-month Technical Specification calibration of the 'C' channel Reactor Building Exhaust (RBE) radiation monitor, the 'A' channel RBE radiation monitor actuated resulting in an actuation of the Primary Containment Isolation System (PCIS). The actuation of PCIS caused the isolation of the Primary Containment Instrument Gas (PCIG) supply to the inboard Main Steam Isolation Valves (MSIVs). Prior to restoration of the PCIG system, the 'D' and 'B' inboard MSIVs began to drift closed. Anticipating the receipt of an automatic scram, the Reactor Operator (RO) manually scrammed the reactor by placing the mode switch to the shutdown position at 1048 hours. Shortly after the scram, the 'A' and 'C' MSIVs began to drift closed. At 1051, PCIG was restored and the inboard MSIVs returned to the open position. The inboard MSIVs never went fully closed which ensured that the main condenser remained available throughout the event for reactor heat removal. Following the manual scram, a low reactor water level scram signal was received (Level 3, +12.5 inches) as expected. At 2123 hours, a second invalid actuation of the PCIS occurred due to equipment related problems.

The cause of the PCIS actuation that led to the manual scram is attributed to a loose LEMO connector on the 'A' channel RBE radiation monitor that allowed intermittent contact when a nearby conduit was used as a hand hold to gain access to the 'C' channel RBE radiation monitor for surveillance testing. The apparent cause of the second invalid PCIS actuation is attributed to faulty Bailey cards associated with the RBE high radiation input to PCIS. The corrective actions associated with this event consist of procedure enhancements, emphasizing standards with maintenance personnel, re- evaluation of the scheduling of surveillance testing, and the repair/replacement of equipment.

This event is being reported in accordance with 10CFR50.73(a)(2)(iv)(A).

05000400/LER-2003-006Harris Nuclear Plant -17 October 2003Main Control Room Emergency Filtration System Degradation

Harris Nuclear Plant (HNP) personnel conducted surveillance testing of the Control Room Emergency Filtration System (CREFS) on October 17, 2003. Test results were inconsistent with past surveillances; as a result, interim administrative controls were established to ensure CREFS remained operable. An investigation identified two boundary leakage paths that allowed interaction between CREFS and the non safety ventilation system in an adjacent area.

The condition could have prevented CREFS from meeting its required design function under various operating configurations of the non-safety ventilation system.

The root causes were inadequate design analyses and configuration controls related to the two boundary leakage paths. Corrective actions isolated the two identified leakage paths. Additional corrective actions will ensure the non-safety ventilation system is secured following receipt of a control room isolation actuation.

05000354/LER-2004-002Hope Creek19 September 2003Control Room Emergency Filtration System Train Inoperable For Greater Than 7 Days

On January 21, 2004, while reviewing corrective action and maintenance records, it was determined that a violation of Technical Specification (TS) 3.7.2, Control Room Emergency Filtration system (CREF) (VI) had occurred. The discovery was based on conclusions reached regarding past maintenance activities and performance documentation. TS 3.7.2, requires that two independent CREF subsystems to be operable. With one subsystem inoperable the inoperable unit must be made operable within 7 days.

On September 10 and 11, 2003 maintenance was performed on the BK400 chiller due to erratic behavior of the chiller. The unit was placed back in service and continued to operate until September 19, 2003 at which time it was placed in standby due to system realignment. On October 2, the BK400 was required to start. Shortly following the call to start, the chiller tripped on low evaporator refrigerant pressure. Corrective maintenance performed on October 3, 2003 found that the float arm had become disengaged. The chiller was repaired and returned to service.

Operability screening conducted at that time did not identify the chiller as potentially inoperative for more than 7 days.

There were no safety consequences associated with this event because one CREF subsystem was operable at all times. Also, during the period of assumed inoperability of the subsystem there were no radiological releases which would have required operation of the standby CREF to protect personnel in the control room envelope.

This event is being reported in accordance with 10CFR50.73 (a) (2) (i) (B).

05000254/LER-1998-023, Forwards LER 98-023-00 Per 10CFR50.73(a)(2)(v)(D).List of Licensee Commitments,ProvidedQuad Cities6 November 1998Forwards LER 98-023-00 Per 10CFR50.73(a)(2)(v)(D).List of Licensee Commitments,Provided
05000254/LER-1996-020, Forwards LER 96-020-00.Commitments Included in LER & SubmittedQuad Cities7 October 1996Forwards LER 96-020-00.Commitments Included in LER & Submitted
05000254/LER-1993-013Quad Cities27 August 1993LER 93-013-00:on 930729,identified Deviation from TS & Reg Guide 1.52 Requirements for Methyl Iodide Testing of Charcoal Sample Canisters.Caused by Failure to Implement Proper Canister Testing.Canisters Tested by Nucon
05000424/LER-1990-012Vogtle28 June 1990LER 90-012-00:on 900529,discovered That Sequencer Delay Times Not Taken Into Account During Summation Procedure for Control Room Emergency Filtration Sys.Caused by Inadequate Procedure Review.Procedures changed.W/900628 Ltr
05000254/LER-1987-025, Forwards Addl Info Re Control Room Habitability to Support Narrative Contained in LER 87-025 (Rev 1),including Control Room Habitability Study,Updated FSAR (Rev 88),inplace Charcoal Absorber Leak Rate Testing & CalculationsQuad Cities19 May 1989Forwards Addl Info Re Control Room Habitability to Support Narrative Contained in LER 87-025 (Rev 1),including Control Room Habitability Study,Updated FSAR (Rev 88),inplace Charcoal Absorber Leak Rate Testing & Calculations