05000266/FIN-2010005-08
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Finding | |
|---|---|
| Title | Failure to Follow Power Operation to Hot Standby Procedure |
| Description | A finding of very low safety significance and associated non-cited violation of 10 CFR Part 50, Appendix B, Criterion V, Instructions, Procedures, and Drawings, was self-revealed when an auxiliary operator failed to correctly perform a procedure step. Specifically, OP-3A, Power Operation to Hot Standby Unit 1, step 5.11.7 directed the auxiliary operator to ensure the turbine crossover steam dump valves were closed. However, the auxiliary operator misread the position indication for the valves as closed, when, in fact, the valves were open. Because the valves were never closed, an uncontrolled lowering of condenser vacuum occurred, requiring licensed operators to trip the reactor. The licensee initiated a condition report, performed an apparent cause evaluation, and initiated corrective actions to address the issues identified in the causal evaluation. The finding was determined to be more than minor because it was associated with the Initiating Events Cornerstone attribute of Human Performance and adversely affected the cornerstone objective of limiting the likelihood of those events that upset plant stability and challenge critical safety functions during shutdown as well as power operations. Specifically, the failure to follow the procedure resulted in a reactor trip. The finding was determined to be of very low safety significance because the inspectors answered no to the Initiating Events Cornerstone Transient Initiator questions. The finding has a cross-cutting aspect in the area of human performance, work practices, because operations personnel did not utilize human performance error prevention techniques. Specifically, operations personnel failed to follow standards for pre-job briefs, verification and validation, and self-checks. |
| Site: | Point Beach |
|---|---|
| Report | IR 05000266/2010005 Section 4OA3 |
| Date counted | Dec 31, 2010 (2010Q4) |
| Type: | NCV: Green |
| cornerstone | Initiating Events |
| Identified by: | Self-revealing |
| Inspection Procedure: | IP 71153 |
| Inspectors (proximate) | D Chyu D Mcneil K Barclay K Carrington M Garza M Kunowski M Phalen P Cardona Morales R Krsek R Ruiz S Burton |
| CCA | H.12, Avoid Complacency |
| INPO aspect | QA.4 |
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Finding - Point Beach - IR 05000266/2010005 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Point Beach) @ 2010Q4
Self-Identified List (Point Beach)
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