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05000364/LER-2017-002Farley19 December 2017Main 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

On November 1, 2017, while in Mode 6 and at 0% power level, one of the C Loop Main Steam Safety Valves (MSSV) as-found lift pressure did not meet the acceptance criteria of +/- 3% of the setpoint (1129 psig) as required by Technical Specifications (TS) Surveillance Requirement (SR) 3.7.1.1. The MSSV lifted at 1171 psig which is 9 psig outside of its acceptance range of 1096 to 1162 psig and 3.72°o above its setpoint. The apparent cause of exceeding the MSSV upper acceptance limit is degradation of the valve spring and/or valve spindle compression screw. The as-found settings remained within analytical bounds; therefore, operation of the facility in this condition had no impact on the health and safety of the public.

TS Limiting Condition for Operation (LCO) 3.7.1, IvISSVs, requires five MSSVs per steam generator to be operable in Modes 1, 2, and 3. Since the failure affected the lift pressure over a period of time, it is assumed that the C Loop MSSV was inoperable for a time greater than allowed by TS. Therefore, this occurrence is considered reportable per 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by TS.

The C Loop MSSV was replaced on November 5, 2017, while in Mode 5.

05000346/LER-2017-002Davis Besse13 September 2017
27 November 2017
Auxiliary Feed Water Pump Turbine Bearing Damaged due to Improperly Marked Lubricating Oil Sight Glass
LER 17-002-00 For Davis-Besse Nuclear Power Station, Unit 1, Regarding Auxiliary Feed Water Pump Turbine Bearing Damaged due to Improperly Marked Lubricating Oil Sight Glass

On September 13, 2017, with the Davis-Besse Nuclear Power Station operating at approximately 100 percent power, Auxiliary Feed Water (AFW) Pump Turbine 1 experienced high inboard bearing temperature during performance of quarterly Surveillance Testing. The turbine was tripped, and disassembly revealed damage to the journal bearing. The bearirig was replaced, and following successful post maintenance testing, AFW Train 1 was declared Operable on September 16. The cause of the bearing damage was an improperly marked oil sight glass, which allowed operation with improper bearing lubrication. The improper markings were due to the maintenance work instruction for replacing the sight glass not including dimensions or guidance for setting required operational bands.

On September 26, 2017, it was identified that low inboard bearing oil level had likely existed since completion of the previous quarterly surveillance test on June 21, when an oil sample was taken following testing but the bearing was not refilled due to the improperly marked sight glass. This issue is being reported in accordance with 10 CFR 50.73(a)(2)(v)(B) as a condition that could have prevented the fulfillment of the safety function, and in accordance with 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by Technical Specifications.

05000482/LER-2017-003Wolf Creek7 September 2017
2 November 2017
ARV and MSSV Tornado Missile Vulnerabilities Result in Unanalyzed Condition
LER 17-003-00 for Wolf Creek Generating Station Regarding ARV and MSSV Tornado Missile Vulnerabilities Result in Unanalyzed Condition

On September 7, 2017, Wolf Creek Generating Station (WCGS) was in Mode 1 at 100 percent power. During evaluation of protection for safety-related equipment from the damaging effects of tornados, WCGS personnel determined that the non safety-related exhaust lines from safety-related atmospheric relief valves (ARVs) and main steam safety valves (MSSVs) could be crimped by tornado generated missiles. If these are crimped completely, these components may be unable to perform their safety functions. The ARVs and MSSVs were declared inoperable and Enforcement Guidance Memorandum (EGM) 15-002, "Enforcement Discretion for Tornado- Generated Missile Protection Noncompliance," Revision 1 was applied. Immediate compensatory measures consistent with EGM 15-002 were implemented within the time allowed by the applicable Technical Specification Limiting Condition(s) for Operation. The ARVs and MSSVs were subsequently declared operable but nonconforming. These tornado missile vulnerabilities existed since the original plant construction. Actions will be taken to establish compliance for these components either by a plant modification or employing a methodology for addressing tornado missile non-conformances.

On April 5, 2017, WCGS personnel provided a 10 CFR 50.72 notification in Event Notification (EN) 52666 concerning tornado missile protection issues known at that time. As stated in EGM 15-002, the NRC will exercise enforcement discretion for subsequent tornado missile 10 CFR 50.72 notifications. Therefore, no 10 CFR 50.72 notification was made for this condition.

05000483/LER-2017-002Callaway15 August 2017
13 October 2017
Inadequate Protection from Tornado Missiles Identified Due to Nonconforming Design
LER 17-002-00 for Callaway Plant, Unit 1, Regarding Inadequate Protection from Tornado Missiles Identified Due to Nonconforming Design

On August 15, 2017, Callaway Plant was in Mode 1 at 100 percent power. During evaluation of protection for safety-related equipment from the damaging effects of tornados, Callaway Plant personnel determined that the minimum-flow recirculation lines for the turbine-driven auxiliary feedwater pump (TDAFP) and both motor-driven auxiliary feedwater pumps (MDAFPs) could be damaged if a postulated tornado-generated missile were to penetrate the condensate storage tank (CST) valve house and strike the lines. In response, Operations declared all three auxiliary feedwater pumps inoperable.

Compensatory measures were implemented consistent with Enforcement Guidance Memorandum (EGM) 15-002, "Enforcement Discretion for Tornado-Generated Missile Protection Noncompliance." Upon completion of the initial compensatory measures, the TDAFP and MDAFPs were declared Operable but nonconforming.

Subsequent to the condition identified on August 15, 2017, continued investigation of tornado missile vulnerabilities led to discovery that the exposed steam exhaust stacks for the main steam safety valves and atmospheric steam dump valves, as well as the exposed vents for the diesel generator fuel oil storage and day tanks, were also susceptible to tornado missile damage to the extent that compliance with General Design Criterion 2 is not ensured. Compensatory measures were then promptly implemented for these conditions, as well, in accordance with EGM 15-002 such that the affected systems have been evaluated to be nonconforming but Operable.

It has been determined that the identified noncomformances are an original plant design legacy issue. Long-term resolution for establishing compliance is under development and will be completed within the time frame described in the EGM.

05000244/LER-2017-001Ginna23 April 2017
16 June 2017
During Surveillance Testing, Lift Pressure Setpoints on Three Main Steam Safety Valves Found Outside Technical Specifications Limits Due to Stiction.
LER 17-001-00 for R. E. Ginna re During Surveillance Testing, Lift Pressure Setpoints on Three Main Steam Safety Valves Found Outside Technical Specifications Limits Due to Stiction

On April 23, 2017, with the plant in Mode 1, during in-place testing of main steam safety valve (MSSV) 3509, the as-found lift pressure did not meet the acceptance criteria of +1% / -3% of setpoint (1140 psig), required by Technical Specifications (TS) surveillance SR 3.7.1.1. This was the second unsatisfactory MSSV as-found lift pressure, as MSSV 3508 had failed to meet the same as-found acceptance criteria during earlier in-place sequential testing (on April 21, 2017). Later, on May 5, 2017, a third MSSV (3512) tested at a vendor's facility failed to meet the same as-found acceptance criteria. (All three of the MSSVs have the same manufacturer and model number.) The apparent cause of exceeding the MSSV upper acceptance limit is stiction in the disc area. The as-found settings of all three MSSVs remained within analytical bounds; therefore, operation of the facility in this condition had no impact on the health and safety of the public.

TS LCO 3.7.1, "Main Steam Safety Valves (MSSVs)," requires eight MSSVs to be operable in Modes 1, 2, and 3. Since the stiction affecting the three lift pressures may have occurred over a period of time, it is assumed that at least one required MSSV was not operable in the past for a time greater than allowed. Therefore, this occurrence is considered reportable per 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by the plant's TS.

05000334/LER-2017-001Beaver Valley3 February 2017
18 April 2017
Inadequate Tornado Missile Protection Identified Due to Non-Conforming Design Conditions
LER 17-001-00 for Beaver Valley Power Station, Unit Nos. 1 and 2 Regarding Inadequate Tornado Missile Protection Identified Due to Nonconforming Design Conditions

In order to address the concerns outlined in NRC Regulatory Issue Summary (RIS) 2015-06 "TORNADO MISSILE PROTECTION", an evaluation of tornado missile vulnerabilities and their potential impact on Technical Specification (TS) plant equipment was conducted. This evaluation concluded that the following Structures, Systems, and Components (SSCs) are potentially vulnerable to tornado generated missiles:

The steam discharge flow paths to atmosphere of the Beaver Valley Power Station Unit 1 (BV-1) and Unit 2 (BV-2) Main Steam Safety Valves (MSSVs) (reference TS 3.7.1) are potentially vulnerable to tornado generated missiles.

The steam discharge flow paths to atmosphere of the BV-1 and BV-2 Atmospheric Dump Valves (ADVs) (reference TS 3.7.4) are potentially vulnerable to tornado generated missiles.

On February 23, 2017, the BV-1 and BV-2 TS required MSSVs and ADVs were declared inoperable and Enforcement Guidance Memorandum (EGM) 15-002 Rev 1 "Enforcement Discretion for Tornado-Generated Missile Protection Noncompliance," was applied. Compensatory measures were implemented within the time allowed by the applicable Limiting Condition(s) for Operation and the associated systems were then declared Operable but nonconforming.

The apparent cause of this issue was a lack of clarity during the original design and licensing of the plants that led to inadequate understanding of the tornado missile protection regulatory requirements.

In addition, as part of the evaluation of tornado missile vulnerabilities, two BV-2 tornado missile barrier doors were found to be open. Specifically, Auxiliary Building door (A-35-5A) was found open and Fuel Building door (F-66-3), was found to be partially open. These doors were then closed and latched.

Actions will be taken to establish compliance for the MSSVs and ADVs either by plant modification or by employing a methodology for addressing tornado missile noncompliance for the MSSVs and the ADVs.

These conditions (as applicable) were reported to the NRC on February 23, 2017 in Event Notification (EN) number 52571 under 10 CFR 50.72(b)(3)(ii)(B) and 10 CFR 50.72(b)(3)(v)(A).

05000528/LER-2016-003Palo Verde21 September 2016Inoperable Containment Isolation Valve SGA-UV-1134 Due to Failure to Close During Testing

On September 21, 2016, at 0142 Mountain Standard Time (MST), containment isolation valve SGA-UV-1134 failed to stroke closed from the control room during containment isolation valve testing. The failure resulted in an unplanned entry into Technical Specification Limiting Condition of Operation (LCO) 3.6.3, Containment Isolation Valves. On September 22, 2016, it was concluded the valve was in a configuration that rendered the pneumatic operator incapable of operating the valve, including remote operation and automatic closure in the event of a main steam isolation system signal. The valve had been in this configuration since last operated on June 28, 2016. Therefore, the valve was inoperable longer than the required 4-hour completion time of LCO 3.6.3 Condition C. On September 22, 2016, at 1457 MST, SGA-UV-1134 was properly closed, declared operable, and LCO 3.6.3 was exited.

This event was caused by human error when procedural guidance was not used to return SGA-UV-1134 to its neutral locked configuration following testing on June 28, 2016. Actions have been initiated to ensure proper procedural guidance is used to lock SGA-UV-1134 in the future.

On June, 26, 2015, LER 50-530/2015-002 reported a condition prohibited by LCO 3.0.4 that occurred on May 1, 2015, when Unit 3 entered Modes 4 and 3 while in the applicability of LCO 3.7.4. On May 2, 2015, automatic dump valve, SGB- HV-178, was stroked with steam while in Mode 3 and discovered to be inoperable due to human error incurred during post- maintenance assembly prior to entering Mode 4.

05000529/LER-2016-001Palo Verde9 August 2016Main Steam Isolation Valve Actuator Train Inoperable due to Low Nitrogen Pre-Charge Pressure

On August 9, 2016, Technical Specification (TS) Limiting Condition for Operation (LCO) 3.7.2, Condition A was entered for Unit 2 main steam isolation valve SGE-UV-171 (MSIV 171) train A actuator to perform a nitrogen pre-charge check.

The check identified low nitrogen pre-charge pressure on the train A accumulator. An engineering evaluation determined that the MSIV 171 train A actuator was inoperable since July 30, 2016 due to a nitrogen leak on the accumulator. This inoperability period exceeded the 7-day required action completion time for one MSIV actuator train. The MSIV 171 train A actuator was restored to operable status and LCO 3.7.2, Condition A was exited on August 9, 2016. The accumulator leak was repaired on October 5, 2016. Insufficient monitoring, trending, and understanding of reservoir hydraulic fluid level trends in relation to the nitrogen pre-charge required for MSIV operability led to the extended inoperability period.

Operator training will be revised to improve understanding of the system and the limitations of the hydraulic fluid level alarm. Additional corrective actions will revise procedures to provide enhanced rigor for the control of operations condition monitoring thresholds for an MSIV to ensure appropriate response times. Maintenance procedures will also be revised to provide more explicit guidance to minimize the potential for leaks. In the past 3 years, PVNGS has not reported a similar event to the NRC.

05000286/LER-2015-006Indian Point1 July 2015
8 August 2016
Technical SpecificatiOn Prohibited Condition Due to Two Pressurizer Code Safety Valves Discovered Outside their As-Found Lift Setpoint Test Acceptance Criteria
LER 15-006-01 for Indian Point Unit No. 3 Regarding Technical Specification Prohibited Condition Due to Two Pressurizer Code Safety Valves Discovered Outside Their As-Found Lift Setpoint Test Acceptance Criteria

On July 1, 2015, Engineering was notified by

  • Wyle Laboratories that two of three Pressurizer Code Safety Valves (RC-PCV-464 and RC-PCV-468) were outside their As-Found lift set point test acceptance criteria (2411 - 2559 psig).

The As-Found set pressure testing acceptance criterion for operability is 2485 +/-3%. The SVs were removed during the last refueling outage (RO) in the spring of 2015 and sent offsite for testing.

Testing was performed within one year of removal as required by the Inservice Testing Program. SV RC-PCV-464 lifted at 2573 psig and SV RC-PCV-468 lifted at 2379 psig which is outside their set pressure range. The remaining SV tested satisfactorily. All three SVs were found with zero seat leakage. During the RO all'three SVs were removed and replaced with certified pre-tested spare SVs.

The SVs installed during the RO were As- Left tested to 2485 +/-1% with zero seat leakage in accordance with procedure 3-PT-R5A.

Technical Specification (TS) 3.4.10 (Pressurizer Safety Valves), requires three pressurizer safety valves to be operable with lift settings set at greater than 2460 psig and less than 2510 psig.

TS Surveillance Requirement (SR) 3.4.10.1 requires each PSV to be verified operable in accordance with the Inservice Testing Program.

The valves were disassembled and internals inspected. The most probable cause of SV RC-PCV-464 lifting greater than 3% of its nominal setpoint was setpoint drift. The most probable cause of RC-PCV-468 lifting below 3% of its nominal set point was set point drift. Corrective actions included replacement of all three code safeties with pretested spares and disassembly and inspection of valves RC-PCV-464 and RC-PCV-468. The event had no effect on public health and safety.

05000247/LER-2016-001Indian Point4 March 2016
2 May 2016
Technical Specification Prohibited Condition Caused by One Main Steam Safety Valve Outside Its As-Found Lift Set Point Test Acceptance Criteria
LER 16-001-00 for Indian Point 2 RE: Technical Specification Prohibited Condition Caused by One Main Steam Safety Valve Outside Its As-Found Lift Set Point Test Acceptance Criteria

On March 4, 2016, during the performance of surveillance procedure 2-PT-R006, Main Steam Safety Valve (MSSV) MS-45B failed to lift within the Technical Specification (TS) as- ' found required range of +/- 3% of the setpoint pressure. Valve MS-45B lifted at 1125 psig, 29 psig outside its acceptance range of 1034 to 1096 psig and 5.7% above its 1065 psig setpoint. The valve was declared inoperable, then subsequently restored to operability upon two successful lifts within the required setpoint range without the need for adjustment. Nine other MSSVs that were tested lifted within the as-found required setpoint range. The apparent cause for the failure was internal friction due to spindle rod wear, which causes the spindle rod to bind against internal components.

Corrective actions were modification of MS-45B and twelve other MSSVs, and the replacement of their spindle rods. The event had no effect on public health and safety.

05000346/LER-2016-001Davis Besse29 March 20161 OF 7
LER 16-001-00 for Davis-Besse Nuclear Power Station Unit 1 Regarding Reactor Trip During Nuclear Instrumentation Calibrations and Steam Feedwater Rupture Control System Actuation on High Steam Generator Level

On January 29, 2016 at 1322 hours, with the Davis-Besse Nuclear Power Station operating at approximately 100 percent power, an automatic reactor trip occurred due to the actuation of the Reactor Protection System (RPS).

Nuclear Instrumentation calibration for RPS Channel 2 was in progress. RPS Channel 2 was in bypass and Channel 1 was inoperable/tripped due to an existing Reactor Coolant System (RCS) temperature element (RTD) issue. A fuse failure in an input to RPS Channel 4 caused RPS Channel 4 trip on Flux/Delta-Flux/Flow, resulting in the reactor trip.

Post trip, the Steam Feedwater Rupture Control System (SFRCS) actuated due to high Steam Generator (SG) 1 level, initiating the Auxiliary Feedwater (AFW) System. The cause of the SFRCS actuation was an improper response by the Integrated Control System (ICS) after the reactor trip. ICS Rapid Feedwater Reduction. (RFR) circuit did not actuate and the ICS SG/Reactor Demand Hand/Auto Station transferred from automatic control to manual.

Corrective actions include: RPS Channel 4 power failed fuse replaced, RCS RTD replacement next refueling outage, ICS RFR switch,module replaced, ICS Hand/Auto Station modification. This report is being submitted as an event that resulted in automatic actuation of the RPS, and an automatic actuation of AFW per 10CFR50.73(a)(2)(iv) (A).

05000530/LER-2015-004Palo Verde1 May 2015
5 February 2016
Condition Prohibited by Technical Specifications 3.0.4 and 3.7.2 Due to an Inoperable Main Steam Isolation Valve
LER 15-004-01 for Palo Verde, Unit 3, Regarding Condition Prohibited by Technical Specifications 3.0.4 and 3.7.2 Due to an Inoperable Main Steam Isolation Valve

On August 13, 2015, at approximately 2106, the Unit 3 main steam isolation valve SGE-UV-181 (MSIV-181) B actuator train was declared inoperable and Technical Specification (TS) Limiting Condition for Operation (LCO) 3.7.2, Condition A, was entered due to a failed fitting on the air supply line. To correct the condition the failed fitting was replaced and an additional pipe support was installed on the air-line. Following retests, the MSIV-181 B actuator train was restored to operable status and LCO 3.7.2, MSIV-181 B actuator train on May 19, 2015. The investigation of this condition following the second failure determined the MSIV-181 B actuator train air-line configuration was modified in the spring 2015 Unit 3 refueling outage and was inoperable from the time Unit 3 entered Mode 4 on May 1, 2015, at 0258, following the outage because the air-line tubing was not adequately supported following the design change.

The cause of the failure was lack of adequate guidance to perform a walk down during the PVNGS design equivalent change (DEC) process. The lack of a local inspection of actual plant conditions resulted in the latent condition (i.e., vibratory displacement of the affected air-line combined with inadequate tubing support) remaining unnoticed prior to the component failure. Immediate corrective actions to replace the failed fittings and add additional support were completed on August 15, 2015.

An additional corrective action will revise procedural guidance and associated documents.

No similar conditions have been reported by PVNGS in the last three years.

05000483/LER-2015-004Callaway11 August 2015Auxiliary Feedwater Control Valve Inoperable Due To Faulty Electronic Positioner Card

Between 11/18/2014 and 12/3/2014, the 'B' MDAFW train was inoperable due to an improperly functioning positioner card installed on the control valve in the AFW flow path to the 'D' steam generator, i.e., valve ALHV0005. The 'A' MDAFW train and the TDAFW train were inoperable for short durations at different times between 11/18/2014 and 12/3/2014, although neither of those redundant trains was inoperable at the same time. During the short windows of TDAFW unavailability, only a single MDAFW train was operable, resulting in a loss of safety function.

On 08/11/2015, an unexpected turbine trip / reactor trip occurred due to a latent design error in the current transformer (CT) wiring for the main transformers. The reactor trip was reported to the NRC in Event Notification 51308. While responding to the reactor trip, the 'B' train motor-driven auxiliary feedwater (MDAFW) flow control valve in the auxiliary feedwater (AFW) flow path to the `A' steam generator, i.e., valve ALHV0007, could not be manipulated from the main control room. It was determined that ALHV0007 would have performed its specified safety function; however, during the extent of condition review, it was determined that ALHV0005 was inoperable from 11/18/2014 until 12/3/2014. The 72-hour Completion Time of Condition C of Technical Specification 3.7.5 was exceeded from 11/18/2014 until a new positioner card was installed on ALHV0005 on 12/3/2014.

The direct cause of the ALHV0005 failure was a failure of a bridge rectifier on the valve's electronic positioner circuit card. This type of positioner card was also installed on ALHV0007. The root cause of the card failures was determined to be a vendor design deficiency. The defective positioner cards have been replaced and measures have been taken to remove defective spares from future plant use.

05000346/LER-2015-002Davis Besse9 May 2015Improper Flow Accelerated Corrosion Model Results in 4-Inch Steam Line Failure and Manual Reactor Trip

On May 9, 2015, with the Davis-Besse Nuclear Power Station (DBNPS) operating in Mode 1 at approximately 100 percent power, a steam leak was identified in the Turbine Building. A rapid shutdown was initiated, and the reactor was manually tripped at 1909 hours from approxjrnately 30 percent power.

The Steam Feedwater Rupture Control System was manually initiated to isolate the leak and start the Auxiliary Feedwater System. The cause of the leak was failure of a four-inch pipe in the Moisture Separator Reheater System due to Flow Accelerated Corrosion (FAC). An incorrect data input caused the FAC software model to underestimate the predicted wear rate, so inspections were not performed to identify the piping wall thinning prior to failure. Additionally, a previous event was not evaluated to ensure the proposed corrective actions would encompass a validation of all critical data inputs. Corrective Actions include improvements in the fidelity of the data in the FAC Software model, and improvements in the Corrective Action Program with respect to Root Cause Evaluations.

This issue is being reported in accordance with 10 CFR 50.73(a)(2)(iv)(A) as a manual actuation of the Reactor Protection System and the Auxiliary Feedwater System.

05000414/LER-2015-001Catawba Nuclear Station, Unit 220 April 2015Auxiliary Feedwater (AFW) System Train 2A and Its Automatic Transfer Function to the Nuclear Service Water System (NSWS) Were Determined to Have Been Inoperable in Violation of Technical Specifications (TS)

On April 20, 2015, it was determined that TS 3.7.5, "Auxiliary Feedwater (AFW) System", Condition B had been violated.

Due to the inability to meet a TS Surveillance Requirement, it was determined that AFW System Train 2A had been entered Mode 4 at the start of its End of Cycle 20 Refueling Outage. The cause of the inoperability was the inability of valves 2CA-60 and 2CA-56 (motor driven AFW Train 2A discharge flow control valves to steam generators A and B, respectively) to automatically open to their safe position. It was also determined that TS 3.3.2, "Engineered Safety Feature Actuation System (ESFAS) Instrumentation", had not been met, resulting in TS Limiting Condition for Operation (LCO) 3.0.3 being unknowingly entered and violated. This was due to AFW System Train 2A being unable to automatically transfer to its assured source of supply (the NSWS). The cause of this event was determined to be a failed sliding link. The failed sliding link was replaced during the refueling outage. During this event, the normal feedwater supply to the steam generators remained available and actuation of the AFW System or transfer of its suction to the NSWS was not required. Had actuation of the AFW System been required, valves 2CA-56 and 2CA-60 were open, except for brief periods as described in this LER. Therefore, with the exception of these brief periods, the AFW System would have performed its safety related function. In addition, AFW System Train 2B remained capable of transferring its suction to the NSWS, had it been required to do so. Therefore, this event had no adverse effect upon the health and safety of the public.

05000286/LER-2015-002Indian Point27 February 2015Technical Specification Prohibited Condition Caused by Four Main Steam Safety Valves .Outside Their As-Found Lift Set Point Test Acceptance Criteria

On February 27, 2015, during the performance of surveillance procedure 3-PT-R006A, three main steam safety valves (MSSV) (MS-46-2, MS-45-4 and MS-47-4) failed their As-Found lift.

set point test. Per the test, these valves must lift at +/- 30 of their required setting.

During the test, 7 other MSSVs tested passed their As-Found test criteria.

Technical Specification (TS) 3.7.1 (Main Steam Safety Valves) requires the MSSVs to be operable in accordance with TS Table 3.7.1-1 and Table 3.7.1-2.

Due to the number of failures, during power ascension the remaining MSSVs were tested and two failed (MS-46-2, MS-46-3).

MSSV MS-46-2 had previously failed and had maintenance performed therefore the failure was considered a post maintenance test failure.

MS-46-3 failed its first lift test by 0.60 but met test lift criteria on the second and third test.

TS Surveillance Requirement (SR) 3.7.1.1 requires each MSSV be verified to lift per Table 3.7.1-2 in accordance with the In-service Testing Program. Operability of the MSSVs includes the ability to open within the set point tolerances. The direct cause of the failure of these valves was severely worn spindle rods.

The apparent cause for the failure of MS-47-4 and MS-46-2 was internal friction due to spindle vibration.

The apparent cause of the failure of.MS-45-4 was reuse of a worn spindle. The apparent cause of the failure of MS-46-3 is foreign material.

Corrective actions included testing all 20 MSSVs and adjusting their set point to be within +/- 1% of design set pressure. Installed new spindles and bronze wear sleeves on valves MS-46-4, MS-46-2, MS-47-4, MS-48-2, MS-49-2, MS-49-1, MS-49-3, and replaced the spindle on valve MS-45-4. The Unit 3 MSSV test frequency will be changed from 4 years to 2 years until all modifications are implemented and IPEC is confident the issue is resolved. The event had no effect on public health and safety.

FACILITY NAME (1) DOCKET (2) LER NUMBER (6) PAGE (3)

05000336/LER-2014-006Millstone25 May 2014Millstone Power Station Dual Unit Reactor Trip on Loss of Offsite Power

On May 25, 2014, with Millstone Power Station (MPS) Unit 2 and 3 (MPS2 and MPS3) in operating MODE 1, operating at 100% reactor power, a total loss of offsite power occurred in the MPS switchyard. Both MPS2 and MPS3 experienced a turbine trip on power to load imbalance followed by an automatic reactor trip. Both units' safety related emergency diesel generators (EDGs) automatically started and supplied power to their respective safety busses. As designed, the motor driven auxiliary feedwater (AFW) pumps automatically started on MPS2 and all AFW pumps automatically started on MPS3.

MPS declared an Unusual Event (UE) following the reactor trips and the NRC was notified (EN50142 for MPS2 and EN 50141 for MPS3). Following stabilization of both MPS2 and MPS3, the UE was terminated.

With both MPS2 and MPS3 at full power and one of the Transmission Owner (TO) 345 kV lines out of service for scheduled work, a phase to ground fault occurred on one of the phases on a motor operated disconnect (MOD) on one of the three remaining TO 345 kV lines. The fault was caused by an insulator failure of a MOD switch at a TO substation (offsite). This fault was also sensed as an instantaneous ground in one of the two remaining TO 345 kV lines resulting in this line also tripping. With three of the four TO 345 kV lines out of service, the MPS total electrical output overloaded the single remaining TO 345 kV Line which then also tripped resulting in a total loss of offsite AC power to MPS.

The TO replaced the faulty components and is investigating additional corrective actions. Additional corrective actions are being taken in accordance with the station's corrective action program.

This event is being reported per 10 CFR 50.73(a)(2)(iv)(A) as an event that resulted in a manual or automatic actuation of systems listed in 10 CFR 50.73(a)(2)(iv)(B)(1), (6), and (8). Actuations of the reactor protection system, the AFW system, and the EDGs are reportable under this paragraph.

05000336/LER-2014-003Millstone5 April 2014Loss of Safety Function Due to Inoperable Enclosure Building

On April 5, 2014, with Millstone Power Station Unit 2 at 100% power in Mode 1, the Enclosure Building was rendered inoperable during a maintenance activity. The condition was created at approximately 1025 and restored to operable status at 1300 on April 5, 2014. Plant Technical Specification (TS) 3.6.5.2 requires that the Enclosure Building shall be operable in Modes 1, 2, 3, and 4. The TS 3.6.5.2 Action is to restore the Enclosure Building to operable status within 24 hours or be in cold shutdown within the next 36 hours.

Therefore, the TS 3.6.5.2 Action requirements were met.

Since the Enclosure Building was inoperable from approximately 1025 until restored at 1300, the safety function of the Enclosure Building to limit radiological releases or mitigate the consequences in the event of a design basis accident could not be assured. The condition was created as the result of a human performance error while performing a maintenance activity associated with the Enclosure Building boundary.

Since this was a human performance error, the event and lessons learned were communicated to the Millstone Site as a Station Human Performance Clock Reset.

05000528/LER-2013-004Palo Verde6 November 2013Condition Prohibited by Technical Specification 3.7.2 Due to an Inoperable Main Steam Isolation Valve (MSIV)

On April 10, 2014, a post-event review conducted in response to a proposed NRC non-cited violation concluded the actions to close and deactivate main steam isolation valve SGE-UV-170 (MSIV-170) to address an equipment malfunction on November 6, 2013, did not meet the operability requirements of Technical Specification (TS) Limiting Condition for Operation (LCO) 3.7.2. As a result, the requirement of LCO 3.7.2 Condition G to place the unit in Mode 2 within 6 hours was not completed. MSIV-170 was repaired and returned to service on November 9, 2013.

An 'investigation determined the cause of the condition prohibited by TSs was the operability determination (OD) was overly focused on the ability of the MSIV to perform its specified safety function and did not adequately consider the definition of operability and compliance with the TS. To prevent recurrence, PVNGS OD guidance will be revised to explicitly require evaluation of applicable LCOs to ensure the OD technical conclusions support compliance with the LCOs.

No similar events have been reported to the NRC by PVNGS in the prior three years.

05000400/LER-2013-002Harris23 October 2013Main Steam Safety Valve Setpoint Drift

On October 23, 2013, while operating at 100% power in mode 1, two main steam safety valve setpoints were found outside the +/- 1% tolerance of table 3.7-2 of technical specification 3/4.7.1.1. Three other valves were tested and setpoints were found to be within tolerance. Upon discovery of the out of tolerance conditions, the two setpoints were adjusted to within technical specification tolerances which restored compliance with the technical specifications. The cause was determined to be setpoint drift incompatible with analysis specified criteria. The corrective action will be implementation of a revised safety analysis that accommodates increased setpoint drift and supports revised technical specification setpoints.

Main steam safety valves are used to satisfy American Society of Mechanical Engineers code requirements for overpressure protection. The limiting accident analysis has more margin available than the measured deviation from setpoint, so the impact on safety is very minor.

Shearon Harris Nuclear Power Plant, Unit 1 05000400

05000346/LER-2013-001Davis Besse29 June 2013Reactor Trip Due to Reactor Coolant Pump Motor Faulty Electrical Connectionecify
05000413/LER-2012-003Catawba Nuclear Station22 December 2012Technical Specification (TS) Limiting Conditions for Operation (LC0s) 3.0.4 and 3.7.5 Were Violated Due to Unit 1 Entering Mode 3 with Turbine Driven Auxiliary Feedwater (AFW) Pump Unknowingly Inoperable

On December 22, 2012, Unit 1 entered Mode 3 during startup from the End of Cycle (EOC) 20 Refueling Outage (RFO) with the turbine driven AFW pump unknowingly inoperable, in violation of LCO 3.0.4. It was also determined during a reportability review that the Completion Time requirement of LCO 3.7.5 for re-entering Mode 4 was retroactively violated by 44 minutes.

Maintenance work had been performed on the pump during the RFO. Although the pump was believed to be operable following the completion of the maintenance, it failed its TS required surveillance test (the test can only be performed in Mode 3 when sufficient steam pressure exists to operate the pump). The cause of this event was determined to be human performance error by the maintenance technician during the assembly of the turbine and pump. In addition, the governing maintenance procedure was deficient in that it lacked detail concerning the required orientation of a turbine component during the assembly process. Planned corrective actions in response to this event include providing remedial actions to ensure maintenance technicians understand the requirements of human performance tool use and enhancing the maintenance procedure to include additional detail governing the assembly process. There was no safety significance to this event. During the time that the turbine driven AFW pump was inoperable while Unit 1 was in Mode 3, both motor driven AFW pumps were operable and remained capable of automatically starting and providing the required flow to the steam generators. Throughout this event, no situation existed that would have resulted in a demand for an AFW System automatic start. Therefore, this event did not affect the health and safety of the public.

05000529/LER-2012-0032 November 2012Entry into Mode awith one Auxiliary Feedwater Train Inoperable

On November 02, 2012, with Unit 2 in Mode 3 following refueling activities, Operations personnel entered Technical Specification (TS) Limiting Condition for Operation (LCO) 3.7.5, Condition A, when the turbine driven Auxiliary Feedwater (AF) pump (AFA-P01) was declared inoperable to support surveillance testing per procedure 73ST-9AF04, AFA-P01 Full Flow-Inservice Test. During the test, a steam leak was identified on AFA-P01 steam supply valve SGA-UV-138. The valve had been disassembled and reassembled during the refueling outage to correct seat leakage. Testing was secured and Operations personnel declared valve SGA UV-138 inoperable. Since TS LCO 3.7.5 requires three AF trains to be operable in Modes 1, 2, and 3, and one of the steam supply valves for AFA-P01 was inoperable, TS LCO 3.0.4 was not met when Unit 2 entered Mode 3 at 00:07 on November 2, 2012.

As an immediate corrective action, Operations personnel closed valve SGA-UV-138 to stop the leak and placed Unit 2 in Mode 5 to allow the valve repairs. The cause was determined to be inadequate work instructions for valve re-assembly. To prevent recurrence, work instructions will be revised to provide detailed guidance for valve re-assembly and to require verifications of proper re-assembly.

In the past three years, PVNGS has not reported a similar event to the NRC.

05000289/LER-2012-00422 August 2012Reactor Trip During Downpower Due to Condensate Booster Pump Trip

On Wednesday, August 22, 2012, Three Mile Island, Unit 1, was conducting a Technical Specification required (T.S. 3.1.6.6) plant shutdown to repair a leak on a pressurizer heater bundle. At 8:01:26 AM with the plant at 30% power, the reactor tripped by Reactor Protection System (RPS) actuation on high reactor coolant system (RCS) pressure. The high RCS pressure setpoint was reached due to a loss of suction to the main feedwater pumps when the only operating condensate booster pump tripped. A "counting circuit" relay stuck in the energized position when the number of operating condensate booster pumps was reduced to one, CO-P-2C. The remaining condensate booster pump tripped when one of the two operating condensate pumps was secured. Suction to the main feedwater pumps was severely reduced and produced a loss of feedwater (LOFW) event and caused RCS pressure to rise and RPS to actuate on high pressure.

Emergency feedwater (EFW) automatically actuated on low steam generator level ( This LER is being submitted pursuant to the requirements of 10 CFR 50.73(a)(2)(iv)(A) and 10 CFR 50.73(a)(2)(iv)(B).

05000528/LER-2012-00313 July 2012Main Steam Isolation Valve Actuator Train Inoperable Due to Low Nitrogen Pre-Charge Pressure

On July 13, 2012, an engineering evaluation determined that the Unit 1 Main Steam Isolation Valve (MSIV) SGE-UV-180 'A' actuator train was inoperable for approximately 23 days (June 2 to June 25). The evaluation concluded that, due to a nitrogen leak on the accumulator, low nitrogen pre-charge pressure on the 'A' actuator train could have prevented the fast close feature on MSIV 180 using the 'A' actuator train. Technical Specification (TS) Limiting Condition of Operation (LCO.) 3.7.2 Condition A allows one actuator train to be inoperable for up to 7 days; therefore, the duration of the condition was greater than allowed by Technical Specifications. The leak was discovered and corrected during a maintenance activity on June 25, 2012, and the accumulator nitrogen pre-charge pressure was restored to within specifications.

The root cause investigation determined that less than adequate monitoring of various alarm system features placed the Unit 1 MSIV 180 hydraulic fluid reservoir low level alarm in a condition where it could not alert plant operators to the degrading nitrogen pre-charge pressure condition. To prevent recurrence, actions will be implemented to record and trend levels in the MSIV and FWIV fluid reservoirs and to monitor accumulator pre charge pressure to ensure timely discovery of a loss of pre-charge pressure affecting operability of the valves.

In the past three years, PVNGS has not reported a similar event to the NRC.

05000287/LER-2012-001I13 April 2012Oconee Nuclear StationrEnergy®
Duke Energy
ONO1VP / 7800 Rochester Hwy.
Seneca, SC 29672
864-873-4478
864-873-4208 fax
T. Gillespie@duke-energy. corn
June 7, 2012 10CFR50.73
U.S. Nuclear Regulatory Commission
Document Control Desk
Washington, D.C. 20555
Subject: Oconee Nuclear Station
Docket No. 50-287
Licensee Event Report 287/2012-01, Revision 0
Problem Investigation Program No.: 0-12-4008
Gentlemen:
Pursuant to 10 CFR 50.73 Sections (a)(1) and (d), attached is Licensee Event Report
287/2012-01, Revision 0, regarding the discovery of three (3) Main Steam Relief Valves
(MSRVs) with as-found lift setpoints out of tolerance with the Inservice Test (1ST) program
criteria which is a requirement to satisfy Technical Specification (TS) Surveillance
Requirement 3.7.1.1.
Although the out-of-tolerance conditions were discovered during scheduled surveillance
testing, and per NUREG 1022 the failures are normally considered to have occurred at
time of discovery, further guidance in the NUREG also states that the failure of multiple
components creates the likelihood that the condition existed during the mode of
applicability (inferring that the condition existed beyond that allowed by the TS completion
time) and thus is likely to be an operation or condition prohibited by Technical
Specifications. Therefore, based on the NUREG guidance this report is being submitted
in accordance with 10 CFR 50.73 (a)(2)(i)(B) "Any operation or condition prohibited by the
plant's Technical Specifications."
There are no regulatory commitments contained in this report.
Any questions regarding the content of this report should be directed to David Haile at
(864) 873-4742.
Sincerely,
TrehLt.Esp..0
T. Preston Gillespie, Jr.
Vice President
Oconee Nuclear Station
Attachment
www. duke-energy. corn
Document Control Desk
Date: June 7, 2012
Page 2
CC:
Mr. Victor McCree
Administrator, Region II
U.S. Nuclear Regulatory Commission
Marquis One Tower
245 Peachtree Center Ave., NE, Suite 1200
Atlanta, GA 30303-1257
Mr. John Boska
Project Manager
U.S. Nuclear Regulatory Commission
(Copy via E-mail)
One White Flint-North, M/S O-8G9A
11555 Rockville Pike
Rockville, MD 20852-2746
Mr. Andrew Sabisch
NRC Senior Resident Inspector
Oconee Nuclear Station
INPO (Word File via E-mail)
NRC FORM 366DU.S. NUCLEAR REGULATORY APPROVED BY OMB: NO. 3150-0104 EXPIRES: 10/31/2013
COMMISSION Estimated burden per response to comply with this mandatory collection request: 80 hours. (10-2010) Reported lessons learned are incorporated into the licensing process and fed back to
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Service Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-
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and a person is not required to respond to, the information collection. ■
1. FACILITY NAME I2. DOCKET NUMBER I3. PAGE
Oconee Nuclear Station, Unit 3 05000- 287 1 of 5
4. TITLE
Three Main Steam Relief Valves (MSRV) lift pressure exceeds +1% tolerance.
05000456/LER-2012-001Docket Number12 April 2012Two Main Steam Safety Valves Failed Pre-outage Setpoint Testing Due to Abnormal Spring Geometry

On April 11, 2012, pre-outage testing was initiated for the main steam safety valves for their setpoint verification per Technical Specification (TS) 3.7.1, Main Steam Safety Valves. During the testing, two of the valves (1MSO15D on April 11, 2012 and 1MS014D on April 12, 2012) failed to meet the as-found set pressure acceptance criteria. When each valve (1MS015D and 1MS014D) was identified as outside the acceptance criteria, the appropriate Limiting Condition for Operation (LCO) was entered, the valve was returned to its operable status by returning the setpoints within the TS surveillance requirements, and the LCO was exited.

The apparent cause of the 1MS015D and 1MS014D valves failing their performance tests was determined to be abnormal spring geometry. Contributing causes were determined to be spindle wear and steam leakage across the disc seat area. Corrective actions included refurbishing the 1MS015D and 1MS014D valves.

This event is reportable in accordance with 10 CFR 50.73(a)(2)(i)(B), any operation or condition prohibited by the plant's Technical Specifications. This event is also being reported in accordance with 10 CFR 50.73(a)(2)(vii) for any event where a single cause or condition caused at least two independent trains or channels to become inoperable in a single system designed to mitigate the consequences of an accident.

05000336/LER-2011-005Millstone3 December 2011Enclosure Building Rendered Inoperable Due to Degraded Door Seal

At 1230 on December 3, 2011, with Millstone Power Station Unit 2 operating at 100 percent power in Mode 1, the control room was notified that a door sweep became dislodged on a door credited as a boundary door for the Enclosure Building. Operators declared the door inoperable and entered the Action for plant Technical Specification (TS) 3.6.5.2 Enclosure Building at 1235. TS 3.6.5.2 Action requires that the Enclosure Building be restored to operable status with 24 hours or be in Cold Shutdown within the next 36 hours. Repairs to the door were completed and operators exited the Action at 1524 on December 3, 2011. The last known time where the door sweep was not dislodged was within 18 hours of the time of discovery.

The operability of the Enclosure Building ensures that the release of radioactive materials from the primary containment atmosphere will be restricted to those leakage paths and associated leak rates assumed in the accident analyses. Since there is no bounding analysis on the impact of this size opening on the ability to complete the safety function, this condition is being reported pursuant to 10 CFR 50.73(a)(2)(v)(C) as an event or condition that could have prevented the fulfillment of the safety function of structures or systems that are needed to control the release of radioactive material.

The direct cause of the door seal failure was that the mounting hardware (screws) loosened and fell out. The apparent cause is the door was not being properly maintained. The door was repaired. Doors that are part of the Enclosure Building boundary have been added to the preventive maintenance program.

05000261/LER-2011-002Robinson26 September 2011Reactor Trip Due to a Failed Relay Coil on RCP-3-X(B) and actuation of Auxiliary Feedwater System
05000336/LER-2011-001Millstone3 April 2011Enclosure Building Rendered Inoperable Due to Dislodged Bushings

On April 3, 2011, with Millstone Power Station Unit 2 (MPS2) in a refueling outage at 0% power in Mode 5, data taken during plant shutdown indicated that the Enclosure Building Filtration System had not met acceptance criteria rendering the Enclosure Building inoperable while MPS2 was in Mode 4. Plant Technical Specification (TS) 3.6.5.2 requires that the Enclosure Building shall be operable in Modes 1, 2, 3, and 4. The TS 3.6.5.2 Action requirements were met. Since the Enclosure Building did not meet the acceptance criteria, the safety function of the Enclosure Building to limit radiological releases in the event of a design basis accident could not be assured.

The direct cause for not meeting the Enclosure Building acceptance criteria was that sliding bushings on the main steam safety valves (MSSVs) exhaust piping had dislodged and not reseated. The apparent cause of this event was determined to be a design/application deficiency in the use of MSSV exhaust piping sliding bushings as an Enclosure Building boundary. A design change was implemented that no longer relies on the MSSV sliding bushings as Enclosure Building boundaries. Instead, improved boot seals located on the MSSV exhaust piping form the boundary for the MSSVs.

This condition is being reported pursuant to 10CFR50.73(a)(2)(v)(C) as an event or -condition that could have prevented the fulfillment of the safety function of structures or systems that are needed to control the release of radioactive material.

05000286/LER-2011-004Docket Number8 March 2011Technical Specification Prohibited Condition Caused by Two Main Steam Safety Valves Outside Their As-Found Lift Setpoint Test Acceptance Criteria

On March 8, 2011, during the performance of surveillance procedure 3-PT-R006A, main steam safety valves (MSSV) MS-47-4 and MS-48-4 failed their As-Found lift set point test.

In accordance with the test, these valves must lift at +/- 3% of their required setting.

Valve MS-47-4 lifted at 1135.4 psig, 8.4 psig outside its acceptance range of 1063 to 1127 psig.

Valve MS-48-4 failed to lift at greater than 1161.9 psig which is outside its acceptance range. The other 8 MSSVs tested passed their As-Found test criteria. Technical Specification (TS) 3.7.1,"Main Steam Safety Valves," requires the MSSVs to be operable in accordance with TS Table 3.7.1-1 and Table 3.7.1-2.

TS Surveillance Requirement (SR) 3.7.1.1 requires each MSSV be verified to lift per Table 3.7.1-2 in accordance with the Inservice Testing Program. Operability of the MSSVs includes the ability to open within the setpoint tolerances. As these two valves were found outside their limit they failed their As-Found testing. In accordance with NUREG-1022, Section 3.2.2, reporting guidelines, the existence of similar discrepancies in multiple valves is an indication that the discrepancy may have arose over a period of time, and therefore existed during plant operation and is reportable. The direct cause of the two MSSVs lifting greater than 3% of their nominal setpoint is internal friction caused by spindle wear and spring skew. The apparent cause is inadequate frequency for preventive maintenance (PM).

Corrective actions include, adjusting and re-testing with an As-Left setting within the +/- 1% As-Left set point criteria, valve overhaul and testing and the increase of PM frequency from 8 years to 6 years, and processing a modification to install bronze wear sleeves in the spring washers and adjusting bolts. The event had no effect on public health and safety.

05000250/LER-2010-004Docket Numbersequential Revmonth Day Year Year Number No. Month Day Year Turkey Point Unit 4 050002511 October 2010Turkey Point Unit 3 05000250 1 OF 5On October 1, 2010, Turkey Point Unit 3 was in Mode 6 due to refueling outage, and Turkey Point Unit 4 was operating in Mode 1. Radiation Monitor RAD-6426, with Eberline Data Acquisition Monitor (DAM-1) and High Range Noble Gas Detector Assembly SA-9, common to Turkey Point Units 3 and 4, is required to be OPERABLE in Modes 1 through 3, in accordance with Technical Specification (TS) 3.3.3.3. During the process of researching the design basis for a replacement monitor, it was identified that insufficient levels of noble gases are transported to the RAD-6426 detector to provide a detectable concentration of noble gases. On October 1, 2010, it was determined that RAD-6426 was unable to be restored to an OPERABLE status within 7 days as specified by the TS. The sampling transport system does not deliver a representative sample of noble gases released at the main steam line safety valves and/or atmospheric dump valves and has not since the original installation of the monitor in 1981, and as such it has not met the intent of the TS requirements. The latent design deficiency associated with the sample transport system is due to inadequate DAM-1 design, design verification, and functional testing. This condition is reportable pursuant to 10 CFR 50.73(a)(2)(i)(B) due to any operation or condition which is prohibited by the plant's TSs. Turkey Point complied with the TS action requirements by initiating the preplanned alternate monitoring method of appropriate parameters and by submitting a Special Report within the required TS action time. Corrective actions include actions to replace this monitor.
05000247/LER-2010-002Indian Point 2 •9 March 2010Technical Specification Prohibited Condition Caused by Two Main Steam Safety Valves Outside As-Found Lift Setpoint Test Acceptance CriteriaOn March 9, 2010, during surveillance testing, main steam safety valves (MSSV) MS-45C and MS-48C failed their As-Found lift set pbint test. Per the test, these valves must lift at +/- 3% of their required setting. Valve MS-45C lifted at 1108.6 psig, 12.6 psig outside its acceptance range of 1034 to 1096 psig. Valve MS-48C lifted at 1147.4 psig, 4.4 psig outside its acceptance range of 1077 to 1143 psig. All other MSSVs tested passed their test criteria and left within +/- 1% per test procedure. Technical Specification (TS) 3.7.1,"Main Steam Safety Valves," requires the MSSVs to be operable in accordance with TS Table 3.7.1-1 and Table 3.7.1-2. TS Surveillance Requirement (SR) 3.7.1.1 requires each MSSV be verified to lift per Table 3.7.1-2 in accordance with the In-service Testing Program. Operability of the MSSVs is defined as the ability to open within the set point tolerances. As these two valves were found outside their limit they were inoperable. The most likely cause of MS-45C outside its acceptance range was set point drift. The most likely cause of MS-48C outside its acceptance range was valve spring skew. The valves are subject to material property changes due to temperature, pressure and vibration which can affect set point accuracy and repeatability. Valve spring skew causes the spindle and internals to not remain perpendicular to the centerline of the valve producing frictional forces affecting the set point. Corrective actions included performing maintenance on both valves, adjusting as required, re-testing and left within the +/- 1% As-Left set point criteria. The MSSV maintenance procedure will be revised to provide more specific guidance on increasing valve guide bearing diameter. The event had no effect on public health and safety.
05000317/LER-2010-00118 February 2010Reactor Trip Due to Water Intrusion into Switchgear Protective Circuitry

On February 18, 2010, at 8:24 a.m., Unit 1 experienced an automatic, reactor trip from 92.8 percent power. The 12B Reactor Coolant Pump (RCP) tripped and the Reactor Protective System actuated on Reactor Coolant System low floW. The 12B RCP tripped due to a phase to ground short near one of the current transformers for the 12B RCP bus 14P differential / ground current protection. The ground fault was not isolated close,to the source due to a failed ground protection relay in breaker 252-2202 the feeder breaker from Service Transformer P-13000-2 to the Unit 1 RCP buses. This resulted in Service Transformer P-13000-2 being deenergized.

The loss of P-13000-2 resulted in a loss of the normal power supply to 14 4 kV bus. This caused the 1B Emergency Diesel Generator to start and supply power to 14 4 kV bus.

The cause of the fault was a phase to ground short near one of the current transformers for the 12B RCP bus differential/ground current protection due to water intrusion. This event is being reported pursuant to 10 CFR 50.73(a)(2)(iv)(A) due to Reactor Protective System actuation and automatic start of the 1B Emergency Diesel Generator. Corrective actions include revision to a relay test procedure and improved management of roof issues.

05000483/LER-2009-0058 December 2009Inoperability of Atmospheric Steam Dump Valves

On 12/8/2009, atmospheric steam dump (ASD) valve ABPV0003 was taken out of service for calibration of a pressure transmitter and controller. Post-maintenance testing revealed the valve would not stroke fully open nor control in manual. A manual/auto (MIA) station was replaced and the positioner diaphragm pressure gauge port was blown out to ensure it was not blocked. After post-maintenance testing, the valve was declared operable at 0132 on 12/11/2009.

The other three ASDs were stroke tested as an extent-of-condition test. Two of them performed satisfactorily. However, ABPV0002 did not stroke fully open as required, and was declared inoperable. Troubleshooting for ABPV0002 revealed the current-to-pressure transducer (I/P) output to be erratic and actuator leakage to be in excess of the allowable rate. The I/P transducer and a diaphragm were replaced, and after completing post-maintenance testing the valve was declared operable at 0442 on 12/13/2009.

Erratic output from the ABPV0002 transducer was caused by vibration. It was concluded that ABPV0002 was inoperable for a time longer than permitted by Technical Specification (TS) 3.7.4. It was further concluded that the period of time ABPV0002 was inoperable overlapped the period of time ABPV0003 was removed from service. Therefore, this condition is reportable as a condition prohibited by the TS and as an event or condition that could have prevented fulfillment of a safety function.

Corrective actions include implementing a time based replacement strategy for M/A stations and relocating I/P transducers to eliminate the vibration failure mechanism.

05000302/LER-2009-00422 September 2009Main Steam Safety Valve Lift Setpoints Outside Required Tolerance Longer Than Allowed By Technical Specifications

On September 22, 2009, Progress Energy Florida, Inc., (PEF) Crystal River Unit 3 (CR-3) was in MODE 1 (POWER OPERATION) at approximately 100% RATED THERMAL POWER. While performing surveillance procedure SP-650, "ASME Code Safety Valves Test," on the 'A' Once Through Steam Generator, the lift setpoint for Main Steam Safety Valve (MSSV) MSV-34 was found above its maximum allowable tolerance. Subsequently, three of ten tested MSSVs were found to have lift setpoints above/below their maximum allowable tolerance. Improved Technical Specification (ITS) 3.7.1 states that the MSSVs shall be operable as specified in Table 3.7.1-1 in MODES 1, 2 and 3. To be operable, the MSSV lift setpoints must be within the maximum allowable tolerance of ± 3%. The existence of similar discrepancies in multiple relief valves is an indication that the discrepancies may have developed over a period of time.

Therefore, PEF concludes that multiple MSSVs were inoperable during plant operation for a period longer than allowed by ITS and the condition is reportable under 10CFR50.73(a)(2)(i)(B).

This condition does not represent a reduction in the public health and safety. The selected cause is possible failure to provide critical information to the vendor for valve rebuild. The three MSSVs were adjusted and retested satisfactorily. Similar occurrences were reported to the NRC in Licensee Event Reports 50-302/2001-002-00 and 50-302/2003-002-00.

05000323/LER-2009-00226 August 2009Technical Specification 3.7.1 Violation Due to Cracked Valve Spring

On August 26, 2009, at 12:45 PDT, with Unit 2 in Mode 1 (Power Operation) plant operators declared the main steam safety valve (MSSV) RV-224 inoperable in accordance with Technical Specification (TS) 3.7.1 Limiting Condition for Operation, and reduced power.

On August 26, 2009, at 16:06 PDT, Technical Maintenanc&personnel completed resetting the power range high flux reactor trip setpoints from 109 percent to 87 percent reactor power completing TS Action 3.7.1.A.1.

This event was the result of a cracked MSSV spring. Based upon the final assessment Pacific I Gas and Electric Company presumes the valve was outside the TS allowable setpoint prior to discovery. Immediate corrective actions included gagging the MSSV to preclude inappropriate fifteenth refueling outage. Additional failure analysis supports that the cause of the failure was I environmentally induced corrosion initiated cracking with subsequent spring fracture.

05000302/LER-2009-00324 August 2009Manual Reactor Trip Due To Group 7 Control Rods Insertion Caused By Inadequately Protected Test Jumper

At 11:00, on August 24, 2009, Progress Energy Florida, Inc. (PEF), Crystal River Unit 3 (CR-3) was operating in MODE 1 (POWER OPERATION) at 100 percent RATED THERMAL POWER when the Control Room staff received multiple alarms and observed the Group 7 control rods fully insert into the reactor core. The reactor was manually tripped prior to automatic actuation of the Reactor Protection System (RPS). Prior to this event, electricians were implementing Preventive Maintenance procedure PM-126, "Electrical Checks of CRD (Control Rod Drive) Power Train." When the Integrated Control System was placed in Automatic, the output driver within the Group 7 programmer caused an erroneous phase sequence to the control rod drive stators, culminating in inadequate magnetic force to restrain the rods from dropping during movement. The RPS responded as expected to the manual trip signal, control rods fully inserted and safety systems functioned as required. No reduction in the public health and safety was created. The programmer failure was caused by inadvertent test jumper contact while using an improperly fused test jumper. This caused an over-current failure of the output driver within the programmer. The programmer was replaced and PM-126 was placed on administrative hold.

This report is submitted under 10CFR50.73(a)(2)(iv)(A). No previous similar occurrence has been reported to the NRC.

NRC FORM 366 (9-2007) PRINTED ON RECYCLED PAPER

05000336/LER-2009-001Docket Number3 July 2009Reactor Trip Due to High Pressurizer Pressure

At 1304 on July 3, 2009, with the Millstone Power Station Unit 2 at 100% powee in Mode 1, the reactor automatically tripped due to a high pressurizer pressure reactor trip signal. There was a grid disturbance coincident with the time of the trip. Approximately 5 seconds prior to the trip, the four.main turbine stop valves and four intermediate stop valves went fully closed. With the main turbine stop valves closed, the reactor coolant system (RCS) pressure increased to the high trip setpoint. The reactor automatically tripped and both pressurizer power operated relief valves (PORVs) lifted to relieve pressure as designed. The reactor trip generated a turbine trip signal.

The most probable cause of this event is that the 24VDC power supply to the electro-hydraulic control (EHC) of the turbine valves did not tolerate the July 3, 2009 grid disturbance. As a result of the grid disturbance, the master trip solenoid valves (MTSVs) provided fluctuating emergency trip system (ETS) hydraulic pressure to the turbine valves. This fluctuating hydraulic pressure caused the turbine stop and intermediate stop valves to close unexpectedly.

This event is being reported pursuant to 10 CFR 50.73(a)(2)(iv)(A) as an event th6t resulted in manual or automatic actuation of systems listed in 10 CFR 50.73(a)(2)(iv)(B).

05000286/LER-2009-002Indian Point11 May 2009Technical Specification Prohibited Condition Caused by Two Main Steam Safety Valves Outside Their As-Found Lift Setpoint Test Acceptance Criteria

On March 10, 2009, during the performance of surveillance procedure 3-PT-R006A, main steam safety valves (MSSV) MS-45-1 and MS-48-3 failed their As-Found lift set point test.T In accordance with the test, these valves must lift at +/- 3% of their required setting. Valve MS-45-1 lifted at 1112.7 psig outside its acceptance range of 1034 to 1096 psig. Valve MS-48-3 lifted at 1165.1 psig outside its acceptance range of 1077 to 1143 psig. All other MSSVs tested passed their As-Found test criteria and were left within +/- 1% of their required setting in accordance with the test procedure.

Technical Specification (TS) 3.7.1,"Main Steam Safety Valves," requires the MSSVs to be operable in accordance with TS Table 3.7.1-1 and Table 3.7.1.-2.TTS Surveillance Requirement (SR)T 3.7.1.1 requires each MSSV be verified to lift per Table 3.7.1-2 in accordance with the Inservice Testing Program. Operability of the MSSVs includes the ability to open within the setpoint tolerances. As these two valves were found outside their limit they failed their As-Found testing. Section In accordance with NUREG-1022,T 3.2.2, reporting guidelines, the existence of similar discrepancies in multiple valves is an indication that the discrepancy may have arose over a period of time, and therefore existed during plant operation and is reportable.TThe apparent cause of the two MSSVs lifting greater than 3% of their nominal setpoint is indeterminate but most likely caused by setpoint drift.T Corrective actions included adjusting the valves, subsequent maintenance during the refueling outage, and re-testing with an As-Left setting within the +/- 1% As-Left set point criteria.T The event had no effect on public health and safety

05000336/LER-2008-004Millstone Power Station -24 May 2008Reactor Trip Due to a Loss of Normal Power Event

On May 24, 2008 at 09:38 while at less than 0.01% power in Mode 2, the Millstone Power Station Unit 2 (MPS2) reactor automatically tripped due to a loss of normal power (LNP) event. At the time of the LNP, reactor startup was in progress, the reactor was critical and power was below the point of adding heat. Plant electrical power was supplied from the reserve station service transformer (RSST). The LNP was caused when the low-side supply breakers from the RSST to the 4160 volt and 6900 volt buses unexpectedly opened. Opening the low-side supply breakers to the buses removed power from the reactor coolant pumps (RCP) and control element drive mechanism motor-generator (CEDM MG) sets. As a result, automatic reactor trip signals were initiated on low reactor coolant flow and low RCP speed. Loss of power to the CEDM MG sets resulted in control rods inserting into the reactor core. The emergency diesel generators started and loaded as expected. The Engineered Safety Feature Actuation System responded as expected for a LNP event.

The most probable cause for the reserve station service low-side supply breakers opening is a spurious signal that was not sufficiently filtered by the primary audio tone circuitry due to degradation of the tone generation/filtering circuitry. As corrective action, the primary audio tone circuit has been disabled. A modification is being developed to improve the reliability of the audio tone circuit. Longer term corrective actions are being addressed in accordance with the Millstone Corrective Action Program.

This event is being reported pursuant to 10 CFR 50.73(a)(2)(iv)(A) as an event that resulted in manual or automatic actuation of systems listed in 10 50.73(a)(2)(iv)(B).

05000336/LER-2008-001Millstone Power Station -3 April 2008Failure of Eight Main Steam Safety Valves to Lift Within the Acceptande Criteria

With the plant in MODE 1 at 100% power on April 3 and 4, 2008, set pressure "simmer" testing of Millstone Power Station Unit 2 (MPS2) main steam safety valves (MSSVs) was conducted per plant procedures. During the testing, eight MSSVs failed to lift within the (+1- 3%) acceptance criteria of Technical Specification (TS) 3.7.1.1.

The failure of two MSSVs to lift within the required set pressure range is attributed to a corrosive oxide locking action between surface layer materials of the disc-seat interface, sometimes referred to as "oxide locking" or "micro bonding".

The failure of the other six MSSVs to lift within the required set pressure is the result of differences between two Appendix B approved test methods. A Crosby Set Pressure Verification Device (SPVD) was being used for the first time at MPS2 for MSSV testing. Prior testing and "as-left" settings utilized a Dresser Hydroset system. Although both methods are Appendix B approved, there are key differences between the tests, primarily involving repeatability of results using the Hydroset System at MPS2 in determining when a valve lifts. The Crosby SPVD was used for the current as-left settings and will be used in future tests to provide consistent valve lift data. Following testing, as-left settings were within +1- 1% of set pressure to account for future drift.

05000529/LER-2007-004Docket Number26 October 2007APS A subsidiary of Pinnacle West Capital Corporation
Dwight C. Mims Mail Station 7605
Palo Verde Nuclear Vice President Tel. 623-393-5403 P. 0. Box 52034
Generating Station Regulatory Affairs and Plant Improvement Fax 623-393-6077 Phoenix, Arizona 85072-2034
102-05786-DCM/REB
December 26, 2007
ATTN: Document Control Desk
U.S. Nuclear Regulatory Commission
Washington, DC 20555-0001
Dear Sirs:
Subject:
P Palo Verde Nuclear Generating Station (PVNGS)
Unit 2
Docket No. STN 50-529
License No. NPF_51
Licensee Event Report 2007-004-00
Attached please find Licensee Event Report (LER) 50-529/2007-004-00 which reports
operation in a condition prohibited by Technical Specifications due to inadequate post
maintenance testing on the hydraulic actuator for a Unit 2 Main Steam Isolation Valve.
In accordance with 10 CFR 50.4, copies of this LER are being forwarded to the NRC
Regional Office, NRC Region IV and the Senior Resident Inspector. If you have
questions regarding this submittal, please contact Ray E. Buzard, Section Leader,
Regulatory Affairs, at (623) 393-5317.
Arizona Public Service Company makes no commitments in this letter.
Sincerely,
DCM/REB/gat
Attachment
cc:N E. E. Collins Jr.N NRC Region IV Regional Administrator
M. T. MarkleyN NRC NRR Project Manager - (send electronic and paper)
G. G. WarnickN NRC Senior Resident Inspector for PVNGS
A member of the STARS (Strategic Teaming and Resource Sharing) Alliance
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(6-2004)
Estimated burden per response to comply with this mandatory collection
request: 50 hours. Reported lessons learned are incorporated into the
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LICENSEE EVENT REPORT (LER) Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet
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and Regulatory Affairs, NEOB-10202, (3150-0104), Office of Management and
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not conduct or sponsor, and a person is not required to respond to, thedigits/characters for each block) information collection.
1. FACILITY NAME 2. DOCKET NUMBER 3. PAGE
Palo Verde Nuclear Generating Station (PVNGS) Unit 2 05000529 1 OF 5
4. TITLE
Inoperable Main Steam Isolation Valve Actuator Train "A" Due to Inadequate Post Maintenance Testing

On October 26, 2007, Palo Verde Unit 2 was in Operating Mode 1 (Power Operations), at approximately 100 percent rated thermal power, when a failure occurred during Main Steam Isolation Valve (MSIV) air reservoir check valve in service testing. The MSIV actuator train "A" was declared inoperable and troubleshooting activities were undertaken to determine the cause of the failure. Technical Specification (TS) 3.7.2, Limiting Condition for Operation (LCO) Condition A, requires restoration of the inoperable MSIV actuator train within 7 days. Troubleshooting, repair, and retest activities were completed on October 27, 2007, in accordance with an approved engineering troubleshooting, repair, and test plan. MSIV 181 was declared operable and TS 3.7.2, Condition A was exited.

The direct cause of the MSIV failure was air leakage between a four-way valve and the MSIV actuator due to a missing 0-ring. The subsequent root cause investigation determined that this condition resulted from inadequate post maintenance testing following the July 31, 2007, maintenance activities conducted on the four-way valve. As such, the as-found condition rendered the Unit 2 MSIV 181 (number two steam generator, steam line number two) actuator train "A" inoperable from July 31, 2007, (date of last maintenance) to October 27, 2007, (date of restored operability).

This resulted in operation in a condition prohibited by TS in that the total inoperable time of the MSIV actuator train exceeded the permitted 7-day LCO action time.

resulted in a condition prohibited by TS.

05000456/LER-2007-003Telephone Number (Include Area Code/24 October 2007Improper Installation of Insulation on the Unit 1 Main Steam Safety Valves

On October 24, 2007, at 0917 hours, Braidwood Unit 1 entered Mode 3 while returning to power from a refueling outage.

A Mechanical Maintenance supervisor observed that insulation was installed on the five main steam (SB) header safety valves (MSSVs) for both the 1A and 1D main steam lines. On October 26, 2007, with Unit 1 in Mode 1, the insulation was removed from the valves. Following a review by the safety valve program engineer, it was determined that the insulation posed an operability issue due to the potential impact on the MSSVs setpoint. Based on information from the MSSV manufacturer, and later confirmed through testing, the insulated MSSVs were considered inoperable for a period of time greater then allowed by Technical Specifications, therefore, this event is being reported in accordance with 10 CFR 50.73(a)(2)(i)(B).

The cause of the installation of insulation and associated MSSV inoperability was the breakdown in the application of established engineering fundamentals in various parts of the Engineering Organization. The corrective actions included removal of the insulation on the MSSVs to restore the MSSVs to the condition in existence at the time the setpoints were established. On December 9, 2007, with Unit 1 in Mode 1, trevitesting was performed on three of the MSSVs to verify hat the MSSV springs were not subjected to temperatures that permanently affected valve operability. Additional actions included testing of a spare MSSV on December 15-16, 2007, mimicking actual plant conditions, to determine the MSSV operability impact of the installation of the insulation.

There were no safety consequences impacting plant or public safety as a result of this event.

05000254/LER-2007-001Docket Number16 May 2007Quad Cities Nuclear Power Station Unit 1 05000254 1 of 3

On May 16, 2007, Quad Cities Station received as-found test results that showed that two of the four tested Main Steam Safety Valves actuated outside of the +/- 1% set pressure band required by Technical Specifications. On May 22, 2007, as found test results were received showing that the Main Steam Safety/Relief Valve set pressure was outside of the +/- 1% band required by Technical Specifications. In all cases, the results were within the +/- 3% ASME Code criteria.

Based on the results of testing and valve disassembly and inspection, the cause of the out-of-tolerance condition for the SRV is setpoint drift. No mechanical wear, degradation or foreign material associated with the pilot section of the valve was identified. Based on the results of testing and historical performance, the cause of the out-of-tolerance condition for the MSSVs is also setpoint drift.

The safety significance of this event was minimal. Both of the MSSVs and the SRV were found to actuate inside the +/-3% Code tolerance. The accident analyses for the fuel cycle during which these valves were installed assumed 3% tolerance for all installed MSSV and SRV valves. This 3% requirement is likewise utilized for the current fuel cycles on both units.

Therefore, the valves were capable of performing the safety function.

05000423/LER-2007-001Millstone Power Station -5 April 2007Failure of Two Main Steam Safety Valves to Lift Within the Acceptance Criteria

With the plant in MODE 1 at 100% power on April 5, 2007 set pressure "simmer" testing of Unit 3 (MPS 3) Main Steam Safety Valves (MSSVs) was conducted per plant procedures. This testing was conducted just prior to the recent refueling outage. During the conduct of testing, two MSSVs failed to lift within the (+/- 3%) acceptance criteria. Valve 3MSS*RV22B lifted at 1221.3 psig. (1.3 psig above the set pressure range, approximately 3.1%), and 3MSS*RV22D lifted at 1232.8 psig. (12.8 psig above the set pressure range, approximately 3.8%).

3MSS*RV22B supports the B Steam Generator (SG) and valve 3MSS*RV22D supports the D SG. Both valves were subsequently adjusted/retested with the results within the required range of +/- 1%.

Based on information provided by Electric Power Research Institute Report report TR-113560 (Investigation of MSSV High First Lift Phenomenon in Dresser 3700 Series MSSVs, Sept. 2000), industry experience, MSSV test history at Millstone, and engineering judgment, the failure of the MSSVs to lift within the required set pressure range is attributed to a corrosive oxide locking action between surface layer materials of the disc-seat interface sometimes referred to as "oxide locking" or "micro bonding".

This condition is being reported pursuant to 10 CFR 50.73(a)(2)(i)(B) "Any operation or condition prohibited by the plant's Technical Specifications.

05000244/LER-2007-00216 March 2007Closure of Main Steam Isolation Valve Results in Safety Injection Signal and Plant Trip

On March 16, 2007, at approximately 2209 EST, with the plant in Mode 1, initially at 100% steady state reactor power, an event occurred resulting in a safety injection signal and an automatic reactor trip. The Control Room operators performed the appropriate actions of procedures E-0 and ES-1.1. Following the reactor trip, all safety systems operated as designed.

The reactor was stabilized in Mode 3.

The safety injection signal and subsequent reactor trip resulted from the 'B' Main Steam Isolation Valve (MSIV) unexpectedly closing and a low steam line pressure condition occurring when the `A' Steam Generator attempted to handle the full steam load requirements at the time. The cause of this event was a lack of configuration control associated with the actuator for the `B' MSIV.

Corrective action to prevent recurrence is outlined in Section V.B.