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05000461/LER-2017-010Clinton9 December 2017
5 February 2018
Division 1 Transformer Failure Leads to Instrument Air Isolation to Containment Requiring a Manual Reactor Scram
LER 17-010-00 for Clinton Power Station, Unit 1 Regarding Division 1 Transformer Failure Leads to Instrument Air Isolation to Containment Requiring a Manual Reactor Scram

On December 9, 2017 at 1347 CDT the Main Control Room received annunciators that indicated a trip of a 4160V 1A1 Breaker, the 480V transformer 1A and Al feed breaker. The loss of Division 1 480V power caused the instrument air (IA) containment isolation valves to fail close as designed. The loss of IA affected various containment loads, including the scram pilot air header and containment isolation valves. Another consequence of this event was that secondary containment differential pressure became positive due to fuel building ventilation dampers failing closed by design due to the loss of power. Operations entered Emergency Operating Procedure (EOP) -08, Secondary Containment Control, and Technical Specification (TS) Limiting Condition for Operation (LCO), 3.6.4.1 Action A.1. Division 2 Standby Gas Treatment System was activated at 1350 and restored secondary containment differential pressure within allowable TS values at 1351. The TS LCO and EOP were exited when allowable TS values were restored. Due to the loss of IA, a manual reactor scram was inserted at 1353 when two control rods began drifting in as expected.

A phase to ground fault was identified on 480V transformer 1A (1AP11E). On December 14, the 480V transformer was replaced and the plant returned to Mode 1 operations on December 15. The condition described in this report was determined to be reportable under 10 CFR50.73(a)(2)(iv)(A), 10 CFR 50.73(a)(2)(v)(C) and 10 CFR 50.73 (a)(2)(ii)(B). The cause of the transformer failure is currently under investigation and will be provided in a supplemental report. This event is classified as an unplanned scram with complications due to the loss of the Division 1 480V power.

05000458/LER-2017-007River Bend
River Bend Station — Unit 1 05000-458
21 August 2017Automatic Reactor Scram due to Failure of Main Generator Voltage Regulator Mode Transfer Relay
LER 17-007-00 for River Bend Station - Unit 1 Regarding Automatic Reactor Scram due to Failure of Main Generator Voltage Regulator Mode Transfer Relay
On June 23, 2017, at 10:18 PM CDT, an unanticipated reactor scram occurred during scheduled testing of the main turbine generator. The plant was operating at 100 percent power at the time, and no safety-related equipment was out of service. A reactor recirculation system flow control valve runback occurred as designed, and the recirculation pumps properly downshifted to slow speed. The main feedwater system responded properly to control reactor water level. The scram signal was initiated by the closure of the main turbine control valves, which was an automatic response to a trip of the main generator. The associated steam pressure increase following turbine valve closure resulted in the actuation of 12 main steam safety-relief valves. A reactor water level 3 signal was received, as expected, following the turbine trip and reactor scram and was promptly restored to the normal reactor water level band. The non-safety related turbine building chillers tripped as a result of the electrical transient caused by the generator trip. One area served by that cooling system is the reactor water cleanup (RWCU) system heat exchanger room. Approximately 20 minutes after the scram, the temperature in that room exceeded the trip setpoint of the area temperature monitors, resulting in the automatic closure of the primary containment isolation valves for the RWCU system.
05000461/LER-2017-006Clinton2 June 2017
1 August 2017
1 OF 3
LER 17-006-00 for Clinton, Unit 1 re Secondary Containment Inoperable During Mode Change Due to Doors Propped Open

On June 2, 2017, plant personnel were performing welding activities on the 'B' Reactor Water Cleanup System (RT) pump while the plant was in operating Mode 4. The Operations Work Control Supervisor (WCS) had given maintenance personnel authorization to prop both 'B' RT pump room doors open so that welding cables could extend through both doors in support of maintenance activities. The doors are part of the plant secondary containment boundary. Authorization granted by the WCS was executed without utilizing the plant barrier impairment process (PBI) per plant procedures. Prior to the plant's transition to operating Mode 2, Operations personnel made a plant announcement requiring the establishment of primary and secondary containment. The plant then transitioned to operating Mode 2 at 0241. However, both RT Pump 'B' doors remained propped open during the plant mode change.

This condition was discovered by shift personnel at 0300 (CDT) and secondary containment was declared inoperable.

The loss of secondary containment was caused by personnel not following the FBI per plant procedure. Secondary containment was subsequently restored twenty four minutes after discovery of the open 'B' RT doors. Corrective actions taken and planned include implementing management action response checklist (MARC) principles for the responsible supervisor and completing a read and sign for planners and schedulers associated with the PBI process.

05000461/LER-2017-003Clinton9 May 2017
3 July 2017
Implementation of Enforcement Guidance Memorandum (EGM) 11 - 003, Revision 3
LER 17-003-00 for Clinton Power Station, Unit 1 Regarding Implementation of Enforcement Guidance Memorandum (EGM) 11-003, Revision 3
The condition reported by this LER is the result of planned activities in support of Refueling Outage C1 R17 at Clinton Power Station (CPS). As described in the LER, the NRC provided enforcement guidance, applicable to boiling water reactor licensees, that addresses the reported condition. Although this allowance is provided by the NRC's enforcement guidance, the planned activities are still considered reportable in accordance with 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by Technical Specifications (TS). On May 9 through May 28, 2017 CPS performed Operations with the Potential for Draining the Reactor Vessel (OPDRV) activities while in Mode 5 without an operable Secondary Containment. These activities were performed within the guidelines of NRC Enforcement Guidance Memorandum (EGM) 11-003, Revision 3 which allows the implementation of interim actions as an alternative to full compliance, provided several conditions are met. The OPDRV activities were planned activities that were completed following the guidance of the EGM and are considered to have low safety significance based on interim actions taken. Since these actions were preplanned, no cause determination was necessary. As required by the EGM, a license amendment request was submitted on May 1, 2017 which follows the guidance in Technical Specifications Task Force traveler TSTF-542 which is the agreed-upon generic resolution of this issue.
05000388/LER-2017-002Susquehanna
Susquehanna Steam Electric Station Unit 2 1 Of 4
5 May 2017Implementation of Enforcement Guidance Memorandum (EGM) 11-003, Revision 3 during Unit 2 Refueling
LER 17-002-00 for Susquehanna, Unit 2, Regarding Implementation of Enforcement Guidance Memorandum (EGM) 11-003, Revision 3 During Unit 2 Refueling

The condition reported by this Licensee Event Report (LER) was an expected condition as a result of p anned activities, with the exception of one activity, in support of a routine refueling outage. As described in the LER, the U. S. Nuclear Regulatory Commission (NRC) provided enforcement guidance, applicable to boiling water reactor licensees, that allows the reported condition. Although this allowance is provided by the NRC's enforcement guidance, the activities are still considered reportable in accordance with 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by Technical Specifications (TS).

Between 3/6/2017 and 3/30/2017, Susquehanna Steam Electric Station (SSES) performed Operations with the Potential for Draining the Reactor Vessel (OPDRV) activities on Unit 2 while in Mode 5 without an operable secondary containment, as expected and allowed by the enforcement guidance. Although NRC Enforcement Guidance Memorandum (EGM) 11-003, Revision 3 allows the implementation of interim actions as an alternative to full compliance, this condition is still considered a condition prohibited by Secondary Containment TS 3.6.4.1. The OPDRV activities were planned activities that were completed under the guidance of plant procedures, with the exception of one unplanned activity. Since the planned actions were deliberate, no cause determination was necessary. The unplanned activity was caused by a human performance error related to procedural use and adherence and peer checking. Corrective action included coaching and remediation of the individual involved in the event.

There were no actual consequences to the health and safety of the public as a result of this event.

05000440/LER-2017-001Perry17 March 2017Implementation of Enforcement Guidance Memorandum (EGM) 11-003, Revision 3The condition reported by this LER is the result of planned activities in support of Refueling Outage 1R16 at the Perry Nuclear Power Plant (PNPP) In Enforcement Guidance Memorandum (EGM) 11-003 Revision 3, the NRC provided enforcement guidance, applicable to boiling water reactor licensees, that addresses the reported condition Although this allowance is provided by the NRC's enforcement guidance, the planned activities are still considered reportable in accordance with 10CFR50 73(a)(2)(1)(B) as a condition prohibited by Technical Specifications From March 17, to March 24, 2017, PNPP conducted Operations with the Potential for Draining the Reactor Vessel (OPDRV) while in Mode 5 at zero percent power, without an operable Primary and Secondary Containment These activities were performed in accordance with the EGM 11-003, Revision 3, which allows the implementation of interim actions as an alternative to full compliance with Technical Specifications provided several conditions are met The OPDRV activities were planned activities that were completed following the guidance of the EGM and are considered to have low safety significance based on the interim actions taken Since these actions were preplanned, no cause determination was necessary As required by the EGM, a license amendment request will be submitted, based on the Technical Specifications Task Force traveler associated with generic resolution of this issue, by December 20, 2017
05000354/LER-2016-005Hope Creek5 November 2016
13 March 2017
Reactor Protection System Actuation While the Reactor Was Shutdown
LER 16-005-01 for Hope Creek, Unit 1, Regarding Reactor Protection System Actuation While the Reactor Was Shutdown

On November 5, 2016, at 0404, a Reactor Protection System (RPS) actuation occurred due to a valid scram discharge volume high water level signal. This actuation was the result of a Redundant Reactivity Control System (RRCS) Alternate Rod Insertion (ARI) signal that was inadvertently generated during testing. The reactor was in cold shutdown at the time of the RPS actuation, with all control rods inserted. The Reactor Coolant System (RCS) pressure was 830 psig to support excess flow check valve testing, and shutdown cooling was removed from service. When the RRCS/ARI actuated, the B reactor recirculation pump tripped as expected, and the scram air header depressurized as expected.

The depressurization of the scram air header is a design feature of the ARI. The ARI signal established the control rod drive (CRD) system scram flow path. This resulted in a high water level in the scram discharge volume (SDV), an expected response. High water level in the scram discharge volume is an actuation signal for the RPS.

This is a condition reportable under 10 CFR 50.73(a)(2)(iv)(A) as an event or condition that resulted in a manual or automatic actuation of a listed system. The cause of the RRCS/ARI actuation is inadequate procedural guidance which resulted in a personnel error associated with partial procedure performance.

05000298/LER-2016-004Cooper25 September 2016
22 November 2016
Closure of Multiple Main Steam Isolation Valves due to High Flow Signal
LER 16-004-00 for Cooper Nuclear Station Regarding Closure of Multiple Main Steam Isolation Valves due to High Flow Signal

On September 24, 2016, at 20:40 hours, during reactor cooldown for Refueling Outage 29, Cooper Nuclear Station control room operators closed the inboard Main Steam Isolation Valves (MSIV) to minimize steam flow to control the reactor cooldown rate. Reactor pressure was controlled using the Main Steam Line Drains; and the condensate/feed system was available for reactor water level control.

On September 25, 2016, at 01:03 hours, while equalizing pressure across the MSIVs to below 200 psid, a differential pressure of 190 psid was established. Upon opening MS-AO-80A, a Group 1 isolation was immediately received due to a Main Steam Line high flow signal. The control room operators subsequently equalized pressure and successfully opened MS-AO-80A, as well as the remaining MSIVs, at 18:52 hours.

The cause of the event was insufficient procedure guidance exists regarding limitations on opening the MSIVs. To correct this, the applicable procedure has been revised to change the differential pressure limitations for opening MSIVs from 200 psid to 80 psid.

The safety significance of the event is low and did not pose a threat to the health and safety of the public.

05000259/LER-2016-001Browns Ferry22 April 2016
21 June 2016
Failure of 4kV Shutdown Board Normal Feeder Breaker Results in Actuations of Emergency Diesel Generators and Containment Isolation Valves
LER 16-001-00 for Browns Ferry, Unit 1, Regarding Failure of 4kV Shutdown Board Normal Feeder Breaker Results in Actuations of Emergency Diesel Generators and Containment Isolation Valves

On April 22, 2016, at 1358 Central Daylight Time (CDT), during transfer of the 4160 V (4kV) Shutdown Bus from Alternate to Normal, the Normal Feeder Breaker (BKR 1722) failed to close when the Alternate Feeder Breaker was manually tripped. 4kV SD Bus 2 de-energized, resulting in the loss of 1B and 2B Reactor Protection System (RPS) as well as Steam Jet Air Ejector 1B. Emergency Diesel Generators (EDG) C and D started, but did not tie to the 4kV Shutdown Boards due to Operations personnel immediately re-closing the Alternate breaker and re-energizing 4kV Shutdown Bus 2. Invalid actuations of several Containment Isolation Valves also occurred during this event due to the loss of RPS. At 1530 CDT, EDG C and D were shut down. BFN, Unit 1, was returned to normal operating conditions.

The cause of this event was loose wires in the closing control circuit for BKR 1722 due to work in the vicinity of the control circuit termination points. Corrective actions were to terminate loose wires, using a ring type lug instead of a forked spade type lug, in the closing control circuit for BKR 1722; and to verify Shutdown Bus 2 transferred successfully to BKR 1722. A briefing was provided to Electrical personnel who perform modifications to discuss the potential consequences of installing tie wraps and performing other activities that could adversely affect existing wiring.

05000461/LER-2016-003Clinton24 March 2016
23 May 2016
Bypassing Both Divisions of Reactor Water Cleanup Leak Detection System is a Reportable Loss of Safety Function
LER 16-003-00 for Clinton Power Station, Unit 1 Regarding Bypassing Both Divisions of Reactor Water Cleanup Leak Detection System is a Reportable Loss of Safety Function

On March 24, 2016, it was determined that placing both Reactor Water Cleanup System (RT) Leak Detection System (LD) bypass switches in the Bypass position per plant procedure when the RT Filter/Demineralizer (F/D) was placed in service following backwash and pre-coat operations on- January 25, 2016 was a reportable condition. Both divisions of the RT LD were bypassed for seven minutes. Backwashing and pre-coating a RT F/D is a normal system operation and not considered maintenance.

A review of the Updated Safety Analysis Report (USAR) determined that the associated isolation functions are credited to mitigate the consequences of an RT pipe break accident described in USAR Chapter 6. Therefore, placing both divisions of RT LD in Bypass constituted a condition that could have prevented the fulfillment of the safety function of a system that is needed to mitigate the consequences of an accident. The direction for bypassing the RT LD system had been included in procedures since 1989 but did not constitute a reportable event until the issuance of NUREG-1022, Rev. 3 in 2013. The failure to report this condition was caused by not revising plant procedures when the Exelon fleet reporting requirements were revised to align with NUREG-1022, Rev. 3.

05000387/LER-2016-006Susquehanna16 March 2016
10 May 2016
Implementation of Enforcement Guidance Memorandum (EGM) 11-003, Revision 3
LER 16-006-00 for Susquehanna, Unit 1, Regarding Implementation of Enforcement Guidance Memorandum (EGM) 11-003, Revision 3

The condition reported by this Licensee Event Report (LER) was an expected condition, which was the result of planned activities in support of a routine refueling outage. As described in the LER, the U. S. Nuclear Regulatory Commission (NRC) provided enforcement guidance, applicable to boiling water reactor licensees, that allows the reported condition. Although this allowance is provided by the NRC's enforcement guidance, the planned activities are still considered reportable in accordance with 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by Technical Specifications (TS).

Between 3/16/2016 and 4/11/2016, Susquehanna Steam Electric Station (SSES) performed Operations with the Potential for Draining the Reactor Vessel (OPDRV) activities on Unit 1 while in Mode 5 without an operable secondary containment, as expected and allowed by the enforcement guidance. Although NRC Enforcement Guidance Memorandum (EGM) 11-003, Revision 3 allows the implementation of interim actions as an alternative to full compliance, this condition is still considered a condition prohibited by TS 3.6.4.1. The OPDRV activities were planned activities that were completed under the guidance of plant procedures and are considered to have low safety significance based on interim actions taken. Since these actions were deliberate, no cause determination was necessary. A license amendment request will be submitted following NRC approval of the Technical Specifications Task Force (TSTF) traveler associated with generic resolution of this issue.

05000410/LER-2015-003Nine Mile Point23 June 2015
31 March 2016
Primary Containment Isolation Function for some valves not maintained during Surveillance Testing
LER 15-003-01 for Nine Mile Point, Unit 2, Regarding Primary Containment Isolation Function For Some Valves Not Maintained During Surveillance Testing

On June 23, 2015, Nine Mile Point Unit 2 identified two separate instances where the isolation capability for the Reactor Vessel Low Water Level (Level 2) primary containment isolation valves on both divisions was not maintained during performance of surveillance testing. The events occurred on April 22, 2015, and May 5, 2015.

This event is reportable under 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 Surveillance testing on both dates was for valves powered by one division. To prevent an inadvertent full isolation signal from occurring, during the testing on the division, the power supply breakers for the division valves were opened while they were being tested.

The event described in this LER is documented in the station's corrective action program as 182518177. There are no similar event reports.

05000254/LER-2016-002Quad Cities15 January 2016
14 March 2016
Secondary Containment Differential Pressure Momentarily Lost Due to Air Line Failure (RWCU Pump Rm)
LER 16-002-00 for Quad Cities Units 1 and 2, Regarding Secondary Containment Different Pressure Momentarily Lost due to Air Failure (RWCU pump Rm)

building. The alarms occurred during an entry to the Unit 2 Reactor Water Cleanup (RWCU) pump room. A negative reactor building pressure was restored within two minutes (approximately 20:40 hours) without operator action.

Since both Units 1 and 2 share a common reactor building (RB), the loss of differential pressure impacted both Units 1 and 2 secondary containments.

The cause was a sheared air line inside the Unit 1 RB ventilation exhaust plenum which depressurized the air header supplying operating air to all three Unit 1 reactor building exhaust fan isolation dampers, causing the dampers to fail open, including the one on the standby fan.

Corrective actions included replacing the sheared air line, and the addition of a preventive maintenance task for replacement of equivalent air lines on all RB supply and exhaust fan dampers.

The safety significance of this event was minimal. Given the impact on the secondary containment, this report is submitted (for Units 1 and 2) in accordance with the requirements of 10CFR 50.73(a)(2)(v)(C), which requires the reporting of any 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.

05000254/LER-2016-001Quad Cities12 January 2016
10 March 2016
Secondary Containment Differential Pressure Momentarily Lost Due to Air Line Failure (RWCU Hx Rm)
LER 16-001-00 for Quad Cities, Unit 1, Regarding Secondary Containment Differential Pressure Momentarily Lost Due to Air Line Failure (RWCU Hx Rm)

building. The alarms occurred during an entry to the Unit 2 Reactor Water Cleanup (RWCU) Heat Exchanger (HX) room. A negative reactor building pressure was restored within one minute (alarm cleared at 13:41 hours) by immediately securing a reactor building supply fan. Since both Units 1 and 2 share a common reactor building (RB), the loss of differential pressure (RB pressure went positive) for approximately one (1) minute impacted both Units 1 and 2 secondary containments.

The cause was a sheared air line inside the Unit 1 RB ventilation exhaust plenum which depressurized the air header supplying operating air to all three Unit 1 reactor building exhaust fan isolation dampers and causing the dampers to fail open, including the one on the standby fan.

Corrective actions included replacing the sheared air line, and the addition of a preventive maintenance task for replacement of equivalent air lines on all RB supply and exhaust fan dampers.

The safety significance of this event was minimal. Given the impact on the secondary containment, this report is submitted (for Units 1 and 2) in accordance with the requirements of 10CFR 50.73(a)(2)(v)(C), which requires the reporting of any 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.

05000263/LER-2015-007Monticello24 November 2015
21 January 2016
Loss of Residual Heat Removal Capability
LER 15-007-00 for Monticello Regarding Loss of Residual Heat Removal Capability

On November 24, 2015 at 0534 hours, the Monticello Nuclear Generating Plant was at 0% power in Mode 3 (Hot Shutdown) for a forced outage. While initially placing Shutdown Cooling (SDC) in service, the 12 Residual Heat Removal (RHR) pump tripped approximately 8-10 seconds after start due to the closure of the RHR SDC suction isolation valves. When placing SDC in service, flow rapidly increased after opening the RHR Division 2 Low Pressure Coolant Injection (LPCI) outboard injection valve causing a localized pressure transient in the reactor recirculation pump suction piping that resulted in an isolation of the SDC suction line. Reactor pressure vessel (RPV) pressure remained stable at approximately 30 psig.

Prior to attempting to place 'B' SDC in service, the Condensate system and the 'F' Safety Relieve Valve were in service providing decay heat removal. Immediate actions were taken to restore 'B' RHR SDC to operable status, thus an alternative method of decay heat removal was already established by the Condensate system and `F' Safety Relief Valve.

05000220/LER-2015-004Nine Mile Point4 September 2015Automatic Reactor Scram Due to Main Steam Isolation Valve Closure

On Friday September 4th, 2015 at 09:16:04, Nine Mile Point Unit 1 automatically scrammed from approximately 100% rated power due to an inadvertent Main Steam Isolation Valve (MSIV) isolation. This event is reportable under 10 CFR 50.72 (b)(2)(iv)(B) and 10 CFR 50.73(a)(2)(iv)(A) as any event or condition that resulted in a manual or automatic actuation of any of the systems listed in 10 CFR 50.73(a)(2)(iv)(B). During quarterly surveillance testing, the MSIV failed to stop its close stroke and reopen automatically per design, due to a failed MSIV pilot test valve. The root cause of the event was an inadequate application of the designed pilot test valve for MSIV control, resulting in the pilot test valve internals binding during the surveillance test. The failed pilot valve spool and cage assembly were replaced.

The corrective action to prevent recurrence is to replace the MSIV pilot valveS with an industry proven design.

The event described in this LER is documented in the plant's corrective action program.

05000263/LER-2015-005Monticello3 August 20151 of 4

On August 3, 2015, an extent of condition review for LER 2015-003, "Use of the Reactor Water Cleanup (RWCU) System to Lower Level without Declaring an Operation with a Potential to Drain the Reactor Vessel (OPDRV) with Secondary Containment Inoperable," identified two prior occurrences where this had occurred. On May 26, 2013, during the 2013 Refueling Outage, the RWCU System was used to lower reactor cavity level with the Secondary Containment (SCT) inoperable. On February 4, 2014, during the 2014 recirculation pump seal forced outage, reactor water level was lowered in preparation for startup using the RWCU System while the SCT and the B Standby Gas Treatment subsystem were inoperable. Each occurrence constitutes an operation or condition prohibited by the Technical Specifications, during OPDRV, which are reportable in accordance with 10 CFR 50.73(a)(2)(i)(B).

The cause was determined to be that the plant procedure controlling OPDRVs failed to provide adequate guidance to determine an OPDRV activity which resulted in actions taken that were not in accordance with NRC Enforcement Guidance Memorandum (EGM) 11-003, Revision 2. The plant OPDRV procedure has been revised to reflect the guidance of the EGM.

05000458/LER-2015-006River Bend17 July 2015Operations Prohibited by Technical Specifications Due to Error in Initial Operability EvaluationOn July 17, 2015, with the plant operating at 92 percent power, it was determined that an operability evaluation previously performed for a safety-related instrument in the primary containment isolation circuitry was in error, which resulted in the failure to take actions required by the Technical Specifications. On July 8, 2015, a scheduled surveillance test was performed on one channel of the primary containment isolation logic. During the test, an error message was displayed on the associated trip unit. The operators and technicians researched the vendor manual, consulted the cognizant engineers, and determined that the error message was not indicative of any inability of the system to perform its design safety function. Subsequent review found that the first operability determination on the condition report was in error, and that the trip channel was not actually capable of performing as designed. The trip unit was declared inoperable, and taken out of service to be replaced. The channel was again declared operable on July 18 at 2:44 a.m. The elapsed time between the receipt of the error message on July 8 and the restoration to an operable status exceeded the allowable outage time of Technical Specifications. The cause of the error in the first operability determination was the use of an outdated vendor manual for the initial troubleshooting. This condition is being reported in accordance with 10 CFR 50.73(a)(2)(i)(B) as operations prohibited by Technical Specifications. During the time that the trip unit was inoperable, redundant channels in the isolation logic remained capable of performing the safety function. This event was, thus, of minimal safety significance to the health and safety of the public.
05000263/LER-2015-003Monticello14 May 20151 of 4On May 13, 2015, and on April 13 and April 14, 2015 (identified during an extent of condition review), the Reactor Water Cleanup (RWCU) System was used to perform reactor cavity and dryer-separator storage pool inventory reductions. Use of RWCU System constituted an Operation with a Potential to Drain the Reactor Vessel (OPDRV). However, the plant OPDRV procedural guidance did not identify this as an OPDRV. These occurrences are being reported in accordance with 10 CFR 50.73(a)(2)(i)(B) as an operation or condition prohibited by the Technical Specifications. The cause was determined to be that the plant OPDRV procedure failed to provide adequate guidance to determine OPDRV activities which resulted in actions taken that were not in accordance with NRC Enforcement Guidance Memorandum (EGM) 11-003, Revision 2. The plant OPDRV procedure has been revised to reflect the guidance of the EGM.
05000263/LER-2015-002Monticello2 May 2015Loss of Shutdown Cooling Due to Improperly Landed Jumper Wire

On May 2, 2015, the Monticello Nuclear Generating Plant (MNGP) was in Mode 5 for a refueling outage.

During performance of surveillances of the non-credited 4kV essential Bus, MNGP experienced a loss of the 4kV Bus and essential Load Center due to an improperly landed jumper wire. Loss of the Load Center de- energized the valve position indication on the Residual Heat Removal (RHR) shutdown cooling inboard isolation valve, causing a subsequent trip of the RHR pump operating in shutdown cooling on a pump suction interlock and a loss of normal shutdown cooling. Control Room operators entered the appropriate abnormal procedures and verified alternate decay heat removal was in service until shutdown cooling could be restored.

Immediate corrective actions included suspension of all work pending approval of the shift manager to ensure outage activities did not further degrade plant conditions and electrical work was limited to protect shutdown cooling. The essential Load Centers were cross tied to restore normal shutdown cooling.

Corrective actions include revising procedures to reinforce human performance tools, adequately assess risk involved with electrical work, and ensuring effective barriers are in place to harden residual heat removal function durina shutdown conditions.

05000461/LER-2015-001Clinton6 February 2015Division 1 and Division 2 Reactor Water Cleanup System High Differential Flow Instruments Become Incapable of Performing Their Safety FunctionOn 2/6/15 at 2300 CST, the Division 1 Reactor Water Cleanup (RT) system differential flow indicator (1E31R614A) was observed to be reading greater than 10 gallons per minute (gpm) different from its sister channel, resulting in it failing its channel check. Operators declared this instrument inoperable in accordance with Clinton Power Station Technical Specification (TS) 3.3.6.1, Primary Containment and Drywell Isolation Instrumentation, requiring placing the channel in trip within 24 hours per Required Action D.1. At 2355, the Division 2 RT differential flow indicator (1E31R614B) indicated out of specification, requiring entry into Required Action E.1 for two channels inoperable. With both channels inoperable, the leakage detection system was incapable of performing its containment isolation function for RT differential flow. At 0036 on 2/7/15, a fill and vent of the Division 1 RT leak detection instrumentation was completed, restoring Division 1 to an operable status. At 0225 on 2/7/15, a fill and vent of the Division 2 RT leak detection instrumentation was completed, restoring Division 2 to an operable status. An eight-hour ENS notification (#50794) was made at 0637 CST in accordance with 10CFR50.72(b)(3)(v)(C). This event is also reportable under 10CFR50.73(a)(2)(v)(C).
05000293/LER-2015-001Pilgrim27 January 2015Loss of 345KV Power Resulting in Automatic Reactor Scram During Winter Storm Juno

On Tuesday January 27, 2015, at 0402 hours, while in the process of lowering reactor power, with the reactor in the RUN mode at 52 percent core thermal power, Pilgrim Nuclear Power Station (PNPS) experienced a loss of 345KV power resulting in a load reject and an automatic reactor scram. The loss of 345KV power was due to faults from flashovers in the PNPS switchyard. All control rods fully inserted.

The Emergency Diesel Generators had been previously started and were powering safety-related buses A5 and A6. The plant stabilized in Hot Shutdown. At the time of the event a significant winter storm (Juno) was buffeting Southern New England.

The root cause of the event is that the design of the PNPS switchyard does not prevent flashover when impacted by certain weather conditions experienced during severe winter storms. A modification of the switchyard is planned to address the susceptibility of the PNPS switchyard to flashovers during severe winter storms.

This event posed no threat to public health and safety.

05000220/LER-2014-002Nine Mile Point8 May 2014Unanalyzed Condition Due to Unfused Motor Operated Valve Control Circuit

On May 8, 2014, at 1645, the results of an industry operating experience (OE) extent of condition review identified that an un-fused control circuit associated with the Unit 1 Reactor Water Cleanup Isolation Valve 12 could short circuit due to a fire in the circuit cable routing. This short circuit could cause the cable to self- heat and cause secondary fires along the associated cable route. The unanalyzed secondary fires could adversely affect safe shutdown equipment and potentially cause the loss of ability to safely shutdown as required by 10 CFR 50 Appendix R. The original plant wiring design and configuration for the containment isolation valve did not include separate overcurrent protection for motive power and control wiring. The only protection for control circuit wiring is by motive circuit fuses which are not sized appropriately to protect the control wiring. As a compensatory measure, Operations has initiated a fire inspection each shift to monitor the associated Fire Areas (1 and 10) until separate fuses are installed within the control circuitry of the motor operated valve (MOV). A similar event was reported in LER 2013-002.

This condition was entered into the Nine Mile Point (NMP) corrective action program as Condition Report (CR) 2014-004630.

05000265/LER-2014-002Quad Cities2 April 2014Cable Tray Fire Caused by Non-Conforming Cable Routing

On April 2, 2014, at 1228 hours, a Fire Alarm System (FAS) alarm was received for the Unit 2 D heater bay area. Although entry into the room at the time identified only a steam leak, subsequently various spurious alarms and electrical system anomalies occurred.

At 1303 hours, Unit 2 was manually scrammed, the turbine was tripped, and the main steam isolation valves (MSIVs) were closed to ensure the steam leak was isolated. A fire was identified to have occurred in the D heater bay (an area of the plant containing the high pressure (final stage) D feedwater heaters, and several Unit 2 cable trays and risers). The fire was extinguished by the automatic wet pipe sprinkler fire suppression system.

At 1340 hours, due to the manual de-energizing of safety-related motor control center (MCC) 29-1 in the reactor building in response to notification that smoke had been observed, an ALERT level Emergency Action Level classification was declared as HA3 (fire in a vital area affecting safety system equipment). The emergency was terminated at 2132 hours.

The cause of the event was an existing cable flaw that was caused by cable routing that exceeded the required minimum static bend radius.

Corrective actions included repairing impacted cables, replacing the failed steam seal expansion joint, operating procedure revisions, and additional inspections/tests.

The safety significance of this event was minimal. Given the impact on multiple systems, this report is submitted in accordance with 10 CFR 50.73 (a)(2)(iv)(A) for manual or automatic actuation of any of the systems listed in paragraph (a)(2)(iv)(B); in accordance with 10 CFR 50.73 (a)(2)(v)(D) for an event that could have prevented the fulfillment of the safety function of systems needed to mitigate the consequences of an accident; and in accordance with 10 CFR 50.73(a)(2)(i)(A), for the completion of a nuclear plant shutdown required by the plant's Technical Specifications.

05000410/LER-2014-001Nine Mile Point16 February 2014Emergency Diesel Generator Actuation Due to Loss of Offsite Power Source Line 5

On February 16, 2014 at 1216, Nine Mile Point Unit 2 (NMP2) was operating at 100 percent power when an automatic actuation of the Division I and III Emergency Diesel Generators (EDG) occurred due to a loss of a 345 kV bus owned by National Grid. The bus outage resulted in the loss of off-site power source (Line 5) owned by Exelon. Automatic actuation of the EDGs is reportable under 10 CFR 50.72(b)(3)(iv)(A) and 10 CFR 50.73(a)(2)(iv)(A). The cause of the loss of Line 5 is due to a faulted current transformer associated with 345kV Breaker R210 owned by National Grid, the transmission owner. The faulted transformer caused a voltage transient for both station service and offsite power loads. This resulted in the loss of: 1) the service water radiation monitor and radwaste/reactor building vent gaseous effluent monitoring systems 2) the 'C' and 'D' Reactor Water Cleanup (WCS) filter strings, and 3) spent fuel pool cooling. The voltage transient also caused Feed Water level control valve actuator controls to lock up and go to manual operation. The causal analysis identified the failure mechanism of the CT as an insulation breakdown internal to the CT.

The corrective actions include purchasing spare CTs and performing follow up tests and repairs on damaged equipment. NMP1 LER 2008-001 and NMP2 LER 2012-004 are similar LERs submitted previously which involve the actuation of the EDGs due to a loss of Power Line 5.

05000220/LER-2014-001Nine Mile Point12 February 2014Reportable Conditions Not Reported During the Previous 3 Years Involving Average Power Range Monitors InoperabilityThis LER is submitted to acknowledge that Nine Mile Point (NMP) missed providing LERs for past occurrences reportable in accordance with10 CFR 50.72(b)(3)(v)(A) and 10 CFR 50.73(a)(2)(v)(A) as conditions that could have prevented the fulfillment of the safety function of a structure or system needed to shutdown the reactor and maintain it in a safe shutdown condition. This condition was discovered on February 12, 2014. The reportable conditions occurred twice within the past three years when APRMs were declared inoperable as a result of reactor recirculation pump (RRP) trips. In each occurrence, the APRM flow-biased control rod block and scram function remained available, though, non- conservative. The cause of Operations personnel not recognizing the APRM conditions as reportable was due to ineffective training of Operations personnel. Corrective actions taken or planned include briefings and detailed training on reporting requirements and revisions to procedures that clarify event reporting requirements.
05000461/LER-2013-008Clinton8 December 20131 OF 5

On 12/8/13 at 2026 hours with the plant in Mode 1 at 97.3 percent reactor power, operators received multiple alarms due to the trip of 4160 volt 1A1 breaker which resulted in a loss of power to two Division 1 480 volt unit substations.

Operators were immediately dispatched and found a 4160/480 volt stepdown transformer failed. Many Division I components lost power. The loss of power caused an instrument air (IA) containment isolation. The loss of IA affected various containment loads, including the scram pilot air header, the main steam isolation valves and the reactor water cleanup system. At 2036 hours, the scram pilot air header low pressure alarm was received, and in response to an anticipated automatic reactor scram, operators immediately initiated a manual reactor scram. All control rods fully inserted into the core. Reactor pressure vessel water level dropped to the low reactor water level 3 setpoint (normal result of a scram from high power) and operators entered the Reactor Pressure Vessel Control Emergency Operating Procedure. The most probable cause of the transformer failure was a tum to turn failure of the high side windings due to insulation breakdown over time, prior to its expected end of life. An installed spare was connected to replace the failed Division 1 transformer.

05000354/LER-2013-006Hope Creek31 October 2013Operations With A Potential To Drain The Reactor Vessel (OPDRV) Without Secondary Containment Operable

On October 31, 2013, at approximately 09:30, during a refueling outage, the Reactor Water Cleanup (RWCU) system was placed in letdown to radwaste to control reactor pressure vessel (RPV) inventory. Because the automatic isolation function was not available for either valve in the drain-down path, the guidance in Enforcement Guidance Memorandum (EGM) 11-003, Revision 1 could not be utilized. EGM 11-003, Revision 1 states: "The addition and removal of small volumes of water inventory from the RPV, for example control rod drive cooling water, is considered steady-state water level control and not an OPDRV provided the instrumentation and valves for automatic isolation of the drain-down path remain available." This placed the plant in an operation with the potential to drain the reactor vessel (OPDRV). Technical Specification 3.6.5.1 requires secondary containment to be set if the plant is in an OPDRV. Secondary containment was not set; therefore, the plant was in a condition prohibited by Technical Specifications.

The Shift Manager identified the condition at 16:31. The condition was corrected at 17:21 by placing an inoperable level channel in a tripped condition, which restored the instrumentation and valve for automatic isolation of the drain path.

This event is reportable in accordance with 10 CFR 50.73(a)(2)(i)(B) as an operation or condition which was prohibited by the plant's Technical Specifications.

05000293/LER-2013-009Pilgrim14 October 2013Loss of Offsite Power and Reactor Scram

On Monday October 14, 2013 at 2121 hours (EDT), with the reactor critical at 100% core thermal power, the mode switch in RUN, and offsite power 345KV Line 342 out of service for a scheduled upgrade, a loss of offsite power (LOOP) occurred due to the loss of the second 345KV Line 355. All control rods fully inserted, main steam isolation valves closed on the loss of power to the reactor protection system, and the emergency diesel generators automatically started supplying power to both 4160V safety buses. Following the scram, reactor water level lowered to +12 inches initiating the Primary Containment Isolation System (Group II, Reactor Building Isolation System (RBIS); and Group VI - Reactor Water Cleanup System) automatically per design. A plant cool down commenced with reactor water level being maintained in the normal post-scram band of +12 inches to +45 inches utilizing the High Pressure Coolant Injection (HPCI) and Reactor Core Isolation Cooling (RCIC) systems.

The cause of Line 355 loss was due to a failure of an offsite substation tower support. The offsite tower was repaired and Line 355 was energized at 2023 hours on October 15, 2013.

These events posed no threat to public health and safety.

05000461/LER-2013-006Clinton13 October 2013Implementation of Enforcement Guidance Memorandum (EGM) 11-003, Revision 1The condition reported by this LER is the result of planned activities in support of Refueling Outage C1 R14 at Clinton Power Station (CPS). As described in the LER, the NRC provided enforcement guidance, applicable to boiling water reactor licensees, that allows the reported condition. Although this allowance is provided by the NBC's enforcement guidance, the planned activities are still considered reportable in accordance with 10 CFR 50.73(a)(2)(i)(B) as a condition prohibited by Technical Specifications (TS). Between 10/13/2013 and 10/27/2013, CPS performed Operations With the Potential For Draining the Reactor Vessel (OPDRV) activities while in Mode 5 without an operable secondary containment, as expected and allowed by NRC Enforcement Guidance Memorandum (EGM) 11-003, Revision 1. The EGM allows the implementation of interim actions as an alternative to full compliance; however, this condition is still considered a condition prohibited by TS 3.6.4.1. The OPDRV activities were planned activities that were completed following the guidance of the EGM and are considered to have low safety significance based on interim actions taken. Since these actions were deliberate, no cause determination was necessary. A license amendment request will be submitted following NRC approval of the Technical Specifications Task Force traveler associated with generic resolution of this issue.
05000293/LER-2013-008Pilgrim22 August 2013Manual Scram - Reactor Feed Pump Trip

On Thursday, August 22, 2013 at 0755 (EDT) with the reactor critical at 98% core thermal power (CTP), and the mode switch in RUN, the Pilgrim Nuclear Power Station (PNPS) was manually scrammed due to lowering reactor water level resulting from a trip of the reactor feed pumps. The reactor feed pumps tripped due to a loss of power to the pump seal cooling water flow switch relays and resultant automatic actuation of the feed pump trip circuit.

The direct cause of the reactor feed pump trip was an automatic actuation of the feed pump trip circuitry. The feed pump trip circuits actuated as designed in response to a loss of power to the pump seal cooling water flow switch relays. The seal cooling water flow switch relays lost power as a result of a 120V AC breaker trip resulting from a short-to-ground fault in the associated circuits fed by the breaker. Corrective action was taken to repair the ground fault in the associated circuits fed by the 120V AC breaker and to revise reactor feed pump trip circuit design to remove the loss of seal water trip function.

This event posed no threat to public health and safety.

05000293/LER-2013-004Pilgrim14 April 2013Manual Scram Inserted During Reactor Shutdown

Switch (RMSS) in "Startup/Hot Standby", the turbine generator previously removed from service, and the reactor sub- critical on Intermediate Range Monitors Range 2 and lowering, a manual reactor scram was inserted due to reactor pressure decreasing faster than normal. At the time of the manual reactor scram PNPS was conducting a planned reactor shutdown to commence refueling outage (RFO) -19. All control rods fully inserted and Primary Containment Isolation System (PCIS) Group II (Reactor Building) and Group VI (Reactor Water Cleanup System) actuations occurred as designed due to the expected reactor water level shrink associated with the scram signal. All plant systems responded as designed. Off-site power was unaffected and was supplied by the start-up transformer (normal power supply for refuel and reactor shutdown operations).

The Main Steam Isolation Valves (MSIV) were manually closed to terminate the pressure reduction and the High Pressure Coolant Injection (HPCI) system was manually started in the pressure control mode. The plant cooldown continued with the HPCI system in pressure control and reactor water level maintained within normal bands with the condensate and feedwater system.

The Root Cause of the event was that procedure PNPS 2.1.5 did not limit operation of MO-S-2, Steam Seal Bypass Valve, to below the steam line pressure design operating limit (250 psig) of the steam seal bypass. The procedure was revised to preclude recurrence.

05000293/LER-2013-003Pilgrim8 February 2013Loss of Off-Site Power Events Due to Winter Storm Nemo

On Friday February 8, 2013, at 2117 hours with the reactor initially at 85% core thermal power, Pilgrim Nuclear Power Station (PNPS) experienced a loss of off-site power (LOOP) resulting in a load reject and a reactor scram. All rods fully inserted and the Emergency Diesel Generators automatically started and powered safety-related buses A5 and A6. All other safety systems functioned as required.

The plant stabilized in Hot Shutdown. At the time of the event a significant winter storm (Nemo) was buffeting Southern New England. At 2200 hours PNPS in conjunction with the local grid operator determined off-site power sources were not reliable and efforts to restore off-site power were temporarily suspended. At 2200 hours, PNPS declared a Notification of Unusual Event. On February 10, at 1055 hours, one of two off-site power supplies was restored, all safety buses were powered from the startup transformer and the Unusual Event was exited. Later on February 10, at 1402 hours with the plant in Cold Shutdown, ice bridging on a startup transformer insulator caused its 345 KV supply breaker to open resulting in a second LOOP. Again the EDG's started and powered safety-related buses. All other safety systems functioned as required. Shutdown cooling was restored at 1426 hours.

On February 10, at 2020 hours, this occurrence was reported to the USNRC as documented in EN# 48739.

The severe winter storm which caused extensive generalized geographical damage to the electrical distribution network was root cause of the LOOP events.

These events posed no threat to public health and safety.

05000410/LER-2013-001Nine Mile Point23 January 2013Reactor Core Isolation Cooling System Isolation Due to a Temperature Switch Unit Failure

On January 23, 2013 at 15:16, Nine Mile Point Unit 2 was operating at 100 percent power when Reactor Building General Area temperature switch unit 2RHS*TS85A failed, resulting in the closure of primary containment isolation valves and causing the Reactor Core Isolation Cooling (RCIC) system to isolate from the reactor vessel and become inoperable. The failure of the temperature switch unit occurred concurrently with the High-Pressure Core Spray (HPCS) system inoperable for planned surveillance testing. With both the RCIC and HPCS systems inoperable, high pressure makeup capability to the reactor core was lost from these systems.

This event is reportable in accordance with 10 CFR 50.73(a)(2)(iv)(A), as an automatic actuation of containment isolation valves in more than one system. The event is also reportable in accordance with 10 CFR 50.73(a)(2)(v), as an event that could have prevented the fulfillment of the safety function of systems that are needed to: (A) shut down the reactor and maintain it in a safe shutdown condition, and (D) mitigate the consequences of an accident.

The temperature switch failed due to age-related capacitor degradation. The apparent cause of the event is insufficient use of the corrective action program to fully implement a periodic capacitor replacement program for the Riley temperature switches. Corrective actions include replacement of the failed switch and planned refurbishment of similar units.

05000293/LER-2013-001Pilgrim10 January 2013Inadvertent Trip of Both Recirculation Pumps and Subsequent Manual Scram

On Thursday, January 10, 2013 at 1534 hour (EST), with the reactor at 100% core thermal power, both reactor recirculation pumps unexpectedly tripped and a manual reactor scram was inserted as required by station procedures. Following the reactor scram, all rods were verified to be fully inserted and the Primary Containment Isolation System Group II (Reactor Building) and Group VI (Reactor Water Cleanup System) actuations occurred as designed due to the expected reactor water level shrink associated with the scram signal. All other plant systems responded as designed. The scram was uncomplicated and decay heat was released to the main condenser via the turbine by-pass valves.

The cause of the two reactor recirculation pumps tripping was due to the inadvertent seal-in of a relay (pump trip interlock) in the Low Pressure Coolant Injection (LPCI) Loop Select Logic circuitry within the Residual Heat Removal (RHR) System during surveillance testing. When the logic was reset at completion of testing, a normally open relay contact (which was inadvertently closed) interlocked with the recirculation pumps circuit, sent a trip signal to their drive motor breakers.

Corrective action has been taken to revise the subject surveillance procedure with steps to reinstall relay covers and added a verifier to observe relay status/ state prior to resetting the relay logic circuit.

This event had no impact on the health and/or safety of the public.

05000220/LER-2012-007Docket Number6 November 2012High Pressure Coolant Injection System Logic Actuation Following an Automatic Turbine Trip Signal Due to High Reactor Water Level

On November 6, 2012, while in the cold shutdown reactor operating condition, Nine Mile Point Unit 1 experienced an unexpected rise in reactor water level that caused an automatic turbine trip signal and actuation of the High Pressure Coolant Injection (HPCI) initiation logic. The HPCI system is a mode of operation that uses selected equipment of the condensate and feedwater system to perform its function. The HPCI system is not an emergency core cooling system.

At the time of the event, the HPCI system was not required to be operable. Though the HPCI initiation logic was actuated, HPCI system injection into the reactor vessel neither occurred nor was required.

The rise in reactor water level resulted from the unexpected opening of the 12 Feedwater flow control valve (FCV) during the application of a tagout to perform feedwater level control circuitry maintenance that was caused by a failure to use adequate human performance tools when performing the last periodic test of the feedwater FCVs. This resulted in the testing being performed improperly such that degradation of o-rings within the FCV actuator lockup valves was not detected. The o-ring degradation prevented the lockup valves from maintaining the FCV in the closed position.

This event is reportable in accordance with 10 CFR 50.73(a)(2)(iv)(A) as an event or condition that resulted in automatic actuation of the HPCI system.

To prevent recurrence, maintenance personnel have been briefed on the importance of continual use of human performance tools, and the applicable FCV test procedure has been revised to provide additional guidance for properly testing the FCV actuator lockup valves.

05000293/LER-2012-00222 May 2012Manual Reactor Scram Due to Degraded Condenser Vacuum

On Tuesday, May 22, 2012 at 1311 hours, with the reactor at approximately 35% core thermal power, during a planned power reduction to support thermal backwash of the main condenser, a manual reactor scram was inserted due to degrading main condenser vacuum. The direct cause of the degraded vacuum is attributed to loss of the Steam Jet Air Ejector (SJAE) inter-condenser loop seal due to a partially open SJAE steam supply valve (1-H0-163). The root cause of the 1-H0-163 valve being partially open was due to inadequate processing of an emergent work order related to the reach rod position indication versus the actual valve position.

Following the reactor scram, all rods were verified to be fully inserted and the Primary Containment Isolation System Group II (Reactor Building) and Group VI (Reactor Water Cleanup System) actuations occurred as designed due to the expected reactor water level shrink associated with the scram signal. Standby Gas Treatment System Train 'B,' which is designed to shutdown 65 seconds after the Group II signal is received if the Standby Gas Treatment Train 'A' is in service, continued to operate until manually secured. With this exception all other plant systems responded as designed.

This event had no impact on the health and/or safety of the public because emergency core cooling systems were operable and available to perform their required safety functions.

05000461/LER-2011-008Clinton18 December 2011Reactor Protection System Actuation And Loss Of Shutdown CoolingOn 12/18/11, the plant was in Cold Shutdown conducting restoration activities following the Reactor Pressure Vessel (RPV) hydrostatic pressure test. While lowering RPV water level to a target level, a low RPV water level (Level 3) reactor protection system actuation occurred resulting in a residual heat removal (RHR) system isolation, and a subsequent loss of shutdown cooling. RPV water level was immediately restored above the Level 3 setpoint using the control rod drive system. Operators reset the RHR isolation logic within minutes of the scram signal, and shutdown cooling was fully restored in 26 minutes. Reactor coolant temperature increased approximately three degrees Fahrenheit during this event. The causes of this event were lack of rigorous process controls while removing and installing the permanent shutdown and upset level instruments reference leg pipe and not having an alternate for shutdown range level indication to allow monitoring reactor water level during times when the shutdown and upset level instruments are not in service. Corrective actions include revising the procedure to control the entire evolution of shutdown and upset level instruments reference leg pipe reassembly and recovery of vessel level indication, and developing an alternate method for determining RPV level during shutdown conditions.
05000410/LER-2011-004Nine Mile Point24 October 2011Reactor Water Cleanup System Automatic Isolation Function Disabled During Troubleshooting

On October 23, 2011, at 09:15, Nine Mile Point Unit 2 (NMP2) was operating at 100 percent of rated thermal power when the Division I reactor water cleanup system (RWCU) differential flow - high channel was declared inoperable due to failing its channel check. A troubleshooting plan was developed to determine the cause for the failed channel check.

While performing the troubleshooting plan, at three separate times (October 24, 2011 at 01:52, 02:58, and 05:19), both the Division I and Division II RWCU differential flow timers were placed in bypass, and Technical Specification (TS) 3.3.6.1, Condition B was entered for one or more automatic functions with isolation capability not maintained. In each of the three instances, one channel of the RWCU differential flow - high function was restored to operable status within 1 hour as required by TS 3.3.6.1 Required Action B.1. In the morning of October 24, 2012 the oncoming crew recognized that bypassing both RWCU differential flow timers in this manner could have prevented the fulfillment of a safety function.

The cause of this event was human performance error. The operating crew became focused on the completion time associated with the LCO condition and never fully evaluated the Technical Specification Bases.

The crew involved in this event has been coached. An Operations department communication has been sent as a result of this event which reinforced the requirements of TS 3.0.2 Bases and the importance of an operating crew to use all available information with the Shift Manager as the single point of accountability. The RWCU system operating procedure has been revised to clarify the reportability requirements when removing both divisions of the RWCU high differential flow isolation from service. A training needs assessment has been initiated to determine if additional training is needed on TS Bases.

05000397/LER-2011-002Columbia27 August 2011Loss of Shutdown Cooling due to Logic Card Failure

At 2021 hours on August 27, 2011, a loss of shutdown cooling occurred due to a spurious undervoltage signal in one of two, in series, Electrical Protection Assembly (EPA) circuit breaker supplying the B train of the Reactor Protection System (RPS) power bus (RPS-B). Response to the spurious signal resulted in loss of power to RPS-B and associated actuations including isolation of the common shutdown cooling suction valves.

The spurious signal originated in a logic board (GE Model 147D8652G007) associated with the EPA Breaker.

Post event testing was unable to specifically identify the discrete component responsible for the failure. The root cause was that Energy Northwest was not proactive in replacing older, obsolete model boards (including the one that caused the event) with a new model recommended by the vendor. The faulty logic board and the other logic board in series for RPS-B were replaced with newer model boards. Further corrective actions will replace the remaining logic boards currently installed in the plant with the newer models. This event is being reported under 10 CFR 50.73(a)(2)(v) as an event that could have prevented fulfillment of a safety function, as well as an invalid actuation of containment isolation in multiple systems per 10 CFR 50.73(a)(2)(iv).

26158 R5 U.S. NUCLEAR REGULATORY COMMISSION

05000259/LER-2011-002Browns Ferry28 April 20111 of 12 I

On April 28, 2011, at 2338 hours Central Daylight Time, with all three units in cold shutdown and power supplied to the 4-kV shutdown buses by onsite emergency diesel generators (EDGs), Browns Ferry Nuclear Plant personnel performed a shutdown of the Unit 1/2 C EDG. The Unit 1/2 C EDG was shutdown due to a hydraulic oil leak in piping for the EDG governor that was causing voltage and frequency fluctuations. Following shutdown of the Unit 1/2 C EDG, the 4-kV shutdown board C, which was being powered by the Unit 1/2 C EDG, de-energized. This resulted in a loss of power to the 1B Reactor Protection System causing a Primary Containment Isolation System (PCIS) actuation. The PCIS isolation (Group 2) caused the loss of Shutdown Cooling on Unit 1 for 47 minutes. In addition, the loss of power to the 4-kV shutdown board C also caused the loss of the 2B Residual Heat Removal (RHR) pump leading to a momentary suspension of Shutdown Cooling for Unit 2. Shutdown Cooling for Unit 2 was immediately restored using the 2D RHR pump. The root cause of the oil leak was determined to be a less than adequate design of the Unit 1/2 C EDG governor oil piping to compensate for vibration I loading.

This report also constitutes a 10 CFR 21 notification.

05000293/LER-2011-002Pilgrim20 February 2011Reactor Scram During A Planned Reactor Cool-Down with All Control Rods Fully Inserted

On Sunday, February 20, 2011 at 1034 EST, with the reactor shutdown and all control rods fully inserted a valid Reactor Protection System (RPS) low reactor water level initiation signal (+12 inches) was received. The RPS actuation signal resulted in a reactor scram and actuation of Primary Containment Isolation System (PCIS) Group II (Drywell) isolation, Group VI (RWCU) isolation and a Reactor Building Isolation System (RBIS) actuation. At the time of the event, a controlled reactor shutdown and cooldown was in progress. The Reactor Mode Selector Switch was in "Startup" and the low reactor water level actuation signal was the result of reactor water level control difficulties during the cool-down using the Mechanical Pressure Regulator (MPR). Reactor water level was immediately restored, the isolations (Group II and VI) were reset; and the RPS signal was reset at 1135 EST. All systems operated as expected, in accordance with design.

Corrective actions taken included the revision of the reactor heat-up / cool-down procedure to incorporate lessons learned and to identify the Bypass Valve Opening Jack (BVOJ) as the preferred method for executing a reactor pressure vessel cool-down. Corrective actions planned include the performing of an analysis of MPR/RPV and level response during plant cool-down at the plant simulator and evaluate results for disposition. This event had no impact on the health and/ or safety of the public.

05000296/LER-2010-004Browns Ferry26 December 2010Manual Reactor Scram Due to High Vibration on the Generator Exciter Inboard and Outboard Journal Bearings

On December 26, 2010, at 1615 hours Central Standard Time, an alarm for Main Turbine Vibration High 3-VA-47-15 was received in the Unit 3 control room on annunciator panel 3-XA-55-7B Window 32.

Control room operators responded using Unit 3 Alarm Response Procedure (ARP) 3-ARP-9-7B. Exciter rotor inboard journal bearing vibration level indicated 8.0 mils and rising, and the outboard journal bearing indicated 5.5 mils and rising. At 1617 hours, an Upper Power Runback was initiated per the ARP. It was noted that vibration levels initially lowered then continued rising. At 1620 hours, control room operators initiated a manual reactor scram.

The direct cause of this event was an exciter rotor-deflector rub resulting from a combination of high differential air exit temperatures and existing decreased clearances on the rotor. The root cause was inadequate procedural guidance for monitoring the exciter air cooling system and prescribing mitigation actions to be taken based on differential temperature limits.

The rub was corrected during the forced outage. Corrective actions include installation of cooler vents for use in minimizing air binding, establishment of a cooler venting process, increased controls and documentation of manual "balancing" valve manipulation, increased system monitoring process rigor and oversight, and performance of a training analysis for inclusion of relevant aspects of this root cause into the Operations and Engineering training materials.