Site Vice President Duke Energy Progress, LLC 5413 Shearon ...(1) Turbine control system (TCS) AST QuadVoter solenoid valve 1EH-159A failure on July 1, 2019 (Nuclear Condition Report

October 24, 2019 Ms. Tanya Hamilton Site Vice President Duke Energy Progress, LLC 5413 Shearon Harris Road Mail Code HNP01 New Hill, NC 27562-9300 SUBJECT: SHEARON HARRIS NUCLEAR POWER PLANT – INTEGRATED INSPECTION

REPORT 05000400/2019003 Dear Ms. Hamilton: On September 30, 2019, the U.S. Nuclear Regulatory Commission (NRC) completed an inspection at Shearon Harris Nuclear Power Plant. On October 14, 2019, the NRC inspectors discussed the results of this inspection with you and other members of your staff. The results of this inspection are documented in the enclosed report. One finding of very low safety significance (Green) is documented in this report. This finding involved a violation of NRC requirements. We are treating this violation as a non-cited violation (NCV) consistent with Section 2.3.2 of the Enforcement Policy. If you contest the violation or significance or severity of the violation documented in this inspection report, you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with copies to the Regional Administrator, Region II; the Director, Office of Enforcement; and the NRC Resident Inspector at Harris. If you disagree with a cross-cutting aspect assignment in this report, you should provide a response within 30 days of the date of this inspection report, with the basis for your disagreement, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington, DC 20555-0001; with copies to the Regional Administrator, Region II; and the NRC Resident Inspector at Harris.

T. Hamilton 2

This letter, its enclosure, and your response (if any) will be made available for public inspection and copying at http://www.nrc.gov/reading-rm/adams.html and at the NRC Public Document Room in accordance with 10 CFR 2.390, “Public Inspections, Exemptions, Requests for Withholding.”

Sincerely,

/RA/ Bradley J. Davis, Chief Reactor Projects Branch 4 Division of Reactor Projects

Docket No. 05000400 License No. NPF-63 Enclosure: As stated cc w/ encl: Distribution via LISTSERV®

T. Hamilton 3

SUBJECT: SHEARON HARRIS NUCLEAR POWER PLANT – INTEGRATED INSPECTION REPORT 05000400/2019003

DISTRIBUTION: M. Kowal, RII S. Price, RII L. Gibson, RII OE Mail RIDSNRRDIRS PUBLIC RidsNrrPMShearonHarris Resource ADAMS ACCESSION NUMBER: ML 19301A516 x SUNSI Review

x Non-Sensitive

Sensitive

x Publicly Available

Non-Publicly Available

OFFICE RII/DRP RII/DRP RII/DRP

NAME JZeiler APatz DJackson

DATE 10/17/2019 10/16/2019 10/17/2019

OFFICIAL RECORD COPY

Enclosure

U.S. NUCLEAR REGULATORY COMMISSION Inspection Report

Docket Number: 05000400 License Number: NPF-63 Report Number: 05000400/2019003 Enterprise Identifier: I-2019-003-0074 Licensee: Duke Energy Progress, LLC Facility: Shearon Harris Nuclear Power Plant Location: New Hill, NC 27562 Inspection Dates: July 01, 2019 to September 30, 2019 Inspectors: S. Downey, Senior Reactor Inspector C. Dykes, Health Physicist D. Jackson, Allegations/Enforcement Specialist R. Patterson, Senior Reactor Inspector A. Patz, Resident Inspector J. Rivera, Health Physicist J. Zeiler, Senior Resident Inspector Approved By: Bradley J. Davis, Chief

Reactor Projects Branch 4 Division of Reactor Projects

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SUMMARY The U.S. Nuclear Regulatory Commission (NRC) continued monitoring the licensee’s performance by conducting an integrated inspection at Shearon Harris Nuclear Power Plant in accordance with the Reactor Oversight Process. The Reactor Oversight Process is the NRC’s program for overseeing the safe operation of commercial nuclear power reactors. Refer to https://www.nrc.gov/reactors/operating/oversight.html for more information.

List of Findings and Violations

Failure to Implement Effective Corrective Actions to Preclude Repetition of a Significant Condition Adverse to Quality Cornerstone Significance Cross-Cutting

Aspect Report Section

Mitigating Systems

Green NCV 05000400/2019003-01 Open/Closed

[P.2] - Evaluation

71153

A self-revealing Green non-cited violation (NCV) of 10CFR50, Appendix B, Criterion XVI, “Corrective Actions,” was identified for the licensee’s failure to implement effective corrective actions to preclude repetition of a significant condition adverse to quality. Specifically, the licensee failed to adequately address turbine trip system failures involving mechanical binding (sticking) of turbine auto-stop trip (AST) solenoid operated valves (SOVs), resulting in repetitive instances where turbine trip engineered safety features actuation system (ESFAS) response times could not be met as required by Technical Specifications (TS).

Additional Tracking Items

Type Issue Number Title Report Section Status LER 05000400/2019-001-00 LER 2019-001-00 for

Shearon Harris Nuclear Power Plant, Unit 1, Turbine Control System Auto-Stop Trip Solenoid Operated Valves Response Times Impacted

71153 Closed

LER 05000400/2019-001-01 LER 2019-001-01 for Shearon Harris Nuclear Power Plant, Unit 1, Turbine Control System Auto-Stop Trip Solenoid Operated Valves Response Times Impacted

71153 Closed

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PLANT STATUS Unit 1 operated at or near rated thermal power until September 20, 2019, when a power coastdown was initiated in preparation for an upcoming refueling outage. The unit was operating at 93 percent rated thermal power at the end of the report period. INSPECTION SCOPES

Inspections were conducted using the appropriate portions of the inspection procedures (IPs) in effect at the beginning of the inspection unless otherwise noted. Currently approved IPs with their attached revision histories are located on the public website at http://www.nrc.gov/reading-rm/doc-collections/insp-manual/inspection-procedure/index.html. Samples were declared complete when the IP requirements most appropriate to the inspection activity were met consistent with Inspection Manual Chapter (IMC) 2515, “Light-Water Reactor Inspection Program - Operations Phase.” The inspectors performed plant status activities described in IMC 2515 Appendix D, “Plant Status” and conducted routine reviews using IP 71152, “Problem Identification and Resolution.” The inspectors reviewed selected procedures and records, observed activities, and interviewed personnel to assess licensee performance and compliance with Commission rules and regulations, license conditions, site procedures, and standards. REACTOR SAFETY 71111.01 - Adverse Weather Protection Impending Severe Weather Sample (IP Section 03.03) (1 Sample)

(1) The inspectors evaluated readiness for impending adverse weather conditions for

Hurricane Dorian on September 4-6, 2019. External Flooding Sample (IP Section 03.04) (1 Sample)

(1) The inspectors evaluated readiness to cope with external flooding for the following

areas on September 3-6, 2019: • Emergency diesel generator (EDG) building • Rooftops and ground elevation flood doors of reactor auxiliary building (RAB),

fuel handling building (FHB), turbine building (TB), and waste processing building (WPB)

71111.04Q - Equipment Alignment Partial Walkdown Sample (IP Section 03.01) (3 Samples)

The inspectors evaluated system configurations during partial walkdowns of the following systems/trains: (1) 'A' essential services chilled water (ESCW) system while 'B' ESCW chiller was out-of-

service due to high oil temperature trip and mechanical cleaning between July 15-17, 2019

(2) ‘B’ residual heat removal (RHR) pump while ‘A’ RHR pump was out-of-service for planned maintenance on July 25, 2019

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(3) 'B' EDG while 'A' EDG was out-of-service due to emergent failure of room exhaust fan E-86A between August 22-24, 2019

71111.05A - Fire Protection (Annual) Annual Inspection (IP Section 03.02) (1 Sample)

(1) The inspectors evaluated fire brigade performance during a announced fire drill

conducted on September 20, 2019. The fire drill scenario involved a hydrogen seal oil fire on TB elevation 261.

71111.05Q - Fire Protection Quarterly Inspection (IP Section 03.01) (5 Samples)

The inspectors evaluated fire protection program implementation in the following selected areas: (1) RAB elevation 286 'A' train essential switchgear room, ventilation room, and battery

room (fire zones 1-A-SWGRA, 1-A-BAL-J, and 1-A-BATA) on July 29, 2019 (2) RAB elevation 261 'A' and 'B' electrical penetration rooms, 'A' and 'B' ESCW chiller

areas, and alternate seal injection and filter area (fire zones 1-A-EPA, 1-A-EPB, 1-A-4-CHLR, and 1-A-4-COMC) on August 20, 2019

(3) FHB elevation 261 electrical and ventilation equipment areas (fire zones 5-F-3-CHF-BAL, 5-F-3-CHFA, 5-F-3-CHFB, 5-F-3-DMNZ1, and 5-F-3-DMNZ2) on August 22, 2019

(4) RAB elevation 261 charcoal filter areas (1-A-4-CHFA and 1-A-4-CHFB) on August 30, 2019

(5) RAB elevation 261 steam tunnel area (fire zone 1-A-46-ST) on September 9, 2019

71111.06 - Flood Protection Measures Inspection Activities - Internal Flooding (IP Section 02.02a.) (1 Sample)

The inspectors evaluated internal flooding mitigation protections in the: (1) RAB elevation 261 on August 19, 2019

71111.11Q - Licensed Operator Requalification Program and Licensed Operator Performance Licensed Operator Requalification Training/Examinations (IP Section 03.02) (1 Sample)

(1) The inspectors observed and evaluated a simulator scenario for training involving a

large-break loss-of-coolant accident on July 9, 2019.

71111.12 - Maintenance Effectiveness Routine Maintenance Effectiveness Inspection (IP Section 02.01) (2 Samples)

The inspectors evaluated the effectiveness of routine maintenance activities associated with the following equipment and/or safety significant functions:

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(1) Alternate seal injection non-functional due to cooling issues on July 9, 2019 (2) 'B' ESCW chiller tripped on compressor high oil temperature on July 14, 2019

71111.13 - Maintenance Risk Assessments and Emergent Work Control Risk Assessment and Management Sample (IP Section 03.01) (5 Samples)

The inspectors evaluated the risk assessments for the following planned and emergent work activities: (1) Elevated (Green) risk during unplanned outage of 'B' ESCW system following trip of

'B' ESCW chiller on July 14, 2019 (2) Elevated (Green) risk due to planned unavailability of the ‘A’ RHR pump for

preventive maintenance on July 25, 2019 (3) Elevated (Green) risk due to unplanned unavailability of the 'B' essential safeguards

sequencer due to failure of relay 94LO/1169 on August 6, 2019 (4) Elevated (Green) risk due to planned unavailability of the 'B' and 'C' charging and

safety injection pumps while swapping from 'B' to 'C' pump on August 13, 2019 (5) Elevated (Green) risk due to unplanned unavailability of the 'A' EDG due to failure of

room exhaust fan E-86A on August 22, 2019

71111.15 - Operability Determinations and Functionality Assessments Operability Determination or Functionality Assessment (IP Section 02.02) (5 Samples)

The inspectors evaluated the following operability determinations and functionality assessments: (1) Turbine control system (TCS) AST QuadVoter solenoid valve 1EH-159A failure on

July 1, 2019 (Nuclear Condition Report (NCR) 02279964) (2) Elevated amperage conditions on 'A' train ESCW chiller compressor motor due to

suspected leakage past hot gas bypass valve on July 9, 2019 (NCR 02281075) (3) Unexpected 'B' ESCW chiller trip on compressor high oil temperature on July 14,

2019 (NCR 02281819) (4) Low emergency service water (ESW) flow from main reservoir to containment fan

cooler air handling unit AH-2 during testing on July 19, 2019 (NCRs 02282820 and 02283578)

(5) Failure of 'B' train essential safeguards sequencer thermal overload and torque switch bypass relay 94LO/1169 during testing on August 6, 2019 (NCR 02285575)

71111.18 - Plant Modifications Temporary Modifications and/or Permanent Modifications (IP Section 03.01 and/or 03.02) (2 Samples)

The inspectors evaluated the following temporary or permanent modifications: (1) EC 0000403358, Replace obsolete Technical Specification recorders (2) EC 0000410353, Install Phase I Racks in 'D' spent fuel pool (SFP)

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71111.19 - Post-Maintenance Testing Post Maintenance Test Sample (IP Section 03.01) (6 Samples)

The inspectors evaluated the following post maintenance tests: (1) Work Order 20338057 instructions for pressure testing fire suppression piping in TB

following temporary repair of broken piping on July 2, 2019 (2) Technical Procedure Testing (OPT)-1512, Train B Essential Chilled Water Turbopak

Units Quarterly Inspection and Checks, following corrective maintenance on the 'B' ESCW chiller on July 18, 2019

(3) OPT-1538, Emergency Safeguards Sequencer System Test - Train B Quarterly Interval Modes 1-6, following replacement of failed 'B' train sequencer relay 94LO/1169 on August 8, 2019

(4) Operations Surveillance Test (OST)-1093, Chemical and Volume Control System/Safety Injection System Operability, Train B, Quarterly Interval, following planned maintenance on the 'B' charging and safety injection pump on August 14, 2019

(5) Operating Procedure (OP)-177, Diesel Generator Building HVAC System, Section 5.3, Diesel Generator Room Ventilation Start-Up, following replacement of failed 'A' EDG room exhaust fan E-86A on August 24, 2019

(6) OPT-1083, B-SB Train ESW Flow Verification/Balance, following chemical cleaning of service water side of 'B' component cooling water (CCW) heat exchanger on September 13, 2019

71111.22 - Surveillance Testing The inspectors evaluated the following surveillance tests: Surveillance Tests (other) (IP Section 03.01) (4 Samples)

(1) OPT-1082, A-SA Train ESW Flow Verification/Balance, on July 25, 2019 (2) OST-1086, 1B-SB Diesel Generator Operability Test, Semiannual Interval, Modes

1-6, on August 1, 2019 (3) OPT-1512, Essential Chilled Water Turbopak Units Quarterly Inspection/Checks

Modes 1-6, on August 23, 2019 (4) OST-1191, Steam Generator PORV and Block Valve Operability Test, on

September 9, 2019 Inservice Testing (IP Section 03.01) (1 Sample)

(1) EST-223, Insitu Main Steam Safety Valve Test Using Assist Device, on

September 26, 2019

71114.06 - Drill Evaluation Select Emergency Preparedness Drills and/or Training for Observation (IP Section 03.01) (2 Samples)

The inspectors evaluated:

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(1) A tabletop drill involving an earthquake during reactor refueling on September 16, 2019.

(2) An after-hours augmentation drill involving an anticipated transient without scram (ATWS) with loss of heat sink accident on September 18, 2019.

Drill/Training Evolution Observation (IP Section 03.02) (1 Sample)

The inspectors evaluated: (1) A simulator-based licensed operator training evolution involving a large-break loss-of-

coolant accident on July 9, 2019.

RADIATION SAFETY 71124.06 - Radioactive Gaseous and Liquid Effluent Treatment Inspectors evaluated licensee performance in ensuring gaseous and liquid effluent processing systems are maintained to properly mitigate, monitor and evaluate radiological discharges to the public. Inspectors reviewed compensatory measures for out-of-service effluent monitors. Walk Downs and Observations (IP Section 02.01) (1 Sample)

The inspectors walked down the following gaseous and liquid radioactive effluent monitoring and filtered ventilation systems to assess the material condition and verify proper alignment according to plant design: (1) Inspectors reviewed the following:

Systems Liquid waste system Gaseous waste system Observed routine processing No routine processing available during the inspection period

Calibration and Testing Program (Process & Effluent Monitors) (IP Section 02.02) (1 Sample)

The inspectors reviewed gaseous and liquid effluent monitor instrument calibrations by reviewing information not limited to but including alarm set points, periodicity, and National Institute of Standards Traceability for sources used. Information reviewed included but was not limited to the following: (1) Effluent monitor calibrations

I, MST-I0327, WASTE MONITOR TANKS DISCHARGE REM-3541 CAL, 05/16/16, 05/01/19 I, MST-I0407, Main Steam Line Monitor RM-3592 Calibration, 04/20/2018, 11/2/2016

Sampling and Analysis (IP Section 02.03) (1 Sample)

The inspectors reviewed radioactive effluent sampling and analysis activities.

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(1) Radioactive Effluent Sampling and Analysis Activities Turbine Building Vent Stack sampling Effluent Discharges None were available for review during this inspection

Instrumentation and Equipment (IP Section 02.04) (1 Sample)

The inspectors reviewed flow rates for effluent stack and related vent flow and surveillances. Inspectors also reviewed maintenance and methodologies for one or two high-range effluent monitors (or other effluent/process monitor) relied on in emergency operating procedures for decision making. (1) The inspectors reviewed the following:

Air Cleaning Systems E-13-1X-SB FHB Emergency Exhaust Surveillance, 02/16/2017; 09/12/2018 EPT – 400: Attachment 6,S-1-1B Containment Airborne Radioactivity Removal periodic test, 04/22/2018 High-Range Effluent Monitor I,MST-I0401/CM-10085, Containment High Range Accident Monitor Calibrations, 12/12/2018; 12/12/2016

Dose Calculations (IP Section 02.05) (1 Sample)

The inspectors reviewed required annual reports for changes, release permits and the offsite dose calculation manual for changes and results. The inspectors reviewed the following to assess public dose: (1) The inspectors reviewed the following to assess public dose:

Liquid and Gaseous Discharge Permits

• G-2019-0090, 05/29/2019 • G-2019-0091, 05/29/2019 • G-2019-0092, 05/29/2019 • L-2019-0016, 05/30/2019

Annual Radiological Effluent Release Reports

• 2018 Shearon Harris Nuclear Power Plant Unit 1 Annual Radioactive Release Report

• 2017 Shearon Harris Nuclear Power Plant Unit 1 Annual Radioactive Release Report

Abnormal Gaseous or Liquid Tank Discharges

• G-2017-0214

71124.07 - Radiological Environmental Monitoring Program

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Inspectors evaluated licensee performance in ensuring the Radiological Environmental Monitoring Program (REMP) is implemented in accordance with licensing documentation and the REMP is validating that if there is any dose to the public it is within the legal limits. Inspectors also reviewed the licensee's effort to continue to implement the Nuclear Energy Institute (NEI) Ground Water Protection Initiative (GPI). Site Inspection (IP Section 02.01) (1 Sample)

The inspectors performed walkdowns of sampling stations, thermoluminescent locations and meteorological instrumentation. Inspectors also performed observations of preparation and collections of different environmental sample types. Inspectors reviewed sampling results and maintenance, calibration, quality control and groundwater records. (1) Records reviewed, and samples observed included but were not limited to the

following: Walkdowns and calibration and maintenance record review:

• ENRAD Laboratories LV-1D Air Sampler Certificate of Calibration 09072, 4/2/18 and 4/10/19



• TLD site no. 1 at 2.6 miles N • TLD site no. 4 at 3.1 miles NNE • TLD site no. 26 at 4.7 miles S • ENRAD Laboratories Certificate of Calibration 09262, ISCO Model 3710

Portable Water Sampler, 9/17/18 Observed environmental sample collections and preparation:

• None were available for observation during this inspection Missed sample, inoperable sampler, lost TLD or anomalous measurement:

• Composite water sampler location 26 inoperable for approximately 12 days in June 2018

• Air sampler location 47 inoperable for approximately 21 hours in October 2017 • TLD location 33 was found missing from its designated location in the 4th

quarter of 2017 Sampling program for the potential of licensed material entering ground water:

• Old Steam Generator Storage Building Sump • Old Reactor Head Storage Building Sump • Component Cooling Water System

Groundwater Protection Initiative (GPI) Implementation (IP Section 02.02) (1 Sample)

(1) The inspectors reviewed the licensee's continuing implementation of the voluntary

NEI Ground Water Protection Initiative.

OTHER ACTIVITIES – BASELINE

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71151 - Performance Indicator Verification The inspectors verified licensee performance indicators submittals listed below: MS06: Emergency AC Power Systems (IP Section 02.05) (1 Sample)

(1) Unit 1 (July 1, 2018 – June 30, 2019)

MS07: High Pressure Injection Systems (IP Section 02.06) (1 Sample)

(1) Unit 1 (July 1, 2018 - June 30, 2019)

MS09: Residual Heat Removal Systems (IP Section 02.08) (1 Sample)

(1) Unit 1 (July 1, 2018 - June 30, 2019)

71152 - Problem Identification and Resolution Annual Follow-up of Selected Issues (IP Section 02.03) (2 Samples)

The inspectors reviewed the licensee’s implementation of its corrective action program related to the following issues: (1) Turbine-driven auxiliary feedwater pump tripped on starting after routine surveillance

due to a failure of the turbine governor valve positioner (NCR 02253215) (2) Multiple TCS AST QuadVoter solenoid valves failed to cycle during testing on April

16-17, 2019 (NCR 02269085)

71153 - Followup of Events and Notices of Enforcement Discretion Event Report (IP Section 03.02) (1 Sample)

The inspectors evaluated the following licensee event reports (LERs): (1) LER 05000400/2019-001-00 and 05000400/2019-001-01, Turbine Control System

Auto-Stop Trip Solenoid Operated Valves Response Times Impacted, on June 17, 2019 and September 16, 2019 (ADAMS Accession Nos. ML19168A008 and ML19259A071). The circumstances surrounding the LER and updated LER submittal is documented in report section Inspection Results.

OTHER ACTIVITIES – TEMPORARY INSTRUCTIONS, INFREQUENT AND ABNORMAL 71007 - Reactor Vessel Head Replacement Inspection Reactor Vessel Head Replacement Inspection (1 Sample 1 Partial)

(1) The inspectors evaluated the following engineering change packages to verify that

design changes and modifications associated with the reactor vessel head replacement were properly screened and evaluated, if required, in accordance with

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Title 10, Code of Federal Regulations (CFR) 50.59:

1. EC 0000294345, Replacement Reactor Vessel Head (RRVH) and Insulation Design and Installation, Revision 0

2. EC 0000294355, RRVH Project - Equipment Hatch and Interference Removal, Revision 0

3. EC 0000294346, Control Rod Drive Mechanism (CRDM) and Digital Rod Position Indicator (DRPI) Cable Design and Installation, Revision NEW A

4. EC 0000294347, RRVH Transport and Haul Path – Transport of Original Reactor Vessel Head (ORVH) and RRVH to/from Reactor Containment Building to Storage, Revision 0

This sample was reviewed using IP 71111.17T, “Evaluations of Changes, Tests, and Experiments,” as guidance. The inspectors also reviewed key design aspects of the replacement reactor vessel head (RRVH) as well as provisions for a temporary containment opening using IP 71111.18 as guidance. In addition, the inspectors reviewed site documents and records to verify that the ASME Code requirements used to construct the RRVH were reconciled with those used to construct the original reactor vessel head; that the original ASME Code N-stamp documentation for the reactor vessel remains valid; and that the RRVH complies with the appropriate NRC rules and ASME requirements. Finally, the inspectors reviewed the procurement specification for the RRVH to verify that there is a contract requirement to maintain part identification and traceability during processing of the replacement head. The review of these inspection items constitutes a completion of the inspection requirements of IP 71007, Steps 02.02.a.1 and 02.02.a.2.

(2) (Partial) The inspectors reviewed and observed aspects of the following RRVH activities on September 18-20, 2019:

• Preparations for RRVH haul route testing inside the protected area • Initial lift of RRVH to upright position from hydraulic transporter using two

crane lift system • Preparations for removing RRVH from shipping container

INSPECTION RESULTS

Failure to Implement Effective Corrective Actions to Preclude Repetition of a Significant Condition Adverse to Quality Cornerstone Significance Cross-Cutting

Aspect Report Section

Mitigating Systems

Green NCV 05000400/2019003-01 Open/Closed

[P.2] - Evaluation

71153

A self-revealing Green non-cited violation (NCV) of 10CFR50, Appendix B, Criterion XVI, “Corrective Actions,” was identified for the licensee’s failure to implement effective corrective actions to preclude repetition of a significant condition adverse to quality. Specifically, the licensee failed to adequately address turbine trip system failures involving mechanical binding (sticking) of turbine auto-stop trip (AST) solenoid operated valves (SOVs), resulting in

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repetitive instances where turbine trip engineered safety features actuation system (ESFAS) response times could not be met as required by Technical Specifications (TS). Description: On April 16-17, 2019, the licensee performed testing of the four SOVs associated with the AST emergency turbine trip system and four SOVs associated with the Overspeed Protection Control (OPC) turbine trip system. During this testing, two of four AST SOVs (one in each of the two channels) failed to change position when their electrical trip solenoids were de-energized. With a failed SOV in both AST channels, the AST system was incapable of depressurizing the AST hydraulic header which would have prevented a turbine trip had an actual trip actuation demand signal been generated. As a result, this rendered inoperable, the turbine trip instrumentation channels on steam generator water level hi-hi, per TS 3.3.2, “ESFAS Instrumentation,” Function 5, since the required 2.5 second turbine trip ESFAS response time in accordance with TS surveillance requirement 4.3.2.2 would not have been satisfied. The significance of this event was mitigated by the successful testing and continued functionality of the OPC turbine trip system during the period that the AST system was non-functional. Specifically, had an actual turbine trip signal occurred, the turbine control system would have generated an additional, although delayed by 6-7 seconds, demand signal that would have energized the OPC turbine trip system and effectively tripped the main turbine. The inspectors reviewed the licensee’s root cause evaluation for the AST SOV failures. These failures were attributed to the same phenomenon that occurred June 29, 2018, involving the failure of SOVs in both AST channels due to sticking of the SOV pilot valves. Forensic analysis and evaluation of the current failures identified several common mode failure issues that most likely contributed to sticking of the spool-type pilot valves in the SOVs. These issues included the following:

• There was buildup of small particles of oil contamination in the clearances of the SOV pilot valve sliding spool internals, a known industry phenomenon referred to as silting.

• The incorrect internal SOV pilot valve trip springs were installed. The need for the higher force spring was to provide greater trip margin and offset the vulnerability of sticking SOV pilot valves due to silting.

• Debris/contamination, including aluminum shavings, from either original valve manufacturing or modification installation was found within all the SOV assemblies.

• High SOV pilot valve electrical coil armature temperatures exceeding the Fyrquel recommended temperature limitation known to cause varnish film buildup leading to spool-type pilot valve sticking.

As part of the licensee's root cause evaluation, a review was conducted of the previous AST SOV failure on June 29, 2018, documented in NCR 02216793. The licensee concluded from this review that the previous root cause evaluation was ineffective at preventing the most recent failures. The previous root cause evaluation was determined to be too narrowly focused and did not validate assumptions through direct observations via forensics of the failed SOV slave and pilot valve internals nor adequately pursue causes other than the initial missed AST SOV testing frequency. The inspectors agreed with the licensee’s assessment of the previous evaluation since the evaluation missed the above-mentioned issues needed to properly address the common mode vulnerabilities with using the spool-type pilot valve SOVs in a Fyrquel hydraulic fluid application. Since the previous failure investigation was designated in the licensee’s corrective action program as a significant condition adverse to quality, the inspectors determined that the licensee had failed to implement adequate corrective actions to preclude repetition of a significant condition adverse to quality.

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Corrective Actions: The licensee’s immediate corrective actions included manual cycling of the SOVs and repeated exercising to remove silting and varnish film buildup from the SOV pilot valve internals. In addition, the frequency for testing the AST SOVs was immediately increased from weekly to bi-weekly with each SOV being cycled five times during each test. Subsequently, the SOV pilot valve trip actuation lower force springs were replaced with the originally intended higher force springs to increase trip margin, and the doors to the turbine enclosure housing where the AST SOVs were located were directed to be left open whenever possible to provide increased cooling. Planned corrective actions included more SOV pilot valve and assembly oil fluid flushing, as well as initiation of a design change to replace the spool-type pilot SOVs with poppet style SOVs that are known to be less susceptible to sticking from silting and the oil varnish phenomenon. Corrective Action References: NCR 02269085 Performance Assessment: Performance Deficiency: The licensee’s failure to implement corrective actions to preclude repetition of a significant condition adverse to quality involving degraded TS ESFAS response times for the turbine AST actuation function was a performance deficiency (PD). Screening: The inspectors determined the performance deficiency was more than minor because it was associated with the Equipment Performance attribute of the Mitigating Systems cornerstone and adversely affected the cornerstone objective to ensure the availability, reliability, and capability of systems that respond to initiating events to prevent undesirable consequences. Specifically, the failure to preclude repetition of sticking AST SOVs rendered the turbine AST ESFAS function inoperable. Significance: The inspectors assessed the significance of the finding using Appendix A, “The Significance Determination Process (SDP) for Findings At-Power.” The finding was screened by Exhibit 2, “Mitigating Systems Screening Questions,” under Section C, “Reactivity Control Systems.” The inspectors determined that a detailed risk evaluation was required since both channels of the turbine AST function were impacted rendering the system incapable of depressurizing the AST hydraulic header needed to generate an automatic turbine trip within the allowable TS response time (i.e., 2.5 seconds) for a steam generator hi-hi level turbine trip ESFAS actuation. A detailed risk evaluation of the PD was previously performed by a Region II Senior Reactor Analyst in accordance with NRC IMC 0609, Appendix A, during NRC review of the AST SOV failures that occurred previously on June 29, 2018. (See NCV 05000400/2018003-001 documented in NRC Integrated Inspection Report 05000400/2018003, dated October 26, 2018). The results of the NRC’s previous risk evaluation determined the issue to be a Green finding of very low safety significance. The inspectors determined that this previous risk evaluation remained bounding for the current issue. Cross-Cutting Aspect: P.2 - Evaluation: The organization thoroughly evaluates issues to ensure that resolutions address causes and extent of conditions commensurate with their safety significance. Specifically, the root cause evaluation for the June 29, 2018 sticking turbine AST SOV failure was narrowly focused and failed to address outstanding system common mode vulnerabilities that existed with the AST SOVs that could impact their reliable operation. Enforcement:

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Violation: 10CFR50, Appendix B, Criterion XVI, “Corrective Actions,” requires in part, that, for significant conditions adverse to quality, measures shall assure that the cause of the condition is determined, and corrective action taken to preclude repetition. Contrary to the above, from June 29, 2018 to April 16, 2019, the licensee failed to establish measures to assure that corrective action was taken to preclude repetition of a significant condition adverse to quality. Specifically, the licensee failed to adequately address sticking in turbine trip system AST SOVs, resulting in repetitive instances where turbine trip ESFAS response times could not be met as required by TS. Enforcement Action: This violation is being treated as a non-cited violation, consistent with Section 2.3.2 of the Enforcement Policy.

EXIT MEETINGS AND DEBRIEFS The inspectors verified no proprietary information was retained or documented in this report.

• On October 14, 2019, the inspectors presented the integrated inspection results to Tanya Hamilton and other members of the licensee staff.

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DOCUMENTS REVIEWED Inspection Procedure

Type Designation Description or Title Revision or Date

71007 Calculations C-3597-110 RRVH Transport & Storage Beams Revision 0 HNP-C/RVHR-0003

Shearon Harris RVH Haul Route Evaluation Revision 0

HNP-C/STRU-1144

HNP Equipment Hatch Temporary Plates and Weld Analysis Revision 0

HNP-C/STRU-1148

Shearon Harris Waste Processing Building RVH Loading Evaluation

Revision 0

Corrective Action Documents

AR 02135952 RRVH and ORVH Rigging, Lifting and Transportation Into and Out of Reactor Containment Building

Revision 0

Corrective Action Documents Resulting from Inspection

AR 02284913 CRDM and DRPI Cable Bend Radius Installation Instruction Revision 0

Drawings 1364-097748 Shearon Harris Unit 1 Equipment Hatch Modification Revision 3 1447E94 3 Loop Integrated Head Package Cable Arrangement Revision 0 4R6563 Cable Assembly DRPI - Shutdown Revision C 6R6552-LX Cable Assembly CRDM Revision D 6R6562 Cable Assembly DRPI Control Revision C P-3597-190 RRVH Upending Drawing Rev. D SK-EC294347-(001-004)

Framatome General Arrangement Upending RRVH Revision 3

SK-EC294347-017

Framatome Haul Route Offload Location to Hydraulic Gantry Revision 6

Engineering Changes

EC 0000294347 RRVH Transport and Haul Path Rev. 0

Miscellaneous CAR-SH-AS-001 Specification EBASCO Containment Liner, Air Locks, and Hatch

Revision 12

HNP-E-0015 Integrated Head Package Prefabricated Cable Assemblies Specification

Revision NEW A

HNP-G-0009 Procurement Specification for the Replacement Reactor Vessel Head

Revision 7

HNP-M-RVHR- Control Rod Drive Mechanism Pressure Housing Assembly Revision 0

16

Inspection Procedure


0017 ASME III Class I Design Report HNP-M/RVHR-0013

ASME Section XI Code Reconciliation of the Replacement Reactor Vessel Head Modified L106-A1 CRDM

Revision 0

HNP-M/RVHR-0016

ASME Certified Design Report for Shearon Harris Unit 1 Replacement Reactor Vessel Closure Head

Revision 0

HNP-M/RVHR-0018

Shearon Harris Unit 1 Reactor Vessel Closure Head & RVLIS Piping Subassembly ASME Code Reconciliation

Revision 0

HNP-RVHR-0001 Certified Design Specification for Replacement Reactor Vessel Closure Head for Duke Energy Shearon Harris Unit 1

Revision NEW B

HNP-RVHR-0005 RVLIS and RVHVS Installation Piping Assemblies Manufacturing Specification for Shearon Harris Unit 1 RRVH

Revision NEW B

HNP-RVHR-002 Shearon Harris RRVCH CRDM Equipment Specification Revision NEW A

Procedures 50-9253449-000 Shearon Harris Unit 1 Outage Master Traveler 06/01/2019 RS-1482 Teledyne Acceptance Test Procedure for Commercial

Nuclear Cable Assemblies Revision 0

TLR-19-025 Temporary Load Release (for upending RRVH) 9/9/2019 71111.01 Drawings 8-G-0033, sheet

9 Door Schedule Special Doors, Watertight, Wire Mesh & Metal Partition

Rev. 11

Miscellaneous Licensee Response Letter to NRC Near Term Task Force Review of Fukushima Da-Ichi Accident

Flood Hazard Reevaluation Report, Revision 1 4/1/2015

Licensee Response Letter to NRC Near Term Task Force Review of Fukushima Dai-Ichi Accident

Flood Hazard Reevaluation Report 3/12/2013

Procedures AP-046 Control of Environmental Protective Features Rev. 5

17



AP-300 Severe Weather Response Rev. 34 EPT-040 Flood Barrier Penetration Seal Visual Inspection Rev. 1

71111.04Q Drawings CPL-2165S-1308 Simplified Flow Diagram Safety Injection System

CPL-2165S-1310 Simplified Flow Diagram Safety Injection System Sheet 3 Unit 1

CPL-2165S-1324 Simplified Flow Diagram Residual Heat Removal System

Procedures AD-OP-ALL-0201 Protected Equipment Rev. 5 OP-111 Residual Heat Removal System Rev. 63 OP-148 Essential Services Chilled Water System Rev. 80 OP-155 Diesel Generator Emergency Power System Rev. 89

71111.05A Fire Plans CSD-HNP-PFP-TB

Turbine Building Pre-Fire Plan Rev. 3

Procedures AD-OP-ALL-0207 Fire Brigade Administrative Controls Rev. 2 FPP-001 Fire Protection Program Manual Rev. 44 FPP-002 Fire Emergency Rev. 45

71111.05Q Corrective Action Documents Resulting from Inspection

AR 02288370 Revision to Pre-Fire Plan CSD-HNP-PFP-FHB 08/22/2019 NCR 02291377 Transient combustible material found in the RCA by EAL 09/11/2019

Fire Plans CSD-HNP-PFP-FHB

Fuel Handling Building Pre-Fire Plan Rev. 1

CSD-HNP-PFP-RAB-261

Reactor Auxiliary Building Elevation 261 Pre-Fire Plan Rev. 1

CSD-HNP-PFP-RAV-286

Reactor Auxiliary Building Elevation 286 Pre-Fire Plan Rev. 1

Miscellaneous

Fire Protection Permit and Impairment Log Entries

Procedures AD-EG-ALL-1520 Transient Combustible Control Rev. 12 FPP-001 Fire Protection Program Manual Rev. 44 FPP-013 Fire Protection - Minimum Requirements, Mitigating Actions

and Surveillance Requirements Rev. 100

71111.06 Calculations PRA-F-E-0006 Reactor Auxiliary Building Unit 1 El. 261' Internal Flooding Analysis

Rev. 4

71111.11Q Procedures AD-OP-ALL-1000 Conduct of Operations Rev. 15

18



AD-TQ-ALL-0420 Conduct of Simulator Training and Evaluation Rev. 15 EOP-E-0 Reactor Trip or Safety Injection Rev. 12 EOP-E-1 Loss of Reactor or Secondary Coolant Rev. 5 EOP-ES-1.3 Transfer to Cold Leg Recirculation Rev. 4 OMM-001 Operations Administrative Requirements Rev. 115

71111.12 Corrective Action Documents

NCR 02259420 Alternate seal injection nonfunctional due to 1&2B recycle monitor tank

2/25/2019

NCR 02281819 'B' ESCW chiller tripped on compressor high oil temperature 7/14/2019 Miscellaneous DBD-320 Alternate Seal Injection System Rev. 4 Procedures AD-EG-ALL-1210 Maintenance Rule Program Rev. 1

71111.13 Calculations HNP-F/PSA-0119 Online Phoenix Model Rev. 1 Procedures AD-NF-ALL-0501 Electronic Risk Assessment Tool (ERAT) Rev. 2

AD-WC-ALL-0200 On-Line Work Management Rev. 14 AD-WC-ALL-0240 On-Line Risk Management Process Rev. 1 AD-WC-ALL-0410 Work Activity Integrated Risk Management Rev. 8 OP-107 Chemical and Volume Control System Rev. 117

Work Orders 20147570 B-SB Chiller Tripped 7/14/2019 20317600 MPT-M0084, ‘A’ RHR Motor Oil Change, Mechanical EQ 7/25/2019 20346400 Replace 'B' sequencer thermal overload and torque switch

bypass relay 94LO/1169 8/6/2019

20349380 Replace 'A' EDG room exhaust fan E-86A 8/22/2019 71111.15 Procedures AD-OP-ALL-0105 Operability Determinations and Functionality Assessments Rev. 4 71111.18 Corrective Action

Documents Resulting from Inspection

AR 02283561 Calculation 9-SAC-002A Not Issued 7/24/2019

Engineering Evaluations

AR 02269973 50.59 Screening for EC 403358 4/25/2019

Miscellaneous DBD-1000-V02 Environmental Qualification Design Basis Document Rev. 11 NEI 96-07 Guidelines for 10 CFR 50.59 Evaluations Endorsed by

Regulatory Guide 1.187 Rev. 1

Procedures AD-EG-ALL-1132 Preparation and Control of Design Change Engineering Changes

Rev. 14

19



AD-LS-ALL-0008 10 CFR 50.59 Review Process Rev. 1 71111.19 Corrective Action

Documents NCR 02281819 B-SB Chiller Tripped 7/14/2019

Procedures PLP-400 Post Maintenance Testing Rev. 64 Work Orders 20321229 OST-1093 - Operability of train "B" charging and safety

injection pump 8/14/2019

20322495 Essential Services Chilled Water Systems Operability 7/14/2019 20346400 Replace 'B' Sequencer Thermal Overload and Bypass Relay

94LO/1169 8/7-8/2019

20349380 'A' EDG exhaust room fan E-86A-SA motor replacement 8/24/2019 20351716 Chemical cleaning of 'B' CCW heat exchanger 9/13/2019

71111.22 Work Orders 20185982 OST-1086, Staggered Test, K610 SI Start Signal 8/01/2019 71114.06 Miscellaneous Emergency

Preparedness Drill Package

2019 ERO Augmentation Drill

FAD-HNP-EP-EPEAL Matrix

Emergency Preparedness - Emergency Action Level Matrix Rev. 2

NEI 99-02 Regulatory Assessment Performance Indicator Guideline Rev. 7 Procedures AD-EP-ALL-0105 Activation and Operation of the Technical Support Center Rev. 3

AD-EP-ALL-0304 State and County Notifications Rev. 1 AD-EP-ALL-0802 Conducting Drills and Exercises Rev. 4 AD-EP-ALL-0803 Evaluation and Critique of Drills and Exercises Rev. 4 AD-EP-HNP-0105 HNP Site Specific Technical Support Center Support Rev. 0 EP-EAL Emergency Action Levels Rev. 18 PD-EP-ALL-0800 Drills and Exercises Program Rev. 6 PEP-110 Emergency Classification and Protective Action

Recommendations Rev. 28

PEP-230 Control Room Operations Rev. 30 PEP-310 Notifications and Communications Rev. 40 PLP-201 Emergency Plan Rev. 70


02170854, 02169244, 02134678,

20



02200795, Miscellaneous ERC-009 Attachment 2: Inoperable Monitor Tracking Sheet Revision 1,

1/2018-12/2018

Work Orders 13337885 01 I, MST-I0376/CM-I0085, Plant Vent Stack Accident Monitor Channel Calibration

08/31/2015

20131381 01 I, MST-I0401/CM-I0085, Cont High Rang Accident Monitor Calibration

12/12/16


AR 2243634 Cs-137 detected in REMP samples 11/14/2018

Miscellaneous

Annual MET Data Recovery for 2017 & 2018

Procedures AD-CP-ALL-0017 Radiological Groundwater Protection Rev. 2 Work Orders 20211627 01 Met Tower Equipment Calibration 06/26/2018

20288663 01 Met Tower Equipment Calibration 02/11/2019 71151 Miscellaneous NEI 99-02 Regulatory Assessment Performance Indicator Guideline Rev. 7

Procedures AD-EG-ALL-1217 Mitigating System Performance Index (MSPI) Rev. 0 AD-PI-ALL-0700 Performance Indicators Rev. 2

71152 Engineering Changes

EC 0000275459 Turbine-Driven AFW Control System Digital Upgrade Rev. 21

Procedures AD-LS-ALL-0006 Notification/Reportability Evaluation Rev. 2 AD-PI-ALL-0100 Corrective Action Program Rev. 21 AD-PI-ALL-0101 Root Cause Evaluation Rev. 6 PIC-I825 Terry Turbine Governor Control System Calibration

(Auxiliary Feedwater Pump) Rev. 20

Work Orders 20307647 TDAFW pump tripped while starting during OST-1044 01/19/2019