05000219/FIN-2014005-04

Finding

Title

Procedures Not Implemented During Plant Shutdown

Description

The inspectors identified an NCV of Technical Specification 6.8.1, Procedures and Programs, because Oyster Creek operators did not adequately implement procedures when performing a plant shutdown. Specifically, the operators did not ensure that all personnel on shift had received Just-in-Time-Training for their role in the shutdown; operators did not perform a reactivity Heightened Level Awareness brief for the shutdown, and did not insert source range monitors (SRMs) in accordance with procedure. These performance deficiencies contributed to two unanticipated criticalities during the shutdown. Exelon entered this issue into their corrective action program as IR 2412093 and conducted a root cause analysis. This finding is more than minor because it affected the procedure quality attribute of the Mitigating Systems cornerstone and affected the cornerstone objective to ensure the reliability and capability of systems that respond to initiating events. Specifically, Exelon did not implement procedures during the plant shutdown which contributed to two unanticipated returns to criticality which required operator action to mitigate. The inspectors screened this issue using IMC 0609.04, Initial Characterization of Findings, Exhibit 2 of IMC 0609, Appendix A, The Significance Determination Process for Findings At-Power, and IMC 0609 Appendix M, Significance Determination Process Using Qualitative Criteria. Inspectors determined this finding was of very low safety significance (Green). This finding has a cross-cutting aspect in the area of Human Performance, Procedure Adherence, because licensed operators did not implement processes, procedures and work instructions during the plant shutdown.

04
Site:	Oyster Creek
Report	IR 05000219/2014005 Section 4OA2
Date counted	Dec 31, 2014 (2014Q4)
Type:	NCV: Green
cornerstone	Mitigating Systems
Identified by:	NRC identified
Inspection Procedure:	IP 71152
Inspectors (proximate)	A Patel B Dionne B Fuller E Burkett J Deboer J Kulp J Schoppy J Viera M Orr N Floyd P Kaufman R Deese S Kennedya Rosebrookj Ayala S Kennedy
Violation of:	Technical Specification - Procedures Technical Specification
CCA	H.8, Procedure Adherence
INPO aspect	WP.4
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Finding - Oyster Creek - IR 05000219/2014005

1(0)2(2)3(1)4(1)5(4)6(0)7(0)8(0)9(1)10(1)301(0)403(0)404(1)405(2)502(0)

IR 05000219/2014005: 1 2 3 4

Finding List (Oyster Creek) @ 2014Q4

CCA Matrix: 2014Q4

	Q	CCA	Title
05000219/FIN-2014002-01	2014Q1	H.11	Untimely Performance of a 50.65 a(4) Risk Evaluation during a Maximum Emergency Generation Action
05000219/FIN-2014002-02	2014Q1		Corrective Action to Prevent Recurrence Ineffective to Preclude Repetition of a Significant Condition Adverse to Quality
05000219/FIN-2014404-01	2014Q2	H.1	Security
05000219/FIN-2014003-01	2014Q2	P.1	Failure to Identify and Correct High Oil Level in D Emergency Service Water Pump Upper Motor Bearing (
05000219/FIN-2014004-01	2014Q3	H.7	Inadequate Evacuation Time Estimate Submittals
05000219/FIN-2014009-01	2014Q4		Inadequate Application of Materials, Parts, Equipment, and Processes Associated with the Electromatic Relief Valves
05000219/FIN-2014005-03	2014Q4	H.7	Plant Shutdown Procedure was Inadequate for Soft Shutdown
05000219/FIN-2014005-04	2014Q4	H.8	Procedures Not Implemented During Plant Shutdown
05000219/FIN-2014005-01	2014Q4	P.2	Reactor Head Cooling Spray Piping Flange Misalignment
05000219/FIN-2014005-02	2014Q4		Inadequate Review of Change in Maintenance Process Results in Inoperable Emergency Diesel Generator
05000219/FIN-2014010-01	2014Q4	P.5	Failure to Evaluate a Temporary Configuration Change

Self-Identified List (Oyster Creek)

	Q	Title
05000219/FIN-2014405-01	2014Q3	Licensee-Identified Violation
05000219/FIN-2014405-02	2014Q3	Licensee-Identified Violation

[Oyster Creek Findings full list]

05000219/FIN-2014005-04

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