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07-13-2017 | On May 15, 2017, an engineering investigation determined that a modification installed in 2014 on two of the four safety-related main control building chillers had a design error. The nature of that error was such that the performance of a regularly scheduled preventative maintenance ( PM) task to draw an oil sample from'the chiller gearbox inadvertently caused the chiller to be incapable of responding to an automatic start signal. A review of the history of the PM found that, on three occasions since the modification was installed, the task was performed on the operable chiller that was in the standby condition. The inadvertent inoperability of the standby division of the main control building chillers causes the loss of safety function of the supported electrical distribution systems in the building. The control building chilled water system provides cooling to the equipment rooms housing the battery chargers and inverters for the safety-related onsite electrical distribution systems. The loss of cooling to the various equipment rooms in the control building requires that the supported equipment in those areas be declared inoperable. The Technical Specifications for the Division 3 DC distribution system requires that the high pressure core spray ( HPCS) system be immediately declared inoperable. This condition potentially causes the HPCS system to be incapable of performing its safety function, and is, thus, reportable in accordance with 10 CFR 50.73(a)(2)(v)(D). The error in the subject modification is considered a legacy issue since its design was completed and approved in July 2012. The PM task will be revised to preclude its performance on chillers in the standby configuration.
At no time during the three performances of the PM on the operable standby chiller was there an actual demand for its automatic start. This condition was, thus, of minimal significance with respect to the health and safety of the public.
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LER-2017-006, Potential Loss of Safety Function of Onsite Power Sources due to Inadvertent Inoperability of Control Building ChillerRiver Bend Station - Unit 1 |
Event date: |
05-15-2017 |
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Report date: |
07-13-2017 |
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Reporting criterion: |
10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident |
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4582017006R00 - NRC Website |
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Category:Letter
MONTHYEARIR 05000458/20230402024-01-18018 January 2024 95001 Supplemental Inspection Supplemental Report 05000458/2023040 and Follow-Up Assessment Letter RBG-48271, Supplement to License Amendment Request to Adopt Risk Informed Completion Times TSTF-505, Revision 2, Provide Risk-Informed Extended Completion Times RITSTF Initiative 4b and Application to Adopt 10 CFR 50.69, Risk2024-01-12012 January 2024 Supplement to License Amendment Request to Adopt Risk Informed Completion Times TSTF-505, Revision 2, Provide Risk-Informed Extended Completion Times RITSTF Initiative 4b and Application to Adopt 10 CFR 50.69, Risk ML24012A1962024-01-12012 January 2024 Response to 2nd Round Request for Additional Information Concerning Relief Request Number EN-RR-22-001 Proposed Alternative to Use ASME Code Case N-752, Risk-Informed Categorization and ML24011A1742024-01-11011 January 2024 Security Baseline Inspection Report (Cover Letter) ML23349A1672023-12-21021 December 2023 Request for Withholding Information from Public Disclosure ML23348A3572023-12-14014 December 2023 Application to Revise Technical Specifications to Use Online Monitoring Methodology Slides and Affidavit for Pre-Submittal Meeting ML23340A1592023-12-13013 December 2023 Entergy Operations, Inc. - Entergy Fleet Project Manager Assignment ML23352A0292023-12-13013 December 2023 Entergy - 2024 Nuclear Energy Liability Evidence of Financial Protection IR 05000458/20230102023-12-12012 December 2023 Biennial Problem Identification and Resolution Inspection Report 05000458/2023010 RBG-48267, Reply to a Notice of Violation, NRC Inspection Report 05000458/20230032023-12-0707 December 2023 Reply to a Notice of Violation, NRC Inspection Report 05000458/2023003 ML23333A1362023-11-29029 November 2023 Supplement to Request for Exemption from Enhanced Weapons, Firearms Background Checks, and Security Event Notifications Implementation ML23325A1432023-11-21021 November 2023 Request for Exemption from Enhanced Weapons, Firearms Background Checks, and Security Event Notifications Implementation ML23310A0322023-11-13013 November 2023 Integrated Inspection Report 05000458/2023003 IR 05000458/20230032023-11-13013 November 2023 Integrated Inspection Report 05000458/2023003 ML23311A2082023-11-0909 November 2023 Reassignment of U.S. Nuclear Regulatory Commission Branch Chief in the Division of Operating Reactor Licensing for Plant Licensing Branch IV ML23311A4322023-11-0909 November 2023 Notification of NRC Supplemental Inspection (95001) and Request for Information RBG-48264, Core Operating Limits Report (COLR) - Cycle 23, Revision 12023-11-0606 November 2023 Core Operating Limits Report (COLR) - Cycle 23, Revision 1 RBG-48260, Notification of Readiness for Supplemental Inspection2023-10-12012 October 2023 Notification of Readiness for Supplemental Inspection ML23278A2402023-10-0606 October 2023 Regulatory Audit Plan in Support of License Amendment Requests to Revise TSs to Adopt Risk-Informed Completion Times and Implement the Provisions of 10 CFR 50.69 RBG-48258, Notification of Readiness for Supplemental Inspection2023-10-0505 October 2023 Notification of Readiness for Supplemental Inspection RBG-48259, Revision to Reply to Notice of Violation; EA-23-0552023-10-0303 October 2023 Revision to Reply to Notice of Violation; EA-23-055 ML23270B9932023-09-29029 September 2023 Request to Update ASME Boiler & Pressure Vessel Code Relief Request SE with NRC-Approved Revision of Bwrip Guidelines (GG-ISI-020 & RBS-ISI-019) (EPID L-2022-LLR-0090) - Non-Proprietary ML23269A1242023-09-27027 September 2023 Request for Withholding Information from Public Disclosure IR 05000458/20234012023-09-26026 September 2023 Cyber Security Inspection Report 05000458/2023401 IR 05000458/20230012023-09-21021 September 2023 NRC Inspection Report 05000458/2023001, Disputed Non-Cited Violation Rescinded RBG-48254, Report of Changes and Errors to 10CFR50.462023-09-21021 September 2023 Report of Changes and Errors to 10CFR50.46 IR 05000458/20234032023-09-21021 September 2023 NRC Security Inspection Report 05000458/2023403 (Cover Letter) RBG-48249, Reply to a Notice of Violation, EA-23-0712023-09-14014 September 2023 Reply to a Notice of Violation, EA-23-071 RBG-48253, Submittal of Owner'S Activity Report Form for Cycle 222023-09-12012 September 2023 Submittal of Owner'S Activity Report Form for Cycle 22 IR 05000458/20230122023-09-0101 September 2023 Comprehensive Engineering Team Inspection Report 05000458/2023012 IR 05000458/20230052023-08-21021 August 2023 Updated Inspection Plan for River Bend Station (Report 05000458/2023005) - Mid Cycle Letter RBG-48247, Reply to Notice of Violation; EA-23-0552023-08-21021 August 2023 Reply to Notice of Violation; EA-23-055 IR 05000458/20230922023-08-15015 August 2023 Final Significance Determination of a White Finding, Notice of Violation, and Follow-Up Assessment Letter; NRC Inspection Report 05000458/2023092 IR 05000458/20230022023-08-0909 August 2023 Integrated Inspection Report 05000458/2023002 ML23208A2112023-07-27027 July 2023 Entergy Operations Inc., Application to Revise Technical Specifications to Adopt TSTF-205, Revision of Channel Calibration, Channel Functional Test, and Related Definitions ML23195A0692023-07-24024 July 2023 2023 River Bend Station Notification of Biennial Problem Identification and Resolution Inspection and Request for Information IR 05000458/20230912023-07-20020 July 2023 Final Significance Determination of a White Finding, Notice of Violation, and Follow-Up Assessment Letter; NRC Inspection Report 05000458/2023091 ML23207A0762023-07-14014 July 2023 EN 56557 - Update to Part 21 Report Re Potential Defect with Trane External Auto/Stop Emergency Stop Relay Card Pn: XI2650728-06 ML23195A0222023-07-11011 July 2023 4-2022-012 Letter - OI Closure to Licensee IR 05000458/20234042023-07-11011 July 2023 NRC Security Inspection Report 05000458/2023404 (Cover Letter Only) IR 05000458/20230902023-06-26026 June 2023 NRC Inspection Report 05000458/2023090 and Preliminary White Finding ML23159A2302023-06-0808 June 2023 Response to Request for Additional Information Concerning Request to Update ASME Code Relief Request Safety Evaluations with NRC-Approved Revision of BWRVIP Guidelines (GG-ISI-020, and RBS-ISI-019) ML23159A0052023-06-0505 June 2023 56557-EN 56557 - Paragon - Redlined RBG-48226, Core Operating Limits Report (COLR) - Cycle 23, Revision 02023-05-31031 May 2023 Core Operating Limits Report (COLR) - Cycle 23, Revision 0 RBG-48237, Response to NRC Integrated Inspection Report 05000458/20230012023-05-25025 May 2023 Response to NRC Integrated Inspection Report 05000458/2023001 ML23130A2732023-05-10010 May 2023 and Waterford 3 Steam Electric Station - Response to Regulatory Issue Summary 2023-01, Preparation and Scheduling of Operator Licensing Examinations ML23117A2172023-05-0101 May 2023 Safety Evaluation for Quality Assurance Program Manual Reduction in Commitment ML23116A2352023-05-0101 May 2023 Integrated Inspection Report 05000458/2023001 RBG-48220, Submittal of 2022 Annual Radioactive Effluent Release Report2023-04-25025 April 2023 Submittal of 2022 Annual Radioactive Effluent Release Report 2024-01-18
[Table view] Category:Licensee Event Report (LER)
MONTHYEAR05000458/LER-2017-0092017-11-13013 November 2017 Potential Loss of Safety Function of Secondary Containment due to Unsecured Personnel Door, LER 17-009-00 for River Bend, Unit 1 Regarding Potential Loss of Safety Function of Secondary Containment due to Unsecured Personnel Door 05000458/LER-2017-0072017-08-21021 August 2017 Automatic 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 05000458/LER-2017-0062017-07-13013 July 2017 Potential Loss of Safety Function of Onsite Power Sources due to Inadvertent Inoperability of Control Building Chiller, LER 17-006-00 for River Bend, Unit 1 re Potential Loss of Safety Function of Onsite Power Sources due to Inoperability of Control Building Chiller 05000458/LER-2016-0032017-06-0808 June 2017 Operations Prohibited by Technical Specifications Due to Reactor Control Rod Drift During Core Alterations, LER 16-003-01 for River Bend Station, Unit 1, Regarding Operations Prohibited by Technical Specifications Due to Control Blade Drift During Core Alterations 05000458/LER-2017-0052017-06-0505 June 2017 1 OF 3, LER 17-005-00 for River Bend Station, Unit 1, Regarding Operations Prohibited by Technical Specifications Due to Inoperable Main Control Room Filter Train 05000458/LER-2017-0042017-05-22022 May 2017 Loss of High Pressure Core Spray Safety Function During Surveillance Due to Malfunction of Test Return Valve, LER 17-004-00 for River Bend Station, Unit 1, Regarding Loss of High Pressure Core Spray Safety Function During Surveillance Due to Malfunction of Test Return Valve 05000458/LER-2017-0032017-05-0909 May 2017 Manual Reactor Scram Initiated in Response to Increase in Steam Pressure During Steam Leak Troubleshooting, LER 17-003-00 for River Bend Station, Unit 1, Regarding Manual Reactor Scram Initiated in Response to Increase in Steam Pressure During Steam Leak Troubleshooting 05000458/LER-2017-0022017-04-18018 April 2017 Loss of Safety Function of Onsite Electrical Distribution Due to Malfunction of Control Building HVAC System, LER 17-002-00 for River Bend Station, Unit 1, Regarding Loss of Safety Function of Onsite Electrical Distribution Due to Malfunction of Control Building HVAC System 05000458/LER-2017-0012017-04-0303 April 2017 Operations Prohibited by Technical Specifications (Conduct of Operations With a Potential to Drain the Reactor Vessel With Primary Containment Open), LER 17-001-00 for River Bend Station, Unit 1, Regarding Operations Prohibited by Technical Specifications (Conduct of Operations With a Potential to Drain the Reactor Vessel With Primary Containment Open) 05000458/LER-2016-0072016-07-25025 July 2016 1 Operations Prohibited by Technical Specifications Due to Failure to Implement Required Actions Within Completion Time, LER 16-007-00 for River Bend Station, Unit 1, Regarding Operations Prohibited by Technical Specifications Due to Failure to Implement Required Actions Within Completion Time 05000458/LER-2016-0062016-07-12012 July 2016 Potential Loss of Safety Function of Multiple Systems Due to Design Deficiency in 480-volt Circuit Breakers, LER 16-006-00 for River Bend Station re: Potential Loss of Safety Function of Multiple Systems Due to Design Deficiency in 480-volt Circuit Breakers 05000458/LER-2016-0042016-03-29029 March 2016 Actuation of the Division 1 Emergency Diesel Generator and Primary Containment Isolation Logic Due to Partial Loss of Offsite Power, LER 16-004-00 for River Bend, Unit 1, Regarding Actuation of the Division 1 Emergency Diesel Generator and Primary Containment Isolation Logic Due to Partial Loss of Offsite Power 05000458/LER-2016-0022016-03-0707 March 2016 Automatic Reactor Scram and Division 2 Primary Containment Isolation Due to Offsite Grid Electrical Transient, LER 16-002-00 for River Bend, Unit 1, Regarding Automatic Reactor Scram and Division 2 Primary Containment Isolation Due to Offsite Grid Electrical Transient 05000458/LER-2016-0012016-03-0707 March 2016 Potential Loss of Secondary Containment Safety Function Due to Failure of Auxiliary Building Ventilation System, LER 16-001-00 for River Bend, Unit 1, Regarding Potential Loss of Secondary Containment Safety Function Due to Failure of Auxiliary Building Ventilation System 05000458/LER-2015-0102016-02-0808 February 2016 Potential Loss of Safety Function of High Pressure Core Spray Due to Failure of Main Control Building Ventilation Chiller, LER 15-010-00 for River Bend Station, Unit 1, Regarding Potential Loss of Safety Function of High Pressure Core Spray Due to Failure of Main Control Building Ventilation Chiller 05000458/LER-2015-0092016-01-26026 January 2016 1 OF 3, LER 15-009-00 for River Bend Station, Unit 1 Regarding Automatic Reactor Scram Due to Partial Loss of Offsite Power Caused by Fault in Local 230K Switchyard 05000458/LER-2015-0082016-01-18018 January 2016 Potential Loss of Safety Function of High Pressure Core Spray Due to Failure of Main Control Building Ventilation Chiller, LER 15-008-00 of River Bend Station, Unit 1, Regarding Loss of Safety Function of High Pressure Core Spray Due to Failure of Main Control Building Ventilation Chiller 05000458/LER-2015-0072016-01-18018 January 2016 Potential Loss of Safety Function of High Pressure Core Spray Due to Failure of Main Control Building Ventilation Chiller, LER 15-007-00 for River Bend Station - Unit 1 Regarding Potential Loss of Safety Function of High Pressure Core Spray Due to Failure of Main Control Building Ventilation Chiller RBG-47473, Special Report for NEI 07-07 Notification2014-06-0404 June 2014 Special Report for NEI 07-07 Notification ML0627100382006-05-16016 May 2006 Final Precursor Analysis - River Bend Station, LER-458/04-005-01, Automatic Reactor Trip Due to Loss of Non-Vital 120V Instrument Bus 2017-08-21
[Table view] |
comments regarding burden estimate to the Information Services Branch (T-2 F43), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
006 2017 00 05000-458 alLER NUMBER
REPORTED CONDITION
On May 15, 2017, an engineering investigation determined that a modification installed in 2014 on two of the four safety-related main control building chillers (**CHU**)had a design error. The nature of that error was such that the performance of a regularly scheduled preventative maintenance (PM) task to draw an oil sample from the chiller gearbox inadvertently caused the chiller to be incapable of responding to an automatic start signal. A review of the history of the PM found that, on three occasions since the modification was installed, the task was performed on the operable chiller that was in the standby condition. The inadvertent inoperability of the standby division of the main control building chillers causes the loss of safety function of the supported electrical distribution systems in the building.
The control building chilled water system [VI] provides cooling to the equipment rooms housing the battery chargers and inverters for the safety-related onsite electrical distribution systems. The loss of cooling to the various equipment rooms in the control building requires that the supported equipment in those areas be declared inoperable. The Technical Specifications for the Division 3 DC distribution system requires that the high pressure core spray (HPCS) system be immediately declared inoperable. This condition potentially causes the HPCS system to be incapable of performing its safety function, and is, thus, reportable in accordance with 10 CFR 50.73(a)(2)(v)(D).
INVESTIGATION
The subject modification was installed on the Division 1 "C" chiller in August 2014, and on the Division 2 "D" chiller in April 2014. (Each division has a redundant chiller that has yet to be modified.) The purpose of the modification was to upgrade the chiller controls to a digital system. An error occurred in the development of the modification design that involved the controls for the motor-driven chiller oil pump. The switch for the oil pump is on the main control room panel, and is normally in the "AUTOMATIC" position. The work instructions in the PM require that the control switch be placed in the "RUN" position to start the pump. The effect of the design error is that the automatic start feature of the chiller is disabled when the switch is in the "RUN" position.
The review of the PM history found that the "C" chiller was sampled on February 2nd and August 3rd in 2015. The "D" chiller was sampled on March 21, 2017. In each case, the subject chiller was operable and configured for an automatic start should the operating chiller in the opposite division unexpectedly trip. The execution of the PM step to place the oil pump control switch in "RUN" rendered the chiller inoperable.
IMMEDIATE CORRECTIVE ACTIONS
When this condition was discovered, the oil pump control switches on the "C" and "D" chillers were "CAUTION" tagged to prohibit taking the switch to the "RUN" position if the chiller is in the standby configuration.
CORRECTIVE ACTIONS TO PREVENT RECURRENCE
The error in the subject modification is considered a legacy issue since its design was completed and approved in July 2012. Since that time, a comprehensive root cause analysis on the issue of quality in engineering products was conducted in 2015, which resulted in numerous programmatic changes. Therefore, no new causal analysis was comments regarding burden estimate to the Information Services. Branch (T-2 F43), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.
05000-458 2017 006 00 performed for this event.
The PM task will be revised to preclude its performance on chillers in the standby configuration.
tracked in the corrective action program.
This action is being
PREVIOUS OCCURRENCE EVALUATION
River Bend Station has reported no similar events in the last three years.
SAFETY SIGNIFICANCE
At no time during the three performances of the PM on the operable standby chiller was there an actual demand for its automatic start. This condition was, thus, of minimal significance with respect to the health and safety of the public.
(NOTE: Energy Industry Identification System component function identifier and system name of each component or system referred to in the LER are annotated as (**XX**) and [XX], respectively.)
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05000458/LER-2017-001 | Operations Prohibited by Technical Specifications (Conduct of Operations With a Potential to Drain the Reactor Vessel With Primary Containment Open) LER 17-001-00 for River Bend Station, Unit 1, Regarding Operations Prohibited by Technical Specifications (Conduct of Operations With a Potential to Drain the Reactor Vessel With Primary Containment Open) | 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000458/LER-2017-002 | Loss of Safety Function of Onsite Electrical Distribution Due to Malfunction of Control Building HVAC System LER 17-002-00 for River Bend Station, Unit 1, Regarding Loss of Safety Function of Onsite Electrical Distribution Due to Malfunction of Control Building HVAC System | 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(v)(A), Loss of Safety Function - Shutdown the Reactor 10 CFR 50.73(a)(2)(v), Loss of Safety Function | 05000458/LER-2017-003 | Manual Reactor Scram Initiated in Response to Increase in Steam Pressure During Steam Leak Troubleshooting LER 17-003-00 for River Bend Station, Unit 1, Regarding Manual Reactor Scram Initiated in Response to Increase in Steam Pressure During Steam Leak Troubleshooting | 10 CFR 50.73(a)(2)(iv)(A), System Actuation | 05000458/LER-2017-004 | Loss of High Pressure Core Spray Safety Function During Surveillance Due to Malfunction of Test Return Valve LER 17-004-00 for River Bend Station, Unit 1, Regarding Loss of High Pressure Core Spray Safety Function During Surveillance Due to Malfunction of Test Return Valve | 10 CFR 50.73(a)(2)(v)(B), Loss of Safety Function - Remove Residual Heat 10 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material | 05000458/LER-2017-005 | 1 OF 3 LER 17-005-00 for River Bend Station, Unit 1, Regarding Operations Prohibited by Technical Specifications Due to Inoperable Main Control Room Filter Train | 10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | 05000458/LER-2017-006 | Potential Loss of Safety Function of Onsite Power Sources due to Inadvertent Inoperability of Control Building Chiller LER 17-006-00 for River Bend, Unit 1 re Potential Loss of Safety Function of Onsite Power Sources due to Inoperability of Control Building Chiller | 10 CFR 50.73(a)(2)(v)(D), Loss of Safety Function - Mitigate the Consequences of an Accident | 05000458/LER-2017-007 | Automatic 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 | 10 CFR 50.73(a)(2)(iv)(A), System Actuation | 05000458/LER-2017-009 | Potential Loss of Safety Function of Secondary Containment due to Unsecured Personnel Door LER 17-009-00 for River Bend, Unit 1 Regarding Potential Loss of Safety Function of Secondary Containment due to Unsecured Personnel Door | 10 CFR 50.73(a)(2)(v)(C), Loss of Safety Function - Release of Radioactive Material |
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