05000220/FIN-2009005-02
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Finding | |
|---|---|
| Title | Failure to Implement the Operator Workaround Program During 2009 |
| Description | An NRC-identified finding was identified on November 19,2009, when inspectors determined the NMPNS Operator Workaround program had not been implemented at Unit 1and Unit 2 in accordance with Nuclear Administration Instruction NAI-REL-02, Control of Operator Workarounds, Burdens and Interests, Revision 07, during the year 2009. As a result, determinations of operational encumbrances that constituted workarounds, burdens, and interests, had not been made by the Unit Workaround Coordinators, lists of these items had not been maintained, and quarterly aggregate reviews of their impact on the ability of operators to perform their duties had not been performed during that period. As corrective action, NMPNS performed a review of work orders that were opened during 2009, and were coded as being operator workarounds or burdens, to identify existing operator workarounds and burdens. An evaluation of that information was performed, which concluded that the station had not been in an unrecognized increased risk condition as a result of the cumulative effects of all workarounds and burdens. The issue was entered into the corrective action program (CAP) as condition report (CR) 2009-8395.The finding was more than minor because the NRC considers licensee identification of operator workaround problems at an appropriate threshold, and implementation of follow-on actions that focus and progress corrective actions to completion, to be an important aspect of problem identification and resolution, as discussed in IP 71152, Identification and Resolution of Problems. The failure to implement the operator workaround program, if left uncorrected, had the potential to increase the likelihood of operator errors during normal and off-normal conditions and lead to a more significant safety concern. The finding had across-cutting aspect in the area of human performance, decision-making, because the roles and authorities of the Operator Workaround Coordinators for Units 1 and 2 were not effectively communicated during the personnel turnover that occurred at the beginning of2009, and therefore were not implemented as designed during the year 2009 (H.1.a per IMC 0305). |
| Site: | Nine Mile Point  |
|---|---|
| Report | IR 05000220/2009005 Section 4OA2 |
| Date counted | Dec 31, 2009 (2009Q4) |
| Type: | Finding: Green |
| cornerstone | Mitigating Systems |
| Identified by: | NRC identified |
| Inspection Procedure: | IP 71152 |
| Inspectors (proximate) | J Caruso G Johnson D Dempsey J Furia G Dentel E Knutson M Schneider M Balazik A Rao |
| CCA | H.13, Consistent Process |
| INPO aspect | DM.1 |
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Finding - Nine Mile Point - IR 05000220/2009005 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Nine Mile Point) @ 2009Q4
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