05000254/FIN-2012002-01
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Finding | |
|---|---|
| Title | Failure to Follow Clearance Order Instructions |
| Description | A self-revealed finding of very low safety significance and associated NCV of Technical Specifications 5.4.1.a, Procedures, was identified on November 29, 2011, when operators performing the removal of danger tags for a Unit 1 refuel bridge clearance found that the tag for the main power cable had been incorrectly hung on a phone cord. Followup discussion revealed that the operators that originally placed the tags did not accurately identify the main power cable using the techniques specified in OP-AA-109-101, Clearance and Tagging, for ensuring that the cable was the correct component, and, therefore, did not implement the clearance order as written. Immediate actions taken were removal of the implementing operators qualifications and shop briefing on the errors with site personnel. The licensee entered this issue into the corrective action program. Inspectors determined that the issue was more than minor because, if left uncorrected, the performance deficiency had the potential to lead to a more significant safety concern either through direct damage to safety equipment or degraded physical barriers. The inspectors performed a SDP Phase 1 screening for the finding using IMC 0609, Table 4a, and answered the questions under the Barrier Cornerstones No. Therefore, the finding screened as very low safety significance, or Green. Inspectors determined that a significant contributor to this finding was the failure of the operator performing the independent verification task to remain in role and ensure the task was executed in accordance with the site standard, HU-AA-101, Human Performance Tools and Verification Practices. As a result, inspectors identified that this issue had a cross-cutting aspect in the area of Human Performance - Work Practices for failure to use the human performance techniques to ensure that the work tasks are performed safely and individuals do not proceed in the face of uncertainty |
| Site: | Quad Cities  |
|---|---|
| Report | IR 05000254/2012002 Section 4OA2 |
| Date counted | Mar 31, 2012 (2012Q1) |
| Type: | NCV: Green |
| cornerstone | Barrier Integrity |
| Identified by: | Self-revealing |
| Inspection Procedure: | IP 71152 |
| Inspectors (proximate) | C Matthews M Mitchell M Ring D Jones J Mcghee B Cushman J Draper |
| CCA | H.12, Avoid Complacency |
| INPO aspect | QA.4 |
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Finding - Quad Cities - IR 05000254/2012002 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Quad Cities) @ 2012Q1
Self-Identified List (Quad Cities)
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