05000263/FIN-2014004-01
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Finding | |
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Title | Failure to Follow Reactivity Management Procedure |
Description | A finding of very low safety significance and a NCV of Technical Specification (TS) 5.4.1, Procedures, was self-revealed when the licensee failed to implement requirements specified in FPOPRM01, Reactivity Management Program. Specifically, the licensee failed to ensure that the licensed operators were aware of the consequences of the reactivity changes they were making, as required by FPOPRM01. As a result, the licensed operators were unaware that their actions to increase recirculation flow would result in the plant exceeding the minimum critical power ratio (MCPR) operating limit. This issue was entered into the licensees corrective action program (CAP) 1446848. Immediate corrective actions included restoration of the plant to within the MCPR operating limit, halting of power changes, disqualification of individuals directly involved, increased management oversight, a detailed review of the reactivity plan and procedures planned for use during the reactivity plan, and site-wide communication of the event. The site initiated a root cause evaluation (RCE), which was in progress at the end of the inspection period. The inspectors determined that the failure to perform reactivity manipulations in accordance with reactivity management requirements was a performance deficiency requiring evaluation. The inspectors determined that the finding was more than minor in accordance with IMC 0612, Appendix B, because it adversely impacted the Barrier Integrity Cornerstone attributes of Configuration Control and Procedure Quality, and affected the cornerstone objective to provide reasonable assurance that physical design barriers, including fuel cladding, protect the public from radionuclide releases caused by accidents or events. The inspectors assessed the significance of this finding in accordance with IMC 0609 Appendix M, Significance Determination Process Using Qualitative Criteria and determined this finding was of very low safety significance. The inspectors concluded that this finding was cross-cutting in the Human Performance, Documentation aspect because of the failure to ensure that the procedures being used to make the reactivity manipulations were complete, accurate, and up-to-date. |
Site: | Monticello ![]() |
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Report | IR 05000263/2014004 Section 1R15 |
Date counted | Sep 30, 2014 (2014Q3) |
Type: | NCV: Green |
cornerstone | Barrier Integrity |
Identified by: | Self-revealing |
Inspection Procedure: | IP 71111.15 |
Inspectors (proximate) | J Beavers K Riemer M Phalen P Voss P Zurawski S Bell |
Violation of: | Technical Specification - Procedures Technical Specification |
CCA | H.7, Documentation |
INPO aspect | WP.3 |
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Finding - Monticello - IR 05000263/2014004 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Monticello) @ 2014Q3
Self-Identified List (Monticello)
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